Risk and protective factors of suicidal tendencies among freshmen in China revealed by a hierarchical regression model.

IF 6 2区 医学 Q1 PEDIATRICS European Child & Adolescent Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-02-07 DOI:10.1007/s00787-024-02370-5
Zhongrui Wang, Xiyu Li, Haiyu Xu, Tao Zhang
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Abstract

This study aimed to identify risk and protective factors for suicidal tendencies among college students by exploring current mental health, personal experiences, family environment, and school adaptation. A total of 11,504 freshmen in China were recruited. Suicidal tendencies were assessed using the Adolescents Suicidal Tendencies Scale (ASTS), while explored risk and protective factors included mental health assessed by the Symptom Checklist-90 (SCL-90), campus adaptation using the College Student School Adaptation Scale, and Personal Situation Survey. Single-factor Logistic regression analysis, correlation analysis, and hierarchical regression analysis were used to analyze the risk and protective factors affecting suicidal tendencies. The results showed that in terms of personal experience, self-injury behavior (OR = 3.522, 95% CI [3.256, 3.811]), sexual assault experience (OR = 2.603, 95% CI [2.374, 2.855]) and lack of friendship relationship (OR = 2.249, 95% CI [2.076, 2.436]) were the most significant risk factors. Regarding family environment, parenting style (OR = 2.455, 95% CI [2.272, 2.652]), parent-child relationship (OR = 2.255, 95% CI [2.092, 2.429]) and violent conflict (OR = 2.164, 95% CI [2.015, 2.324]) were the most prominent risk factors. For protective factors, life satisfaction (OR = 0.330, 95% CI [0.304, 0.359]) and rest quality (OR = 0.415, 95% CI [0.386, 0.447]) were the most significant protective factors. In addition, Symptom Checklist-90 was positively correlated with suicidal tendencies (r = 0.541, 95% CI [0.522, 0.560], p < 0.001), while school adaptation was negatively correlated with suicidal tendencies (r = - 0.590, 95% CI [- 0.579, - 0.601], p < 0.001). After considering demographic variables, psychological symptoms, school adaptation and other risk and protective factors, the hierarchical regression model could explain 48.9% of the variance of suicidal tendencies. The study emphasizes a range of multidimensional risk and protective factors for suicidal tendencies. This enhanced understanding is crucial in aiding the design of future intervention studies targeted at improving the mental health of college students.

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分层回归模型揭示中国大一新生自杀倾向的风险和保护因素。
本研究旨在通过探究大学生当前的心理健康状况、个人经历、家庭环境和学校适应情况,找出大学生自杀倾向的危险因素和保护因素。研究共招募了 11504 名中国大一新生。自杀倾向采用青少年自杀倾向量表(ASTS)进行评估,风险和保护因素包括症状检查表-90(SCL-90)评估的心理健康状况、大学生校园适应量表和个人情况调查。研究采用单因素逻辑回归分析、相关分析和层次回归分析来分析影响自杀倾向的风险和保护因素。结果显示,在个人经历方面,自伤行为(OR = 3.522,95% CI [3.256,3.811])、性侵犯经历(OR = 2.603,95% CI [2.374,2.855])和缺乏友谊关系(OR = 2.249,95% CI [2.076,2.436])是最显著的风险因素。在家庭环境方面,父母教养方式(OR = 2.455,95% CI [2.272,2.652])、亲子关系(OR = 2.255,95% CI [2.092,2.429])和暴力冲突(OR = 2.164,95% CI [2.015,2.324])是最主要的风险因素。在保护因素方面,生活满意度(OR = 0.330,95% CI [0.304,0.359])和休息质量(OR = 0.415,95% CI [0.386,0.447])是最重要的保护因素。此外,症状检查表-90 与自杀倾向呈正相关(r = 0.541,95% CI [0.522,0.560],p
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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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