The relationship between college students' Suicidal ideation and rejection sensitivity: a network analysis.

IF 3.6 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMC Public Health Pub Date : 2025-01-28 DOI:10.1186/s12889-025-21451-x
Yang He, Tianqi Yang, Chunyan He, Yuanbei Zhang, Huilin Yang, Shen Huang, Jianjun Liu, Xihong Li, Tao Xu, Shengjun Wu
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Abstract

Background: Rejection sensitivity has a controversial impact on suicidal ideation. However, previous studies have always assessed the relationship between rejection sensitivity and suicidal ideation as a whole based on total scores, which has obscured the fine-grained relationship between them.

Objectives: The present study aims to investigate the fine-grained relationship between rejection sensitivity and suicidal ideation in college students based on network analysis, and to provide a theoretical basis for identifying potential targets for psychological intervention on suicidal ideation.

Methods: A total of 663 Chinese college students aged 19-28 years from Xian were investigated in an online study. The Tendency to Expect Rejection Scale (TTERS) and Self-rating Idea of Suicide Scale (SIOSS) were selected to investigate rejection sensitivity and suicidal ideation. Rejection sensitivity and suicidal ideation networks were constructed using R4.1.1 software to examine the links between the dimensions and to calculate the bridge expected influence (BEI) of each node.

Results: The prevalence of suicidal ideation among college students was 5.6%. The rejection sensitivity and suicide ideation network contained 23 cross-community edges, with the strongest one being the connection between S3 "Despair" and R17 "No confidence". Within the suicidal ideation community, S3 "Despair" had the highest positive BEI value (0.50). In the rejection sensitivity community, R17 "No confidence" exhibited the highest positive BEI value (0.26), whereas R13 "Sense of collectivity" had the highest negative BEI value (-0.08).

Conclusions: Complex correlation pathways exist between rejection sensitivity and suicidal ideation. The bridge centrality indicators identified in this study serve as guides for relevant personnel to implement targeted interventions, thereby effectively preventing and mitigating the emergence and persistence of suicidal ideation among college students.

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大学生自杀意念与拒绝敏感性的关系:一个网络分析。
背景:拒绝敏感性对自杀意念的影响存在争议。然而,以往的研究总是基于总分来评估拒绝敏感性和自杀意念之间的整体关系,这掩盖了它们之间的细粒度关系。目的:本研究旨在基于网络分析探讨大学生拒绝敏感性与自杀意念的细粒度关系,为确定自杀意念心理干预的潜在目标提供理论依据。方法:对663名19 ~ 28岁的西安大学生进行在线调查。采用预期拒绝倾向量表(ters)和自杀自评意念量表(SIOSS)对拒绝敏感性和自杀意念进行研究。采用R4.1.1软件构建拒绝敏感性和自杀意念网络,检验各维度之间的联系,计算各节点的桥梁预期影响(BEI)。结果:大学生自杀意念患病率为5.6%。拒绝敏感性与自杀意念网络共包含23条跨社区边,其中S3“绝望”与R17“不自信”之间的连接最强。自杀意念社区中,S3“绝望”的阳性BEI值最高(0.50)。在拒绝敏感群体中,R17“No confidence”的阳性BEI值最高(0.26),R13“Sense of collective”的负BEI值最高(-0.08)。结论:排斥敏感性与自杀意念之间存在复杂的相关通路。本研究确定的桥梁中心性指标可以指导相关人员实施有针对性的干预,从而有效预防和减轻大学生自杀意念的产生和持续。
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来源期刊
BMC Public Health
BMC Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
4.40%
发文量
2108
审稿时长
1 months
期刊介绍: BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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