Suicidality among Chinese college students: A cross-sectional study across seven provinces.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 02 01 2020
accepted: 23 07 2020
entrez: 22 8 2020
pubmed: 22 8 2020
medline: 8 10 2020
Statut: epublish

Résumé

Although the suicide rate in China has decreased over the past 20 years, there have been reports that the younger age group has been experiencing an increased incidence of completed suicide. Given that undergraduate groups are at higher risks of suicidality, it is important to monitor and screen for risk factors for suicidal ideation and behaviors to ensure their well-being. To examine the risk and protective factors contributing to suicidality among undergraduate college students in seven provinces in China. We conducted a cross-sectional study involving 13,387 college students from seven universities in Ningxia, Shandong, Shanghai, Jilin, Qinghai, Shaanxi, and Xinjiang. Data were collected using self-report questionnaires. Higher scores in the psychological strain, depression, anxiety, stress, and psychache (psychological risk factors for suicidality) and lower scores in self-esteem and purpose in life (psychological protective factors against suicidality) were associated with increased suicidality among undergraduate students in China. Demographic factors which were associated with higher risks of suicidality were female gender, younger age, bad academic results, were an only child, non-participation in school associations, and had an urban household registration. Perceived good health was protective against suicidality. Knowing the common risk and protective factors for suicidality among Chinese undergraduate students is useful in developing interventions targeted at this population and to guide public health policies on suicide in China.

Sections du résumé

BACKGROUND
Although the suicide rate in China has decreased over the past 20 years, there have been reports that the younger age group has been experiencing an increased incidence of completed suicide. Given that undergraduate groups are at higher risks of suicidality, it is important to monitor and screen for risk factors for suicidal ideation and behaviors to ensure their well-being.
OBJECTIVE
To examine the risk and protective factors contributing to suicidality among undergraduate college students in seven provinces in China.
METHODS
We conducted a cross-sectional study involving 13,387 college students from seven universities in Ningxia, Shandong, Shanghai, Jilin, Qinghai, Shaanxi, and Xinjiang. Data were collected using self-report questionnaires.
RESULTS
Higher scores in the psychological strain, depression, anxiety, stress, and psychache (psychological risk factors for suicidality) and lower scores in self-esteem and purpose in life (psychological protective factors against suicidality) were associated with increased suicidality among undergraduate students in China. Demographic factors which were associated with higher risks of suicidality were female gender, younger age, bad academic results, were an only child, non-participation in school associations, and had an urban household registration. Perceived good health was protective against suicidality.
CONCLUSIONS
Knowing the common risk and protective factors for suicidality among Chinese undergraduate students is useful in developing interventions targeted at this population and to guide public health policies on suicide in China.

Identifiants

pubmed: 32822365
doi: 10.1371/journal.pone.0237329
pii: PONE-D-20-00103
pmc: PMC7444487
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0237329

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Suicide Life Threat Behav. 2019 Apr;49(2):529-534
pubmed: 29512876
BMC Public Health. 2020 Feb 19;20(1):251
pubmed: 32075613
Behav Res Ther. 1995 Mar;33(3):335-43
pubmed: 7726811
Cognit Ther Res. 2016 Oct;40(5):606-616
pubmed: 27695146
Int J Environ Res Public Health. 2020 Mar 31;17(7):
pubmed: 32244371
J Affect Disord. 2017 Jan 15;208:418-423
pubmed: 27842298
J Epidemiol Community Health. 2019 Aug;73(8):745-749
pubmed: 30992370
PLoS One. 2015 Mar 24;10(3):e0121023
pubmed: 25803665
J Adolesc. 2012 Jun;35(3):683-90
pubmed: 22032975
Omega (Westport). 2017 Nov;76(1):3-14
pubmed: 28969515
Int J Med Educ. 2014 Feb 15;5:31-6
pubmed: 25341209
BMC Public Health. 2014 Jun 03;14:551
pubmed: 24894449
Chronic Stress (Thousand Oaks). 2019;3:
pubmed: 31777766
Front Psychiatry. 2016 Jun 20;7:108
pubmed: 27378956
PLoS One. 2013;8(3):e58379
pubmed: 23516468
J Pers Assess. 2002 Dec;79(3):492-511
pubmed: 12511017
Adolescence. 2005 Spring;40(157):33-45
pubmed: 15861616
PLoS One. 2013 Aug 16;8(8):e71313
pubmed: 23977015
Psychol Med. 2015 Nov;45(15):3259-68
pubmed: 26138093
Int J Environ Res Public Health. 2014 Dec 23;12(1):131-45
pubmed: 25546276
PLoS One. 2019 Jul 1;14(7):e0217372
pubmed: 31260454
Assessment. 2001 Dec;8(4):443-54
pubmed: 11785588
ScientificWorldJournal. 2012;2012:685741
pubmed: 22927785
Int J Environ Res Public Health. 2018 Sep 06;15(9):
pubmed: 30200593
Suicide Life Threat Behav. 2016 Dec;46(6):678-696
pubmed: 26999372
Arch Suicide Res. 2008;12(1):67-73
pubmed: 18240036
J Psychiatr Res. 2017 Jul;90:21-25
pubmed: 28214643
BMC Public Health. 2018 Feb 13;18(1):239
pubmed: 29433460
J Child Adolesc Ment Health. 2017 Sep;29(2):179-186
pubmed: 28974168
Psychol Med. 2018 Mar;48(4):554-565
pubmed: 28805169
Int J Clin Health Psychol. 2020 May-Aug;20(2):108-117
pubmed: 32550850
Arch Suicide Res. 2017 Oct-Dec;22(4):665-678
pubmed: 29393836
PLoS One. 2014 Mar 28;9(3):e86672
pubmed: 24681891
Psychiatry Res. 2017 Sep;255:256-262
pubmed: 28595148
J Am Acad Child Adolesc Psychiatry. 2018 Apr;57(4):263-273.e1
pubmed: 29588052
Psychiatry Res. 2017 Jan;247:139-143
pubmed: 27889604
Soc Sci Med. 2012 Oct;75(7):1311-20
pubmed: 22726620
Am J Public Health. 2019 Nov;109(11):1533-1534
pubmed: 31577505
Nan Fang Yi Ke Da Xue Xue Bao. 2013 Aug;33(8):1111-6
pubmed: 23996747
J Affect Disord. 2019 Jan 15;243:297-304
pubmed: 30261445
Int J Environ Res Public Health. 2015 Jan 27;12(2):1412-24
pubmed: 25633031
Int J Environ Res Public Health. 2015 Sep 11;12(9):11506-27
pubmed: 26378566
Nurse Educ Today. 2014 Jun;34(6):e7-12
pubmed: 24268639

Auteurs

Bob Lew (B)

Department of Social Psychology, Faculty of Human Ecology, Putra University of Malaysia, Serdang, Selangor, Malaysia.

Kairi Kõlves (K)

Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Queensland, Australia.
WHO Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Brisbane, Queensland, Australia.
School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.

Augustine Osman (A)

Department of Psychology, University of Texas at San Antonio, San Antonio, Texas United States of America.

Mansor Abu Talib (M)

Department of Human Development and Family Studies, Putra University of Malaysia, Serdang, Selangor, Malaysia.

Norhayati Ibrahim (N)

Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Ching Sin Siau (CS)

Faculty of Social Sciences and Liberal Arts, UCSI University, Kuala Lumpur, Malaysia.

Caryn Mei Hsien Chan (CMH)

Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

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