Making Sense of Chinese Employees’ Suicide Ideation: Does Meaning in Life Matter?

Liu, Yuxin; Usman, Muhammad; Zhang, Jianwei; Raza, Jamshed; Gul, Habib

doi:10.1177/0030222819846721

Cited by 10 publications

(7 citation statements)

References 95 publications

(133 reference statements)

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“…Consistent with previous findings ( 13 , 18 , 19 ), our findings provided empirical support on the protective role of presence of MIL against SI. The findings not only demonstrate the potential clinical relevance of using PHQ-4 as a brief and direct screening tool of SI, but also inform clinical practice on refinement of SB risk assessment via a meaning-oriented approach ( 44 ). Multigroup SEM revealed significantly greater negative indirect effects of MIL on SI via PHQ-4 in the distress group than the non-distress group.…”

Section: Discussionmentioning

confidence: 73%

Psychometric properties of the Patient Health Questionnaire-4 among Hong Kong young adults in 2021: Associations with meaning in life and suicidal ideation

Fong

Yip

2023

Front. Psychiatry

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BackgroundYoung adults in Hong Kong are subject to elevated psychological distress given the societal stressors such as civil unrest and COVID-19 pandemic and suicide is a leading cause of death among them. The present study aimed to evaluate the psychometric properties and measurement invariance of the 4-item Patient Health Questionnaire-4 (PHQ-4) as a brief measure of psychological distress and its associations with meaning in life and suicidal ideation (SI) in young adults.Materials and methodsA mobile survey recruited a large and random sample of 1,472 young adults (Mean age = 26.3 years, 51.8% males) in Hong Kong in 2021. The participants completed the PHQ-4 and Meaning in Life Questionnaire–short form (MLQ-SF) for presence of meaning in life (MIL), SI, COVID-19 impact, and exposure to suicide. Confirmatory factor analysis was conducted to examine the factorial validity, reliability, and measurement invariance of PHQ-4 and MLQ-SF across gender, age, and distress subgroups. Multigroup structural equation model evaluated and compared the direct and indirect effects of latent MIL factor on SI via latent PHQ-4 factor across distress groups.ResultsBoth MIL and PHQ-4 supported a 1-factor model with good composite reliability (Ω = 0.80–0.86) and strong factor loadings (λ = 0.65–0.88). Both factors showed scalar invariance across gender, age, and distress groups. MIL showed significant and negative indirect effects (αβ = −0.196, 95% CI = −0.254 to −0.144) on SI via PHQ-4. PHQ-4 showed a stronger mediating role between MIL and SI in the distress group (Δ = −0.146, 95% CI = −0.252 to −0.049) than the non-distress group. Higher MIL predicted higher likelihoods of help-seeking (Odds ratios = 1.46, 95% CI = 1.14–1.88).ConclusionThe present results support adequate psychometric properties in terms of factorial validity, reliability, convergent validity, and measurement invariance for the PHQ-4 in young adults in Hong Kong. The PHQ-4 demonstrated a substantial mediating role in the relationship between meaning in life and SI in the distress group. These findings support clinical relevance for using the PHQ-4 as a brief and valid measure of psychological distress in the Chinese context.

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Section: Discussionmentioning

confidence: 73%

Psychometric properties of the Patient Health Questionnaire-4 among Hong Kong young adults in 2021: Associations with meaning in life and suicidal ideation

Fong

Yip

2023

Front. Psychiatry

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“…In a similar study on the relationship between life satisfaction and suicide, Santos, Ulisses, Costa, Farias and Moura ( 2016), in a survey conducted in the city of Fortaleza (CE, Brazil), found that life satisfaction was correlated positively with an attraction to life and negatively with the repulsion to life and attraction to death. In short, there was a negative correlation between quality of life and its factors (physical health, socioeconomic status, good mental health, social support, meaning of life) and risk of suicide, indicating that high levels of QoL are associated with low risk indices of suicidal ideation (Alves et al, 2016;Bamonti, Lombardi, Duberstein, King, & Orden, 2016;Melo, Sampaio, Souza, & Pinto, 2015;Costanza, Prelati, & Pompili, 2019;Oliveira et al ., 2018;Wilchek-Aviad & Malka, 2016;Liu, Usman, Zhang, Raza, & Gul, 2019).…”

Section: Introductionmentioning

confidence: 99%

Assessment and Associations between Quality of Life and Risk of Suicide

et al. 2022

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This study aimed to verify the extent to which the levels of quality of life are related to and influence suicide risk indices. A descriptive, correlational, quantitative research was performed. A non-probabilistic sample was used which was composed of 11,863 Brazilian participants all over 18 years old, who responded to the Risk Assessment Suicide Scale (RASS) and the World Health Organization Quality of Life BREF Instrument (WHOQOL-BREF), and whose data were analyzed by using descriptive statistics, the Spearman correlation and multiple linear regression using the Statistical Package for Social Sciences (SPSS). The results identify negative, moderate and significant correlations between the constructs, and that the domains of quality of life influence 47.8% of the variations in the suicide risk indices, confirming that the psychological domain is the most relevant within the explanatory model created. The conclusion is that there is a the need for public policies to improve the quality of life and prevent suicide.

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“…Research examining the role of such defenses following death awareness has consistently demonstrated that adhering to one’s cultural values and high self-esteem reduce the deleterious effects of such awareness and contribute to maintaining meaning in life and psychological well-being (see review by Juhl, 2019). Moreover, self-esteem and meaning in life have been associated with various attitudes toward death, such as suicidal ideation, among young adults (Lin, 2000) and professional employees (Liu et al, 2021). However, most TMT-related research has been conducted using experimental designs, and relatively little is known regarding the functionality of TMT defenses outside the laboratory.…”

Section: Introductionmentioning

confidence: 99%

Do Work-Related Factors Moderate the Association Between Subjective Nearness-to-Death and Psychological Distress?

Bergman

2022

Omega (Westport)

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The COVID-19 pandemic has been associated with increased existential concerns, as well as with significant changes in the work force. The current study examined the availability of meaning in work and belonging to a work group as personal resources which may mitigate psychological distress associated with feeling close to death. Data were collected from 450 working Israelis, and results indicated that the connection between feeling close to death and distress was not significant for individuals reporting high levels of belonging and meaning. Implications are discussed from the perspective of Terror Management Theory.

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Making Sense of Chinese Employees’ Suicide Ideation: Does Meaning in Life Matter?

Cited by 10 publications

References 95 publications

Psychometric properties of the Patient Health Questionnaire-4 among Hong Kong young adults in 2021: Associations with meaning in life and suicidal ideation

Psychometric properties of the Patient Health Questionnaire-4 among Hong Kong young adults in 2021: Associations with meaning in life and suicidal ideation

Assessment and Associations between Quality of Life and Risk of Suicide

Do Work-Related Factors Moderate the Association Between Subjective Nearness-to-Death and Psychological Distress?

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