Psychosocial health and suicidal ideation among people living with HIV/AIDS: A cross-sectional study in Nanjing, China

Wang, Wei; Xiao, Chenchang; Yao, Xing; Yang, Yinmei; Yan, Hong; Li, Shiyue

doi:10.1371/journal.pone.0192940

Cited by 67 publications

(99 citation statements)

References 69 publications

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“…The present study also showed that the lower educational levels significantly predicted a higher adjusted odds ratio of suicide ideation. The previous studies also indicated that the lower education level was associated with higher occurrence rates of suicidal ideation and higher levels of depressive symptoms (Badiee et al., ; Eller et al., ; Wang et al., ).…”

Section: Discussionmentioning

confidence: 88%

The changes and the predictors of suicide ideation and suicide attempt among HIV‐positive patients at 6–12 months post diagnosis: A longitudinal study

Sheng

Liao

et al. 2018

Journal of Advanced Nursing

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Aims: This study examined the changes and the predictors of suicide ideation/suicide attempt and the moderating effects of psychosocial factors on the suicide ideation/suicide attempts among human immunodeficiency virus (HIV)-positive patients at 6-12 months post-diagnosis. Background: Suicide behaviours are prevalent among newly diagnosed HIV-positive patients, but the changes in suicide behaviours after diagnosis and the role of psychosocial factors in these behaviours are not well studied. Design: This study used a prospective longitudinal design. Methods: A total of 113 participants diagnosed as HIV-positive for 6-12 months were recruited from the outpatient department. Data were collected from June 2015 -October 2016. They were asked to complete Beck's Scale for Suicide Ideation, the Beck Depression Inventory-II, the Body Image Scale, the Meaning in Life Questionnaire and the Multidimensional Scale of Perceived Social Support at baseline, the third month and the sixth month. Results:The results showed the high occurrence rates for suicide ideation ranging from 27.2%, 21.6%, and 25.8% and suicide attempt ranging from 14.7%, 8.6%, and 13.3% at the baseline, the third month and the sixth month, respectively. The education level, social support from family and depressive symptoms were the predictors of suicide ideation. The history of depression disorders, depressive symptoms and social support from friends significantly predicted suicide attempt. Meaning in life-presence moderated the relationship between depressive symptoms and suicide ideation.

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Section: Discussionmentioning

confidence: 88%

The changes and the predictors of suicide ideation and suicide attempt among HIV‐positive patients at 6–12 months post diagnosis: A longitudinal study

Sheng

Liao

et al. 2018

Journal of Advanced Nursing

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“…In China's mainstream culture this issue is a particular challenge. Some research has even considered STIs as a factor behind the syndemic effect on suicidal ideation, whereas the present study focused particularly on STI patients' psychosocial problems 29,30,33 . Only one study has discussed the association between a syndemic effect of psychosocial complements (depression, self-esteem, and social support) and suicidal ideation among HIV+ patients in Nanjing, China 29 .…”

mentioning

confidence: 97%

“…Notably, individuals with several psychosocial problems may have magnified suicidal ideation 4,28,29 .…”

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confidence: 99%

Psychosocial Syndemic of Suicidal Ideation: A Cross-sectional Study among Sexually Transmitted Infection Patients in Shanghai, China

Wang

Gong³

et al. 2020

Preprint

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Background: We sought to verify whether psychosocial health problems among patients with sexually transmitted infections (STIs) were associated with these patients’ suicidal ideation and to examine the syndemic effect of multiple psychosocial problems on suicidal ideation. Methods: This was a cross-sectional study of 519 STI patients at the Shanghai Skin Disease Hospital. Demographic, psychosocial, and suicidal ideation information about the participants was collected by questionnaire. Logistic regressions were performed to detect the association between demographic variables and suicidal ideation, as well as each individual psychosocial variable and suicidal ideation, and to verify the syndemic effect of psychosocial factors. Results: Of the participants, 25.0% (130/519) reported having suicidal ideation. In univariable analysis, low self-esteem, loneliness, depression, entrapment, defeat, and unsatisfied interpersonal needs were associated with suicidal ideation. Multivariable analysis found depression (odds ratio [OR]: 4.1; 95% confidence interval [CI]: 2.3–7.2) and entrapment (OR: 2.1; 95%CI: 1.1–4.1) each had a more significant relation with suicidal ideation than the other psychosocial problems examined. STI patients who experienced two or more psychosocial health problems had approximately fourfold odds of suicide ideation (adjusted OR [AOR]: 4.2; 95%CI: 2.6–6.8) compared with those in the non-syndemic group, especially in the high-level (five or more psychosocial problems) group (AOR: 7.0; 95%CI: 3.9–12.5). Conclusions: The study found the participants had a high rate of suicidal ideation and suffered from severe psychosocial problems. These results show a syndemic effect of psychosocial problems on increasing the odds of suicidal ideation. Our findings suggest an urgent need for efforts to prevent suicidal ideation among STI patients toward improving the social and health conditions of this population.

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“…Another matter we realized is that these studies contain behavioral habits, risky sexual behaviors, unpleasant sexual experiences, and psychosocial conditions which involves privacy, are not easy to get true answers and do not apply to the mainstream culture of China. Furthermore, some research has even considered STIs as a factor of the syndemic effect on suicidal ideation, while our present study focused particularly on STI patients' psychosocial issues 28,[31][32] . Only one study has discussed the association between a syndemic effect of psychosocial complements (depression, self-esteem, and social support) and suicidal ideation among HIV+ patients; that was in Nanjing, China 32 .…”

mentioning

confidence: 99%

“…Furthermore, some research has even considered STIs as a factor of the syndemic effect on suicidal ideation, while our present study focused particularly on STI patients' psychosocial issues 28,[31][32] . Only one study has discussed the association between a syndemic effect of psychosocial complements (depression, self-esteem, and social support) and suicidal ideation among HIV+ patients; that was in Nanjing, China 32 . Among other populations is a study our team conducted that found the psychosocial syndemic effect (self-esteem, depression, social support, and loneliness) and suicidal ideation in men who have sex with men (MSM), also in China 29 .…”

mentioning

confidence: 99%

Psychosocial Syndemic of Suicidal Ideation Among Sexually Transmitted infection Patients in Shanghai, China

Wang

Gong³

et al. 2019

Preprint

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Background We sought to verify whether psychosocial health problems among patients with sexually transmitted infections (STIs) were associated with these patients' suicidal ideation, and to examine the magnifying effect of a syndemic of multiple psychosocial conditions on suicidal ideation. Methods This was a cross-sectional study of 519 STI patients at the Shanghai Skin Disease Hospital.Sociodemographic, psychosocial, and suicidal ideation information on the participants was collected.Logistic regressions were performed to detect the association between sociodemographic variables and suicidal ideation, as well as each individual psychosocial variable and suicidal ideation, and to verify the syndemic effect of psychosocial factors. Results Of the participants, 25.0% reported having suicidal thoughts. In univariate analysis, low self-esteem, loneliness, depression, entrapment, defeat, and unsatisfied interpersonal needs were associated with suicidal ideation. Multivariable analysis found depression (risk ratio RR 2.614; 95% confidence interval CI: 1.603-4.262) and entrapment (RR: 4.457; 95%CI: 2.649-7.496) remained significant. STI patients who experienced two or more psychosocial health problems had approximately five times the odds of suicide ideation (adjusted risk ratio ARR: 4.643; 95%CI: 2.882-7.481) compared with those in the non-syndemic group, especially in the high-level (five or more psychosocial problems) group (ARR: 6.072; 95%CI: 3.307-11.152). ConclusionsThe study confirmed that STI patients have a high rate of suicidal ideation and suffer from severe psychosocial problems. The results confirm a syndemic effect of psychosocial problems on increasing the odds of suicidal ideation. This suggests greater attention should be paid to STI patients' psychosocial wellbeing in both nursing and interventions. Efforts to prevent suicidal ideation among STI patients are therefore urgently needed to ameliorate the social and health conditions of this population. BackgroundAccording to WHO(World Health Organization), one person die every 40 seconds from suicide.However, suicide can be preventable. Suicidal ideation(SI),defined as thinking about, considering or planning for suicide [1] , often may be the prodrome for later suicide. Those who have SI have higher risk for suicide than those without SI. SI also may indicate one person suffer from great distress and

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Psychosocial health and suicidal ideation among people living with HIV/AIDS: A cross-sectional study in Nanjing, China

Cited by 67 publications

References 69 publications

The changes and the predictors of suicide ideation and suicide attempt among HIV‐positive patients at 6–12 months post diagnosis: A longitudinal study

The changes and the predictors of suicide ideation and suicide attempt among HIV‐positive patients at 6–12 months post diagnosis: A longitudinal study

Psychosocial Syndemic of Suicidal Ideation: A Cross-sectional Study among Sexually Transmitted Infection Patients in Shanghai, China

Psychosocial Syndemic of Suicidal Ideation Among Sexually Transmitted infection Patients in Shanghai, China

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