Structural equation modeling analysis of social support, coping strategies, depression and suicidal ideation among people living with HIV/AIDS in Changsha, China

Abstract

IntroductionPeople living with HIV/AIDS (PLWHA) have a higher rate of suicide compared to the general population. Psychosocial factors closely correlate with suicidal ideation and it is essential to explain the relationships between related factors among PLWHA.ObjectivesTo establish a structural equation model and examine direct and indirect effects of social support, coping strategy, depression symptoms and suicidal ideation among PLWHA.Patients and methodsA total of 504 PLWHA completed a set of questionnaires in the HIV clinic of Changsha Infectious Disease Hospital between December 2015 and January 2016.ResultsAmong the 504 respondents, a total of 27.2% (n=137) had experienced suicidal ideation in their lifetime. The goodness of fit for the two structural equations model was highly satisfactory. Depression symptoms had a significant direct impact on suicidal ideation (β1=0.401, β2=0.422), while problem-focused coping (β=−0.067), emotion-focused coping (β=−0.081) and social support (β=−0.137) had a significant indirect effect with suicidal ideation via depression symptoms. Factors of total effects were ranked from large to small as follows: depression, social support, emotion-focused coping and problem-focused coping.ConclusionFindings provide more understanding of direct and indirect associations between variables, suggesting that depression screening services, and the strengthening of social support and psychological care services among PLWHA can potentially prevent suicide.

Suicidality Among People Living With HIV From 2010 to 2021: A Systematic Review and a Meta-regression

“…The total number of participants within the 43 studies was 170,234 individuals; 114,335 were male and 33,538 were female. Also, 26 studies included both sex (2,4,6,(8)(9)(10)(11)13,20,24,26,(41)(42)(43)(44)(45)(46)48,51,54,55,58,60,63,65), 2 (26,63) had only male participants, 4 studies (24,25,45,65) had only female participants, and 13 studies (3,5,7,23,31,33,47,49,56,59,61,62,64) did not mention participant sex. The participant age range in 10 studies (2,8,20,33,41,44,…”

“…In terms of suicidal behavior among PLHIV, 14 studies (2,11,31,43,44,47,50,52,55,56,58,59,61,62) assessed both suicidal ideation and suicide attempts, 33 studies (2,(8)(9)(10)(11)20,(23)(24)(25)(26)31,33,(42)(43)(44)(45)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)58,59,(61)(62)(63)(64)(65) measured only the prevalence of suicidal ideation, 17 studies (2,11,31,43,…”

Perceived HIV Stigma, Depressive Symptoms, Self-esteem, and Suicidal Ideation Among People Living with HIV/AIDS in China: a Moderated Mediation Modeling Analysis

“…By the end of 2018, it is estimated that the number of PLWH/AIDS in China had exceeded one million and would continue to grow [37]. Several studies in China have shown that the rate of suicidal ideation among PLWH since diagnosis ranges from 25 to 32.4% [9,18,38]. With such a high proportion of suicidal ideation, it is necessary to understand the impact of perceived HIV stigma on suicidal ideation among PLWH in China and the mechanisms underlying the association for providing evidence for taking targeted measures to improve the psychological health of PLWH.…”

The relationship between social support and suicidal ideation among newly diagnosed people living with HIV: the mediating role of HIV-related stress

“…As hypothesized, higher social support could prevent PLWH from suicidal ideation directly or indirectly via reducing the HIV-related stress levels. Adequate social support may help patients cope with stressful events, largely protect them from psychological distress, and thus reduce the risk of suicidal ideation (Rzeszutek, 2018;Tang et al, 2018). These finds suggest that in addition to increasing social support, reducing HIV-related stress should also be considered in suicide prevention among PLWH.…”