Suicidal ideation, plans and attempts among medical college students in china: The effect of their parental characteristics

Sun, Long; Zhou, Chengchao; Xu, Lingzhong; Li, Shixue; Kong, Fanlei; Cheng, Jie

doi:10.1016/j.psychres.2016.11.024

Cited by 75 publications

(98 citation statements)

References 31 publications

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“…We demonstrated both some of the factors associated with suicide attempt in medical students and an elastic net model that accurately recognized the probability of suicide attempt using easily accessible student characteristics. In addition, the prevalence of attempted suicide found in our study is higher when compared to other studies , although methodological variability may contribute to such variations. An important point is that the WHO definition of suicide attempts likely includes what DSM‐5 labels ‘non‐suicidal self‐injury’, defined as the deliberate, self‐inflicted destruction of body tissue without suicidal intent and for purposes not socially sanctioned .…”

Section: Discussioncontrasting

confidence: 78%

“…A second study of 874 U.S. medical students reported a lifetime prevalence of suicide attempt of 6.9% . Similarly, a study looking at medical students in China found a prevalence of 4.3% . The closest comparison is with college students; a recent meta‐analysis with almost 635 000 students found a lifetime prevalence of suicide attempt of 3.2% .…”

Section: Introductionmentioning

confidence: 98%

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Who attempts suicide among medical students?

Marcon

Monteiro

Ballester

et al. 2019

Acta Psychiatr Scand

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Objective To identify factors associated with a history of suicide attempt in medical students. Methods A Web‐based survey was sent out to a sample of medical students. A multi‐predictor Poisson regression was performed to identify factors associated with a history of suicide attempt. In addition, an elastic net regularization was used to build a risk calculator to identify students at risk for attempted suicide. Results A total of 4,840 participants were included in the study. Prevalence of suicide attempts in the sample was 8.94%. Risk factors associated with past suicide attempt in the multi‐predictor Poisson regression were as follows: female gender (P < 0.001); homosexuality (P < 0.001); low income (P = 0.026); bullying by university peers (P = 0.006); childhood (P = 0.001) or adult (P = 0.001) trauma; family history of suicide (P = 0.005); suicidal ideation within the last month (P < 0.001); daily tobacco use (P = 0.037); and being at severe risk for alcohol abuse (P = 0.023). Our elastic net model performed well with an AUC of 0.83. Conclusions This study identifies a number of key factors associated with a history of suicide attempts among medical students. Future longitudinal studies should assess the causal relationship between these factors and suicide attempts. Additionally, these results demonstrate that current available data on suicide attempts among medical students can be used to develop an accurate risk algorithm.

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Section: Discussioncontrasting

confidence: 78%

Section: Introductionmentioning

confidence: 98%

Who attempts suicide among medical students?

Marcon

Monteiro

Ballester

et al. 2019

Acta Psychiatr Scand

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“…Given that previous research has also shown that positive affect (but not negative affect) varies according to a sinusoidal 24-h rhythm centered around participants' average wake times (Hasler et al, 2008), we focused on the relationship between positive affect and suicidal ideation. Third, although one-item questionnaires have been widely used to assess suicidal ideation across Asia, such as China (Sun et al, 2017), Japan (Sugawara et al, 2012) and Korea (Yoo et al, 2016), the limitations of one-item measures (e.g., internal consistency reliability estimation, validity) should nevertheless be recognized. Fourth, menstruation is related to affect instability not just during the day it occurs but also some days before (Baca-Garcia et al, 2010); however, the questions about menses in our study were limited to the day when DRM was applied.…”

Section: Limitations and Strengthsmentioning

confidence: 99%

Prevalence of Suicidal Ideation and Its Association with Positive Affect in Working Women: A Day Reconstruction Study

Tian

Yang

2017

Front. Psychol.

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The suicide rate for females in China is the second highest worldwide, and China is the only country in the world in which the rate of suicides is higher for women than men. Affective instability has been shown to be a strong predictor of suicidal ideation, particularly among women. However, prior research has mainly focused on the impact of women's negative affect on suicidal ideation, ignoring the influence of positive affect on suicidal ideation. Studies have revealed that hopelessness, which is 1.3 times more important than depression for explaining suicidal ideation, is driven more by low levels of positive affect than by high levels of negative affect. Although positive affect has also been found to be related to suicidal ideation, and it demonstrates independent, beneficial effects on mental health, much remains to be learned about the association between positive affective instability and suicidal ideation. Therefore, we investigated the prevalence of suicidal ideation among Chinese working women and explored the differences between working women with and without suicidal ideation in the intensity and daily variability of positive affect. A total of 222 young working women of ages 22–36 years (M = 27.64, SD = 3.73) were recruited from a free weekend psychology lecture. The women subsequently completed a daily diary Day Reconstruction Method (DRM) as well as a suicidal ideation questionnaire. We used hierarchical linear modeling (HLM) to analyze the data, and the results showed that: (1) 10.81% of participates reported suicidal ideation, the intensity of positive affect (happiness, warmth/friendliness, interest and relaxation/calmness) was significantly lower for women with suicidal ideation compared to women without suicidal ideation; (2) differing diurnal patterns of positive emotions were observed between women with and without suicidal ideation; women with suicidal ideation demonstrated a significantly lower trend of growth and a higher volatility in happiness, warmth/friendliness, relaxation/calmness. Given that lower intensity of positive affect and greater affective instability significantly predicted suicidal ideation in Chinese women, researchers should pay more attention to the role of positive affect in female suicide prevention research and intervention efforts in the future.

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“…First, most studies are confined to a limited number of countries such as the United States (Eisenberg et al, ), China (Liu et al, ), Northern Ireland (McLafferty et al, ), or France (Verger, Guagliardo, Gilbert, Rouillon, & Kovess‐Masfety, ). Second, many studies restrict their samples to specific college departments (e.g., psychology and medicine—Sun et al, ). Third, and critically, the vast majority of studies have not assessed lifetime treatment (for an exception, see Arria et al, ), thereby confounding whether students first entered treatment prior to or after arrival at college.…”

Section: Introductionmentioning

confidence: 99%

“…First, most studies are confined to a limited number of countries such as the United States (Eisenberg et al, 2011), China (Liu et al, 2017), Northern Ireland (McLafferty et al, 2017), or France (Verger, Guagliardo, Gilbert, Rouillon, & Kovess-Masfety, 2010). Second, many studies restrict their samples to specific college departments (e.g., psychology and medicine- Sun et al, 2017).…”

mentioning

confidence: 99%

Lifetime and 12‐month treatment for mental disorders and suicidal thoughts and behaviors among first year college students

Bruffærts

Mortier

Auerbach

et al. 2019

Int J Methods Psych Res

162

127

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Objectives Mental disorders and suicidal thoughts and behaviors (STB) are common and burdensome among college students. Although available evidence suggests that only a small proportion of the students with these conditions receive treatment, broad‐based data on patterns of treatment are lacking. The aim of this study is to examine the receipt of mental health treatment among college students cross‐nationally. Methods Web‐based self‐report surveys were obtained from 13,984 first year students from 19 colleges in eight countries across the world as part of the World Health Organization's World Mental Health–International College Student Initiative. The survey assessed lifetime and 12‐month common mental disorders/STB and treatment of these conditions. Results Lifetime and 12‐month treatment rates were very low, with estimates of 25.3–36.3% for mental disorders and 29.5–36.1% for STB. Treatment was positively associated with STB severity. However, even among severe cases, lifetime and 12‐month treatment rates were never higher than 60.0% and 45.1%, respectively. Conclusions High unmet need for treatment of mental disorders and STB exists among college students. In order to resolve the problem of high unmet need, a reallocation of resources may focus on innovative, low‐threshold, inexpensive, and scalable interventions.

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Suicidal ideation, plans and attempts among medical college students in china: The effect of their parental characteristics

Cited by 75 publications

References 31 publications

Who attempts suicide among medical students?

Who attempts suicide among medical students?

Prevalence of Suicidal Ideation and Its Association with Positive Affect in Working Women: A Day Reconstruction Study

Lifetime and 12‐month treatment for mental disorders and suicidal thoughts and behaviors among first year college students

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