Abstract
The present study aimed to investigate the prevalence and correlates of suicidal behaviors among college students in Jilin Province, China. A cross-sectional survey was conducted in 2016, using a self-reported questionnaire. Convenience sampling method was used to select college students as participants. The analysis was based on a sample of 730 college students. We use multivariate logistic model to determine the risk factors of suicidal behaviors.The prevalence of suicidal ideation, suicidal plan, suicidal attempts were respectively 13.2%, 3.3% and 3.4%. After controlling for the potential confounding factors, history of family psychiatric illness, depression and quality of life were significantly associated with suicidal ideation. Besides, suicidal plan was predicted significantly by not living together with university roommates and depression. In terms of suicidal attempts, not living together with university roommates and history of family psychiatric illness were its risk factors. Comprehensive interventions regarding aims at risk factors may be critical as effective strategies to protect college students from suicide.
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References
World Health Organization. Preventing suicide: a global imperative. http://www.who.int/mental_health/suicide-prevention/world_report_2014/en/.
Dhingra K, Boduszek D, O’Connor RC. Differentiating suicide attempters from suicide ideators using the Integrated Motivational-Volitional model of suicidal behaviour. J Affect Disord. 2015;186:211–8.
Wang L, He CZ, YM Y, Qiu XH, Yang XX, Qiao ZX, et al. Associations between impulsivity, aggression, and suicide in Chinese college students. BMC Public Health. 2014;14:1789–804.
Barnes DH, Golden RN, Peterson FL. The Truth about Suicide. New York: Infobase Publishing; 2010.
National Center for Health Statistics. Suicide and self-inflicted injury. Centers for Disease Control and Prevention website, 2014.
Eskin M, Sun JM, Abuidhail J, Yoshimasu K, Kujan O, Janghorbani M, et al. Suicidal behavior and psychological distress in university students: a 12-nation study. Arch Suicide Res. 2016;20:369–88.
Hauser M, Galling B, Correll CU. Suicidal ideation and suicide attempts in children and adolescents with bipolar disorder: a systematic review of prevalence and incidence rates, correlates, and targeted interventions. Bipolar Disord. 2013;15:507–23.
Evans E, Hawton K, Rodham K, Deeks J. The prevalence of suicidal phenomena in adolescents: a systematic review of population-based studies. Suicide Life Threat Behav. 2005;35:239–50.
Arria A, O”Grady K, Caldeira K, Vincent K, Wilcox H, Wish E. Suicide ideation among college students: a multivariate analysis. Arch Suicide Res. 2009;13:230–46.
Garlow SJ, Rosenberg J, Moore JD, Haas AP, Koestner B, Hendin H, et al. Depression, desperation, and suicidal ideation in college students: results from the American Foundation for Suicide Prevention College Screening Project at Emory University. Depress Anxiety. 2008;25:482–8.
Mackenzie S, Wiegel JR, Mundt M, Brown D, Saewyc E, Heiligenstein E, et al. Depression and suicide ideation among students accessing campus health care. Am J Orthopsychiatry. 2011;81:101–7.
Li ZZ, Li YM, Lei XY, Zhang D, Liu L, Tang SY, et al. Prevalence of suicidal ideation in Chinese college students: a meta-analysis. PLoS One. 2014;9:e104368.
Nock MK, Borges G, Bromet EJ, Cha CB, Kessler RC, Lee S. Suicide and suicidal behavior. Epidemiol Rev. 2008;30:133–54.
Zarrouq B, Bendaou B, Elkinany S, Rammouz I, Aalouane R, Lyoussi B, et al. Suicidal behaviors among Moroccan school students: prevalence and association with socio-demographic characteristics and psychoactive substances use: a cross-sectional study. BMC Psychiatry. 2015;15:1471–244X.
Drum DJ, Brownson C, Denmark AB, Smith SE. New data on the nature of suicidal crises in college students: Shifting the paradigm. Prof Psychol Res Pract. 2009;40:213–22.
Posner K, Oquendo M, Gould M, Stanley B, Davies M. Columbia Classification Algorithm of Suicide Assessment (C-CASA): classification of suicidal events in the FDA’s pediatric suicidal risk analysis of antidepressants. Am J Psychiatr. 2007;164:1035–43.
American College Health Association. American College Health Association National College Health Assessment. Reference Group data report (abridged). J Am Coll Heal. 2006;55(195–206):2007.
Fotti SA, Katz LY, Afifi TO, Cox BJ. The associations between peer and parental relationships and suicidal behaviours in early adolescents. Can J Psychiatr. 2006;51:698–703.
Joffe P. An empirically supported program to prevent suicide in a college student population. Suicide Life Threat Behav. 2008;38:87–103.
Dave D, Rashad I. Overweight status, self-perception, and suicidal behaviors among adolescents. Soc Sci Med. 2009;68:1685–91.
You Z, Chen M, Yang S, Zhou Z, Qin P. Childhood adversity, recent life stressors and suicidal behavior in Chinese college students. PLoS One. 2014;9:1–7.
Hirsch JK, Barton AL. Positive social support, negative social exchanges, and suicidal behavior in college students. J Am Coll Heal. 2011;59:393–8.
Settersten RA Jr, Furstenberg FF, Rumbaut RG, editors. On the frontier of adulthood: Theory, research, and public policy. Chicago: University of Chicago Press; 2008.
Westefeld JS, Button C, Haley J, Kettmann JJ, Macconnell J, Sandil R, et al. College student suicide: a call to action. Death Stud. 2006;30:931–56.
Tam CL, Lee TH, Har WM, Chan LC. Perception of suicidal attempts among college students in Malaysia. Asian Soc Sci. 2011;7:30–41.
Kessler R, Borges G, Walters E. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56:617–26.
Beck AT, Steer RA, Brown GK. Beck depression inventory: manual. San Antonio: Psychological Corp; 1996.
Wang Z, Yuan C, Huang J, Li Z, Chen J, Zhang H, et al. Reliability and validity of the Chinese version of Beck Depression Inventory- II among depression patients (in Chinese). Chin Ment Health J. 2011;25:476–80.
WHOQOL Group. Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL). Qual Life Res. 1993;2:153–9.
Li H, Liu Q, Fang X, Lin X. Study on suicidal behavior and its related factors among undergraduates in Yunnan Province (in Chinese). Psychological Development and Education. 2007;23:56–61.
Toprak S, Cetin I, Guven T. Can G, Demircan C. Self-harm, suicidal ideation and suicide attempts among college students. Psychiatry Res. 2011;187:140–4.
Bauer RL, Chesin MS, Jeglic EL. Depression, delinquency, and suicidal behaviors among college students. Crisis. 2014;35:36–41.
HL X, Xiao SY, Feng SS, Chen XX. Risk factors for suicide attempt among college students at Central South University. Chin J Epidemiol. 2004;25:288–91.
Shang Y, Dong G, Liu T. Analysis on prevalence of suicidal ideation and depression and its influence factors among undergraduate students in Yinchuan (in Chinese). Chin J Public Health. 2008;2:934–6.
Gau SS, Chen YY, Tsai FJ, Lee MB, Chiu YN, Soong WT, et al. Risk factors for suicide in Taiwanese college students. J Am Coll Heal. 2009;57:135–42.
Yang LS, Zhang ZH, Sun L, Sun YH, Ye DQ. Prevalence of suicide attempts among college students in China: a meta-analysis. PLoS One. 2015;10:e0116303.
Yao YS, Chang WW, Jin YL, Chen Y, He LP, Zhang L. Life satisfaction, coping, self-esteem and suicide ideation in Chinese adolescents: a school-based study. Child Care Health Dev. 2014;40:747–52.
Ma X, Xiang YT, Cai ZJ, Li SR, Xiang YQ, Guo HL, et al. Lifetime prevalence of suicidal ideation, suicideplans and attempts in rural and urban regions of Beijing, China. Aust N Z J Psychiatry. 2009;43:158–66.
Juan W, Xiao-Juan D, Jia-Ji W, Xin-Wang W, Liang X. The associations between health risk behaviors and suicidal ideation and attempts in an urban Chinese sample of adolescents. J Affect Disord. 2010;126:180–7.
Xing XY, Tao FB, Wan YH, Xing C, Qi XY, Hao JH, et al. Family factors associated with suicide attempts among Chinese adolescent students: a national cross-sectional survey. J Adolesc Health. 2010;46:592–9.
Cheung YT, Wong PW, Lee AM, Lam TH, Fan YSS, Yip PS. Non-suicidal self-injury and suicidal behavior: prevalence, co-occurrence, and correlates of suicide among adolescents in Hong Kong. Soc Psychiatry Psychiatr Epidemiol. 2013;48:1133–44.
Zaborskis A, Sirvyte D, Zemaitiene N. Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014. BMC Public Health. 2016;16:1–15.
Cheng Y, Tao M, Riley L, Kann L, Ye L, Tian X, et al. Protective factors relating to decreased risks of adolescent suicidal behaviour. Child Care Health Dev. 2009;35:313–22.
Brière FN, Rohde P, Seeley JR, Klein D, Lewinsohn PM. Adolescent suicide attempts and adult adjustment. Depress Anxiety. 2015;32:270–6.
Caspi A, Houts RM, Belsky DW, Goldman-Mellor SJ, Harrington H, Israel S, et al. The p factor: one general psychopathology factor in the structure of psychiatric disorders? Clin Psychol Sci. 2014;2:119–37.
Bertolote JM, Fleischmann A, De Leo D, Wasserman D. Psychiatric diagnoses and suicide: revisiting the evidence. Crisis. 2004;25:147–55.
Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47:372–94.
May AM, Klonsky ED. What distinguishes suicide attempters from suicide ideators? A meta-analysis of potential factors. Clin Psychol Sci Pract. 2016;23:5–20.
Catalan J, Harding R, Sibley E, Clucas C, Croome N, Sherr L. HIV infection and mental health: suicidal behaviour-systematic review. Psychol Health Med. 2011;16:588–611.
Kang EH, Hyun MK, Choi SM, Kim JM, Kim GM, Woo JM. Twelve-month prevalence and predictors of self-reported suicidal ideation and suicide attempt among Korean adolescents in a web-based nationwide survey. Aust N Z J Psychiatry. 2015;49:47–53.
O’Connor RC. The integrated motivational-volitional model of suicidal behavior. Crisis. 2011;32:295–8.
Acknowledgments
We acknowledge all participants who contributed to this study.
This study was funded by Science Education Program Project “Thirteenth Five-Year Plan” of Jilin Province No.441, 2016, Graduate Innovation Fund of Jilin University 2017163 and The Science and Technology International Cooperation Project of Jilin Province 20160414035GH.
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Ethical Approval
The study obtained support and permission from the research ethics board at Jilin University. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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During the research process, informed consent was obtained from all individual participants all. The invited participants were voluntary and guaranteed confidentially.
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Gao, T., Xiang, YT., Zhang, H. et al. Prevalence and Correlates of Suicidal Behaviors among College Students in Northeastern China: a Cross-Sectional Study. Psychiatr Q 89, 359–370 (2018). https://doi.org/10.1007/s11126-017-9540-9
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DOI: https://doi.org/10.1007/s11126-017-9540-9