Distinguishing Pathways from Negative Emotions to Suicide Ideation and to Suicide Attempt: the Differential Mediating Effects of Nonsuicidal Self-Injury

被引:34
作者
Zhang, Xu [1 ,2 ]
Ren, Yaxuan [1 ,2 ]
You, Jianing [1 ,2 ]
Huang, Chao [3 ]
Jiang, Yongqiang [1 ,2 ]
Lin, Min-Pei [4 ]
Leung, Freedom [5 ]
机构
[1] South China Normal Univ, Res Ctr Crisis Intervent & Psychol Serv Guangdong, Guangdong Key Lab Mental Hlth & Cognit Sci, Ctr Studies Psychol Applicat, Guangzhou 510631, Guangdong, Peoples R China
[2] South China Normal Univ, Sch Psychol, Guangzhou 510631, Guangdong, Peoples R China
[3] Flinders Univ S Australia, Sch Psychol, Adelaide, SA, Australia
[4] Natl Taiwan Normal Univ, Dept Educ Psychol & Counseling, Taipei, Taiwan
[5] Chinese Univ Hong Kong, Dept Psychol, Hong Kong, Hong Kong, Peoples R China
基金
中国国家自然科学基金;
关键词
Suicide ideation; Suicide attempt; Nonsuicidal self-injury; Negative emotions; Different paths; ACQUIRED CAPABILITY; GENDER-DIFFERENCES; CHINESE ADOLESCENTS; PROTECTIVE FACTORS; SOCIAL SUPPORT; DEPRESSION; STRESS; RISK; PREVALENCE; BEHAVIOR;
D O I
10.1007/s10802-017-0266-9
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Negative emotion (NE) is one of the most widely examined risk factors for suicide ideation (SI) and suicide attempt (SA). However, little is known about the possibly different mechanisms underlying the pathways from NE to these two different suicide phenomena. Nonsuicidal self-injury (NSSI) is related to both negative emotions and suicidality. Thus, the present study aimed to test the differential roles of NSSI in the pathways from NE (specified by depression, anxiety, and stress) to SI and from NE to SA. This study hypothesized that NSSI served as a mediator in the relationship from NE to SA, but not in the relationship from NE to SI. We assessed the study variables among 3600 Chinese students (56.6% females, mean age = 14.63 years) for 3times at 6-month intervals. Structural equation modeling was used to test the hypotheses. Results partly supported the hypothesized longitudinal mediation model, such that NSSI fully mediated the relation from NE to SA in females, while partially mediated the relation from NE to SI in both females and males. Findings of this study may help to better understand the distinct mechanisms underlying the relationships from NE to SI and SA. Moreover, our finding regarding gender differences suggests the different emphases in suicide prevention and intervention programs across genders.
引用
收藏
页码:1609 / 1619
页数:11
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