Associations of Suicide Stigma Internalization With Risk Factors of Suicidal Thoughts and Behaviors Among Chinese College Students: A Multi-Wave Longitudinal Study.

IF 2.6 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI:10.1111/sltb.70053

Shunyan Lyu, Sabrina Yanan Jiang, Yu Li

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Abstract

Introduction: Suicide stigma is a multifaceted social issue with far-reaching consequences for mental health. While previous research has linked it to suicidal thoughts and behaviors (STBs), the roles of perceived and internalized forms of suicide stigma in influencing STBs remain unclear.

Method: This study investigated the potential causal relationships between perceived and internalized suicide stigma, hopelessness, unbearable pain, and thwarted connectedness in relation to STBs among 546 Chinese college students (mean age = 20.92 years). Three-wave longitudinal data with a time gap of roughly 3 months were analyzed by using structural equation modeling.

Results: The results showed that the second-wave internalized stigma mediated the relationship between baseline perceived stigma and the third-wave unbearable pain, hopelessness, and thwarted connectedness, which are considered risk factors of STBs. Furthermore, the coexistence of unbearable pain and hopelessness, and the coexistence of unbearable pain and connectedness mediated the influences of perceived and internalized suicide stigma on STBs.

Conclusion: These findings demonstrated that the temporal evolution of perceived and internalized suicide stigma contributes to risk factors predicting STBs.

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中国大学生自杀污名内化与自杀念头和行为危险因素的关系：一项多波纵向研究

前言：自杀耻辱是一个多方面的社会问题，对心理健康有着深远的影响。虽然之前的研究已经将其与自杀想法和行为（STBs）联系起来，但自杀耻辱的感知和内化形式在影响STBs中的作用仍不清楚。方法：本研究调查了546名中国大学生（平均年龄20.92岁）在性传播感染方面的自杀耻辱感、无望感、难以忍受的疼痛感和挫败性联系之间的潜在因果关系。采用结构方程模型对时间间隔约为3个月的三波纵波数据进行分析。结果：第二波内化耻感在基线感知耻感与第三波难以忍受的疼痛、绝望感和受阻的连通性之间起中介作用，而后者被认为是性传播感染的危险因素。此外，无法忍受的痛苦与绝望的共存，以及无法忍受的痛苦与连通性的共存介导了自杀耻辱感的感知和内化。结论：这些研究结果表明，自杀耻辱感和自杀耻辱感的时间演变有助于预测性传播感染的危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.