马来西亚低收入成年人的压力和自杀倾向:社会支持与心理健康症状的序列中介分析。

IF 2.5 4区 医学 Q2 PSYCHIATRY
Madihah Shukri, Christopher J Armitage, Chong Siew Koon, Nurul Nabila Tarmizi
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引用次数: 0

摘要

背景:有研究表明,在压力因素的作用下,尤其是在社会经济背景不利的人群中,出现自杀念头的风险会增加。目的:本研究以社会恶化和反作用模型为基础,旨在通过对马来西亚社会支持和心理健康症状的序列调解,阐明压力源与自杀意念之间的关联途径:我们从 404 名每月接受马来西亚社会福利部经济援助的低收入成年人(33.2% 为男性,66.8% 为女性)中收集了数据。我们采用了压力源测量(即经济、家庭和工作)、奥斯陆社会支持量表、患者健康问卷和自杀行为问卷-修订版:共有 46.8% 的参与者报告了轻度至重度焦虑和抑郁症状,其中 11.1% 的人被列为自杀高危人群。研究发现了直接和间接的影响。在对年龄和性别进行控制后,社会支持和心理健康症状在压力源和自杀意念之间起到了中介作用。序列中介分析表明,压力因素与自杀意念之间的联系是通过社会支持不足,然后是心理健康症状水平升高的序列来实现的:了解压力因素、社会支持、心理健康症状和自杀意念之间的多方面关系,有助于为弱势群体制定有针对性的干预措施和预防策略。针对低收入人群的临床工作可包括及早开展系统性工作,发展可获得的心理健康和综合护理服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Stressors and suicidal ideation in low-income adults in Malaysia: A serial mediation analysis of social support and mental health symptoms.

Background: Studies have documented a heightened risk of suicidal ideation in response to stressors, especially among people from socioeconomically disadvantaged backgrounds. However, the mechanisms of this association remain elusive.

Aims: Drawing on the social deterioration and counteractive models, this study aims to elucidate the pathways linking stressors to suicidal ideation through serial mediation of social support and mental health symptoms in Malaysia.

Method: Data were collected from 404 low-income adults (33.2% male and 66.8% female) receiving monthly financial assistance from Malaysia's social welfare department. We employed stressor measures (i.e. financial, family and work), the Oslo Social Support Scale, the Patient Health Questionnaire and the Suicidal Behaviour Questionnaire-Revised.

Results: A total of 46.8% of participants reported mild-to-severe anxiety and depressive symptoms, with 11.1% classified as high risk for suicide. Direct and indirect effects were found. After controlling for age and gender, social support and mental health symptoms mediated the link between stressors and suicidal ideation. The serial mediation analysis indicates that stressors are connected to heightened suicidal ideation through a sequence involving insufficient social support, followed by elevated levels of mental health symptoms.

Conclusion: Understanding the multifaceted relationships among stressors, social support, mental health symptoms and suicide ideation expands the potential for developing targeted interventions and preventive strategies tailored for vulnerable populations. Clinical work with low-income individuals may include implementing early systematic efforts to develop accessible mental health and integrated care services.

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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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