Predictors of suicidal ideation in a community sample: Roles of anger, self-esteem, and depression

Predictors of suicidal ideation in a community sample: Roles of anger, self-esteem, and depression
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DOI:
10.1016/j.psychres.2013.12.054
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发表时间:
2014-04-30
影响因子:
11.3
通讯作者:
Chung, Young-Chul
Chung, Young-Chul
中科院分区:
医学2区
文献类型:
--
作者:
Jang, Jin-Mahn;Park, Jong-Il;Chung, Young-Chul

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这项横断面研究的目的是调查愤怒、自尊和抑郁与自杀意念的关系。一项调查在韩国全罗北道的大范围社区进行。共有2964名受试者(平均年龄44.4岁)参与了这项研究。分层回归被用来调查自杀意念的社会人口学特征、抑郁、自尊和愤怒的预测因素。等级回归分析显示,愤怒和自尊与自杀意念显着相关,无论年龄大小,以及在控制抑郁症后。适度性分析表明,愤怒对青少年自杀意念的影响在女性中显著大于男性,但在其他年龄组中不明显。此外,自杀意念的社会人口学预测因子在不同年龄段之间也有一些差异。预测因素包括青少年的性别和家庭和谐,中年人的婚姻状况和家庭和谐,以及老年人的经济状况和家庭和谐。我们的结果表明,愤怒和自尊在自杀意念中起着重要作用,而不是抑郁的影响。制定和实施预防战略,包括管理愤怒和自尊,可能会减少自杀念头和随后的自杀企图。(C)2014爱思唯尔爱尔兰有限公司。保留所有权利。
The objective of this cross-sectional study was to investigate the relationships of anger, self-esteem, and depression with suicidal ideation. A survey was conducted in a wide range of community areas across Jeollabuk-do Province, Korea. A total of 2964 subjects (mean age=44.4 yr) participated in this study. Hierarchical regression was used to investigate predictors of suicidal ideation in terms of their sociodemographic characteristics, depression, self-esteem, and anger. Hierarchical regression analyses revealed that anger and self-esteem were significantly associated with suicidal ideation regardless of age and after controlling for depression. Moderation analysis showed that the impact of anger on suicidal ideation was significantly greater among females than males in adolescents, but not in other age groups. Additionally, there were some differences in sociodemographic predictors of suicidal ideation among age groups. Predictors included gender and family harmony in adolescents, marital status and family harmony in middle-aged individuals, and economic status and family harmony in elderly individuals. Our results revealed that anger and self-esteem play important roles in suicidal ideation beyond the effect of depression. Development and implementation of preventive strategies, including management of anger and self-esteem, could possibly reduce suicidal ideation and subsequent suicide attempts. (C) 2014 Elsevier Ireland Ltd. All rights reserved.