@article{ref1,
title="Physical disability, low self-esteem, and suicidal ideation among Chinese nursing home residents: the moderating role of resilience",
journal="Aging and mental health",
year="2022",
author="Liu, Yuqi and Zhang, Dan and Wang, Rui and Wang, Peng and Su, Yonggang",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: This study aimed to investigate the mediating role of self-esteem in the relationship between physical disability and suicidal ideation, and whether the mediation effect was moderated by resilience among nursing home residents. <br><br>METHODS: Participants were 538 nursing home residents recruited from 37 nursing homes in Jinan, China (mean age = 78.13 years, SD = 8.72). The Lawton and Brody Activities of Daily Living Scale, Rosenberg Self-Esteem Scale, 10-item version of the Connor-Davidson Resilience Scale, and Beck Suicidal Ideation Inventory-Chinese Version were used. Mediation and moderated mediation analyses were performed using Models 4 and 15 of the PROCESS macro for SPSS. <br><br>RESULTS: The prevalence of suicidal ideation among the nursing home residents was 14.90%. The mediation analysis showed that self-esteem partially mediated the association between physical disability and suicidal ideation. Resilience was a protective factor for suicidal ideation and moderated the relationship between physical disability and suicidal ideation, and between self-esteem and suicidal ideation. <br><br>CONCLUSION: Both physical disability and lower self-esteem are important in understanding the development of suicidal ideation among nursing home residents. Improving resilience may be crucial for suicide prevention.<p /> <p>Language: en</p>",
language="en",
issn="1360-7863",
doi="10.1080/13607863.2022.2032595",
url="http://dx.doi.org/10.1080/13607863.2022.2032595"
}