TY - JOUR PY - 2024// TI - Psychache, hopelessness, and suicidal ideation and behaviors: a cross-sectional study from China JO - International journal of environmental research and public health A1 - Siau, Ching Sin A1 - Klonsky, E. David A1 - Kolves, Kairi A1 - Huen, Jenny Mei Yiu A1 - Chan, Caryn Mei Hsien A1 - Fariduddin, Muhamad Nur A1 - Ibrahim, Norhayati A1 - Tan, Yee Kee A1 - Jia, Cunxian A1 - Zhang, Jie A1 - Lew, Bob SP - EP - VL - 21 IS - 7 N2 - This study explored the relationship between variables emphasized in the theory's first step of the three-step theory (3ST)-psychache, hopelessness, and their interaction-to suicide-related variables (i.e., lifetime suicidal ideation and attempt, past-year suicidal ideation, communication of suicidal thoughts, and self-reported future suicide attempt likelihood). Chinese undergraduate students (N = 11,399; mean age = 20.69 ± 1.35) from seven provinces participated in this cross-sectional survey. They answered the Suicidal Behaviors Questionnaire-Revised, Psychache Scale, and Beck Hopelessness Scale. Bivariate and multivariate analyses were used to examine the association between psychache, hopelessness, and hopelessness × psychache interaction on the outcome variables. Bivariate analyses showed that psychache and hopelessness were correlated with suicidal ideation and behaviors. In multiple regression models, the interaction between psychache and hopelessness was significantly associated with past-year suicidal ideation and self-report chances of a future suicide attempt, p < 0.001, though effect sizes for the interaction term were small. The results are broadly consistent with the 3ST's proposition of how the combination of pain and hopelessness is related to various suicide-related variables. The low prevalence of suicide-related communication should inform future suicide prevention measures by encouraging help-seeking. Psychache as a correlate of the self-reported likelihood of a future attempt could be further investigated.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph21070885 ID - ref1 ER -