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Stressful life events among college student

Direct and indirect relationships with insomnia, depression, self‐esteem, and suicide ideation

Bibliographic Data

ID21375397
AuthorsHongyu Zou (0000-0003-0773-2709, School of Psychology South China Normal University Guangzhou China), Xiaohua Kong (0000-0003-0040-3259, School of Psychology South China Normal University Guangzhou China), Ziyao Chen (0009-0001-5641-4988, School of Psychology South China Normal University Guangzhou China), Wei Zhang (0000-0002-5458-9581, School of Psychology South China Normal University Guangzhou China, corresponding author)
Year2024
Volume61
Issue9
Pages3626-3644
Publication date2024-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePsychology in the Schools (JOURNAL)
Journal identifiersISSN: 0033-3085 • E-ISSN: 1520-6807
PublisherWiley (PUBLISHER • GB)
DOI10.1002/pits.23247
OpenAlexW4399127975
LanguageEN
Citations received5
References cited68

Suicide is a serious public health problem and is the fourth leading cause of death among adolescents. Suicide ideation is the most significant predictor of suicide. However, few empirical studies have examined the relationship between stressful life events, insomnia, depression symptoms, self‐esteem, and suicide ideation among college students. This study builds on O'Connor's The integrated motivational‐volitional model of suicidal behavior theory will verify the relationship between these five factors through a large data study among college students, and further reveal the mechanisms and interventions of suicide ideation among college students. A total of 2717 (mean age = 19.81 years, 22.49% male) college students from South China participated in this behavioral and health survey. Using self‐reported questionnaires which were Adolescent Self Rating Life Events Check‐list, MINI‐C, Insomnia Severity Index, PHQ‐9, and Self‐Esteem Scale to assess the subjects’ demographic information, suicide ideation, stressful life events, insomnia, depressive symptoms, and self‐esteem levels as comprehensively as possible. A moderated chain mediation model was used to validate their relationship. The results showed that stressful life events significant positively predicted insomnia symptoms, depressive symptoms, and suicide ideation. The mediating effect of depression between stressful life events and suicide ideation was significant. The chain mediating effect of insomnia and depression between stressful life events and suicide ideation was significant. However, the mediating effect of insomnia between stressful life events and suicide ideation was not significant. Also, the positive prediction of stressful life events and depression on suicide ideation was weaker when the individual's self‐esteem level was higher, and the moderated chain mediating effect was significant. This study developed a moderated chain mediation model, and proposes a new integrated stress coping‐self‐perception model of suicide ideation to discover the important role of self‐esteem levels in adolescent suicide prevention

Cognition · Depression (economics) · Insomnia · Mediation · Medical emergency · Poison control · Psychiatry · Rumination · Suicidal ideation · Suicide prevention · Clinical Psychology · Medicine · Mental Health Research Topics · Psychology · Substance Abuse Treatment and Outcomes · Suicide and Self-Harm Studies

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Unique citing works5
Citations per year2,5
Citation span2024 - 2025 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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