Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (6): 63-68.doi: 10.6040/j.issn.1671-7554.0.2018.145

Previous Articles     Next Articles

Orientation to happiness in relation to suicide risk among medical students

YUAN Lu, LIU Yangyang, GU Lingxi, JIA Cunxian   

  1. Department of Epidemiology, School of Public Health, Shandong University;
    Shandong University Center for Suicide Prevention Research, Jinan 250012, Shandong, China
  • Published:2022-09-27

PDF (PC)

32

Abstract: Objective To explore the association between different orientations to happiness and suicide risk of medical students. Methods Stratified by grades, a questionnaire survey of undergraduate students in Jinan, Shandong Province was conducted using clustered sampling method. The revised suicide behavior questionnaire(SBQ-R)was applied to identify suicidal risks, while the orientation to happiness(OTH)scale was recommended for measuring different orientations. Results There were 2 197 questionnaires handed out and 2 074(94.40%)questionnaires were valid. According to the total SBQ-R score(≥7), 20.64% of participants had high suicide risk. The OTH scale was divided into four groups: high meaning-high pleasure(503, 24.25%), high meaning-low pleasure(545, 26.28%), low meaning-high pleasure(662, 31.92%), and low meaning-low pleasure(364, 17.55%), with statistical differences in SBQ-R scores(F=11.736, P<0.001). After adjusting to socio-demographic variables including academic performance, single-parent families, good sleep condition as well as economic level, Logistic regression model indicated that high meaning-high pleasure(OR=0.632, 95%CI=0.449-0.887)and high meaning-low pleasure(OR=0.604, 95%CI=0.430-0.848)were negatively associated with suicide risk. Conclusion The suicide risk of medical students is relatively high and students with high meaning life appear to have low suicide risk.

Key words: Orientations to happiness, Suicide risk, Meaning, Pleasure, Medical students

CLC Number: 

  • R749.7
[1] 刘肇瑞, 黄悦勤,马超,等. 2002-2015年我国自杀率变化趋势[J]. 中国心理卫生杂志,2017, 31(10): 756-767. LIU Zhaorui, HUANG Yueqin, MA Chao, et al. Suicide rate trends in China from 2002 to 2015[J]. Chinese Mental Health Journal, 2017, 31(10): 756-767.
[2] 王香梅,赛宁宁,贺寨平. 在校大学生自杀倾向发生情况及影响因素分析[J]. 中国公共卫生,2017, 33(9): 1396-1398. WANG Xiangmei, SAI Ningning, HE Zhaiping. Suicidal tendency and its influencing factors among college students[J]. Chin J Public Health, 2017, 33(9): 1396-1398.
[3] 宋晨,张文婷,陈艳华,等. 医学生自杀意念影响因素研究近况[J]. 罕少疾病杂志, 2013, 20(6): 1-4.
[4] Wallin U, Runeson B. Attitudes towards suicide and suicidal patients among medical students[J]. Eur Psychiatry, 2003, 18(7): 329-333.
[5] 刘艳,张莹,史新竹,等. 社会心理因素对医学生自杀意念影响[J]. 中国公共卫生, 2014, 30(3): 269-272. LIU Yan, ZHANG Ying, SHI Xinzhu, et al. Effect of psychosocial factors on suicidal ideation in medical college students[J]. Chin J Public Health, 2014, 30(3): 269-272.
[6] Nadorff MR, Nazem S, Fiske A. Insomnia symptoms, nightmares, and suicidal ideation in a college student sample[J]. Sleep, 2011, 34(1): 93-98.
[7] Miletic V, Lukovic JA, Ratkovic N, et al. Demographic risk factors for suicide and depression among Serbian medical school students[J]. Soc Psychiatry Psychiatr Epidemiol, 2015, 50(4): 633-638.
[8] Zhai H, Bai B, Chen L, et al. Correlation between family environment and suicidal ideation in university students in China[J]. Int J Environ Res Public Health, 2015, 12(2): 1412-1424.
[9] Seligman MEP. Positive psychology, positive prevention and positive therapy[M]. Handbook of Posit Psychol. New York, US: Oxford University Press, 2002: 3-9.
[10] Peterson C, Ruch W, Beermann U, et al. Strengths of character, orientation to happiness, and life satisfaction[J]. J Posit Psychol, 2007, 2(3): 149-156.
[11] 石霞飞,王芳,左世江. 追求快乐还是追求意义?青少年幸福倾向及其对学习行为的影响[J]. 心理发展与教育, 2015, 31(5): 586-593.
[12] Osman A, Bagge CL, Gutierrez PM, et al. The suicidal behaviors questionnaire-revised(SBQ-R): validation with clinical and nonclinical samples[J]. Assessment, 2001, 8(4): 443-454.
[13] 赵久波,姜美俊,赵静波,等. 幸福感在社会支持与自杀风险之间的调节与中介作用[J]. 中国健康心理学杂志,2013, 21(8): 1250-1253. ZHAO Jiubo, JIANG Meijun, ZHAO Jingbo, et al. Moderator effects and mediator role of subjective well-being between social support and suicide risk[J]. China Journal of Health Psychology, 2013, 21(8): 1250-1253.
[14] Peterson C, Park N, Seligman MEP. Orientations to happiness and life satisfaction: the full versus the empty life[J]. J Happiness Stud, 2005, 6(1): 25-41.
[15] Likert R. A technique for the measurement of attitudes[M]. New York: The Science Press, 1932: 1-55.
[16] 沈可,黄笛,刘晴,等. 中国大陆医学生近十年自杀意念发生率的Meta分析[J]. 中国循证医学杂志,2017, 17(11): 1332-1339. SHEN Ke, HUANG Di, LIU Qing, et al. Incidence of suicidal ideation of medical students in mainland China over the past ten years: a meta-analysis[J]. Chinese Journal of Evidence-Based Medicine, 2017, 17(11): 1332-1339.
[17] 刘静,谢杏利. 生命意义感和幸福感对研究生自杀态度的影响[J]. 现代预防医学,2015, 142(7): 1251-1253. LIU Jing, XIE Xingli. Effects of post-graduates meaning of life and sense of happiness on their suicide attitudes[J]. Modern Preventive Medicine, 2015, 142(7): 1251-1253.
[18] 谢杏利,邹兵. 主观幸福感在贫困大学生自杀态度与生命意义感中的中介作用[J]. 上海交通大学学报(医学版), 2013, 33(1): 78-83. XIE Xingli, ZOU Bing. Mediating effect of subjective well-being on attitude towards commit suicide and meaning in life in poverty-stricken university students[J]. Journal of Shanghai Jiao Tong University(Medical Science), 2013, 33(1): 78-83.
[19] Baumeister RF, Vohs KD, Aaker JL, et al. Some key differences between a happy life and a meaningful life[J]. J Posit Psychol, 2013, 8(6): 505-516.
[20] Huta V, Ryan RM. Pursuing pleasure or virtue: the differential and overlapping well-being benefits of hedonic and eudaimonic motives[J]. J Happiness Stud, 2010, 11(6): 735-762.
[21] Lesani A, Mohammadpoorasl A, Javadi M, et al. Happiness among college students: a cross-sectional web-based study among Iranian medical students[J]. Biotech Health Sci, 2016, 3(2): e36029.
[22] 李原. 不同目标追求对幸福感的影响[J]. 青年研究, 2017(6): 58-67.
[23] 徐雅丽,肖媛媛,梁晓燕,等. 某大学护生与医学生生命意义感现状研究[J]. 护理研究,2016, 30(3): 874-877. XU Yali, XIAO Yuanyuan, LIANG Xiaoyan, et al. Study on status quo of sense of life meaning of nursing students and medical students in a university[J]. Chinese nursing research, 2016, 30(3): 874-877.
[24] 张开利,王霞,唐四元,等. 376名本科医学生生命意义感现状及影响因素分析[J]. 护理学报,2015, 22(15): 36-38. ZHANG Kaili, WANG Xia, TANG Siyuan, et al. Meaning of life of medical undergraduates and its influence factors[J]. Journal of Nursing(China), 2015, 22(15): 36-38.
[25] King LA, Hicks JA, Krull JL, et al. Positive affect and the experience of meaning in life.[J]. J Pers Soc Psychol, 2006, 90(1): 179-196.
[26] Kleiman EM, Beaver JK. A meaningful life is worth living: meaning in life as a suicide resiliency factor[J]. Psychiatry Res, 2013, 210(3): 934-939.
[27] 崔玉玲,倪守建,刘鹏飞,等. 医学生睡眠质量与心理健康及总体幸福感的关系[J]. 中国健康心理学杂志, 2014, 22(6): 943-945. CUI Yuling, NI Shoujian, LIU Pengfei, et al. The relationship between sleep quality, mental health and general well-being of medical students[J]. China Journal of Health Psychology, 2014, 22(6): 943-945.
[28] Bernert RA, Joiner TE. Sleep disturbances and suicide risk: a review of the literature[J]. Neuropsychiatr Dis Treat, 2007, 3(6): 735-743.
[29] 胡志红,郭强. 军医大学学生自杀意念及其影响因素研究[J]. 医学教育探索,2008, 7(2): 222-224. HU Zhihong, GUO Qiang. Study on the related factors of suicidal ideation in college students of military medical university[J]. Research in Medical Education, 2008, 7(2): 222-224.
[30] 关素珍,刘向阳,郑平,等. 医学生自杀意念与家庭因素关系的研究[J]. 中国预防医学杂志,2015, 16(1): 36-38. GUAN Suzhen, LIU Xiangyang, ZHENG Ping, et al. The influence of family factors on suicidal thoughts of medical students[J]. Chin Prev Med, 2015, 16(1): 36-38.
[1] WANG Chao, ZHANG Yilin, ZOU Guangshun, LYU Juncheng. Suicidal ideation and influencing factors in 686 medical students [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 78-85.
[2] WANG Qing, ZHOU Miao, ZHAO Di, LI Ping. Mediating effects of locus of control on relationship between mindfulness and inner peace among medical students [J]. Journal of Shandong University (Health Sciences), 2021, 59(5): 104-109.
[3] ZHANG Yilin, WANG Chao, ZOU Guangshun, LYU Juncheng. Relationship between sense of meaning in life and suicidal ideation in medical students [J]. Journal of Shandong University (Health Sciences), 2021, 59(11): 93-99.
[4] QIN Yiwen, YANG Xiaofan, WEI Yanxin, LIU Baopeng, Bob Lew, JIA Cunxian. Mediating effect of meaning in life on the association between psychological strain and suicidal behavior risk among college students [J]. Journal of Shandong University (Health Sciences), 2021, 59(11): 76-83.
[5] SHI Hai-ying1, LIU Qian-qian2， WU Shao-yi2. Relationship between personality traits and academic procrastination among  medical students [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(12): 103-106.
[6] DU Juan,ZHANG Hong-jing,LI Yun,NIU Juan. Coping styles, emotion regulation and posttraumatic stress response in medical students [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(2): 167-170.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd