Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (11): 93-99.doi: 10.6040/j.issn.1671-7554.0.2020.0073

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Relationship between sense of meaning in life and suicidal ideation in medical students

ZHANG Yilin, WANG Chao, ZOU Guangshun, LYU Juncheng   

  1. School of Public Health, Weifang Medical University, Collaborative Innovation Center for Prediction and Management of Major Social Risks in “Healthy Shandong”, Weifang 261053, Shandong, China
  • Published:2021-11-11

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Abstract: Objective To investigate the sense of meaning in life and suicidal ideation in medical students, so as to explore their relationship and influencing factors. Methods From May to October 2020, 2 000 medical students from Weifang Medical College and Binzhou Medical College were selected by random stratified cluster sampling method, and surveyed with a self-compiled general questionnaire, Purpose in Life Test(PIL)and Beck Suicidal Ideation Scale Chinese Version(BSI-CV). A total of 1 847 valid questionnaires were collected. Results The average age of medical students was(19.39±1.26)years, and the detection rate of suicidal ideation in the past week was 21.33%. The average score of the sense of meaning in life was 53.73±17.18. Medical students with low sense of meaning in life were more likely to develop suicidal ideation than those with high scores (t=-16.041, P<0.001). There was a negative correlation between sense of meaning in life and suicidal ideation(rs=-0.390, P<0.001). Multiple Logistic regression showed that the factors related to suicidal ideation were high sense of meaning in life(OR=0.521, 95%CI: 0.472-0.575), democratic child discipline(the reference group was other)(OR=0.583, 95%CI: 0.360-0.944), no friends or relatives committing suicide(OR=0.555, 95%CI: 0.382-0.806), unavailability of help under stress and difficulties(OR=1.527, 95%CI: 1.003-2.323), number of close friends(3 or more in the reference group)being 0(OR=2.494, 95%CI: 1.650-3.769)and 1(OR=1.955, 95%CI: 1.432-2.669), gap between ideal and reality(no gap in the reference group)being large(OR=2.084, 95%CI: 1.220-3.559)and very large(OR=2.235, 95%CI: 1.171-4.264). Conclusion The rate of suicidal ideation among medical students is high. Those with low sense of meaning in life are more likely to develop suicidal ideation. The sense of meaning in life is associated with suicidal ideation. Medical colleges and universities should take targeted measures such as strengthening the sense of meaning in life education so as to reduce suicidal ideation.

Key words: Medical students, Sense of meaning in life, Suicidal ideation, Influencing factors, Prevention measure

CLC Number: 

  • R179
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