Associations between depression, anxiety, stress, hopelessness, subjective well-being, coping styles and suicide in Chinese university students.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Adaptation, Psychological*; Anxiety/*psychology ; Depression/*psychology ; Stress, Psychological/*complications ; Substance-Related Disorders/*psychology ; Suicide/*psychology; Adolescent ; Anxiety/complications ; Anxiety/epidemiology ; Anxiety/ethnology ; Asian People ; China/epidemiology ; Depression/complications ; Depression/epidemiology ; Depression/ethnology ; Female ; Humans ; Male ; Psychological Distress ; Risk Factors ; Self-Assessment ; Stress, Psychological/epidemiology ; Stress, Psychological/ethnology ; Students/psychology ; Substance-Related Disorders/complications ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/ethnology ; Suicidal Ideation ; Suicide/ethnology ; Suicide/statistics & numerical data ; Surveys and Questionnaires ; Universities ; Young Adult ; Suicide Prevention

Suicide is a major public health concern worldwide. This study aimed to predict the suicidal behavior of Chinese university students by studying psychological measures such as hopelessness, orientation to happiness, meaning in life, depression, anxiety, stress, and coping styles. In November 2016, a stratified-clustered-random sampling approach was utilized to select subjects from two large public medical-related universities in Shandong province, China. This sample consisted of 2,074 undergraduate students (706 males, 1,368 females; mean age = 19.79±1.39 years). The students' major risk factors for suicide were depression, anxiety, stress, and hopelessness, and the students' minor risk factors included orientation to happiness and coping styles (including self-distraction, self-blame and substance use). Notably, the presence of meaning in life had a positive effect on preventing suicide and acted as a protective factor, which suggests that it is important to identify risk factors as well as protective factors relevant to the target population group in order to increase the effectiveness of counseling and suicide prevention programs.
Competing Interests: The authors have declared that no competing interests exist.

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Date Created: 20190702 Date Completed: 20200218 Latest Revision: 20221207

20240513

PMC6602174

10.1371/journal.pone.0217372

31260454