Psychological Development and Education ›› 2024, Vol. 40 ›› Issue (4): 572-588.doi: 10.16187/j.cnki.issn1001-4918.2024.04.12

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The Measurement Index Identifying College Students at High Risk of Suicide: From Personal-centered Perspective

SU Binyuan1,2, GUO Qianlan2, XIE Binru2, ZHANG Wei2   

  1. 1. Counseling and Psychological Services & Research Center, South China Normal University, Guangzhou 510631;
    2. School of Psychology/Center for Studies of Psychological Application, South China Normal University, Guangzhou 510631
  • Published:2024-08-27

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Abstract: To explore a new method to identify students at high risk of suicide, a sample of 3126 college students was recruited in the study to establish the regression equation and the latent profile analysis. We tested and verified 19 person-centered factors related to risk for suicide attempts from 24 inital factors, to define our subgroups of suicide based on the Diathermy-stress model. The eight highest correlation index for multiple variables of college students' suicide are: borderline personality (R2=20.16%), mental disorder (R2=18.87%), psychological pain (R2=17.82%), prior nonsuicidal self-injury (NSSI) (R2=16.12%), anxiety (R2=15.98%), prior suicidal thoughts (R2=13.28%), daily vexation life stress event (R2=12.35%), emotional regulation (R2=10.74%). There are three heterogeneous groups regarding the potential risk of suicide among the college students. C1 emotional disturbance group (49.9%) is characterized by “rising and falling from one another”. C2 health group (32.58%) shows the characteristic of “the rich are richer” and good adaptation. C3 high risk group (17.53%) shows the characteristic of “the poor are poorer”, and is more vulnerable to risks. Suicide of college students is the result of the interaction and multidirectional superposition of stress, personal susceptibility and environmental protection factors, and is often expressed in the form of emotional and mental symptoms. When carrying out mental health surveys, we should change the method of only using single symptom index screening, and should pay attention to the application of multiple indicators and comprehensive evaluation of suicide risk. The study explores a new method to identify students at high risk of suicide from personal-centered perspective. The results of this study can directly guide gatekeepers to carry out psychological census work and psychological crisis intervention strategies in practice, and have theoretical significance for the risk identification of suicide.

Key words: college students, risk of suicide, personal-centered perspective, the latent profile analysis, psychological census

CLC Number: 

  • B844
Athey, A., Overholser, J., Bagge, C., Dieter, L., Vallender, E., & Stockmeier, C.A. (2018). Risk-taking behaviors and stressors differentially predict suicidal preparation, non-fatal suicide attempts, and suicide deaths. Sychiatry Research, 270, 160-167.
Allan, N.P., Holm-Denoma, J., Conner, K.R., Zuromski, K.L., Saulnier, K.G., & Stecker, T. (2020). Profiles of Risk for Suicidal Behavior in Past and Current United States Military Personnel: Latent Profile Analysis of Current Risk Factors. Archives of Suicide Research, 24(1), 1-17.
Beck, A.T., Brown, G., & Steer, R.A. (1989). Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness. Journal of Consulting and Clinical Psychology, 57(2), 309-310.
Berzewski, H., & Pajonk, F. (2012). Suicide-suicide Attempts suicidal Ideation. Notfall Rettungsmedizin, 15(7), 586-592.
Brodsky, B.S. (2016). Early Childhood Environment and Genetic Interactions: The Diathesis for Suicidal Behavior. Current Psychiatry Reports, 18(9), 1535-1645.
Broekman, B. F. P. (2011). Stress, vulnerability and resilience, a developmental approach. European Journal of Psychotraumatology, 2(2), 1-9.
Catanzaro, S. J., & Mearns, J. (1990). Measuring generalized expectancies for negative mood regulation initial scale development and implications. Journal of Personality Assessment, 54(3-4), 546-563.
Compas, B. E., Connor-Smith, J.K., Saltzman, H., Thomsen, A.H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research. Psychological Bulletin, 127(1), 87-127.
Conner, K.R. & Bagge, C. L. (2019). Links between alcohol use disorder and acute use of alcohol. Alcohol Research-Current Reviews, 40(1),11-14.
Diener, E. D., Such, E. M., Lucas, R., & Smith, H. L. (1999). Subjective well-being: Three decades of progresses. Psychological Bulletin, 125(2), 276-302.
Dieserud, G., Roysamb, E., Ekeberg, O., & Kraft, P. (2001). Toward an integrative model of suicide attempt: A cognitive psychological approach. Suicide and Life-Threatening Behavior, 31(2),153-168.
Eskin, M., Akoglu, A., & Uygur, B. (2006). Traumatic life events and problem solving skills in psychiatric outpatients: Relationships with suicidal behavior. Turkish Journal of Psychiatry, 17(4),266-274.
Evans, G.W., Li, D., & Whipple, S. S. (2013). Cumulative risk and child development. Psychological Bulletin, 139, 1342-1396.
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., & Musacchio, K.M. (2017). Risk factors for suicidal thoughts and behaviors: A meta- analysis of 50 years of research. Psychological Bulletin, 143(2), 187-232.
Gromatsky, M., Edwards, E.R., Sullivan, S.R., van Lissa, C.J., Lane, R., & Spears, A.P. (2022). Characteristics of suicide attempts associated with lethality and method: A latent class analysis of the Military Suicide Research Consortium. Journal of Psychiatric Research, 149, 54-61.
Han, C.S., Oliffe, J. L., & Ogrodniczuk, J. S. (2013). Suicide among East Asians in North America: A Scoping Review. Mental Health, 22(4), 361-371.
Hewitt, P. L., Caelian, C. F., Chen, C., & Flett, G. L. (2014). Perfectionism, Stress, Daily Hassles, Hopelessness, and Suicide Potential in Depressed Psychiatric Adolescents. Journal of Psychopathology and Behavioral Assessment, 36(4), 663-674.
Holden, R. R., Mehta, K., Cunningham, E.J., & McLeod, L.D. (2001). Development and preliminary validation of a scale of psychache. Canadian Journal of Behavioural Science-revue Canadienne Des Sciences Du Comportement, 33(4), 224-231.
Ishikura, R., Morimoto, N., Tanaka, K., Kinukawa, N.,Yoshizawa, S., & Otsuka, T. (2001). Factors Associated with Anxiety, Depression and Suicide Ideation in Female Outpatients with SLE in Japan. Clinical Rheumatology, 20(6), 394-400.
Ising, H.K., Veling, W., Loewy, R.L., Rietveld, M.W., Rietdijk, J., Dragt, S., & van der Gaag, M. (2012). The validity of the 16-Item version of the prodromal questionnaire (PQ-16) to screen for ultra high risk of developing psychosis in the general help-seeking population. Schizophrenia Bulletin, 38(6), 1288-1296.
Javdani, S., Sadeh, N., & Verona, E. (2011). Suicidality as a Function of Impulsivity, Callous-Unemotional Traits, and Depressive Symptoms in Youth. Journal of Abnormal Psychology,120(2), 400-413.
Johnson, J., Wood, A. M., Gooding, P., Taylor, P. J., & Tarrier, N. (2011). Resilience to suicidality: The buffering hypothesis.Clinical Psychology Review, 31(4), 563-591.
Khosravi, S., Jalali, A., Jalali, R., Salari, N., & Alikhani, M. (2022). Personality Traits, Psychological Needs, and Social Support Among Suicide Attempters. Omega-Journal of Death and Dying, 84(3), 899-913.
Kleiman, E. M., Riskind, J. H., Schaefer, K. E., & Weingarden, H. (2012). The moderating role of social support on the relationship between impulsivity and suicide risk. Crisis-the Journal of Crisis Intervention and Suicide Prevention, 33(5), 293-297.
Klonsky, E.D., May, A.M., & Saffer, B. Y. (2016). Suicide, suicide attempts, and suicidal ideation. Annual Review Clinical Psychology, 12(1), 307-30.
Love, H.A., & Durtschi, J.A. (2021). Suicidal ideation and behaviors in young adults: A latent profile Analysis. Journal of Family Psychology, 35(3), 347-357.
Li, X. Y., Fei, L. P., Yang, S. J., Wang Z. Q., Zhang, Y. P., & Li, C. (2009). Relationship of suicide accept ability to self-reports of suicidal ideation and behavior. Chinese Mental Health, 23(10), 734-739.
Mann, J. J., Waternaux, C., Haas, G.L., & Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry, 156(2), 181-189.
McLaughlin, K.A., Conron, K. J., Koenen, K. C., & Gilman, S. E. (2010). Childhood adversity, adult stressful life events, and risk of past-year psychiatric disorder: A test of the stress sensitization hypothesis in a population-based sample of adults. Psychological Medicine, 40, 1647-1658.
Niculescu, A. B., Levey, D.F., Phalen, P.L., E-Niculescu, H., Dainton, H.D., Jain, N., & Belanger, E. (2015). Understanding and predicting suicidality using a combined genomic and clinical risk assessment approach. Molecular Psychiatry, 20(11), 1266-1285.
Norko, M.A., Freeman, D., Phillips, J., Hunter, W., Lewis, R., & Viswanathan, R. (2017). Can Religion Protect Against Suicide. Journal of Nervous and Mental Disease, 1, 9-14.
Nkansah-Amankra, S., Diedhiou, A., Agbanu, S.K., Agbanu, H. L. k., Opoku-Adomako, N.S., & Twumasi-Ankrah, P. (2012). A Longitudinal Evaluation of Religiosity and Psychosocial Determinants of Suicidal Behaviors among a Population-based Sample in the United States. Journal of Affective Disorders, 139 (1), 40-51.
Paul, E. (2018). Proximally-occurring life events and the first transition from suicidal ideation to suicide attempt in adolescents. Journal of Affective Disorders, 241, 499-504.
Roy, A. (2003). Characteristics of Drug Addicts Who Attempt Suicide. Psychiatry Research, 21(1), 99-103.
Smilkstein, G. (1978). The family APGAR: A proposal for family function test and its use by physicians. Journal of Family Practice, 6(6), 1231-1239.
Stattin, H., & Kerr, M.(2000). Parental monitoring: A reinterpretation. Child Development, 71(4), 1072-1085.
Steger, M. F., Patricia, F., & Shigehiro, O. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80-93.
Witte, T. K., Gould, M. S., Munfakh, J. L. H., Kleinman, M., Joiner, T. E., & Kalafat, J. (2010). Assessing suicide risk among callers to crisis hotlines: A confirmatory factor analysis. Journal of Clinical Psychology, 66(9), 941-964.
World-Health-Organization, Suicide prevention Sep 21,2021, Retrieved from https://www.who.int/health-topics/suicide#tab=tab_1.
Wu, Q., Zhang, J., Walsh, L., & Slesnick, N. (2020). Family network satisfaction moderate’s treatment effects among homeless youth experiencing suicidal ideation. Behaviour Research and Therapy, 25, 103548.https://doi.org/10.1016/j.brat.2019.103548
You, J.N., Leung, F., & Fu, K. (2012). Exploring the reciprocal relations between nonsuicidal self-injury, negative emotions and relationship problems in chinese adolescents: A longitudinal cross-lag Study. Journal of Abnormal Child Psychology, 33(5), 273-279.
Zanarini, M. C., Gunderson, J. G., Frankenburg, F. R., & Chauncey, D. L. (1989). The revised diagnostic interview for borderlines: Discriminating BPD from other axis II disorders. Journal of Personality Disorders, 3(1), 10-18.
Zhang, J., Wu, Q., & Slesnick, N. (2021). Social Problem-Solving and Suicidal Ideation Among Homeless Youth Receiving a Cognitive Therapy Intervention: A Moderated Mediation Analysis. Behavior Therapy, 52(3), 552-563.
Zouk, H., Tousignant, M., Seguin, M., Lesage, A., & Turecki, G. (2006). Characterization of impulsivity in suicide completers: Clinical, behavioral and psychosocial dimensions. Journal of Affective Disorders, 29(2-3), 195-204.
陈冲,洪月慧, 杨思. (2010). 应激性生活事件、自尊和抑郁在自杀意念形成中的作用. 中国临床心理学杂志, 18(2), 190-191+164.
陈发展,王璐,赵旭东. (2014). 精神病前驱期问卷16项版本评估求助者精神病风险的效度和信度.中国心理卫生杂志,28(9),667-673.
杜建政, 赵国祥, 刘金平. (2005). 测评中的共同方法偏差. 心理科学, 42(2), 420-422.
傅文青, 姚树桥, 于宏华, 赵幸福, 李茹, 李英, 张艳青. (2005). 儿童期创伤问卷在中国高校大学生中应用的信效度研究. 中国临床心理学杂志, 13(1), 40-42.
宫火良,李思雨. (2012). 基于应激-易感模型的青少年自杀意念研究述评. 心理研究, 5(1),56-64.
龚玲, 张大均. (2015). 自我复杂性的压力缓冲效应:基于日常烦心事和重大生活事件的探讨. 中国临床心理学杂志, 23(5), 767-772.
黄艳苹,李玲.(2012).高校心理普查危机因子检测系统的构建.教育理论与实践,32(1),37-39.
胡月琴, 甘怡群. (2008). 青少年心理韧性量表的编制和效度验证. 心理学报,40(8),902-912.
孔媛媛,张杰,贾树华,周莉. (2007). Beck绝望量表中文版在青少年中使用的信度和效度. 中国心理卫生杂志, 21(10),686-689.
金连青. (2013). 自杀未遂住院患者自杀行为的应激敏感模型初探(硕士学位论文). 山东大学,济南.
李荔波, 王丽, 姚松林, 沈旭伟, 赵慧. (2018). 负性生活事件潜在类别分析在大学生自杀风险筛查中的应用. 宁波大学学报(教育科学版), 39(3), 7-11.
李献云, 费立鹏, 张亚利, 徐东, 童永胜, 杨甫德, 况利. (2011). Beck自杀意念量表中文版在大学学生中应用的信效度. 中国心理卫生杂志, 25 (11), 862-866.
李亚敏, 雷先阳, 张丹, 刘莉, 唐四元. (2014). 中国大学生自杀意念影响因素的元分析. 中国临床心理学杂志,22(4),638-640.
刘爱楼.(2021).大学生自杀风险的发展轨迹:基于潜变量混合增长模型的分析.中国临床心理学杂志, 29(2), 361-365.
刘爱楼,欧贤才.(2018).大学生自杀风险的类别转变:潜在转变分析.西南大学学报(社会科学版), 44(2), 104-110.
刘爱楼,欧贤才. (2017). 基于个体中心视角的大学生自杀风险特征. 当代青年研究, 346(1), 96-102.
刘贵浩, 郭丽. (2008). 自杀行为的风险因素研究现状. 中华行为医学与脑科学杂志, 17(4), 379-381.
刘贤臣, 唐茂芹, 胡蕾, 王爱祯, 吴宏新, 赵贵芳, 高春霓. (1996). 匹兹堡睡眠质量指数的信度和效度研究. 中华精神科杂志, 42(2), 103-107.
刘晓秋,白志军. (2014). 中国抑郁症患者自杀危险因素的元分析. 中国临床心理学杂志,22(2),291-294.
路晓宁, 黄希庭. (2010). 日常烦心事研究概况. 心理科学进展, 18(2), 253-261.
邱皓政. (2008). 心理特质的类别化与连续性及其效标关联效度分析:潜在类别分析与因素分析的比较研究.见全国教育与心理统计与测量学术年会暨第八届海峡两岸心理与教育测验学术研讨会论文摘要集(pp.36).全国教育与心理统计与测量学术年会暨第八届海峡两岸心理与教育测验学术研讨会.
秦佑凤. (2008). 大学生完美主义、心理痛楚与自杀意念的关系研究(硕士学位论文).华中师范大学, 武汉.
苏斌原. (2018). 大学生自杀潜在风险识别模型及其影响因素的追踪研究(博士学位论文).华南师范大学, 广州.
苏斌原,张洁婷,喻承甫,张卫. (2015a). 大学生心理行为问题的识别:基于潜在剖面分析.心理发展与教育, 31(3), 350-359.
苏斌原, 周梦培,林玛,张卫. (2015b). 大学生自杀潜在风险的识别和预警:基于易感-应激模型.华南师范大学学报(社科版), 3, 78-84.
陶明, 高静芳. (1994). 修订焦虑自评量表(SAS－CR)的信度及效度. 中国神经精神疾病杂志, 20(5), 301-303.
潘彦谷,张大均,李知洋.(2021).亲子和同伴依恋对初中生心理素质发展的影响:个人中心分析视角.心理发展与教育,37(4), 558-567.
秦艺文, 杨晓帆, 魏艳欣, 刘宝鹏, Bob Lew, 贾存显. (2021). 大学生生命意义感在心理扭力和自杀行为风险间的中介作用. 山东大学学报(医学版), 65(11), 76-83.
谢东杰, 王利刚, 陶婷, 樊春雷, 高文斌. (2014). 青少年自我控制双系统量表中文版的效度和信度. 中国心理卫生杂志, 28(5), 386-391.
解亚宁. (1998). 简易应对方式量表信度和效度的初步研究. 中国临床心理学杂志, 6(2), 114-115.
王春芳, 蔡则环, 徐清. (1986). 抑郁自评量表—SDS对1,340例正常人评定分析. 中国神经精神疾病杂志, 12(5), 267-268.
王国芳, 杨晓辉, MEARNS Jack. (2014). 消极情绪调节期待量表中文版测评大学生样本的效度和信度. 中国心理卫生杂志, 28(11), 875-880.
王孟成, 戴晓阳. (2008). 中文人生意义问卷(C-MLQ)在大学生中的适用性. 中国临床心理学杂志, 16(5), 459-461.
王雨吟, 梁耀坚, 钟杰. (2008). 米氏边缘性人格障碍检测表在中国大学生人群中的修订. 中国临床心理学杂志, 16(3), 258-260.
吴才智, 陈真珍, 于丽霞, 段文婷, 江光荣. (2015). 抑郁、绝望对自杀意念的影响:心理痛苦的中介作用. 中国临床心理学杂志, 23(6), 1040-1043.
吴旻, 刘争光, 梁丽婵. (2016). 亲子关系对儿童青少年心理发展的影响. 北京师范大学学报(社会科学版), 61(5), 55-63.
严标宾, 郑雪. (2006). 大学生社会支持、自尊和主观幸福感的关系研究. 心理发展与教育,22(3),60-64.
杨心德, 蔡李平, 张莉. (2005). 大学生日常生活事件压力指数的研究.心理科学,28(6),1403-1405.
张洁婷, 焦璨, 张敏强. (2009). 潜在类别分析技术在心理学研究中的应用.心理科学进展, 18(12),1991-1998.
张婷丹, 喻承甫, 许倩, 魏昶, 严金雄. (2015). 亲子关系与青少年网络游戏成瘾:自尊的中介作用. 教育测量与评价(理论版),8(2), 40-44.
周浩,龙立荣. (2004). 共同方法偏差的统计检验与控制方法. 心理科学进展, 12(6), 942-950.
周媛,刘介地,范红霞.(2021). 自杀三阶段理论视角下自杀风险的研究:基于中国大学生的潜在剖面分析[摘要].见第二十三届全国心理学学术会议摘要集(上)(pp.740-741).中国心理学会.
曾保尔.(2019).大学生自杀行为与风险决策的关系研究(硕士学位论文).南方医科大学, 广州.
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