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Suicide Ideation and Self-Harm Behaviors in First-Year Dormitory Students at a Public Midwestern University: A Pilot Study

机译:中西部公立大学一年级宿舍生的自杀意念和自残行为:一项试点研究

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摘要

Purpose: Currently, 1 in 5 college students struggle with suicidal ideation while 7% to 44% engage in nonsuicidal self-injury. Illinois has one of the highest teenage and college student suicide rates in the United States. This pilot study assessed suicide ideation and self-harm behaviors at a public Illinois university. This is the first study to use 5 standardized psychological instruments to investigate these 2 crises in freshmen college students who are all required to reside in dormitories. The main hypothesis was to determine if the independent effects of freshmen students’ depression, Five-Factor Model, and Reasons for Living affected the dependent variables, self-harm behaviors and suicide ideation. Methods: Forty first-year college dormitory students completed the Beck Depression Inventory-II, Scale of Suicidal Ideation, Five-Factor Model, Inventory of Statements About Self-Injury, and Reasons for Living Scale in person. Results: Participants were 18 to 19 years old, predominantly female (65%), and non-White (62%). Forty percent reported self-harm behaviors and 19% reported suicidal ideation. The top reasons for contemplated suicide attempts included the inability to solve problems (33%) and attention/revenge (28%). Students experienced high levels of anxiety (55%), self-consciousness (43%), and depression (18%). Depression was associated with suicide ideation (β = 0.05, P = .006), while neuroticism and openness were associated with self-harm behaviors (aOR = 3.36, P = .02, aOR = 0.48, P = .047, respectively). Ninety-five percent reported “responsibility to family” as a Reason for Living. Conclusions: Preliminary evidence necessitates an examination of self-harm and suicide ideation among all freshmen, investigating both risk and protective factors. In the future, a prevention intervention should be implemented campus-wide (and eventually nationwide) for all first-year dormitory students to enhance their mental well-being.
机译:目的:目前,每 5 名大学生中就有 1 名与自杀意念作斗争,而 7% 至 44% 的大学生从事非自杀性自残。伊利诺伊州是美国青少年和大学生自杀率最高的州之一。这项试点研究评估了伊利诺伊州一所公立大学的自杀意念和自残行为。这是第一项使用 5 种标准化心理工具来调查所有被要求住在宿舍的新生大学生的这 2 种危机的研究。主要假设是确定新生抑郁、五因素模型和生活原因的独立影响是否影响因变量、自残行为和自杀意念。方法: 40 名大学一年级宿舍学生亲自完成了贝克抑郁量表-II、自杀意念量表、五因素模型、关于自残的陈述量表和生活原因量表。结果: 参与者年龄在 18 至 19 岁之间,主要是女性 (65%) 和非白人 (62%)。40% 的人报告了自残行为,19% 的人报告了自杀意念。考虑自杀未遂的主要原因包括无法解决问题 (33%) 和关注/报复 (28%)。学生经历了高水平的焦虑 (55%)、自我意识 (43%) 和抑郁 (18%)。抑郁与自杀意念有关 (β = 0.05,P = .006),而神经质和开放性与自残行为有关 (aOR = 3.36,分别为 P = .02、aOR = 0.48、P = .047)。95% 的人表示 “对家庭的责任 ”是活着的理由。结论:初步证据需要对所有新生的自残和自杀意念进行检查,调查风险和保护因素。未来,应该在全校范围内(最终在全国范围内)为所有一年级宿舍学生实施预防干预措施,以增强他们的心理健康。

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