Explanatory Model of Suicidal Risk in University Students of Metropolitan Lima
DOI:
https://doi.org/10.24265/liberabit.2024.v30n1.743Palavras-chave:
perceived social support, sense of life, suicidal risk, university studentsResumo
Background: Suicide is a major public health problem. Therefore, it is important to have studies that allow us to better understand this complex phenomenon. Objective: To analyze the joint explanatory capacity of perceived social support and meaning in life on the variability of suicidal risk in university students from Metropolitan Lima. Method: 415 university students participated, 259 women (62.4%) and 156 men (37.6%), aged 18 to 57 years (M = 23.07, SD = 5.46). Results: The structural regression analysis showed adequate fit indices: χ2/gl = 2.531 (< 5), CFI = .942 (≥ .90), TLI = .932 (≥ .90), SRMR = .045 and RMSEA = .061. Likewise, the magnitude of the squared multiple correlation (R2 = .30) shows that this model has an explanatory capacity of approximately 30% of the variance in suicide risk. Conclusion: The evidence shows that perceived social support and meaning in life act as protective factors against suicidal risk in Lima university students.
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Referências
Arnot, M., Emmott, E. H., & Mace, R. (2021). The relationship between social support, stressful events, and menopause symptoms. PloS one, 16(1), e0245444. https://doi.org/10.1371/journal.pone.0245444
Ato, G., M., y Vallejo S., G. (2015). Diseños de investigación en psicología. Pirámide.
Bahar, A., Shahriary, M., & Fazlali, M. (2021). Effectiveness of Logotherapy on Death Anxiety, Hope, Depression, and Proper use of Glucose Control Drugs in Diabetic Patients with Depression. International journal of preventive medicine, 12, 6. https://doi.org/10.4103/ijpvm.IJPVM_553_18
Baños-Chaparro, J. (2021). Suicidio por arma de fuego: un problema de salud pública. Medisur, 19(2), 342-245. https://www.redalyc.org/journal/1800/180068639022/html/
Baños-Chaparro, J. (2022). Ideación suicida pasiva y activa: una breve descripción. Health Care and Global Health, 6(1), 42-45. https://doi.org/10.22258/hgh.2022.61.111
Chan, W. C. H. (2023). Applying Logotherapy in Teaching Meaning in Life in Professional Training and Social Work Education. British Journal of Social Work, 00, 1-18. https://doi.org/10.1093/bjsw/bcad181
Chu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., Rogers, M. L., Podlogar, M. C., Chiurliza, B., Ringer, F. B., Michaels, M. S., Patros, C. H. G., & Joiner, T. E. (2017). The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological bulletin, 143(12), 1313–1345. https://doi.org/10.1037/bul0000123
Chu, H., Yang, Y., Zhou, J., Wang, W., Qiu, X., Yang, X., Qiao, Z., Song, X., & Zhao E. (2021). Social Support and Suicide Risk Among Chinese University Students: A Mental Health Perspective. Front. Public Health, 9(5669939. https://doi.org/10.3389/fpubh.2021.566993
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. http://dx.doi.org/10.1037/0033-2909.112.1.155
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357. https://doi.org/10.1037/0033- 2909.98.2.310
Costanza, A., Baertschi, M., Richard-Lepouriel, H., Weber, K., Pompili, M., & Canuto, A. (2020). The Presence and the Search Constructs of Meaning in Life in Suicidal Patients Attending a Psychiatric Emergency Department. Frontiers in psychiatry, 11, 327. https://doi.org/10.3389/fpsyt.2020.00327
Deegan, A., & Dunne, S. (2022). An investigation into the relationship between social support, stress, and psychological well-being in farmers. Journal of community psychology, 50(7), 3054–3069. https://doi.org/10.1002/jcop.22814
Dessauvagie, A. S., Dang, H. M., Nguyen, T. A. T., & Groen, G. (2022). Mental health of university students in Southeastern Asia: A Systematic Review. Asia-Pacific journal of public health, 34(2-3), 172-181. https://doi.org/10.1177/10105395211055545
Dominguez-Lara, S. (2018). Magnitud del efecto para pruebas de normalidad en investigación en salud. Investigación en Educación Médica, 7(27), 92-93. https://www.scielo.org.mx/pdf/iem/v7n27/2007-5057-iem-7-27-92.pdf
Escobedo, M., Hernández, J., Estebané, V., y Martínez, G. (2016). Modelos de ecuaciones estructurales: características, fases, construcción, aplicación y resultados. Ciencia y Trabajo, 18(55), 16-22. https://scielo.conicyt.cl/pdf/cyt/v18n55/art04.pdf
Espinosa-Salido, P., Perez Nieto, M. A., Baca-García, E., & Provencio Ortega, M. (2021). Systematic review of the indirect relationships of thwarted belongingness and perceived burdensomeness in suicide. Clínica y Salud, 32(1), 29-36. https://doi.org/10.5093/clysa2020a27
Frankl, V. E. (1988). The will to meaning: Foundations and applications of logotherapy. Penguin.
Frankl, V. E. (1994). La voluntad de sentido. Conferencias escogidas sobre logoterapia. Herder.
Frankl, V. E. (2003). Logoterapia y análisis existencial: textos de cinco décadas. Herder.
Frankl, V. E. (2008). La búsqueda del sentido por parte del hombre. Herder.
Goins, R. T., Grant, M. K., Conte, K. P., & Lefler, L. (2022). Social Support and Diabetes Management Among Older American Indians. Frontiers in public health, 10, 780851. https://doi.org/10.3389/fpubh.2022.780851
Gómez, A. S., Núñez, C., Caballo, V. E., Agudelo, M. P., y Grisales, A. M. (2019). Predictores psicológicos del riesgo suicida en estudiantes universitarios. Psicología Conductual, 27(3), 391-413. https://www.behavioralpsycho.com/wp-content/uploads/2019/12/03.Gomez-27-3oa-1.pdf
Gómez-Romero, M., Tomás-Sábado, J., Montes-Hidalgo, J., Brando-Garrido, C., Cladellas, R., y Limonero., J. (2020). Procrastinación académica y riesgo de conducta suicida en jóvenes universitarios: el papel de la regulación emocional. Ansiedad y Estrés, 26, 112-119. https://doi.org/10.1016/j.anyes.2020.06.002
Gunnell, D., Caul, S., Appleby, L., John, A., & Hawton, K. (2020). The incidence of suicide in University students in England and Wales 2000/2001-2016/2017: Record linkage study. Journal of affective disorders, 261, 113–120. https://doi.org/10.1016/j.jad.2019.09.079
Ha, L., Chang, Q., & Wang, Z. (2020). The Mediating Effect of Psychache on the Relationship Between Psychological Strains and Suicidal Behaviors Among Chinese Hui and Han Medical Students. SAGE Open, 10(3). https://doi.org/10.1177/2158244020942158
Hirsch, J. K., Hall, B. B., Wise, H. A., Brooks, B. D., Chang, E. C., & Sirois, F. M. (2021). Negative life events and suicide risk in college students: Conditional indirect effects of hopelessness and self-compassion. Journal of American college health: J of ACH, 69(5), 546–553. https://doi.org/10.1080/07448481.2019.1692023
Joiner, T. E., Jr. (2005). Why people die by suicide. Harvard University Press.
Joiner, T. E., Van Orden, K. A., Witte, T. K., Selby, E. A., Ribeiro, J. D., Lewis, R., & Rudd, M. D. (2009). Main predictions of the interpersonal-psychological theory of suicidal behavior: empirical tests in two samples of young adults. Journal of abnormal psychology, 118(3), 634-646. https://doi.org/10.1037/a0016500
Kalashnikova, O., Leontiev, D., Rasskazova, E., & Taranenko, O. (2022). Meaning of life as a resource for coping with psychological crisis: Comparisons of suicidal and non-suicidal patients. Frontiers in psychology, 13, 957782. https://doi.org/10.3389/fpsyg.2022.957782
Kang, K. A., Kim, S. J., & Kim Ellis, H. (2017). Suicide Risk, Meaning in Life, and Need for Life Respect in Adults and Elderly Among Public Hospital Outpatients in South Korea: A Cross-Sectional Survey. Journal of community health nursing, 34(1), 46–61. https://doi.org/10.1080/07370016.2017.1260988
Kim, G. M., Kim, J., Hyun, M. K., Choi, S., & Woo, J. M. (2019). Comparison of the risk factors of Korean adolescent suicide residing in high suicidal regions versus those in low suicidal regions. Psychiatria Danubina, 31(4), 397–404. https://doi.org/10.24869/psyd.2019.397
Kline, R. B. (4 Ed.). (2023). Principles and Practice of Structural Equation Modeling. Guilford Press.
Koppmann, A. (2020). Aspectos generales del riesgo suicida en la consulta del médico general. Revista Médica Clínica Las Condes, 31(2), 163-168. https://doi.org/10.1016/j.rmclc.2020.01.007
Kubos, V., Calletti, J. M., y Santander, J. (2020). Prevalencia de síntomas depresivos, síntomas ansiosos y riesgo de suicidio en estudiantes de medicina de la Pontificia Universidad Católica de Chile. Revista Chilena Neuro-Psiquiatría, 58(4), 314-323. http://dx.doi.org/10.4067/S0717-92272020000400314
Landa-Blanco, M., Urtecho-Osorto, Ó., Mercado, M., & Aguilar-Chávez, Á. (2022). Factores psicológicos asociados al riesgo suicida en estudiantes universitarios de Honduras. Avances en Psicología Latinoamericana, 40(1), 1-17. https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.85371
Lew, B., Chistopolskaya, K., Osman, A., Huen, J. M. Y., Abu Talib, M., & Leung, A. N. M. (2020). Meaning in life as a protective factor against suicidal tendencies in Chinese University students. BMC Psychiatry, 20(73). https://doi.org/10.1186/s12888-020-02485-4
Li, J., Han, X., Wang, W., Sun, G., & Cheng, Z. (2018). How social support influences university students' academic achievement and emotional exhaustion: The mediating role of self-esteem. Learning and Individual Differences, 61, 120–126. https://doi.org/10.1016/j.lindif.2017.11.016
Li, B., Pan, Y., Liu, G., Chen, W., Lu, J., & Li, X. (2020). Perceived social support and self-esteem mediate the relationship between childhood maltreatment and psychosocial flourishing in Chinese undergraduate students. Children and Youth Services Review, 117, 105303. https://doi.org/10.1016/j.childyouth.2020.105303
Liao, S., Wang, Y., Zhou, X., Zhao, Q., Li, X., Guo, W., Ji, X., Lv, Q., Zhang, Y., Zhang, Y., Deng, W., Chen, T., Li, T., & Qiu, P. (2022). Prediction of suicidal ideation among Chinese college students based on radial basis function neural network. Frontiers in public health, 10, 1042218. https://doi.org/10.3389/fpubh.2022.1042218
Lutzman, M., & Sommerfeld, E. (2023). The role of meaning in life as a protective factor in suicidal ideation among elderly men with physical illnesses. Current psychology (New Brunswick, N.J.), 42(13), 10603–10612. https://doi.org/10.1007/s12144-021-02332-z
Marco, J. H., Gallego-Hernández de Tejada, B., Guillén, V., Baños, R. M., & Pérez, S. (2021). Meaning in Life Buffers the Association between Perceived Burdensomeness, Thwarted Belongingness, and Frequency of Non-Suicidal Self-Injuries in Spanish Adolescents. Journal of clinical medicine, 10(21), 4867. https://doi.org/10.3390/jcm10214867
Martínez, E. R., García-Alendete, J., Sellés N., P., Bernabé V., G., Soucase L., B. (2012). Análisis factorial confirmatorio de los principales modelos propuestos para el Purpose-in-life test en una muestra de universitarios españoles. Acta Colombiana de Psicología, 15(1), 67-76. https://dialnet.unirioja.es/descarga/articulo/5801731.pdf
Mateo-Rodríguez, I., Miccoli, L., Daponte-Codina, A., Bolívar-Muñoz, J., Escudero-Espinosa, C., Fernández-Santaella, M. C., Vila-Castellar, J., Robles-Ortega, H., Mata-Martín, J. L., & Bernal-Solano, M. (2019). Risk of suicide in households threatened with eviction: the role of banks and social support. BMC public health, 19(1), 1250. https://doi.org/10.1186/s12889-019-7548-9
Medrano, L. A., y Muñoz-Navarro, R. (2017). Aproximación conceptual y práctica a los Modelos de Ecuaciones Estructurales. Revista Digital de Investigación en Docencia Universitaria, 11(1), 219-239. https://dx.doi.org/10.19083/ridu.11.486
Mendes, M. V. C., Santos, S. L. D., Ceballos, A. G. D. C., Furtado, B. M. A. S. M., & Bonfim, C. V. D. (2021). Risk factors for suicide in individuals with cancer: an integrative literature review. Revista brasileira de enfermagem, 74(suppl 3), e20190889. https://doi.org/10.1590/0034-7167-2019-0889
Ministerio de Salud (MINSA). (10 de septiembre de 2022). El 71.5 % de los casos de intento de suicidio en el Perú es de personas entre 15 y 34 años. Plataforma digital única del Estado Peruano. https://www.gob.pe/institucion/minsa/noticias/648965-el-71-5-de-los-casos-de-intento-de-suicidio-en-el-peru-es-de-personas-entre-15-y-34-anos
Mitchell, K. J., Banyard, V., Goodman, K. L., Strøm, I. F., & Ybarra, M. L. (2021). Exposure to Suicidal Behavior and Social Support Among Sexual- and Gender-Minority Youth. Pediatrics, 147(4), e2020033134. https://doi.org/10.1542/peds.2020-033134
Moller, C. I., Cotton, S. M., Badcock, P. B., Hetrick, S. E., Berk, M., Dean, O. M., Chanen, A. M., & Davey, C. G. (2021). Relationships Between Different Dimensions of Social Support and Suicidal Ideation in Young People with Major Depressive Disorder. Journal of affective disorders, 281, 714–720. https://doi.org/10.1016/j.jad.2020.11.085
Ñaupas, H., Palacios, J., Valdivia, M., y Romero, H. (2013). Metodología de la investigación Cuantitativa - Cualitativa y Redacción de la Tesis. Ediciones de la U.
Okasha, A., Lotaif, F., & Sadek, A. (1981). Prevalence of suicidal feelings in a sample of non-consulting medical students. Acta psychiatrica Scandinavica, 63(5), 409-415. https://doi.org/10.1111/j.1600-0447.1981.tb00690.x
Organización Mundial de la Salud. (16 Junio 2021). Suicide worldwide in 2019: Global Health Estimates. https://www.who.int/publications/i/item/9789240026643
Ortiz, S. M., y Fernández-Pera, M. (2018). Modelo de Ecuaciones Estructurales: Una guía para ciencias médicas y ciencias de la salud. Terapia Psicológica, 36 (1), 47-53. https://www.scielo.cl/pdf/terpsicol/v36n1/0718-4808-terpsicol-36-01-0051.pdf
Otzen, T., Fuentes, N., Wetzel, G., Henríquez, C., Antúnez, Z., y Melnik, T. (2020). Suicidabilidad y apoyo social percibido en estudiantes universitarios con enfermedades crónicas no transmisibles. Terapia psicológica, 38(1), 119-129. https://dx.doi.org/10.4067/S0718-48082020000100119
Owusu-Ansah, F. E., Addae, A. A., Peasah, B. O., Oppong Asante, K., & Osafo, J. (2020). Suicide among university students: prevalence, risks and protective factors. Health psychology and behavioral medicine, 8(1), 220–233. https://doi.org/10.1080/21642850.2020.1766978
Pasek, M., & Suchocka, L. (2022). A Model of Social Support for a Patient-Informal Caregiver Dyad. BioMed research international, 2022, 4470366. https://doi.org/10.1155/2022/4470366
Poots, A., & Cassidy, T. (2020). Academic expectation, self-compassion, psychological capital, social support and student wellbeing. International Journal of Educational Research, 99, 101506. https://doi.org/10.1016/j.ijer.2019.101506
Quiceno-Manosalva, M., Mendoza-Rincón, R., y Lara-Posada, E. (2020). Sentido de vida y recursos noológicos: En estudiantes universitarios para el diseño de un programa psicoeducativo en la prevención de la depresión y suicidio. Archivos Venezolanos de Farmacología y Terapéutica, 39(3), 361-372. http://www.revistaavft.com/images/revistas/2020/avft_3_2020/21_sentido.pdf
Roca, M., Del Amo, A. R., Riera-Serra, P., Pérez-Ara, M. A., Castro, A., Roman Juan, J., García-Toro, M., García-Pazo, P., & Gili, M. (2019). Suicidal risk and executive functions in major depressive disorder: a study protocol. BMC psychiatry, 19(1), 253. https://doi.org/10.1186/s12888-019-2233-1
Roy, V., Ruel, S., Ivers, H., Savard, M. H., Gouin, J. P., Caplette-Gingras, A., Lemieux, J., Couture, F., & Savard, J. (2020). Stress-buffering effect of social support on immunity and infectious risk during chemotherapy for breast cancer. Brain, behavior, & immunity - health, 10, 100186. https://doi.org/10.1016/j.bbih.2020.100186
Roy-García, I., Rivas-Ruiz, R., Pérez-Rodríguez, M., & Palacios-Cruz, L. (2019). Correlación: no toda correlación implica causalidad. Revista alergia México, 66(3), 354-360. https://doi.org/10.29262/ram.v66i3.651
Salvo G., L., Melipillán A, R., y Castro S, A. (2009). Confiabilidad, validez y punto de corte para escala de screening de suicidalidad en adolescentes. Revista Chilena de Neuro-Psiquiatría, 47(1). http://dx.doi.org/10.4067/S0717-92272009000100003
Sarfo, J. O., Amoadu, M., Obeng, P., Gbordzoe, N. I., Debrah, T. P., Ofori, C. O. B., & Hagan, J. E. (2023). Suicidal Behaviour among School-Going Adolescents in Saint Lucia: Analysis of Prevalence and Associated Factors. Behavioral sciences (Basel, Switzerland), 13(7), 535. https://doi.org/10.3390/bs13070535
Scardera, S., Perret, L. C., Ouellet-Morin, I., Gariépy, G., Juster, R. P., Boivin, M., Turecki, G., Tremblay, R. E., Côté, S., & Geoffroy, M. C. (2020). Association of Social Support During Adolescence With Depression, Anxiety, and Suicidal Ideation in Young Adults. JAMA network open, 3(12), e2027491. https://doi.org/10.1001/jamanetworkopen.2020.27491
Scoglio, A. A. J., Molnar, B. E., Lincoln, A. K., Griffith, J., Park, C. L., & Kraus, S. W. (2023). Social support over time for men and women veterans with and without complex trauma histories. Psychological services, 20(3), 516–524. https://doi.org/10.1037/ser0000627
Sehlo, M. G., Youssef, U. M., & El-Gohari, H. M. (2021). Prevalence and risk factors of suicidal ideations among patients with obsessive-compulsive disorder in Egypt. Middle East Curr Psychiatry, 28 (1). https://doi.org/10.1186/s43045-021-00087-8
Sekhar, P., Tee, Q. X., Ashraf, G., Trinh, D., Shachar, J., Jiang, A., Hewitt, J., Green, S., & Turner, T. (2021). Mindfulness-based psychological interventions for improving mental well-being in medical students and junior doctors. The Cochrane database of systematic reviews, 12(12), CD013740. https://doi.org/10.1002/14651858.CD013740.pub2
Sindeev, A., Arispe A., C. M., y Villegas E., J. N. (2020). Factores asociados al riesgo e intento suicida en estudiantes de medicina de una universidad privada de Lima. Revista Médica Herediana, 30(4), 232-241. https://doi.org/10.20453/rmh.v30i4.3658
Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93. https://doi.org/10.1037/0022-0167.53.1.80
Thir, M., & Batthyány, A. (2016). The State of Empirical Research on Logotherapy and Existential Analysis. Logotherapy and Existential Analysis, 1, 53-74. https://doi.org/10.1007/978-3-319-29424-7_7
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575-600. https://doi.org/10.1037/a0018697
Wang, L., He, C. Z., Yu, Y. M., Qiu, X. H., Yang, X. X., Qiao, Z. X., Sui, H., Zhu, X. Z., & Yang, Y. J. (2014). Associations between impulsivity, aggression, and suicide in Chinese college students. BMC public health, 14, 551. https://doi.org/10.1186/1471-2458-14-551
Wu, R., Zhu, H., Wang, Z. J., & Jiang, C. L. (2021). A Large Sample Survey of Suicide Risk among University Students in China. BMC psychiatry, 21(1), 474. https://doi.org/10.1186/s12888-021-03480-z
Xu, Q., Li, S., & Yang, L. (2019). Perceived social support and mental health for college students in mainland China: the mediating effects of self-concept. Psychology, health & medicine, 24(5), 595–604. https://doi.org/10.1080/13548506.2018.1549744
Zarate, D., Sonn, C., Fisher, A., & Stavropoulos, V. (2022). Suicidal behaviors in the entertainment industry: a preliminary exploration of the interplay between work scheduling, social support, and wellbeing in Australia. BMC psychiatry, 22(1), 754. https://doi.org/10.1186/s12888-022-04376-2
Zhang, J., Liu, Y., & Sun, L. (2017). Psychological strain and suicidal ideation: A comparison between Chinese and US college students. Psychiatry Research, 255, 256-262. https://doi.org/10.1016/j.psychres.2017.05.046
Zhao, J., & Wang, Y. (2023). Harsh parenting and suicide ideation among Chinese adolescents: the roles of self-esteem and school social support. BMC psychiatry, 23(1), 609. https://doi.org/10.1186/s12888-023-05108-w
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2
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