A CAUSAL RELATIONSHIP MODEL OF FACTORS EFFECTING DEPRESSION AND SUICIDE AMONG ADOLESCENE IN UNIVERSITY EDUCATION
Keywords:
suicidal thoughts, depression, casual relationship model, adolescenceAbstract
Objectives: The objectives of this research study were to: 1) study the factors influencing depression and suicide of adolescence in university, 2) to develop a model of causal factors effecting depression and suicide, and 3) to examine a casual relationship model of influencing factors on depression and suicide with empirical data.
Material and Methods: This research was predictive correlational design. The participants were 1,543 undergraduate students enrolled in 2019 academic year and selected by stratified randomly sampling. Data were collected by using a questionnaire consisting of 7 parts: personal profile, social support survey form, the negative event scale survey form, positive psychology capital survey form, stressful event survey form, rumination response scale survey form and depression survey form. The data were analyzed using descriptive statistics and structural equation modeling.
Results: Rumination, negative life events, stress, social support, and positive psychological capital were related to depression and suicidal and could jointly predict with depression (37.40%) and with suicidal (18.19%). A casual relationship model of influencing factors showed that rumination, negative life events, stress had positive relationships on depression and suicide. Social support and positive psychological capital resulted in decreased depression and suicidal thoughts. Structural model was consistent with the empirical data as follows. The measurement validity of all latent variables was very good. The indicator loading values of all empirical variables were positive and were between 0.757 - 0.920 with statistically significant at the .001 level. The mean communality of the variable group or average variance extract (AVE) was between 0.573 - 0.847 and the composite reliability (CR) of all latent variables was between 0.872 - 0.943 and GOF was 0.449, indicating that the measurement was reliable and that the model fitted with the empirical data.
Conclusion: The relevant factors from this study could be applied to develop a program to prevent the occurrence of depression and suicide among adolescents in higher education.
References
Rungsang B. Suicidal ideation among Thai adolescents: An empirical test of a causal model [Ph.D. thesis]. Chonburi: Burapha University; 2016.
Gibbs, D. Assessing suicidal cognitions in adolescents: Establishing the reliability and validity of the Suicide Cognitions Scale [Ph.D. thesis]. Toledo: University of Toledo; 2010.
Global Burden of Disease. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet 2016; 388: 1545-602.
World Health Organization. Depression and other common mental disorders: global health estimates. World Health Organization; 2015.
Hawton K, Saunders KEA, O'Connor RC. Self-harm and suicide in adolescents. Lancet 2012; 379: 2373-82.
Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 2006; 47: 372-94.
วิมลวรรณ ปัญญาว่อง, รัตนศักดิ์ สันติธาดากุล, โชษิตา ภาวสุทธิไพศิฐ. ความชุกของภาวะซึมเศร้าและความเสี่ยงฆ่าตัวตายในวัยรุ่นไทย: การสำรวจโรงเรียนใน 13 เขตสุขภาพ. วารสารสถขภาพจิตแห่งประเทศไทย 2563; 28(2): 136-149.
ปิยวรรณ วิเศษสุวรรณภูมิ. เผยนิสิตนักศึกษา 6.4% พยายามฆ่าตัวตาย [online]. Available from: https://dmh.go.th/ news-dmh/view.asp?id=29586 [10 มกราคม 2564].
สมบูรณ์ หทัยอยู่สุข, สุพร อภินันทเวช. การฆ่าตัวตายของวัยรุ่นในประเทศไทย: อุบัติการณ์สาเหตุและการป้องกัน. เวชบันทึกศิริราช 2563; 13(1): 40-7.
Liu X, Tein JY. Life events, psychopathology, and suicidal behavior in Chinese adolescent. J Affect Disord 2005; 86: 195-203.
Blagden JC, Craske MG. Effects of active and passive rumination and distraction: a pilot replication with anxious mood. J Anxiety Disord 1996; 10: 243-52.
Robinson J, Cox G, Malone A, Williamson M, Baldwin G, Fletcher K, O'brien M. A systematic review of school-based interventions aimed at preventing, treating, and responding to suicide-related behavior in young people. Crisis. CRISIS 2013; 34(3): 164.
Kuyken W, Watkins E, Holden E, Cook W. Rumination in adolescents at risk for depression. J Affect Disord 2006; 96: 39-47.
Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol 2000; 109(3): 504-11
Vongsirimas N, Sitthimongkol Y, Beeber SL, Wiratchai N, Sangon S. Relationship among maternal depressive symptoms, gender differences and depressive symptoms in Thai adolescents. Thai J Nurs Res 2009; 13(3): 181-98.
Smith MJ, Alloy, BL, Abramson YL. Cognitive vulnerability to depression, rumination, hopelessness, and suicidal ideation: Multiple pathways to self-injurious thinking. Suicide Life-Threat 2006; 36(4): 443- 54.
Wilks ES, Spivey AC. Resilience in undergraduate social work students: social support and adjustment to academic stress. Soc Work Edu 2010; 29(3): 276-288.
Skärsater I, Dencker K, Bergbom I, Häggström L, Fridlund B. Women’s conceptions of coping with major depression in daily life: a qualitative, salutogenic approach. Issues Ment Health Nurs 2003; 24(4): 419-39.
กาญจนา สุทธิเนียม. การพัฒนาทุนทางจิตวิทยาเชิงบวกของนิสิตครูโดยการให้การปรึกษากลุ่ม. วารสารการพยาบาลจิตเวชและสุขภาพจิต 2561; 32(1): 17-32.
Luthans F. Hope optimism and other business asset: why psychological capital is so valuable to your company. GMJ 2007; 1-5.
Qingquan P, Zongkui Z. Psychological capital, coping style and psychological health: An empirical study from college students (ICISE2009). Proceedings of the XLII SIS scientific meeting 2009; 1: 739-742.
อาภรณ์ ศรีชัย, จิณห์จุฑา ชัยเสนา ดาลลาส, ภรภัทร เฮงอุดมทรัพย์. ความสัมพันธ์ระหว่างความผูกพันในครอบครัวเหตุการณ์ในชีวิตเชิงลบ ความฉลาดทางอารมณ์ กับภาวะสุขภาพจิตของนักเรียนมัธยมศึกษาตอนปลาย. วารสารคณะพยาบาลศาสตร์ มหาวิทยาลัยบูรพา 2559; 24(4): 65-76.
บุญชม ศรีสะอาด. การวิจัยเบื้องต้น. พิมพ์ครั้งที่ 9 กรุงเทพฯ: สุวีริยาสาส์น; 2554.
Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess 1988; 52: 30-41.
Maybery DJ. Incorporating interpersonal events within hassle measurement. Stress Health 2003; 19: 97-100.
กรมสุขภาพจิต กระทรวงสาธารณสุข. แบบวัดความเครียด SPST [online]. Available from: http://www.dmh.go.th/test/ stress [20 กุมภาพันธ์ 2561].
Nolen-Hoeksema S. Responses to depression and their effects on the duration of depressive episodes. J Abnorm Psychol 1991; 100: 569-82.
Stuart, GW. Principles and practice of psychiatric nursing. 9th ed. St. Louis: Elsevier Mosby; 2009.
Rungsang B, Chaimongkol N. The Prevalence of suicidal ideation among high school students in Thailand and Its potential related risk factors. Thai J Pharm Sci 2017; 12(1): 31-35.
Chaniang S, Fongkaew W, Sethabouppha H, Lirtmunlikaporn S, Schepp KG. Perceptions of adolescents, teachers and parents towards causes and prevention of suicide in secondary school students in Chiang Mai. Pac Rim Int J Nurs Res 2019; 23(1): 47-60.
Rudd MD. Cognitive therapy for sociality: An integrative, comprehensive, and practical approach to conceptualization. J Contemp Psychother 2004; 34: 59-72.
กาญจนา สุทธิเนียม, อุบล สุทธิเนียม. ปัจจัยที่มีอิทธิพลต่อภาวะซึมเศร้าของนักศึกษามหาวิทยาลัยราชภัฏบ้านสมเด็จเจ้าพระยา. วารสารการพยาบาลจิตเวชและสุขภาพจิต 2563; 34(3), 43-61.
Dallas JC, Puapan S, Vatanasin D. Factors influencing mental health status among nursing students. JFONUBUU 2015; 23(3): 1-13.
Qingquan P, Zongkui Z. Psychological capital, coping style and psychological health: An empirical study from college students [online]. Available from: http://doi.ieee computersociety.org/10.1109/ICISE.2009.860 [2017 April 21].
Chonprai C, Phattrarayuttawat S, Ngamthipwatthana T. Psychological capital and mental health in students of Chulalongkom University’s residence. Graduate Research Conference. MMP 2014; 85: 1833-42.
Estiri M, Nargesian A, Dastpish F, Sharif S. The impact of psychological capital on mental health among Iranian nurses: considering the mediating role of job burnout. Springer Plus, 2016; 5: 1377.
Hao J, Wu D, Liu L, Li X, Wu H. Association between work-family conflict and depressive symptoms among Chinese female nurses: The mediating and moderating role of psychological capital. Int J Environ Res Public Health 2015; 12: 6682-99.
Liu L, Hu S, Wang L, Sui G, Ma L. Positive resources for combating depressive symptoms among Chinese male correctional officers: perceived organizational support and psychological capital. BMC Psychiatry 2013; 13: 89.
Kan D, Yu X. Occupational stress, work family conflict and depressive symptoms among Chinese bank employees: the role of psychological capital. Int J Environ Res Public Health 2016; 13: 134.
Evan E, Hawton K, Rodham K. Factors associated with suicidal phenomena in adolescents: A systematic review of population-based studies. Clin Psychol Rev 2004; 24(8): 957-79.
An H, Ahn JH, Bhang SY. The association of psychosocial and familial factor with adolescent suicidal ideation: A population-base study. Psychiatry Res 2010; 177(3): 318-22.
Chaniang S, Fongkaew W, Stone TE, Sethabouppha H, Lirtmunlikaporn S. Development and evaluation of a suicide prevention program for secondary school students. Pac Rim Int J Nurs Res 2019; 23(3): 201-213.
วารีรัตน์ ถาน้อย, อทิตยา พรชัยเกตุ โอว ยอง, ภาศิษฏา อ่อนดี. ปัจจัยที่มีอิทธิพลต่อภาวะสุขภาพจิตของนักศึกษา คณะพยาบาลศาสตร์ มหาวิทยาลัยมหิดล.วารสารสภาการพยาบาล 2555; 27(ฉบับพิเศษ): 60-76.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Journal of Somdet Chaopraya Institute of Psychiatry
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The articles published are copyright of Journal of Somdet Chaopraya Institute of Psychiatry.
