Abstract
Many studies have examined risks factors that facilitated the transition from cognitive vulnerabilities to suicidal ideation. Few studies, however, have examined protective factors against this transition. This study aimed to investigate the buffering effect of different social support dimensions (from family, friends, and significant others) in the links from negative automatic thoughts to suicidal ideation and depressive symptomatology to suicidal ideation among Chinese college students. Also, we examined the mediating role of depressive symptomatology between negative automatic thoughts and suicidal ideation. 469 Chinese college students aged 17–23 were recruited and required to complete online questionnaires. The multidimensional Scale of Perceived Social Support (MSPSS) was used to assess perceived support from family, friends, and significant others. Beck Scale for Suicide Ideation-Chinese Version (BSI-CV), Automatic Thoughts Questionnaire (ATQ), and Self-rating Depression Scale (SDS) were used to evaluate suicidal ideation, negative automatic thoughts, and depressive symptomatology, respectively. Findings revealed that perceived family support could mediate the path between negative automatic thoughts and suicidal ideation, as well as the path between depressive symptomatology and suicidal ideation. However, both supports from friends and significant others could not buffer the adverse outcomes of negative automatic thoughts or depressive symptomatology on suicidal ideation. In addition, the relationship between negative automatic thoughts and suicidal ideation was partially mediated by depressive symptomatology in the present three mediation models. The findings of the current study highlight the potential value of different types of perceived social support against suicidal ideation among Chinese young adults.
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The datasets generated during and/or analyzed during and suicidal ideation in the present three mediation models.
References
Allen, K. J. D., Bozzay, M. L., & Edenbaum, E. R. (2019). Neurocognition and suicide risk in adults. Current Behavioral Neuroscience Reports, 6(4), 151–165. https://doi.org/10.1007/s40473-019-00189-y
Bearman, P. S., & Moody, J. (2004). Suicide and friendships among American adolescents. American Journal of Public Health, 94(1), 89–95. https://doi.org/10.2105/ajph.94.1.89
Beautrais, A. L. (2000). Risk factors for suicide and attempted suicide among young people. The Australian and New Zealand Journal of Psychiatry, 34(3), 420–436. https://doi.org/10.1080/j.1440-1614.2000.00691.x
Braithwaite, S. R., Delevi, R., & Fincham, F. D. (2010). Romantic relationships and the physical and mental health of college students. Personal Relationships, 17(1), 1–12. https://doi.org/10.1111/j.1475-6811.2010.01248.x
Choon, M. W., Talib, M. A., Yaacob, S. N., Awang, H., Tan, J. P., Hassan, S., & Ismail, Z. (2015). Negative automatic thoughts as a mediator of the relationship between depression and suicidal behaviour in an at-risk sample of Malaysian adolescents. Child and Adolescent Mental Health, 20(2), 89–93. https://doi.org/10.1111/camh.12075
Chou, K. L. (2000). Assessing Chinese adolescents' social support: The multidimensional scale of perceived social support. Personality and Individual Differences, 28(2), 299–307. https://doi.org/10.1016/s0191-8869(99)00098-7
Dalili, M. N., Penton-Voak, I. S., Harmer, C. J., & Munafo, M. R. (2015). Meta-analysis of emotion recognition deficits in major depressive disorder. Psychological Medicine, 45(6), 1135–1144. https://doi.org/10.1017/S0033291714002591
Evans, E., Hawton, K., & Rodham, K. (2004). Factors associated with suicidal phenomena in adolescents: A systematic review of population-based studies. Clinical Psychology Review, 24(8), 957–979. https://doi.org/10.1016/j.cpr.2004.04.005
Flouri, E., & Panourgia, C. (2014). Negative automatic thoughts and emotional and behavioural problems in adolescence. Child and Adolescent Mental Health, 19(1), 46–51. https://doi.org/10.1111/camh.12004
Harrell, T. H., & Ryon, N. B. (1983). Cognitive-behavioural assessment of depression: Clinical validation of the automatic thoughts questionnaire. Journal of Consulting and Clinical Psychology, 51(5), 721–725. https://doi.org/10.1037/0022-006X.51.5.721
Hatkevich, C., Venta, A., & Sharp, C. (2019). Theory of mind and suicide ideation and attempt in adolescent inpatients. Journal of Affective Disorders, 256, 17–25. https://doi.org/10.1016/j.jad.2019.05.051
Hetrick, S. E., Parker, A. G., Robinson, J., Hall, N., & Vance, A. (2012). Predicting suicidal risk in a cohort of depressed children and adolescents. Crisis, 33, 13–20. https://doi.org/10.1027/0227-5910/a000095
Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 4(4), 383–395. https://doi.org/10.1007/BF01178214
Jiang, H., Chen, G., & Wang, T. (2017). Relationship between belief in a just world and internet altruistic behavior in a sample of Chinese undergraduates: Multiple mediating roles of gratitude and self-esteem. Personality and Individual Differences, 104, 493–498. https://doi.org/10.1016/j.paid.2016.09.005
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. https://doi.org/10.1016/j.cpr.2010.12.007
Kessler, R. C., Borges, G., & Walters, E. E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry, 56(7). https://doi.org/10.1001/archpsyc.56.7.617
Kim, S. M., Kim, H. R., Min, K. J., Yoo, S. K., Shin, Y. C., Kim, E. J., & Jeon, S. W. (2020). Resilience as a protective factor for suicidal ideation among Korean workers. Psychiatry Investigation, 17(2), 147–156. https://doi.org/10.30773/pi.2019.0072
Kitamura, T., Hirano, H., Chen, Z., & Hirata, M. (2004). Factor structure of the Zung self-rating depression scale in first-year university students in Japan. Psychiatry Research, 128(3), 281–287. https://doi.org/10.1016/j.psychres.2004.06.003
Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016). Suicide, suicide attempts, and suicidal ideation. Annual Review of Clinical Psychology, 12, 307–330. https://doi.org/10.1146/annurev-clinpsy-021815-093204
Kyron, M. J., Carrington-jones, P., Page, A. C., Bartlett, J., & Lawrence, D. (2020). Factors differentiating adolescents who consider suicide and those who attempt: Results from a National Survey of Australian adolescents. Australian Journal of Psychology, 72(2), 145–155. https://doi.org/10.1111/ajpy.12267
Lam, R. W., Kennedy, S. H., McIntyre, R. S., & Khullar, A. (2014). Cognitive dysfunction in major depressive disorder effects on psychosocial functioning and implications for treatment. The Canadian Journal of Psychiatry, 59(12), 649–654. https://doi.org/10.1177/070674371405901206
Lee, L., Harkness, K. L., Sabbagh, M. A., & Jacobson, J. A. (2005). Mental state decoding abilities in clinical depression. Journal of Affective Disorders, 86(2–3), 247–258. https://doi.org/10.1016/j.jad.2005.02.007
Lessard, L. M., & Juvonen, J. (2018). Losing and gaining friends: Does friendship instability compromise academic functioning in middle school? Journal of School Psychology, 69, 143–153. https://doi.org/10.1016/j.jsp.2018.05.003
Li, X., Fei, L., Zhang, Y., Xu, D., Tong, Y., Yang, F., & Kuang, L. (2011). Reliability and validity of the Chinese version of Beck Scate for suicide ideation ( BSI-CV) among university students. Chinese Mental Health Journal, 25(11), 862–866. https://doi.org/10.3969/j.issn.1000-6729.2011.11.013
Lim, J. W., & Zebrack, B. (2006). Social networks and quality of life for long-term survivors of leukemia and lymphoma. Support Care Cancer, 14(2), 185–192. https://doi.org/10.1007/s00520-005-0856-x
Mearns, J. (1991). Coping with a breakup: Negative mood regulation expectancies and depression following the end of a romantic relationship. Journal of Personality and Social Psychology, 60(2), 327–334. https://doi.org/10.1037/0022-3514.60.2.327
Meeus, W. H. J., Branje, S. J. T., van der Valk, I., & de Wied, M. (2007). Relationships with intimate partner, best friend, and parents in adolescence and early adulthood: A study of the saliency of the intimate partnership. International Journal of Behavioral Development, 31(6), 569–580. https://doi.org/10.1177/0165025407080584
Miller, A. B., & Prinstein, M. J. (2019). Adolescent suicide as a failure of acute stress-response systems. Annual Review of Clinical Psychology, 15, 425–450. https://doi.org/10.1146/annurev-clinpsy-050718-095625
Miller, A. B., Esposito-Smythers, C., & Leichtweis, R. N. (2015). Role of social support in adolescent suicidal ideation and suicide attempts. Journal of Adolescent Health, 56(3), 286–292. https://doi.org/10.1016/j.jadohealth.2014.10.265
Miranda-Mendizabal, A., Castellvi, P., Pares-Badell, O., Alayo, I., Almenara, J., Alonso, I., … Alonso, J. (2019). Gender differences in suicidal behavior in adolescents and young adults: Systematic review and meta-analysis of longitudinal studies. International Journal of Public Health, 64(2), 265–283. https://doi.org/10.1007/s00038-018-1196-1
Moller, C. I., Cotton, S. M., Badcock, P. B., Hetrick, S. E., Berk, M., Dean, O. 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
Nock, M. K., & Kazdin, A. E. (2002). Examination of affective, cognitive, and behavioral factors and suicide-related outcomes in children and young adolescents. Journal of Clinical Child & Adolescent Psychology, 31(1), 48–58. https://doi.org/10.1207/S15374424JCCP3101_07
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and Suicidal Behavior. Epidemiologic Reviews, 30(1), 133–154. https://doi.org/10.1093/epirev/mxn002
Purcell, B., Heisel, M. J., Speice, J., Franus, N., Conwell, Y., & Duberstein, P. R. (2012). Family connectedness moderates the association between living alone and suicide ideation in a clinical sample of adults 50 years and older. The American Journal of Geriatric Psychiatry, 20(8), 717–723. https://doi.org/10.1097/JGP.0b013e31822ccd79
Roberts, J. A., & David, M. E. (2016). My life has become a major distraction from my cell phone: Partner phubbing and relationship satisfaction among romantic partners. Computers in Human Behavior, 54, 134–141. https://doi.org/10.1016/j.chb.2015.07.058
Roiser, J. P., Elliott, R., & Sahakian, B. J. (2012). Cognitive mechanisms of treatment in depression. Neuropsychopharmacology, 37(1), 117–136. https://doi.org/10.1038/npp.2011.183
Rye, M. S., & Pargament, K. I. (2002). Forgiveness and romantic relationship in college: Can it heal the wounded heart? Journal of Clinical Psychology, 419-441. https://doi.org/10.1002/jclp.1153
Sanchez, A., Romero, N., Maurage, P., & De Raedt, R. (2017). Identification of emotions in mixed disgusted-happy faces as a function of depressive symptom severity. Journal of Behavior Therapy and Experimental Psychiatry, 57, 96–102. https://doi.org/10.1016/j.jbtep.2017.05.002
Sha, F., Yip, P. S. F., & Law, Y. W. (2016). Decomposing change in China's suicide rate, 1990-2010: Ageing and urbanisation. Injury Prevention, 23(1), 40–45. https://doi.org/10.1136/injuryprev-2016-042006
Shah, A. (2007). The relationship between suicide rates and age: An analysis of multinational data from the World Health Organization. International Psychogeriatrics, 19(6), 1141–1152. https://doi.org/10.1017/S1041610207005285
Sheftall, A. H., Mathias, C. W., Furr, R. M., & Dougherty, D. M. (2013). Adolescent attachment security, family functioning, and suicide attempts. Attachment & Human Development, 15(4), 368–383. https://doi.org/10.1080/14616734.2013.782649
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. https://doi.org/10.1037/1082-989x.7.4.422
Stavrova, O., & Ehlebracht, D. (2015). A longitudinal analysis of romantic relationship formation. Social Psychological and Personality Science, 6(5), 521–527. https://doi.org/10.1177/1948550614568867
Sun, R., Ren, Y., Li, X., Jiang, Y., Liu, S., & You, J. (2020). Self-compassion and family cohesion moderate the association between suicide ideation and suicide attempts in Chinese adolescents. Journal of Adolescence, 79, 103–111. https://doi.org/10.1016/j.adolescence.2019.12.010
Teismann, T., Forkmann, T., Glaesmer, H., Egeri, L., & Margraf, J. (2016). Remission of suicidal thoughts: Findings from a longitudinal epidemiological study. Journal of Affective Disorders, 190, 723–725. https://doi.org/10.1016/j.jad.2015.09.066
Tse, W. S., & Bond, A. J. (2004). The impact of depression on social skills. The Journal of Nervous and Mental Disease, 192(4), 260–268. https://doi.org/10.1097/01.nmd.0000120884.60002.2b
Walker, R. L., & Bishop, S. (2005). Examining a Model of the Relation between religiosity and suicidal ideation in a sample of African American and white college students. Suicide and Life-Threatening Behavior, 35(6), 630–639. https://doi.org/10.1521/suli.2005.35.6.630
Walker, R. L., Wingate, L. R., Obasi, E. M., & Joiner, T. E. (2008). An empirical investigation of acculturative stress and ethnic identity as moderators for depression and suicidal ideation in college students. Cultural Diversity and Ethnic Minority Psychology, 14(1), 75–82. https://doi.org/10.1037/1099-9809.14.1.75
Wang, C.-W., Chan, C. L. W., & Yip, P. S. F. (2014). Suicide rates in China from 2002 to 2011: An update. Social Psychiatry and Psychiatric Epidemiology, 49(6), 929–941. https://doi.org/10.1007/s00127-013-0789-5
Wang, Y., Wang, X., Liu, F., Jiang, X., Xiao, Y., Dong, X., … Qu, Z. (2016). Negative life events and antenatal depression among pregnant women in rural China: The role of negative automatic thoughts. PLoS One, 11(12), e0167597. https://doi.org/10.1371/journal.pone.0167597
Wenzel, A., & Beck, A. T. (2008). A cognitive model of suicidal behavior: Theory and treatment. Applied and Preventive Psychology, 12(4), 189–201. https://doi.org/10.1016/j.appsy.2008.05.001
Yang, C., Liu, J., Liu, L., Chen, X., & Qiu, L. (2019). Relation of depression level to cognitive fusion and empirical avoidance. Chinese Mental Health Journal, 33(3), 182–186.
Yuan, G., Shi, W., Lowe, S., Chang, K., Jackson, T., & Hall, B. J. (2021). Associations between posttraumatic stress symptoms, perceived social support and psychological distress among disaster-exposed Chinese young adults: A three-wave longitudinal mediation model. Journal of Psychiatric Research, 137, 491–497. https://doi.org/10.1016/j.jpsychires.2021.03.036
Wen, Z. L., Hau, K. T., & Marsh, H. W. (2004). Structural equation model testing: Cutoff criteria for goodness of fit indices and chi-square test. Acta Psychologica Sinica, 36(2), 186–194.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1080/00223891.1990.9674095
Zung, W. W. K. (1986). Zung self-rating depression scale and depression status inventory. Berlin: Springer.
Acknowledgements
We are grateful to the students who participated in our study and individuals who assisted in data collection. We also thank reviewers and editors for their precious comments and suggestions. Special thanks to Dr. Yulin Zhang for his insightful and valuable suggestions.
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This work was supported by the National Key Research and Development Plan (2018YFC0831001).
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Kaixi Dong: Methodology; Data Curation; Formal analysis; Writing - Original Draft Guozhen Zhao: Methodology; Writing - Review & Editing; Supervision.
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Dong, K., Zhao, G. Depressive symptomatology and different dimensions of social support serially mediate the effect of negative automatic thoughts on suicidal ideation. Curr Psychol 42, 17715–17723 (2023). https://doi.org/10.1007/s12144-022-02974-7
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DOI: https://doi.org/10.1007/s12144-022-02974-7