PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to investigate the association between the risk of suicidal behaviors and student-supervisor relationships and subjective family socioeconomic status (SFSS) in medical graduate students, and to propose preventive strategies to reduce the suicidal risk among medical graduate students.
UNASSIGNED: A total of 1,310 validated questionnaires were collected from medical graduate students, which included demographic information, study programs, the Suicidal Behaviors Questionnaire-Revised (SBQ-R) questionnaire, the Leader-Member Exchange 7 (LMX-7) questionnaire, and SFSS by MacArthur Scale. Multiple regression analysis was employed to examine the associations between variables and adjust for confounders. A moderation analysis, containing simple slope analysis and Johnson-Neyman interval plots were used to analyze the moderating effect of the SFSS in the association of SBQ-R and LMX-7 scores.
UNASSIGNED: A total of 88 participants (6.7%) were at risk of suicidal behaviors. In the high-quality student-supervisor relationship group (LMX-7 score ≥ 25), SFSS was significantly higher than in the low- and moderate-quality relationship group (p=0.002). The median SBQ-R score and proportion of suicide risk was significantly lower (p<0.001) in the high-quality student-supervisor relationship group. Multiple regression analysis indicated LMX-7 scores (β=-0.098, 95% CI [-0.118, -0.077], p<0.001) and SFSS (β=-0.073, 95% CI [-0.127, -0.019], p=0.008) were significantly negatively associated with SBQ-R, whereas the interaction term of SFSS with LMX-7 (β=0.018, 95% CI [0.007, 0.029], p=0.001) showed a significant positive association with SBQ-R. The Johnson-Neyman interval showed a significant association between LMX-7 and SBQ-R scores only when SFSS was less than 7.82 (p<0.05).
UNASSIGNED: The risk of suicidal behaviors was associated with student-supervisor relationships and SFSS among medical graduate students. Poor relationships with supervisor were associated with an elevated risk of suicidality, and SFSS moderated this association. Educators should pay increased attention to the suicidal risk of medical graduate students with poor supervisor relationships, especially those from families with low SFSS, and provide timely preventive strategies.
UNASSIGNED: A total of 1,310 validated questionnaires were collected from medical graduate students, which included demographic information, study programs, the Suicidal Behaviors Questionnaire-Revised (SBQ-R) questionnaire, the Leader-Member Exchange 7 (LMX-7) questionnaire, and SFSS by MacArthur Scale. Multiple regression analysis was employed to examine the associations between variables and adjust for confounders. A moderation analysis, containing simple slope analysis and Johnson-Neyman interval plots were used to analyze the moderating effect of the SFSS in the association of SBQ-R and LMX-7 scores.
UNASSIGNED: A total of 88 participants (6.7%) were at risk of suicidal behaviors. In the high-quality student-supervisor relationship group (LMX-7 score ≥ 25), SFSS was significantly higher than in the low- and moderate-quality relationship group (p=0.002). The median SBQ-R score and proportion of suicide risk was significantly lower (p<0.001) in the high-quality student-supervisor relationship group. Multiple regression analysis indicated LMX-7 scores (β=-0.098, 95% CI [-0.118, -0.077], p<0.001) and SFSS (β=-0.073, 95% CI [-0.127, -0.019], p=0.008) were significantly negatively associated with SBQ-R, whereas the interaction term of SFSS with LMX-7 (β=0.018, 95% CI [0.007, 0.029], p=0.001) showed a significant positive association with SBQ-R. The Johnson-Neyman interval showed a significant association between LMX-7 and SBQ-R scores only when SFSS was less than 7.82 (p<0.05).
UNASSIGNED: The risk of suicidal behaviors was associated with student-supervisor relationships and SFSS among medical graduate students. Poor relationships with supervisor were associated with an elevated risk of suicidality, and SFSS moderated this association. Educators should pay increased attention to the suicidal risk of medical graduate students with poor supervisor relationships, especially those from families with low SFSS, and provide timely preventive strategies.
摘要：
■本研究旨在调查医学研究生的自杀行为风险与学生-主管关系和主观家庭社会经济地位（SFSS）之间的关系，并提出降低医学研究生自杀风险的预防策略。
■总共从医学研究生那里收集了1,310份经过验证的问卷，其中包括人口统计信息，研究项目,自杀行为问卷修订(SBQ-R)问卷，领导人-成员交流7(LMX-7)问卷，和SFSS由麦克阿瑟量表。采用多元回归分析来检查变量之间的关联并调整混杂因素。适度分析，使用包含简单斜率分析和Johnson-Neyman间隔图的方法分析SFSS在SBQ-R和LMX-7评分关联中的调节作用。
■共有88名参与者（6.7%）有自杀行为的风险。在高质量的学生-主管关系组中（LMX-7得分≥25），SFSS显著高于低质量和中等质量关系组(p=0.002)。在高质量的学生-主管关系组中，SBQ-R得分中位数和自杀风险比例显着降低（p<0.001）。多元回归分析显示LMX-7评分(β=-0.098，95%CI[-0.118，-0.077]，p<0.001）和SFSS（β=-0.073，95%CI[-0.127，-0.019]，p=0.008)与SBQ-R显著负相关，而SFSS与LMX-7的相互作用项(β=0.018，95%CI[0.007，0.029]，p=0.001)与SBQ-R呈显著正相关。仅在SFSS小于7.82时，Johnson-Neyman间隔显示LMX-7和SBQ-R得分之间存在显着关联（p<0.05）。
■在医学研究生中，自杀行为的风险与学生-主管关系和SFSS有关。与主管的不良关系与自杀风险升高有关，SFSS主持了这个协会。教育者应更多关注导师关系较差的医学研究生的自杀风险,尤其是那些SFSS低的家庭，并及时提供预防策略。
■总共从医学研究生那里收集了1,310份经过验证的问卷，其中包括人口统计信息，研究项目,自杀行为问卷修订(SBQ-R)问卷，领导人-成员交流7(LMX-7)问卷，和SFSS由麦克阿瑟量表。采用多元回归分析来检查变量之间的关联并调整混杂因素。适度分析，使用包含简单斜率分析和Johnson-Neyman间隔图的方法分析SFSS在SBQ-R和LMX-7评分关联中的调节作用。
■共有88名参与者（6.7%）有自杀行为的风险。在高质量的学生-主管关系组中（LMX-7得分≥25），SFSS显著高于低质量和中等质量关系组(p=0.002)。在高质量的学生-主管关系组中，SBQ-R得分中位数和自杀风险比例显着降低（p<0.001）。多元回归分析显示LMX-7评分(β=-0.098，95%CI[-0.118，-0.077]，p<0.001）和SFSS（β=-0.073，95%CI[-0.127，-0.019]，p=0.008)与SBQ-R显著负相关，而SFSS与LMX-7的相互作用项(β=0.018，95%CI[0.007，0.029]，p=0.001)与SBQ-R呈显著正相关。仅在SFSS小于7.82时，Johnson-Neyman间隔显示LMX-7和SBQ-R得分之间存在显着关联（p<0.05）。
■在医学研究生中，自杀行为的风险与学生-主管关系和SFSS有关。与主管的不良关系与自杀风险升高有关，SFSS主持了这个协会。教育者应更多关注导师关系较差的医学研究生的自杀风险,尤其是那些SFSS低的家庭，并及时提供预防策略。
