背景:自杀行为是一个重要的健康问题,代表死亡的主要原因,尤其是在年轻人中。抑郁症被发现是自杀风险的预测因素,并通过害羞来预测。因此,我们测试了一个模型,其中害羞导致抑郁,这反过来又导致自杀风险。此外,我们预计性别可以减轻羞怯对抑郁和自杀风险的影响.
方法:478名一年级大学生的便利样本(51%的女性,年龄:M=25.42,SD=3.61)完成了评估自杀风险的在线自我报告问卷,抑郁症,害羞,和人口统计学变量。
结果:如预期,羞涩与抑郁(r=0.40)和自杀风险(r=0.24)显著相关,抑郁和自杀风险也存在相关性(r=0.57)。抑郁症在统计学上介导了害羞与自杀风险之间的关系(女性的间接效应=0.92,SE=0.16;男性=0.72,SE=0.17)。性别并没有缓和调解效果。然而,仅在男性中发现害羞与自杀风险之间存在直接联系(直接效应=0.52,SE=0.21).
结论:结果表明,害羞可能是抑郁症和自杀风险发展的重要因素,可能作为识别高危个体的有价值的标记。此外,临床医生应该意识到这些关联,尤其是在男性中,以维持和支持心理健康以及减少自杀。
BACKGROUND: Suicidal behavior is an important health issue, representing a leading cause of mortality, particularly among young adults. Depression was found to be predictive of suicide risk and predicted by
shyness. Consequently, we tested a model wherein
shyness leads to depression, which in turn leads to suicide risk. Moreover, we expected gender to moderate the effect of
shyness on depression and suicide risk.
METHODS: A convenience sample of 478 first-year college students (51% women, Age: M = 25.42, SD = 3.61) completed online self-report questionnaires assessing suicide risk, depression, shyness, and demographic variables.
RESULTS: As expected,
shyness was significantly correlated with depression (r = 0.40) and suicide risk (r = 0.24), and depression and suicide risk were also correlated with each other (r = 0.57). Depression statistically mediated the relationship between
shyness and suicide risk (indirect effect for women = 0.92, SE = 0.16; for men = 0.72, SE = 0.17). Gender did not moderate the mediation effect. However, a direct link between shyness and suicide risk was found only among men (direct effect = 0.52, SE = 0.21).
CONCLUSIONS: The results suggest that shyness may be a significant factor in the development of depression and suicide risk, potentially serving as a valuable marker for identifying at-risk individuals. Moreover, clinicians should be aware of these associations, particularly among men, in order to maintain and support mental health as well as reduce suicidality.