Effects of Depression, Self-Esteem, and Social Support on Suicidal Ideation in College Students

대학생의 우울, 자존감, 사회적 지지가 자살생각에 미치는 영향

  • Park, Younghee (Department of Nursing, College of Medicine, Dongguk University)
  • 박영희 (동국대학교 의과대학 간호학과)
  • Received : 2016.12.29
  • Accepted : 2017.01.11
  • Published : 2017.01.31


Purpose: This study was done to examine whether depression, self-esteem, and social support influence suicidal ideation among college students. Methods: Using a correlation study design, participants were recruited from two universities selected by convenience sampling. Data were collected from June 1, to August 31, 2014 from the 206 participants included in the study. The data were analyzed using SPSS / Win 18.0. Results: There was a significant correlation between depression, self esteem, social support, and suicidal ideation. Suicidal ideation was negatively correlated with self-esteem (r=-.64, p<.001) and social support (r=-.45, p<.001), while, suicidal ideation showed a positive correlation with depression (r=.69, p<.001). The significant predictors related to suicidal ideation were depression, self-esteem, and social support. Conclusion: Findings indicate that sensitively assessing depression in college students and efforts to reduce depression can reduce the risk of suicide. Self-esteem and social support of college students are also important resources for suicide prevention.



  1. Statistics Korea. Annual report on the causes of death statistics 2015 [Internet]. Seoul: Statistics Korea; 2015 [cited 2016 September 27]. Available from:
  2. Knieper AJ. The suicide survivor's grief and recovery. Suicide and Life-Threatening Behavior. 1999;29(4):353-364.
  3. Conner KR, Duberstein PR, Conwell Y, Seidlitz L, Caine ED. Psychological vulnerability to completed suicide: a review of empirical studies. Suicide and Life-Threatening Behavior. 2001;31(4):367-385.
  4. Jeon WT, Nam YY, Park JY, Eoh YK, Lee HS. Study on Development of Suicide Prevention Policy: Foreign national suicide prevention strategy and analysis of domestic activities. Seoul: Ministry of Health Welfare; 2004. p.1-439.
  5. Brezo J, Paris J, Tremblay R, Vitaro F, Hebert M, Turecki G. Identifying correlates of suicide attempts in suicidal ideators: a population-based study. Psychological medicine. 2007;37(11):1551-1562.
  6. Cole DE, Protinsky HO, Cross LH. An empirical investigation of adolescent suicidal ideation. Adolescence. 1992;27(108):813-818.
  7. Nemeroff CB, Compton MT, Berger J. The depressed suicidal patient. Annals of the New York Academy of Sciences. 2001;932(1):1-23.
  8. Lee EJ, Lee ES. Correlation between alienation and depression, suicidal ideation and delinquency in high school students. Journal of Korean Academy of Fundamentals of Nursing. 2002;9(1):56-65.
  9. Garlow SJ, Rosenberg J, Moore JD, Haas AP, Koestner B, Hendin H, et al. Depression, desperation, and suicidal ideation in college students: results from the American Foundation for Suicide Prevention College Screening Project at Emory University. Depress Anxiety. 2008;25(6):482-488.
  10. Wilburn VR, Smith DE. Stress, self-esteem, and suicidal ideation in late adolescents. Adolescence. 2005;40(157):33-45.
  11. Sullivan HS. The interpersonal theory of psychiatry. New York: Routledge; 2013. p.1-416.
  12. Zea MC, Jarama SL, Bianchi FT. Social support and psychosocial competence: explaining the adaptation to college of ethnically diverse students. American Journal of Community Psychology. 1995;23:509-531.
  13. Park JY. The mediational effects of resiliency on school violence causing adolescent depression and suicide: Focusing on gender differences. Korean journal of social welfare studies. 2010;41(1):345-376..
  14. Lopez FG, Melendez MC, Sauer EM, Berger E, Wyssmann J. Internal working models, self-reported problems, and help-seeking attitudes among college students. Journal of Counseling Psychology. 1998;45(1):79-83.
  15. Faul F, Erdfelder E, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39:175-191.
  16. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the scale for suicide ideation. Journal of Consulting and Clinical Psychology. 1979;47(2):343-352.
  17. Park KB, Shin MS. College goal and suicidal ideation among high school students. Korean Journal of Clinical Psychology. 1990;9(1):20-32.
  18. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401.
  19. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1993;32(3):381-399.
  20. Rosenberg M. Society and the adolescent self-image. NJ: Princeto University Press; 1965. p.1-340.
  21. Jeon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974;11(1):107-130.
  22. Kim YS. Study on relationship between life satisfaction and perceived social support among adults with mental disorders [master's thesis]. Seoul: Ewha Womans University; 1995. p.1-96.
  23. Kim GH, Kim HJ. The effect of therapeutic recreation program on the depression and self-esteem in nursing students. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2006;15(4):500-507.
  24. Baek SS, Ha EH, Ryo EN, Song MS. Effects of life stress and depression in undergraduates on suicidal ideation. Journal of Korean Academy of Child Health Nursing. 2012;18(4):157-163.
  25. Rice KG, Ashby JS, Slaney RB. Self-esteem as a mediator between perfectionism and depression: A structural equations analysis. Journal of Counseling Psychology. 1998;45(3):304-314.
  26. Orth U, Robins RW, Roberts BW. Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology. 2008;95(3):695-708.
  27. Kim MK. Relationship between negative emotions, family resilience, self-esteem and suicide ideation in university students. Korean Journal of Family Welfare. 2012;17(1):61-83.
  28. Hefner J, Eisenberg D. Social support and mental health among college students. American Journal of Orthopsychiatry. 2009;79(4):491-499.
  29. Konick LC, Gutierrez PM. Testing a model of suicide ideation in college students. Suicide and Life-Threatening Behavior. 2005;35(2):181-192.
  30. Hirsch JK, Barton AL. Positive social support, negative social exchanges, and suicidal behavior in college students. Journal of American College Health. 2011;59(5):393-398.