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The Moderating Effect of Reasons for Living on the Relationship Between Depression and Suicidal Ideation Among Psychiatric Patients

정신건강의학과 환자의 우울과 자살사고의 관계에서 자살하지 않는 이유의 조절효과

  • Hyunjee, Bang (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Daeho, Kim (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Il Bin, Kim (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Eunkyung, Kim (Department of Psychiatry, Hanyang University Guri Hospital)
  • 방현지 (한양대학교 구리병원 정신건강의학과) ;
  • 김대호 (한양대학교 구리병원 정신건강의학과) ;
  • 김일빈 (한양대학교 구리병원 정신건강의학과) ;
  • 김은경 (한양대학교 구리병원 정신건강의학과)
  • Received : 2022.08.31
  • Accepted : 2022.12.05
  • Published : 2022.12.31

Abstract

Objectives : This study aimed to examine the moderating effects of reasons for living on the relationship between depression and suicidal ideation among psychiatric patients. Methods : Patients were recruited from the department of psychiatry of university hospital. A total of 137 participants completed self-report questionnaires assessing depression (Beck Depression Inventory), suicidal ideation (Ultra-Short Suicidal Ideation Scale) and reasons for living (The Reasons for Living Inventory). Results : Among 4 sub-scales of the reasons for living inventory, survival and coping beliefs, fear of death and social disapproval, and future expectation moderated the relationship between depression and suicidal ideation. Conclusions : The results suggest that the reasons for living can work as a protective factor on the relationship between depression and suicidal ideation among psychiatric patients.

연구목적 본 연구에서는 정신건강의학과 환자의 우울과 자살사고의 관계에서 자살하지 않는 이유의 조절효과를 확인하고자 하였다. 방 법 본 연구는 한양대학교 구리병원 정신건강의학과에 진료를 위해 내원 및 입원한 환자 137명을 대상으로 자기보고식 질문지를 실시하였다. 결 과 자살하지 않는 이유의 4개의 하위 요인 중 생존과 대처 신념, 죽음 공포와 사회적 비난 그리고 미래 기대의 조절효과가 관찰되었다. 결 론 본 연구의 결과는 정신건강의학과 환자의 우울과 자살사고의 관계에서 자살하지 않는 이유가 보호 요인이 될 수 있음을 확인하였다.

Keywords

References

  1. Luo X, Wang Q, Wang X, Cai T. Reasons for living and hope as the protective factors against suicidality in Chinese patients with depression: a cross sectional study. BMC Psychiatry 2016;16:1-7.  https://doi.org/10.1186/s12888-015-0706-4
  2. Cavanagh JT, Carson AJ, Sharpe M, Lawrie SM. Psychological autopsy studies of suicide: a systematic review. Psychol Med 2003;33:395-405.  https://doi.org/10.1017/S0033291702006943
  3. Henriksson MM, Aro HM, Marttunen MJ, Heikkinen ME, Isometsa ET, Kuoppasalmi KI, Lonnqvist JK. Mental disorders and comorbidity in suicide. Am J Psychiatry 1993;150:935-935.  https://doi.org/10.1176/ajp.150.6.935
  4. Keilp JG, Grunebaum MF, Gorlyn M, LeBlanc S, Burke AK, Galfalvy H, Oquendo MA, Mann JJ. Suicidal ideation and the subjective aspects of depression. J Affect Disord 2012;140:75-81.  https://doi.org/10.1016/j.jad.2012.01.045
  5. Kachur SP, Potter LB, Powell KE, Rosenberg ML. Suicide: epidemiology, prevention, and treatment. Adolesc Med 1995;6:171-182. 
  6. Gensichen J, Teising A, Konig J, Gerlach FM, Petersen JJ. Predictors of suicidal ideation in depressive primary care patients. J Affect Disord 2010;125:124-127.  https://doi.org/10.1016/j.jad.2009.12.008
  7. Britton PC, Duberstein PR, Conner KR, Heisel MJ, Hirsch JK, Conwell Y. Reasons for living, hopelessness, and suicide ideation among depressed adults 50 years or older. Am J Geriatr Psychiatry 2008;16:736-741.  https://doi.org/10.1097/JGP.0b013e31817b609a
  8. Heisel MJ, Duberstein PR, Conner KR, Franus N, Beckman A, Conwell Y. Personality and reports of suicide ideation among depressed adults 50 years of age or older. J Affect Disord 2006;90:175-180.  https://doi.org/10.1016/j.jad.2005.11.005
  9. Van Orden KA, Witte TK, James LM, Castro Y, Gordon KH, Braithwaite SR, Hollar DL, Joiner TE Jr. Suicidal ideation in college students varies across semesters: the mediating role of belongingness. Suicide Life Threat Behav 2008;38:427-435.  https://doi.org/10.1521/suli.2008.38.4.427
  10. Chan LF, Shamsul AS, Maniam T. Are predictors of future suicide attempts and the transition from suicidal ideation to suicide attempts shared or distinct: a 12-month prospective study among patients with depressive disorders. Psychiatry Res 2014;220:867-873.  https://doi.org/10.1016/j.psychres.2014.08.055
  11. Kleiman EM, Beaver JK. A meaningful life is worth living: meaning in life as a suicide resiliency factor. Psychiatry Res 2013;210:934-939.  https://doi.org/10.1016/j.psychres.2013.08.002
  12. Rowe JL, Conwell Y, Schulberg HC, Bruce ML. Social support and suicidal ideation in older adults using home healthcare services. Am J Geriatr Psychiatry 2006;14:758-766.  https://doi.org/10.1097/01.jgp.0000218324.78202.25
  13. Linehan MM, Goodstein JL, Nielsen SL, Chiles JA. Reasons for staying alive when you are thinking of killing yourself: the reasons for living inventory. J Consult Clin Psychol 1983;51:276.  https://doi.org/10.1037/0022-006X.51.2.276
  14. Lee GW, Hyun MH, Lee SJ. A study on the validation of the reasons for living inventory. Kor J Psychol: Health 2010;15:227-242.  https://doi.org/10.17315/kjhp.2010.15.2.004
  15. Lee Y, Oh KJ. Validation of reasons for living and their relationship with suicidal ideation in Korean college students. Death Stud 2012;36:712-722.  https://doi.org/10.1080/07481187.2011.584011
  16. Miller JS, Segal DL, Coolidge FL. A comparison of suicidal thinking and reasons for living among younger and older adults. Death Stud 2001;25:357-365.  https://doi.org/10.1080/07481180126250
  17. Chan WS, Law CK, Liu KY, Wong PW, Law YW, Yip PS. Suicidality in Chinese adolescents in Hong Kong: the role of family and cultural influences. Soc Psychiatry Psychiatr Epidemiol 2009;44:278-284.  https://doi.org/10.1007/s00127-008-0434-x
  18. Malone KM, Oquendo MA, Haas GL, Ellis SP, Li S, Mann JJ. Protective factors against suicidal acts in major depression: reasons for living. Am J Psychiatry 2000;157:1084-1088.  https://doi.org/10.1176/appi.ajp.157.7.1084
  19. Williams M. Cry of pain: understanding suicide and the suicidal mind. London: Little, Brown Book Group;2014. 
  20. Bagge CL, Lamis DA, Nadorff M, Osman A. Relations between hopelessness, depressive symptoms and suicidality: mediation by reasons for living. J Clin Psychol 2014;70:18-31.  https://doi.org/10.1002/jclp.22005
  21. Segal DL, Gottschling J, Marty M, Meyer WJ, Coolidge FL. Relationships among depressive, passive-aggressive, sadistic and self-defeating personality disorder features with suicidal ideation and reasons for living among older adults. Aging Ment Health 2015;19:1071-1077.  https://doi.org/10.1080/13607863.2014.1003280
  22. Park SJ, Kim JN. The mediating effects of perceived burdensomeness and thwarted belongingness and the moderating effect of reasons for living on the relationship between depression and suicidal ideation in young adults. Korean J Counsel Psychotherapy 2018;30:877-908.  https://doi.org/10.23844/kjcp.2018.08.30.3.877
  23. Johnson J, Wood AM, Gooding P, Taylor PJ, Tarrier N. Resilience to suicidality: the buffering hypothesis. Clin Psychol Rev 2011;31:563-591.  https://doi.org/10.1016/j.cpr.2010.12.007
  24. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation;1996. 
  25. Lim SY, Lee EJ, Jeong SW, Kim HC, Jeong CH, Jeon TY, Yi MS, Kim JM, Jo HJ, Kim JB. The Validation Study of Beck Depression Scale 2 in Korean Version. Anxiety and Mood 2011;7:48-53. 
  26. Nugent WR. The development and psychometric study of an ultra-short-form suicidal ideation measure. Best Pract Ment Health 2005;1:1-18. 
  27. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford publications;2017. 
  28. Richardson-Vejlgaard R, Sher L, Oquendo MA, Lizardi D, Stanley B. Objections to suicide among depressed patients with alcohol use disorders. J Affect Disord 2009;117:197-201.  https://doi.org/10.1016/j.jad.2009.01.005
  29. Chang WC, Chen ESM, Hui CLM, Chan SKW, Lee EHM, Chen EYH. The relationships of suicidal ideation with symptoms, neurocognitive function, and psychological factors in patients with first-episode psychosis. Schizophr Res 2014;157:12-18.  https://doi.org/10.1016/j.schres.2014.06.009
  30. May AM, Klonsky ED. What distinguishes suicide attempters from suicide ideators? a meta-analysis of potential factors. Clin Psychol 2016;23:5-20.  https://doi.org/10.1111/cpsp.12136
  31. Han JM, You SE. The moderating effect of reasons for living on the relation between thwarted interpersonal needs and suicidal ideation in older adults. Cogn Behav Ther in Korea 2019;19:445-464. https://doi.org/10.33703/cbtk.2019.19.4.445