DOI QR코드

DOI QR Code

Influence of Social Contact on Suicidal Ideation among Nursing Students during the COVID-19 Pandemic: The Mediating Effects of Depression and Loneliness

COVID-19 팬데믹 시기 간호대학생의 사회접촉과 자살사고: 우울, 외로움의 매개효과

  • Nam Yi Kim (College of Nursing, Konyang University) ;
  • Ji Eun Kim (College of Nursing, Konyang University)
  • Received : 2023.07.04
  • Accepted : 2023.08.11
  • Published : 2023.08.31

Abstract

Purpose: Over the past two years, most Korean nursing students had to go through distance learning due to the COVID-19 pandemic. During the pandemic, amental health crisis has emerged among nursing students in South Korea. The study aimed to examine the relationships among social contact, depression, loneliness, and suicidal ideation. Methods: A cross-sectional survey design was used to collect data from nursing students. The survey was conducted onlinein South Korea. A total of 184 nursing students were recruited from December 2021 to April 2022. For data analysis,the frequency, percentage, mean and standard deviation of the general characteristics of the subjects were calculated using IBM/SPSS Statistics 25.0. To examine the mediating effect of depression and loneliness on the relationship between social contact and suicidal ideation, multiple linear regression was used to analyze associations among social contact, depression, loneliness, and suicidal ideation. Results: The average age was 22.69±5.66 years (range=18~54), and the sex distribution was 155 females among 184 nursing students. Lower social contact among nursing students was significantly associated with higher depression and loneliness. Loneliness significantly mediated the relationship between social contact and suicidal ideation innursing students. Conclusion: The findings suggest that strategies for enhancing social contact and reducing depression and loneliness should be considered to improve suicidal ideation among nursing students.

Keywords

References

  1. OECD. Health status-suicide rates [Internet]. OECD; 2022. [cited 2022 April 6]. Available from: https://data.oecd.org/healthstat/suicide-rates.htm
  2. Statistics Korea. Statistics on cause of death [Internet]. Daejeon: Author; 2021 [cited 2022 April 15]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E13&conn_path=I2
  3. Kim JE. Influence of social contact, depression and anxiety on suicidal ideation of the elderly in the COVID-19 pandemic. The Journal of the Korea Contents Association. 2021;21(12):870-878. https://doi.org/10.5392/JKCA.2021.21.12.870
  4. Rabasco A, Corcoran V, Andover M. Alone but not lonely: the relationship between COVID-19 social factors, loneliness, depression, and suicidal ideation. Plos One. 2021;16(12):1-10. https://doi.org/10.1371/journal.pone.0261867
  5. Kovacs B, Caplan N, Grob S, King M. Social networks and loneliness during the COVID-19 pandemic. Socius. 2021;7:1-16. https://doi.org/10.1177/2378023120985254
  6. Botega NJ, Barros MBdA, Oliveira HBd, Dalgalarrondo P, Marin-Leon L. Suicidal behavior in the community: prevalence and factors associated with suicidal ideation. Brazilian Journal of Psychiatry. 2005;27:45-53. https://doi.org/10.1590/s1516-44462005000100011
  7. Wang YH, Shi ZT, Luo QY. Association of depressive symptoms and suicidal ideation among university students in China: a systematic review and meta-analysis. Medicine. 2017;96(13):1-7. https://doi.org/10.1097/md.0000000000006476
  8. Mortier P, Cuijpers P, Kiekens G, Auerbach R, Demyttenaere K, Green J, et al. The prevalence of suicidal thoughts and behaviours among college students: a meta-analysis. Psychological Medicine. 2018;48(4):554-565. https://doi.org/10.1017/s0033291717002215
  9. Yang HJ. Differences in depression and psychological emotions according to the degree of self-elasticity of college freshmen in COVID-19. The Journal of the Convergence on Culture Technology. 2020;6(3):75-81. https://doi.org/10.17703/JCCT.2020.6.3.75
  10. Tang F, Qin P. Influence of personal social network and coping skills on risk for suicidal ideation in Chinese university students. Plos One. 2015;10(3):1-13. https://doi.org/10.1371/journal.pone.0121023
  11. McClelland H, Evans JJ, Nowland R, Ferguson E, O'Connor RC. Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies. Journal of Affective Disorders. 2020;274:880-896. https://doi.org/10.1016/j.jad.2020.05.004
  12. Antonelli-Salgado T, Monteiro GMC, Marcon G, Roza TH, Zimerman A, Hoffmann MS, et al. Loneliness, but not social distancing, is associated with the incidence of suicidal ideation during the COVID-19 outbreak: a longitudinal study. Journal of Affective Disorders. 2021;290:52-60. https://doi.org/10.1016/j.jad.2021.04.044
  13. Turecki G, Brent DA. Suicide and suicidal behaviour. The Lancet. 2016;387(10024):1227-1239. https://doi.org/10.1016/S0140-6736(15)00234-2
  14. Fried EI, Papanikolaou F, Epskamp S. Mental health and social contact during the COVID-19 pandemic: an ecological momentary assessment study. Clinical Psychological Science. 2022;10(2):340-354. https://doi.org/10.31234/osf.io/36xkp
  15. Hwang EH, Kim KH, Shin SJ. The effect of life stress, sleep quality, and depression on suicidal ideation among nursing student. Journal of Korea Society for Wellness. 2016;11(3): 239-248. https://doi.org/10.21097/ksw.2016.08.11.3.239
  16. Kwon S, Kim Y, Bang M, Ryu M. Nursing students' experiences of adapting to clinical practice in the COVID-19 pandemic. The Journal of Korean Academic Society of Nursing Education. 2022;28(1):57-69. https://doi.org/10.5977/jkasne.2022.28.1.57
  17. Labrague LJ, Santos JAADL, Falguera CC. Social and emotional loneliness among college students during the COVID-19 pandemic: the predictive role of coping behaviours, social support, and personal resilience. Perspectives in Psychiatric Care. 2021;57(4):1578-1584. https://doi.org/10.21203/rs.3.rs-93878/v1
  18. Bryant-Genevier J, Rao CY, Lopes-Cardozo B, Kone A, Rose C, Thomas I, et al. Symptoms of depression, anxiety, post-traumatic stress disorder, and suicidal ideation among state, tribal, local, and territorial public health workers during the COVID-19 Pandemic-United States, March-April 2021. Morbidity and Mortality Weekly Report. 2021;70(26):947-952. https://doi.org/10.15585/mmwr.mm7026e1
  19. Macia D, Cattaneo G, Solana J, Tormos JM, Pascual-Leone A, Bartres-Faz D. Meaning in life: a major predictive factor for loneliness comparable to health status and social connectedness. Frontiers in Psychology. 2021;12(627547):1-12. https://doi.org/10.3389/fpsyg.2021.627547
  20. Kim JE, Jung M. Effectiveness of a mental health program using Instagram (friendship town) for newly entered nursing students during the COVID-19 pandemic. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2022;31(2):230-240. https://doi.org/10.12934/jkpmhn.2022.31.2.230
  21. Robb CE, de Jager CA, Ahmadi-Abhari S, Giannakopoulou P, Udeh-Momoh C, McKeand J, et al. Associations of social isolation with anxiety and depression during the early COVID-19 pandemic: a survey of older adults in London, UK. Frontiers in Psychiatry. 2020;11(591120):1-12. https://doi.org/10.3389/fpsyt.2020.591120
  22. Yu K, Wu S, Chi I. Internet use and loneliness of older adults over time: the mediating effect of social contact. The Journals of Gerontology: Series B. 2021;76(3):541-550. https://doi.org/10.1093/geronb/gbaa004
  23. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine. 2001;16(9):606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  24. Kim OS. Korean version of the revised UCLA loneliness scale: reliability and validity test. Journal of Korean Academy of Nursing. 1997;27(4):871-879. https://doi.org/10.4040/jnas.1997.27.4.871
  25. Osman A, Bagge CL, Gutierrez PM, Konick LC, Kopper BA, Barrios FX. The suicidal behaviors questionnaire-revised (SBQ-R): validation with clinical and nonclinical samples. Assessment. 2001;8(4):443-454. https://doi.org/10.1177/107319110100800409
  26. Martinez-Libano J, Cabrera MMY. Suicidal ideation and suicidal thoughts in university students during the COVID-19 pandemic: a systematic review. Revista Argentina Clinica Psicologica. 2021;30(2):390-405. https://doi.org/10.24205/03276716.2020.4038
  27. Horgan A, Kelly P, Goodwin J, Behan L. Depressive symptoms and suicidal ideation among Irish undergraduate college students. Issues in Mental Health Nursing. 2018;39(7):575-584. https://doi.org/10.1080/01612840.2017.1422199
  28. Joiner TE. Why people die by suicide. Cambridge, MA: Harvard University Press; 2005. p. 122-124.
  29. Chang EC, Chang OD, Lucas AG, Li M, Beavan CB, Eisner RS, et al. Depression, loneliness, and suicide risk among Latino college students: a test of a psychosocial interaction model. Social Work. 2019;64(1):51-60. https://doi.org/10.1093/sw/swy052
  30. Moeller RW, Seehuus M. Loneliness as a mediator for college students' social skills and experiences of depression and anxiety. Journal of Adolescence. 2019;73:1-13. https://doi.org/10.1016/j.adolescence.2019.03.006