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YAŞAMDA ANLAM VE UMUT AZLIĞI HEMŞİRELİK ÖĞRENCİLERİNDE İNTİHAR OLASILIĞINI ARTIRIYOR

Yıl 2024, , 111 - 119, 25.06.2024
https://doi.org/10.17049/jnursology.1428046

Öz

Amaç: Bu çalışma hemşirelik öğrencilerinde yaşamın anlamı ve umudun, intihar olasılığına etkisini belirlemek amacıyla yapıldı.

Yöntemler: Tanımlayıcı ve ilişkisel bir dizayn kullanıldı. Araştırmanın örneklemini Nisan 2020-Haziran 2020 tarihleri arasında 266 hemşirelik öğrencisi oluşturdu. Veriler İntihar Olasılığı Ölçeği, Yaşamdan Anlam Bulma ve Umut Ölçeği ile toplandı.

Bulgular: Öğrencilerin intihar olasılık puanı 73,6±19,5'tir. Yaşamda anlamının düşük olması (β=-0,216, P<,001), umudun düşük olması (β=-0,273, P<,001), sosyal desteğin yetersiz olması (β=0,302, P<,001), akademik başarı algısının düşük olması (β=-0,121, P=,003) ve daha önce intihar düşüncesinin varlığı (β=0,352, P<,001), psikiyatrik ilaç kullanımı (β=0,123, P=,011) intihar olasılığını artırdı.

Sonuç: Bu çalışma hemşirelik öğrencilerinde intihar olasılığının ortalamanın üzerinde olduğunu, yaşamdaki anlam, umut ve farklı değişkenlerin süreci etkilediğini ortaya koymuştur. Sonuçlar hemşirelik öğrencilerinde intihar riskinin bütünsel bir yaklaşımla değerlendirilmesi ve koruyucu önlemlerin alınması gerekliliğini vurgulamaktadır.

Kaynakça

  • 1. World Health Organization (WHO). Suicide data, Suicide in the Word Global Health Estimates. 2019. Accessed 17.02.2022 http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/
  • 2. Chow, WS, Schmidtke J, Loerbroks A, Muth T, Angerer P. The relationship between personality traits with depressive symptoms and suicidal ideation among medical students: a cross-sectional study at one medical school in Germany. Int J Environ Res Public Health. 2018;15(7):1462. https://doi.org/10.3390/ijerph15071462
  • 3. Tang F, Byrne M, Qin, P. Psychological distress and risk for suicidal behavior among university students in contemporary China. J Affect Disord. 2018;228:101-108. https://doi.org/10.1016/j.jad.2017.12.005
  • 4. Liu CH, Stevens C, Wong S, Yasui M, Chen JA. The prevalence and predictors of mental health diagnoses and suicide among U.S. college students: implications for addressing disparities in service use. Depress Anxiety. 2019;36(1):8–17. https://doi.org/10.1002/da.22830
  • 5. Friedrich A, Schlarb AA. Let's talk about sleep: a systematic review of psychological interventions to improve sleep in college students. J Sleep Res. 2018;27(1):4–22. https://doi.org/10.1111/jsr.12568
  • 6. Frankl V. Man's Search for Meaning. 4th ed. Okuyan Us Publishing; 2009.
  • 7. Moscardini EH, Oakey-Frost DN, Robinson A, et al. Entrapment and suicidal ideation: The protective roles of presence of life meaning and reasons for living. Suicide Life Threat Behav. 2022;52(1):14-23. https://doi.org/10.1111/sltb.12767
  • 8. Lew B, Chistopolskaya K, Osman A, Huen J, Abu Talib M, Leung A. Meaning in life as a protective factor against suicidal tendencies in Chinese University students. BMC Psychiatry. 2020;20(1):73. https://doi.org/10.1186/s12888-020-02485-4
  • 9. Griggs S. Hope and mental health in young adult college students: An integrative review. J Psychosoc Nurs Ment Health Serv. 2017;55(2):28-35. https://doi.org/10.3928/02793695-20170210-04
  • 10. Ruth Elder, Katie Evans, Debra Nizette. Travelbee, Psychiatric Menthal Nursing. 2nd ed. Elsevier Australia; 2009.
  • 11. Halter MJ. Varcarolis’ manual of psychiatric nursing care planning: An Interprofessional Approach. 6th ed. United States of America, Suicide: 275-289; 2019.
  • 12. Arslantaş H, Adana F, Harlak H, Eskin M. Suicidal behaviour attitudes among nursing and midwifery students. Neuropsychiatr Invest. 2019;57(2):6-12. https://doi.org/10.5455/NYS.20190215102533
  • 13. Moraes SMAB, Barbosa VFB, Alexandre ACS, Santos SCD, Guimarães FJ, Veras JLA. Risk of suicide among nursing students. Rev Bras Enferm. 2021;74(6):e20200867. https://doi.org/10.1590/0034-7167-2020-0867
  • 14. Hisli Şahin N, Durak Batıgün A. Testing a model for determining suicide risk in high school and university students. Turkish Journal of Psychiatry. 2009;20(1):28-36.
  • 15. Cull JG, Gill WS. Suicide Probability Scale (SPS) Manual Western Psychological Services, Los Angeles, California;1988.
  • 16. Durak Batıgün A, Hisli Şahin N. Suicide Probability Scale: Revision, validity and reliability. KPD. 2018;2(2):52-64. https://dergipark.org.tr/tr/pub/klinikpsikoloji/issue/76353/1271009
  • 17. Steger MF, Frazier P, Oishi S, Kaler M. The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology.2006;53(1):80–93. https://doi.org/10.1037/0022-0167.53.1.80
  • 18. Demirbaş N. Meaning and resilience in life. Hacettepe University, Master Thesis, Ankara; 2010.
  • 19. Snyder CR, Harris C, Anderson JR, et al. The will and the ways: Development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1991; 60(4):570-585. https://doi.org/10.1037//0022-3514.60.4.570
  • 20. Akman Y, Korkut F. A study on the Hope Scale. H U Journal of Education. 1993; 9:193-202. https://dergipark.org.tr/tr/pub/hunefd/issue/7828
  • 21. Nunez-Mulder L. Researcher cautions against initiatives to reduce student suicide that lack evidence. BMJ. 2018;362:k3969. https://doi.org/10.1136/bmj.k3969
  • 22. Wang X, Hegde S, Son C, Keller B, Smith A, Sasangohar F. Investigating mental health of US college students during the COVID-19 pandemic: Cross-sectional survey study. J Med Internet Res. 2020;22(9):e22817. https://doi.org/10.2196/22817
  • 23. Lageborn CT, Bjureberg J, Song J, et al. Risk of suicide and self-harm in university students entering different university programs–a national register-based cohort study in Sweden. Soc Psychiatry Psychiatr Epidemiol. 2023;58(8):1139-1149. https://doi.org/10.1007/s00127-023-02484-2
  • 24. Moscardini EH, Oakey‐Frost DN, Robinson A, et al. Entrapment and suicidal ideation: The protective roles of presence of life meaning and reasons for living. Suicide Life Threat Behav. 2021;52(1):14-23. https://doi.org/10.1111/sltb.12767
  • 25. Lew B, Huen J, Yu P, et al. Associations between depression, anxiety, stress, hopelessness, subjective well-being, coping styles and suicide in Chinese university students. PloS one. 2019;14(7):e0217372. https://doi.org/10.1371/journal.pone.0217372
  • 26. Gunnell D, Caul S, Appleby L, John A, Hawton K. The incidence of suicide in University students in England and Wales 2000/2001–2016/2017: Record linkage study. J Affect Disord. 2020; 261:113-120. https://doi.org/10.1016/j.jad.2019.09.079.
  • 27. Kavradım ST, Özer ZC. Hope in patients with Cancer. Current Approaches in Psychiatry. 2014;6(2):154-164. https://doi.org/10.5455/cap.20130901084242
  • 28. Wyatt TJ, Oswalt SB, Ochoa Y. Mental health and academic performance of first-year college students. International Journal of Higher Education. 2017;6(3):178-187. https://doi.org/10.5430/ijhe.v6n3p178
  • 29. Horgan A, Kelly P, Goodwin J, Behan L. Depressive symptoms and suicidal ideation among Irish undergraduate college students. Issues Ment Health Nurs. 2018;39(7):575-584. https://doi.org/10.1080/01612840.2017.1422199
  • 30. McLaughlin JC, Gunnell D. Suicide deaths in university students in a UK city between 2010 and 2018–Case series. Crisis: The Journal of Crisis Intervention and Suicide Prevention. 2021;42(3):171-178. https://doi.org/10.1027/0227-5910/a000704
  • 31. Sun L, Zhou C, Xu L, Li S, Kong F, Chu J. Suicidal ideation, plans and attempts among medical college students in china: the effect of their parental characteristics. Psychiatry Research. 2017;247:139-143. https://doi.org/10.1016/j.psychres.2016.11.024
  • 32. Gui Z, Ren X, Li X, Zhou C, Sun L. Parents’ parenting styles differences are associated with lifetime suicidal ideation: Evidences from the Chinese medical college students. Journal of Health Psychology. 2021;27(10):2420-2434. https://doi.org/10.1177/13591053211044532
  • 33. Lee E, Kim KY. The association between secondhand smoke and stress, depression, and suicidal ideation in adolescents. Healthcare (Basel). 2021;9(1):39. https://doi.org/10.3390/healthcare9010039
  • 34. Wang M, Kou C, Bai W, et al. Prevalence and correlates of suicidal ideation among college students: a mental health survey in Jilin Province, China. J Affect Disord. 2019;246:166-173. https://doi.org/10.1016/j.jad.2018.12.055
  • 35. Gselamu L, Ha K. Attitudes towards suicide and risk factors for suicide attempts among university students in South Korea. J Affect Disord. 2020;272:166-169. https://doi.org/10.1016/j.jad.2020.03.135
  • 36. National Confidential Inquiry into Suicide and Homicide (NCISH) by People with MentalIllness,7. Accessed 26.03.2022 https://documents.manchester.ac.uk/display.aspx?DocID=37560
  • 37. Kim G, Cha S. A predictive model of suicidal ideation in Korean college students. Public Health Nurs. 2018;35(6):490-498. https://doi.org/10.1111/phn.12541
  • 38. Uchida C, Uchida M. Characteristics and risk factors for suicide and deaths among college students: A 23-year serial prevalence study of data from 8.2 million Japanese college students. J Clin Psychiatry. 2017;78(4):e404-e412. https://doi.org/10.4088/JCP.16m10807.

Evaluation of Suicide in Nursing Students from The Perspective of Meaning of Life and Hope

Yıl 2024, , 111 - 119, 25.06.2024
https://doi.org/10.17049/jnursology.1428046

Öz

Objective: This study was conducted to determine the effect of meaning in life and hope on suicide probability in nursing students.

Methods: A descriptive and correlational design was used. The sample of the study consisted of 266 nursing students from April 2020-June 2020. Data collected with “the Suicide Probability Scale”, “The Meaning in Life Questionnaire”, and “The Hope Scale”.

Results: Students' suicide probability score is 73.6±19.5. Low levels of meaning in life (β=-0.216, P<.001), low levels of hope (β=-0.273, P<.001), inadequate social support (β=0.302, P<.001), low level of perceived academic success (β=-0.121, p=0.003) and previous suicidal ideation (β=0.352, P<.001), using psychiatric medication (β=0.123, P=.011) increased the probability of suicide.

Conclusion: This study revealed that the probability of suicide among nursing students is above the average and that meaning in life, hope and different variables affect the process. The results underline the necessity of evaluating the suicide risk in nursing students with a holistic approach and taking protective measures.

Etik Beyan

Ethics committee approval was received for this study from the Ethics Committee of HALİÇ University. Date: 20.March.2020 Decision Number: 04

Destekleyen Kurum

The authors declare that this study had received no institutional/ financial support.

Teşekkür

The researchers thank the nursing students who participated in the study and thus contributed to the planning of interventions on suicide prevention.

Kaynakça

  • 1. World Health Organization (WHO). Suicide data, Suicide in the Word Global Health Estimates. 2019. Accessed 17.02.2022 http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/
  • 2. Chow, WS, Schmidtke J, Loerbroks A, Muth T, Angerer P. The relationship between personality traits with depressive symptoms and suicidal ideation among medical students: a cross-sectional study at one medical school in Germany. Int J Environ Res Public Health. 2018;15(7):1462. https://doi.org/10.3390/ijerph15071462
  • 3. Tang F, Byrne M, Qin, P. Psychological distress and risk for suicidal behavior among university students in contemporary China. J Affect Disord. 2018;228:101-108. https://doi.org/10.1016/j.jad.2017.12.005
  • 4. Liu CH, Stevens C, Wong S, Yasui M, Chen JA. The prevalence and predictors of mental health diagnoses and suicide among U.S. college students: implications for addressing disparities in service use. Depress Anxiety. 2019;36(1):8–17. https://doi.org/10.1002/da.22830
  • 5. Friedrich A, Schlarb AA. Let's talk about sleep: a systematic review of psychological interventions to improve sleep in college students. J Sleep Res. 2018;27(1):4–22. https://doi.org/10.1111/jsr.12568
  • 6. Frankl V. Man's Search for Meaning. 4th ed. Okuyan Us Publishing; 2009.
  • 7. Moscardini EH, Oakey-Frost DN, Robinson A, et al. Entrapment and suicidal ideation: The protective roles of presence of life meaning and reasons for living. Suicide Life Threat Behav. 2022;52(1):14-23. https://doi.org/10.1111/sltb.12767
  • 8. Lew B, Chistopolskaya K, Osman A, Huen J, Abu Talib M, Leung A. Meaning in life as a protective factor against suicidal tendencies in Chinese University students. BMC Psychiatry. 2020;20(1):73. https://doi.org/10.1186/s12888-020-02485-4
  • 9. Griggs S. Hope and mental health in young adult college students: An integrative review. J Psychosoc Nurs Ment Health Serv. 2017;55(2):28-35. https://doi.org/10.3928/02793695-20170210-04
  • 10. Ruth Elder, Katie Evans, Debra Nizette. Travelbee, Psychiatric Menthal Nursing. 2nd ed. Elsevier Australia; 2009.
  • 11. Halter MJ. Varcarolis’ manual of psychiatric nursing care planning: An Interprofessional Approach. 6th ed. United States of America, Suicide: 275-289; 2019.
  • 12. Arslantaş H, Adana F, Harlak H, Eskin M. Suicidal behaviour attitudes among nursing and midwifery students. Neuropsychiatr Invest. 2019;57(2):6-12. https://doi.org/10.5455/NYS.20190215102533
  • 13. Moraes SMAB, Barbosa VFB, Alexandre ACS, Santos SCD, Guimarães FJ, Veras JLA. Risk of suicide among nursing students. Rev Bras Enferm. 2021;74(6):e20200867. https://doi.org/10.1590/0034-7167-2020-0867
  • 14. Hisli Şahin N, Durak Batıgün A. Testing a model for determining suicide risk in high school and university students. Turkish Journal of Psychiatry. 2009;20(1):28-36.
  • 15. Cull JG, Gill WS. Suicide Probability Scale (SPS) Manual Western Psychological Services, Los Angeles, California;1988.
  • 16. Durak Batıgün A, Hisli Şahin N. Suicide Probability Scale: Revision, validity and reliability. KPD. 2018;2(2):52-64. https://dergipark.org.tr/tr/pub/klinikpsikoloji/issue/76353/1271009
  • 17. Steger MF, Frazier P, Oishi S, Kaler M. The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology.2006;53(1):80–93. https://doi.org/10.1037/0022-0167.53.1.80
  • 18. Demirbaş N. Meaning and resilience in life. Hacettepe University, Master Thesis, Ankara; 2010.
  • 19. Snyder CR, Harris C, Anderson JR, et al. The will and the ways: Development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1991; 60(4):570-585. https://doi.org/10.1037//0022-3514.60.4.570
  • 20. Akman Y, Korkut F. A study on the Hope Scale. H U Journal of Education. 1993; 9:193-202. https://dergipark.org.tr/tr/pub/hunefd/issue/7828
  • 21. Nunez-Mulder L. Researcher cautions against initiatives to reduce student suicide that lack evidence. BMJ. 2018;362:k3969. https://doi.org/10.1136/bmj.k3969
  • 22. Wang X, Hegde S, Son C, Keller B, Smith A, Sasangohar F. Investigating mental health of US college students during the COVID-19 pandemic: Cross-sectional survey study. J Med Internet Res. 2020;22(9):e22817. https://doi.org/10.2196/22817
  • 23. Lageborn CT, Bjureberg J, Song J, et al. Risk of suicide and self-harm in university students entering different university programs–a national register-based cohort study in Sweden. Soc Psychiatry Psychiatr Epidemiol. 2023;58(8):1139-1149. https://doi.org/10.1007/s00127-023-02484-2
  • 24. Moscardini EH, Oakey‐Frost DN, Robinson A, et al. Entrapment and suicidal ideation: The protective roles of presence of life meaning and reasons for living. Suicide Life Threat Behav. 2021;52(1):14-23. https://doi.org/10.1111/sltb.12767
  • 25. Lew B, Huen J, Yu P, et al. Associations between depression, anxiety, stress, hopelessness, subjective well-being, coping styles and suicide in Chinese university students. PloS one. 2019;14(7):e0217372. https://doi.org/10.1371/journal.pone.0217372
  • 26. Gunnell D, Caul S, Appleby L, John A, Hawton K. The incidence of suicide in University students in England and Wales 2000/2001–2016/2017: Record linkage study. J Affect Disord. 2020; 261:113-120. https://doi.org/10.1016/j.jad.2019.09.079.
  • 27. Kavradım ST, Özer ZC. Hope in patients with Cancer. Current Approaches in Psychiatry. 2014;6(2):154-164. https://doi.org/10.5455/cap.20130901084242
  • 28. Wyatt TJ, Oswalt SB, Ochoa Y. Mental health and academic performance of first-year college students. International Journal of Higher Education. 2017;6(3):178-187. https://doi.org/10.5430/ijhe.v6n3p178
  • 29. Horgan A, Kelly P, Goodwin J, Behan L. Depressive symptoms and suicidal ideation among Irish undergraduate college students. Issues Ment Health Nurs. 2018;39(7):575-584. https://doi.org/10.1080/01612840.2017.1422199
  • 30. McLaughlin JC, Gunnell D. Suicide deaths in university students in a UK city between 2010 and 2018–Case series. Crisis: The Journal of Crisis Intervention and Suicide Prevention. 2021;42(3):171-178. https://doi.org/10.1027/0227-5910/a000704
  • 31. Sun L, Zhou C, Xu L, Li S, Kong F, Chu J. Suicidal ideation, plans and attempts among medical college students in china: the effect of their parental characteristics. Psychiatry Research. 2017;247:139-143. https://doi.org/10.1016/j.psychres.2016.11.024
  • 32. Gui Z, Ren X, Li X, Zhou C, Sun L. Parents’ parenting styles differences are associated with lifetime suicidal ideation: Evidences from the Chinese medical college students. Journal of Health Psychology. 2021;27(10):2420-2434. https://doi.org/10.1177/13591053211044532
  • 33. Lee E, Kim KY. The association between secondhand smoke and stress, depression, and suicidal ideation in adolescents. Healthcare (Basel). 2021;9(1):39. https://doi.org/10.3390/healthcare9010039
  • 34. Wang M, Kou C, Bai W, et al. Prevalence and correlates of suicidal ideation among college students: a mental health survey in Jilin Province, China. J Affect Disord. 2019;246:166-173. https://doi.org/10.1016/j.jad.2018.12.055
  • 35. Gselamu L, Ha K. Attitudes towards suicide and risk factors for suicide attempts among university students in South Korea. J Affect Disord. 2020;272:166-169. https://doi.org/10.1016/j.jad.2020.03.135
  • 36. National Confidential Inquiry into Suicide and Homicide (NCISH) by People with MentalIllness,7. Accessed 26.03.2022 https://documents.manchester.ac.uk/display.aspx?DocID=37560
  • 37. Kim G, Cha S. A predictive model of suicidal ideation in Korean college students. Public Health Nurs. 2018;35(6):490-498. https://doi.org/10.1111/phn.12541
  • 38. Uchida C, Uchida M. Characteristics and risk factors for suicide and deaths among college students: A 23-year serial prevalence study of data from 8.2 million Japanese college students. J Clin Psychiatry. 2017;78(4):e404-e412. https://doi.org/10.4088/JCP.16m10807.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ruh Sağlığı Hemşireliği
Bölüm Araştırma Makaleleri
Yazarlar

Nurdan Cetın 0000-0001-8592-1324

Esra Uslu 0000-0003-0168-2747

Gülcan Kendirkıran 0000-0002-3243-9590

Yayımlanma Tarihi 25 Haziran 2024
Gönderilme Tarihi 30 Ocak 2024
Kabul Tarihi 6 Haziran 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

AMA Cetın N, Uslu E, Kendirkıran G. Evaluation of Suicide in Nursing Students from The Perspective of Meaning of Life and Hope. Journal of Nursology. Haziran 2024;27(2):111-119. doi:10.17049/jnursology.1428046

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