Abstract
Suicide in later life is becoming severe under rapid population aging, especially for nursing home residents. Loneliness, an increasingly represented issue among nursing home residents, is found to be a risk factor for depressive symptoms. Both loneliness and depressive symptoms may contribute to the development of suicidal ideation. According to the Protective Factor Model, resilience can act as a moderating role interacting with risk factors to buffer the negative effects on the outcome. The present study aimed to assess the mediating role of depressive symptoms and the moderating effect of resilience on the risk factors of suicidal ideation to attenuate the adverse contribution among nursing home residents. A total of 538 nursing home residents participated in this cross-sectional study, and their suicidal ideation, resilience, loneliness, and depressive symptoms were measured. The mediating effect and moderated mediation model were tested using the Macro Process of SPSS 21.0. Statistics showed that 19.7% of participants had suicidal ideation. The mediating model (H1: B = 0.477, p < 0.001; H2: B = 0.325, p < 0.001; H3: B = 0.308, p < 0.001) and the moderating effect of resilience interacting loneliness (H4: B = −0.133, p < 0.001; H6: B = −0.109, p < 0.001) and depressive symptoms (H5: B = −0.077, p < 0.001) were statistically significant. The findings indicated the protective effect of resilience in alleviating the negative influence of risk factors for suicidal ideation, suggesting that positive psychological interventions for resilience building might be effective in suicide prevention among nursing home residents.
Highlights
Later-life suicide has been an intractable problem for clinicians worldwide [1] The statistics of suicide in older adults, as reported by the World Health Organization [2], were much higher than those in the younger population
Basic characteristics of participants were illustrated by descriptive analyses, and Pearson Correlation Analysis was employed to examine the association among suicidal ideation, resilience, loneliness, and depressive symptoms
By enhancing the quality of psychological care ability from caregivers, the impact of risk factors on the suicidal ideation of nursing home residents can be hopefully alleviated. This current study explored the possible development paths of loneliness to suicidal ideation and examined the protective mechanism of resilience in moderating the effect of loneliness and depressive symptoms on suicidal ideation among nursing home residents
Summary
Later-life suicide has been an intractable problem for clinicians worldwide [1] The statistics of suicide in older adults, as reported by the World Health Organization [2], were much higher than those in the younger population. Research conducted in patients with chronic pain and older adults (with declining vitality) has proved the mediating effect of depressive symptoms [22,23], suggesting its potential effect in mediating risk factors and suicidal ideation among the nursing home residents. Academic which reduces the probability of negative outcomes and moderates the effect of exposure interest in the moderating effect onrendering suicide, the especially with psychiatric [30] On this basis, resilience may act of as aresilience moderator, correlation between risk patients and adolescents [31], is increasing [25,32], whereas that in nursing home residents is rare. The current study aims to explore the moderating effect of resilience on suicidal ideation through buffering the impact of loneliness and depressive symptoms.
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