Abstract
Psychological strain is associated with suicidal behavior; however, the way that psychological strain leads to suicidal behavior remains unclear. The current study examines the mediation effect of psychache on the relationship between psychological strain and suicidal behavior among Chinese Hui and Han medical students. A total of 1,696 enrolled medical students (974 Han and 722 Hui) were administered the Psychological Strain Scale (PSS), the Suicide Behavior Questionnaire-Revised (SBQ-R) scale, and the Psychache Scale. There were significant differences in the PSS between different ethnic groups. Correlation analysis showed that both psychological strain and psychache were positively correlated with suicidal behaviors, and the two predictive variables were also positively correlated. The mediation effect test procedure showed that the direct and indirect effects (mediator effect) of psychological strain on suicidal behaviors were significant. The findings indicate that psychological strain partially induced psychache in both two ethnicity groups, leading to suicidal behavior in Chinese medical college students.
Highlights
Suicide has become a global social problem that cannot be ignored
Data from other countries show that suicide rates are high in India, especially among college students (Muttathu et al, 2013)
This study suggests three innovations to research on this issue: (a) psychological factors play an important role in suicidal behavior, but the mediating pathways through which psychological strain affects suicidal behavior are not sufficiently clear; (b) the suicide rate of medical students is increasing daily globally, but no studies have explored this relationship in Chinese medical students; and (c) the addition of ethnic medical students to the mediating effect of psychache between psychological strain and suicide extends previous studies on this relationship
Summary
As of 2015, an estimated 788,000 people had died of suicide, accounting for nearly 1.5% of the global death toll and making suicide one of the top 20 causes of death (World Health Organization [WHO], 2017). Data from other countries show that suicide rates are high in India, especially among college students (Muttathu et al, 2013). Compared with the general population, heavy medical courses put more pressure on medical students (Castaldelli-Maia et al, 2019). This trend may be related to the attitude of medical students toward the suicide of patients and whether medical students can identify their own psychological problems in time and receive counseling and treatment (Carla & Patrizia, 2018). It is important to detect the influencing factors of SI and maintain mental health among medical students
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