Study on Mental Resilience Trajectory and Influencing  Factors of Family Members of Young Suicide Attempters Who  Took Poison

Junzhi Xiang; Shaoping Gong; Ruonan Li; Xiaodan Chen; Ting Yao

doi:10.62177/apjcmr.v2i2.1100

Authors

Junzhi Xiang Emergency Department, The First Affiliated Hospital of Wenzhou Medical University
Shaoping Gong Emergency Department, The First Affiliated Hospital of Wenzhou Medical University
Ruonan Li Emergency Department, The First Affi liated Hospital of Wenzhou Medical University
Xiaodan Chen Emergency Department, The First Affi liated Hospital of Wenzhou Medical University
Ting Yao Emergency Department, The First Affi liated Hospital of Wenzhou Medical University

DOI:

https://doi.org/10.62177/apjcmr.v2i2.1100

Keywords:

Suicide, Psychological Resilience, Trajectory, Family Members, Longitudinal Study

Abstract

Objective: To explore the psychological resilience trajectories and influencing factors of family members of young people who attempted suicide by taking poison. Method: A convenience sampling method was used to select 158 family members of young people who attempted suicide by taking poison and were admitted to a hospital in Zhejiang Province from November 2023 to October 2024 as the research subjects. The general information questionnaire, general self-efficacy scale, social support rating scale, simple coping style questionnaire, and 10-item Connor-Davidson resilience scale were used to investigate them. A total of 158 questionnaires were distributed during hospitalization, and 158 valid questionnaires were recovered. 10 cases were lost to follow-up 1 month after discharge, 14 cases were lost to follow-up at 3 months, and 18 cases were lost at 6 months. Finally, a total of 118 patients completed the questionnaire. Result: Finally, three psychological elasticity category trajectories were obtained: decreasing psychological elasticity level, stable psychological elasticity level, and increasing psychological elasticity level. Multiple logistic regression analysis results showed that C1 VS. C3: social support OR value 0.535, coping style OR value 0.929; C2 VS. C3: social support OR value 0.766. P values are all <0.05. Conclusion: Families of young people who attempt suicide by poisoning may exhibit different types of psychological resilience trajectories. Social support and coping styles are factors that influence the psychological resilience trajectory of family members of young people who have attempted suicide by taking drugs. In clinical practice, personalized intervention should be provided based on the characteristics of different patients.

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References

Yuehua, X., Huihao, W., Yue, G., et al. (2023). Trends in suicide mortality among people aged 10–24 years in China from 2005 to 2020: An age-period-cohort modeling analysis. Journal of Guangxi Medical University, 40(4), 676–681. https://doi.org/10.16190/j.cnki.45-1211/r.2023.04.023

Hao, H., Yifei, P., Bin, Y., et al. (2022). Historical trends in suicide risk for the rural residents of China: Age-period-cohort modeling of the archived national suicide mortality rates from 2004 to 2019. Chinese Journal of Disease Control and Prevention, 26(1), 34–39, 111. https://doi.org/10.16462/j.cnki.zhjbkz.2022.01.006

Hou, H., Yu, B., He, C., et al. (2023). Secular trends of suicide risk for residents in mainland China (2004 to 2019): An updated age-period-cohort analysis. Journal of Affective Disorders, 329, 235–242. https://doi.org/10.1016/j.jad.2023.02.110

Shanshan, L., Qingqing, Z., Xinying, L., et al. (2023). Correlation between interpersonal stress and suicidal ideation: A meta-analysis. Chinese Journal of Evidence-Based Medicine, 23(4), 410–415.

Yingying, H., Minghui, Y., Chunlei, H., et al. (2023). Efficacy and nursing of plasma exchange combined with continuous renal replacement therapy in the treatment of colchicine poisoning patients. Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care, 30(1), 90–92.

Kasemy, Z. A., Sharif, A. F., Amin, S. A., et al. (2022). Trend and epidemiology of suicide attempts by self-poisoning among Egyptians. PLOS ONE, 17(6), e0270026. https://doi.org/10.1371/journal.pone.0270026

Maple, M., Wayland, S., Sanford, R., et al. (2020). Carers' motivations for, and experiences of, participating in suicide research. International Journal of Environmental Research and Public Health, 17(5), 1733. https://doi.org/10.3390/ijerph17051733

Krysinska, K., Andriessen, K., Ozols, I., et al. (2021). Effectiveness of psychosocial interventions for family members and other informal support persons of individuals who have made a suicide attempt. Crisis, 43(3), 245–260. https://doi.org/10.1027/0227-5910/a000776

Zheng, Y., Zhang, H., & Fan, Q. (2021). Discordance between family report and clinical assessment of suicide attempts: A prospective study from the emergency department. General Psychiatry, 34(6), e100576. https://doi.org/10.1136/gpsych-2021-100576

Maple, M., Sanford, R., Pirkis, J., et al. (2020). Corrigendum to Exposure to suicide in Australia: A representative random digit dial study. Journal of Affective Disorders, 274, 1228–1231. https://doi.org/10.1016/j.jad.2020.06.012

Kinchin, I., Doran, C. M., & Hall, W. D. (2017). Understanding the true economic impact of self-harming behaviour. Lancet Psychiatry, 4(12), 900–901. https://doi.org/10.1016/S2215-0366(17)30440-6

Ling, C. G. (2020). Don't forget the caregiver: The importance of assessing family members after suicide attempts. Journal of Psychosocial Nursing and Mental Health Services, 58(6), 2–3. https://doi.org/10.3928/02793695-20200513-02

Jerusalem, M., & Schwarzer, R. (1995). Generalized self-efficacy scale. In Measures in health psychology: A user’s portfolio: Causal and control beliefs (Vol. 1, pp. 35–37).

Mi, Z., Yanni, W., Xiue, H., et al. (2023). Interaction of health literacy and self-efficacy on quality of life in disabled elders and spouse caregivers. Journal of Nursing, 30(13), 1–5. https://doi.org/10.16460/j.issn1008-9969.2023.13.001

Yating, W., Shuiyuan, X., Xiaoyan, G., et al. (2019). A systematic review and meta-analysis of related factors of suicide ideation among Chinese middle and high school students. Chinese Mental Health Journal, 33(6), 464–469. https://doi.org/10.3969/j.issn.1000-6729.2019.06.013

Ruoxi, W., Suyi, S., Yongjie, Z., et al. (2022). Social support and its associated factors among family caregivers of persons with severe mental illness. Chinese General Practice, 25(4), 480–488. https://doi.org/10.12114/j.issn.1007-9572.2021.00.347

Zemin, C., Shukai, Z., Yanhong, H., et al. (2021). Cognition and simple coping style among population during the COVID-19 outbreak. South China Journal of Preventive Medicine, 47(4), 491–494. https://doi.org/10.12183/j.scjpm.2021.0491

Jie, Z., Huimin, C., & Qin, F. (2022). Burden of main caregivers of hospitalized children with traumatic brain injury and its influencing factors. Military Nursing, 39(6), 48–51. https://doi.org/10.3969/j.issn.1008-9993.2022.06.012

Wang, L., Shi, Z., Zhang, Y., et al. (2010). Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims. Psychiatry and Clinical Neurosciences, 64(5), 499–504. https://doi.org/10.1111/j.1440-1819.2010.02130.x

Danmei, Z., Mei, X., & Yanzhang, L. (2018). The reliability and validity of 10-item Connor-Davidson resilience scale in the community-dwelling older adults. Chinese Journal of Behavioral Medicine and Brain Science, 27(10), 942–946.

Weissinger, G. M., Evans, L., Van Fossen, C., et al. (2023). Parent experiences during and after adolescent suicide crisis: A qualitative study. International Journal of Mental Health Nursing, 32(3), 917–928. https://doi.org/10.1111/inm.13137

Creighton, G., Oliffe, J. L., Bottorff, J., et al. (2018). “I should have …”: A photovoice study with women who have lost a man to suicide. American Journal of Men's Health, 12(5), 1262–1274. https://doi.org/10.1177/1557988318760030

Kaggwa, M. M., Najjuka, S. M., Mamun, M. A., et al. (2023). Involvement and burden of informal caregivers of patients with mental illness: The mediating role of affiliated stigma. BMC Psychiatry, 23(1), 72. https://doi.org/10.1186/s12888-023-04553-x

Maple, M., Wayland, S., Sanford, R. L., et al. (2021). Predictors of caregiver burden among carers of suicide attempt survivors. Crisis, 44(1), 41–48. https://doi.org/10.1027/0227-5910/a000836

Wayland, S., Coker, S., & Maple, M. (2020). The human approach to supportive interventions: The lived experience of people who care for others who suicide attempt. International Journal of Mental Health Nursing, 30(3), 667–682. https://doi.org/10.1111/inm.12829

Buitron, V., Jiménez-Colón, G., & Duarté-Vélez, Y. (2023). Mental health services use and social support among Latinx families with adolescents who engage in suicidal behavior. Evidence-Based Practice in Child and Adolescent Mental Health, 8(2), 194–205. https://doi.org/10.1080/23794925.2023.2183433

Mitchell, J. F. (2004). Aging well: Surprising guideposts to a happier life from the landmark Harvard study of adult development. American Journal of Psychiatry, 161(1), 178–179. https://doi.org/10.1176/appi.ajp.161.1.178

Li, R., Cooper, C., & Livingston, G. (2014). Relationship of coping style to mood and anxiety disorders in dementia carers. Current Opinion in Psychiatry, 27(1), 52–56. https://doi.org/10.1097/YCO.0000000000000020

Zhang, N., Tian, Z., Liu, X., et al. (2024). Burden, coping and resilience among caregivers for patients with chronic obstructive pulmonary disease: An integrative review. Journal of Clinical Nursing, 33(3–4), 1346–1361. https://doi.org/10.1111/jocn.16954