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Published in: Community Mental Health Journal 4/2020

01-05-2020 | Suicide | Original Paper

Associations of Suicidality with Adverse Life Events, Psychological Distress and Somatic Complaints in a Chinese Medical Student Sample

Authors: Wanjie Tang, Yukun Kang, Jiuping Xu, Tao Li

Published in: Community Mental Health Journal | Issue 4/2020

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Abstract

The present study aimed to examine the associations of suicidality with psychological distress, somatic symptoms, and stressors in medical school students. We conducted a cross-sectional survey of medical students at a large, top-ranked medical school. A total sample of 662 medical students (269 men) completed a battery of self-reported questionnaire. Of the respondents, 136 (20.5%) reported having suicidal ideation, 40 (6.0%) reported having planned suicide, and 10 (1.5%) reported having attempted suicide during the previous year. Students from rural areas and the 3rd year of study reported higher levels of suicidal ideation than their counterparts. General pain/fatigue was associated with suicidal ideation and planning, while interpersonal difficulties were associated only with suicidal ideation. This study provides evidence linking severe psychological distress, general pain/fatigue, interpersonal stress and psychosocial factors with suicide risk among Chinese medical students which provides targets for future psychological interventions.
Literature
go back to reference Alzayyat, A., & Al-Gamal, E. (2016). Correlates of stress and coping among Jordanian nursing students during clinical practice in psychiatric/mental health course. Stress and Health,32(4), 304–312.PubMedCrossRef Alzayyat, A., & Al-Gamal, E. (2016). Correlates of stress and coping among Jordanian nursing students during clinical practice in psychiatric/mental health course. Stress and Health,32(4), 304–312.PubMedCrossRef
go back to reference Cao, H., Sun, Y., Yao, Y., Zhou, C., & Yang, L. (2009). Suicide behavior and its risk factors among medical undergraduates in Anhui province. Chinese Journal of School Health,30, 38–39. Cao, H., Sun, Y., Yao, Y., Zhou, C., & Yang, L. (2009). Suicide behavior and its risk factors among medical undergraduates in Anhui province. Chinese Journal of School Health,30, 38–39.
go back to reference Chamberlain, P., Goldney, R., Delfabbro, P., Gill, T., & Dal Grande, L. (2009). Suicidal ideation: The clinical utility of the K10. Crisis,30(1), 39–42.PubMedCrossRef Chamberlain, P., Goldney, R., Delfabbro, P., Gill, T., & Dal Grande, L. (2009). Suicidal ideation: The clinical utility of the K10. Crisis,30(1), 39–42.PubMedCrossRef
go back to reference Chunming, W. M., Harrison, R., MacIntyre, R., Travaglia, J., & Balasooriya, C. (2017). Burnout in medical students: A systematic review of experiences in Chinese medical schools. BMC Medical Education,17(1), 217.PubMedPubMedCentralCrossRef Chunming, W. M., Harrison, R., MacIntyre, R., Travaglia, J., & Balasooriya, C. (2017). Burnout in medical students: A systematic review of experiences in Chinese medical schools. BMC Medical Education,17(1), 217.PubMedPubMedCentralCrossRef
go back to reference Clark, D. C., & Zeldow, P. B. (1988). Vicissitudes of depressed mood during four years of medical school. JAMA,260(17), 2521–2528.PubMedCrossRef Clark, D. C., & Zeldow, P. B. (1988). Vicissitudes of depressed mood during four years of medical school. JAMA,260(17), 2521–2528.PubMedCrossRef
go back to reference Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., et al. (2008). Burnout and suicidal ideation among US medical students. Annals of Internal Medicine,149(5), 334–341.PubMedCrossRef Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., et al. (2008). Burnout and suicidal ideation among US medical students. Annals of Internal Medicine,149(5), 334–341.PubMedCrossRef
go back to reference Dyrbye, L. N., Thomas, M. R., Power, D. V., Durning, S., Moutier, C., Massie, F. S., Jr., et al. (2010). Burnout and serious thoughts of dropping out of medical school: A multi-institutional study. Academic Medicine,85(1), 94–102.PubMedCrossRef Dyrbye, L. N., Thomas, M. R., Power, D. V., Durning, S., Moutier, C., Massie, F. S., Jr., et al. (2010). Burnout and serious thoughts of dropping out of medical school: A multi-institutional study. Academic Medicine,85(1), 94–102.PubMedCrossRef
go back to reference D’Zurilla, T. J., Chang, E. C., Nottingham, E. J., & Faccini, L. (1998). Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients. Journal of Clinical Psychology,54(8), 1091–1107.PubMedCrossRef D’Zurilla, T. J., Chang, E. C., Nottingham, E. J., & Faccini, L. (1998). Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients. Journal of Clinical Psychology,54(8), 1091–1107.PubMedCrossRef
go back to reference D’zurilla, T. J., & Sheedy, C. F. (1991). Relation between social problem-solving ability and subsequent level of psychological stress in college students. Journal of Personality and Social Psychology,61(5), 841.PubMedCrossRef D’zurilla, T. J., & Sheedy, C. F. (1991). Relation between social problem-solving ability and subsequent level of psychological stress in college students. Journal of Personality and Social Psychology,61(5), 841.PubMedCrossRef
go back to reference Fan, A. P., Kosik, R. O., Mandell, G. A., Tran, D. T. P., Cheng, H. M., Chen, C. H., et al. (2012). Suicidal ideation in medical students: Who is at risk? Annals of the Academy of Medicine-Singapore,41(9), 377. Fan, A. P., Kosik, R. O., Mandell, G. A., Tran, D. T. P., Cheng, H. M., Chen, C. H., et al. (2012). Suicidal ideation in medical students: Who is at risk? Annals of the Academy of Medicine-Singapore,41(9), 377.
go back to reference Federation, A.-C.W.s. (2013). The research report of left-behind children and migrant children in rural China: Chongqing: Southwest China Normal University Press. Federation, A.-C.W.s. (2013). The research report of left-behind children and migrant children in rural China: Chongqing: Southwest China Normal University Press.
go back to reference Gao, T., Xiang, Y.-T., Zhang, H., Gao, J., Kong, Y., Hu, Y., et al. (2017). Prevalence and correlates of suicidal behaviors among college students in northeastern China: A cross-sectional study. Psychiatric Quarterly, 1-12. Gao, T., Xiang, Y.-T., Zhang, H., Gao, J., Kong, Y., Hu, Y., et al. (2017). Prevalence and correlates of suicidal behaviors among college students in northeastern China: A cross-sectional study. Psychiatric Quarterly, 1-12.
go back to reference Gearing, R. E., MacKenzie, M. J., Ibrahim, R. W., Brewer, K. B., Batayneh, J. S., & Schwalbe, C. S. (2015). Stigma and mental health treatment of adolescents with depression in Jordan. Community Mental Health Journal,51(1), 111–117.PubMedCrossRef Gearing, R. E., MacKenzie, M. J., Ibrahim, R. W., Brewer, K. B., Batayneh, J. S., & Schwalbe, C. S. (2015). Stigma and mental health treatment of adolescents with depression in Jordan. Community Mental Health Journal,51(1), 111–117.PubMedCrossRef
go back to reference Grace, M. K. (2017). Subjective social status and premedical students’ attitudes towards medical school. Social Science and Medicine,184, 84–98.PubMedCrossRef Grace, M. K. (2017). Subjective social status and premedical students’ attitudes towards medical school. Social Science and Medicine,184, 84–98.PubMedCrossRef
go back to reference Guo, J., He, H., Fu, M., Han, Z., Qu, Z., Wang, X., et al. (2017). Suicidality associated with PTSD, depression, and disaster recovery status among adult survivors 8 years after the 2008 Wenchuan earthquake in China. Psychiatry Research,253, 383–390.PubMedCrossRef Guo, J., He, H., Fu, M., Han, Z., Qu, Z., Wang, X., et al. (2017). Suicidality associated with PTSD, depression, and disaster recovery status among adult survivors 8 years after the 2008 Wenchuan earthquake in China. Psychiatry Research,253, 383–390.PubMedCrossRef
go back to reference He, Y., Ma, H., Zhang, L., Liu, Z., Jia, F., & Zhang, M. (2009). A cross-sectional survey of the prevalence of depressive-anxiety disorders among general hospital outpatients in five cities in China. Zhonghua nei ke za zhi,48(9), 748–751.PubMed He, Y., Ma, H., Zhang, L., Liu, Z., Jia, F., & Zhang, M. (2009). A cross-sectional survey of the prevalence of depressive-anxiety disorders among general hospital outpatients in five cities in China. Zhonghua nei ke za zhi,48(9), 748–751.PubMed
go back to reference He, A. J., & Qian, J. (2016). Explaining medical disputes in Chinese public hospitals: The doctor–patient relationship and its implications for health policy reforms. Health Economics, Policy and Law,11(4), 359–378.CrossRef He, A. J., & Qian, J. (2016). Explaining medical disputes in Chinese public hospitals: The doctor–patient relationship and its implications for health policy reforms. Health Economics, Policy and Law,11(4), 359–378.CrossRef
go back to reference Kang, Y.-K., Guo, W.-J., Xu, H., Chen, Y.-H., Li, X.-J., Tan, Z.-P., et al. (2015). The 6-item Kessler psychological distress scale to survey serious mental illness among Chinese undergraduates: Psychometric properties and prevalence estimate. Comprehensive Psychiatry,63, 105–112.PubMedCrossRef Kang, Y.-K., Guo, W.-J., Xu, H., Chen, Y.-H., Li, X.-J., Tan, Z.-P., et al. (2015). The 6-item Kessler psychological distress scale to survey serious mental illness among Chinese undergraduates: Psychometric properties and prevalence estimate. Comprehensive Psychiatry,63, 105–112.PubMedCrossRef
go back to reference Karatekin, C. (2018). Adverse childhood experiences (ACEs), stress and mental health in college students. Stress and Health,34(1), 36–45.PubMedCrossRef Karatekin, C. (2018). Adverse childhood experiences (ACEs), stress and mental health in college students. Stress and Health,34(1), 36–45.PubMedCrossRef
go back to reference Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S.-L., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine,32(06), 959–976.PubMedCrossRef Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S.-L., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine,32(06), 959–976.PubMedCrossRef
go back to reference Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry,60(2), 184–189.PubMedCrossRef Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry,60(2), 184–189.PubMedCrossRef
go back to reference Kessler, R. C., Berglund, P., Borges, G., Nock, M., & Wang, P. S. (2005). Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990–1992 to 2001–2003. JAMA,293(20), 2487–2495.PubMedCrossRef Kessler, R. C., Berglund, P., Borges, G., Nock, M., & Wang, P. S. (2005). Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990–1992 to 2001–2003. JAMA,293(20), 2487–2495.PubMedCrossRef
go back to reference Kroenke, K., Spitzer, R. L., & Williams, J. B. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine,64(2), 258–266.PubMedCrossRef Kroenke, K., Spitzer, R. L., & Williams, J. B. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine,64(2), 258–266.PubMedCrossRef
go back to reference Li, H., Fu, R., Zou, Y., & Cui, Y. (2017). Predictive roles of three-dimensional psychological pain, psychache, and depression in suicidal ideation among Chinese college students. Frontiers in psychology,8, 1550.PubMedPubMedCentralCrossRef Li, H., Fu, R., Zou, Y., & Cui, Y. (2017). Predictive roles of three-dimensional psychological pain, psychache, and depression in suicidal ideation among Chinese college students. Frontiers in psychology,8, 1550.PubMedPubMedCentralCrossRef
go back to reference Li, Z.-Z., Li, Y.-M., Lei, X.-Y., Zhang, D., Liu, L., Tang, S.-Y., et al. (2014). Prevalence of suicidal ideation in Chinese college students: A meta-analysis. PLoS ONE,9(10), e104368.PubMedPubMedCentralCrossRef Li, Z.-Z., Li, Y.-M., Lei, X.-Y., Zhang, D., Liu, L., Tang, S.-Y., et al. (2014). Prevalence of suicidal ideation in Chinese college students: A meta-analysis. PLoS ONE,9(10), e104368.PubMedPubMedCentralCrossRef
go back to reference Lin, W., Zhi, H. C., Miao, Y. Y., Hui, Q. X., Xian, Y. X., Xue, Q. Z., et al. (2014). Associations between impulsivity, aggression, and suicide in Chinese college students. BMC Public Health,14(1), 551.CrossRef Lin, W., Zhi, H. C., Miao, Y. Y., Hui, Q. X., Xian, Y. X., Xue, Q. Z., et al. (2014). Associations between impulsivity, aggression, and suicide in Chinese college students. BMC Public Health,14(1), 551.CrossRef
go back to reference Liu, L., Chang, Y., Fu, J., Wang, J., & Wang, L. (2012). The mediating role of psychological capital on the association between occupational stress and depressive symptoms among Chinese physicians: A cross-sectional study. BMC Public Health,12(1), 219.PubMedPubMedCentralCrossRef Liu, L., Chang, Y., Fu, J., Wang, J., & Wang, L. (2012). The mediating role of psychological capital on the association between occupational stress and depressive symptoms among Chinese physicians: A cross-sectional study. BMC Public Health,12(1), 219.PubMedPubMedCentralCrossRef
go back to reference Liu, X., Liu, L., Yang, J., & Zhao, G. (1997a). Reliability and validity of the adolescents self-rating life events checklist. Chinese Journal of Clinical Psychology,5(1), 34–36. Liu, X., Liu, L., Yang, J., & Zhao, G. (1997a). Reliability and validity of the adolescents self-rating life events checklist. Chinese Journal of Clinical Psychology,5(1), 34–36.
go back to reference Liu, X., Oda, S., Peng, X., & Asai, K. (1997b). Life events and anxiety in Chinese medical students. Social Psychiatry and Psychiatric Epidemiology,32(2), 63–67.PubMedCrossRef Liu, X., Oda, S., Peng, X., & Asai, K. (1997b). Life events and anxiety in Chinese medical students. Social Psychiatry and Psychiatric Epidemiology,32(2), 63–67.PubMedCrossRef
go back to reference Liu, X., & Tein, J.-Y. (2005). Life events, psychopathology, and suicidal behavior in Chinese adolescents. Journal of Affective Disorders,86(2), 195–203.PubMedCrossRef Liu, X., & Tein, J.-Y. (2005). Life events, psychopathology, and suicidal behavior in Chinese adolescents. Journal of Affective Disorders,86(2), 195–203.PubMedCrossRef
go back to reference Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., et al. (2005). Suicide prevention strategies: A systematic review. JAMA,294(16), 2064–2074.PubMedCrossRef Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., et al. (2005). Suicide prevention strategies: A systematic review. JAMA,294(16), 2064–2074.PubMedCrossRef
go back to reference Mars, B., Cornish, R., Heron, J., Boyd, A., Crane, C., Hawton, K., et al. (2016). Using data linkage to investigate inconsistent reporting of self-harm and questionnaire non-response. Archives of Suicide Research,20(2), 113–141.PubMedPubMedCentralCrossRef Mars, B., Cornish, R., Heron, J., Boyd, A., Crane, C., Hawton, K., et al. (2016). Using data linkage to investigate inconsistent reporting of self-harm and questionnaire non-response. Archives of Suicide Research,20(2), 113–141.PubMedPubMedCentralCrossRef
go back to reference Meng, H., Li, J., Loerbroks, A., Wu, J., & Chen, H. (2013). Rural/urban background, depression and suicidal ideation in Chinese college students: A cross-sectional study. PLoS ONE,8(8), e71313.PubMedPubMedCentralCrossRef Meng, H., Li, J., Loerbroks, A., Wu, J., & Chen, H. (2013). Rural/urban background, depression and suicidal ideation in Chinese college students: A cross-sectional study. PLoS ONE,8(8), e71313.PubMedPubMedCentralCrossRef
go back to reference Mooney, P. (2005). Campus life proves difficult for China’s little emperors. Chronicle of Higher Education,2, 52. Mooney, P. (2005). Campus life proves difficult for China’s little emperors. Chronicle of Higher Education,2, 52.
go back to reference Mosley, T. H., Jr., Perrin, S. G., Neral, S. M., Dubbert, P. M., Grothues, C. A., & Pinto, B. M. (1994). Stress, coping, and well-being among third-year medical students. Academic Medicine,69(9), 765–767.PubMedCrossRef Mosley, T. H., Jr., Perrin, S. G., Neral, S. M., Dubbert, P. M., Grothues, C. A., & Pinto, B. M. (1994). Stress, coping, and well-being among third-year medical students. Academic Medicine,69(9), 765–767.PubMedCrossRef
go back to reference Nobles, J., Weintraub, M. R., & Adler, N. E. (2013). Subjective socioeconomic status and health: Relationships reconsidered. Social Science and Medicine,82, 58–66.PubMedCrossRef Nobles, J., Weintraub, M. R., & Adler, N. E. (2013). Subjective socioeconomic status and health: Relationships reconsidered. Social Science and Medicine,82, 58–66.PubMedCrossRef
go back to reference Oglesby, M. E., Capron, D. W., Raines, A. M., & Schmidt, N. B. (2015). Anxiety sensitivity cognitive concerns predict suicide risk. Psychiatry Research,226(1), 252–256.PubMedCrossRef Oglesby, M. E., Capron, D. W., Raines, A. M., & Schmidt, N. B. (2015). Anxiety sensitivity cognitive concerns predict suicide risk. Psychiatry Research,226(1), 252–256.PubMedCrossRef
go back to reference Osama, M., Islam, M. Y., Hussain, S. A., Masroor, S. M. Z., Burney, M. U., Masood, M. A., et al. (2014). Suicidal ideation among medical students of Pakistan: A cross-sectional study. Journal of Forensic and Legal Medicine,27, 65–68.PubMedCrossRef Osama, M., Islam, M. Y., Hussain, S. A., Masroor, S. M. Z., Burney, M. U., Masood, M. A., et al. (2014). Suicidal ideation among medical students of Pakistan: A cross-sectional study. Journal of Forensic and Legal Medicine,27, 65–68.PubMedCrossRef
go back to reference Pan, Y., Hong Yang, X., He, J. P., Gu, Y. H., Zhan, X. L., Gu, H. F., et al. (2015). To be or not to be a doctor, that is the question: a review of serious incidents of violence against doctors in China from 2003–2013. Journal of Public Health,23(2), 111–116.CrossRef Pan, Y., Hong Yang, X., He, J. P., Gu, Y. H., Zhan, X. L., Gu, H. F., et al. (2015). To be or not to be a doctor, that is the question: a review of serious incidents of violence against doctors in China from 2003–2013. Journal of Public Health,23(2), 111–116.CrossRef
go back to reference Pan, X.-F., Wen, Y., Zhao, Y., Hu, J.-M., Li, S.-Q., Zhang, S.-K., et al. (2016). Prevalence of depressive symptoms and its correlates among medical students in China: A national survey in 33 universities. Psychology, Health & Medicine,21(7), 882–889.CrossRef Pan, X.-F., Wen, Y., Zhao, Y., Hu, J.-M., Li, S.-Q., Zhang, S.-K., et al. (2016). Prevalence of depressive symptoms and its correlates among medical students in China: A national survey in 33 universities. Psychology, Health & Medicine,21(7), 882–889.CrossRef
go back to reference Peng, L., Zhang, J., Li, M., Li, P., Zhang, Y., Zuo, X., et al. (2012). Negative life events and mental health of Chinese medical students: The effect of resilience, personality and social support. Psychiatry Research,196(1), 138–141.PubMedCrossRef Peng, L., Zhang, J., Li, M., Li, P., Zhang, Y., Zuo, X., et al. (2012). Negative life events and mental health of Chinese medical students: The effect of resilience, personality and social support. Psychiatry Research,196(1), 138–141.PubMedCrossRef
go back to reference Pepitone-Arreola-Rockwell, F., Rockwell, D., & Core, N. (1981). Fifty-two medical student suicides. The American Journal of Psychiatry,138(2), 198–201.PubMedCrossRef Pepitone-Arreola-Rockwell, F., Rockwell, D., & Core, N. (1981). Fifty-two medical student suicides. The American Journal of Psychiatry,138(2), 198–201.PubMedCrossRef
go back to reference Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., et al. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA,316(21), 2214–2236.PubMedPubMedCentralCrossRef Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., et al. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA,316(21), 2214–2236.PubMedPubMedCentralCrossRef
go back to reference Schaefert, R., Höner, C., Salm, F., Wirsching, M., Leonhart, R., Yang, J., et al. (2013). Psychological and behavioral variables associated with the somatic symptom severity of general hospital outpatients in China. General Hospital Psychiatry,35(3), 297–303.PubMedCrossRef Schaefert, R., Höner, C., Salm, F., Wirsching, M., Leonhart, R., Yang, J., et al. (2013). Psychological and behavioral variables associated with the somatic symptom severity of general hospital outpatients in China. General Hospital Psychiatry,35(3), 297–303.PubMedCrossRef
go back to reference Schernhammer, E. (2005). Taking their own lives—the high rate of physician suicide. New England Journal of Medicine,352(24), 2473–2476.CrossRef Schernhammer, E. (2005). Taking their own lives—the high rate of physician suicide. New England Journal of Medicine,352(24), 2473–2476.CrossRef
go back to reference Schwenk, T. L., Davis, L., & Wimsatt, L. A. (2010). Depression, stigma, and suicidal ideation in medical students. JAMA,304(11), 1181–1190.PubMedCrossRef Schwenk, T. L., Davis, L., & Wimsatt, L. A. (2010). Depression, stigma, and suicidal ideation in medical students. JAMA,304(11), 1181–1190.PubMedCrossRef
go back to reference Segrin, C. (2000). Social skills deficits associated with depression. Clinical Psychology Review,20(3), 379–403.PubMedCrossRef Segrin, C. (2000). Social skills deficits associated with depression. Clinical Psychology Review,20(3), 379–403.PubMedCrossRef
go back to reference Shen, Y., Meng, F., Tan, S. N., Zhang, Y., Anderiescu, E. C., Abeysekera, R. E., et al. (2019). Excessive daytime sleepiness in medical students of Hunan province: Prevalence, correlates, and its relationship with suicidal behaviors. Journal of Affective Disorders,255, 90–95.PubMedCrossRef Shen, Y., Meng, F., Tan, S. N., Zhang, Y., Anderiescu, E. C., Abeysekera, R. E., et al. (2019). Excessive daytime sleepiness in medical students of Hunan province: Prevalence, correlates, and its relationship with suicidal behaviors. Journal of Affective Disorders,255, 90–95.PubMedCrossRef
go back to reference Sobowale, K., Zhou, A. N., Fan, J., Liu, N., & Sherer, R. (2014). Depression and suicidal ideation in medical students in China: A call for wellness curricula. International Journal of Medical Education,5, 31.PubMedPubMedCentralCrossRef Sobowale, K., Zhou, A. N., Fan, J., Liu, N., & Sherer, R. (2014). Depression and suicidal ideation in medical students in China: A call for wellness curricula. International Journal of Medical Education,5, 31.PubMedPubMedCentralCrossRef
go back to reference Sun, X.-J., Niu, G.-F., You, Z.-Q., Zhou, Z.-K., & Tang, Y. (2017a). Gender, negative life events and coping on different stages of depression severity: A cross-sectional study among Chinese university students. Journal of Affective Disorders,209, 177–181.PubMedCrossRef Sun, X.-J., Niu, G.-F., You, Z.-Q., Zhou, Z.-K., & Tang, Y. (2017a). Gender, negative life events and coping on different stages of depression severity: A cross-sectional study among Chinese university students. Journal of Affective Disorders,209, 177–181.PubMedCrossRef
go back to reference Sun, L., Sun, L.-N., Sun, Y.-H., Yang, L.-S., Wu, H.-Y., Zhang, D.-D., et al. (2011). Correlations between psychological symptoms and social relationships among medical undergraduates in Anhui Province of China. The International Journal of Psychiatry in Medicine,42(1), 29–47.PubMedCrossRef Sun, L., Sun, L.-N., Sun, Y.-H., Yang, L.-S., Wu, H.-Y., Zhang, D.-D., et al. (2011). Correlations between psychological symptoms and social relationships among medical undergraduates in Anhui Province of China. The International Journal of Psychiatry in Medicine,42(1), 29–47.PubMedCrossRef
go back to reference Sun, L., Zhou, C., Xu, L., Li, S., Kong, F., & Chu, J. (2017b). Suicidal ideation, plans and attempts among medical college students in china: The effect of their parental characteristics. Psychiatry Research,247, 139–143.PubMedCrossRef Sun, L., Zhou, C., Xu, L., Li, S., Kong, F., & Chu, J. (2017b). Suicidal ideation, plans and attempts among medical college students in china: The effect of their parental characteristics. Psychiatry Research,247, 139–143.PubMedCrossRef
go back to reference Tavolacci, M. P., Ladner, J., Grigioni, S., Richard, L., Villet, H., & Dechelotte, P. (2013). Prevalence and association of perceived stress, substance use and behavioral addictions: A cross-sectional study among university students in France, 2009–2011. BMC Public Health,13(1), 724.PubMedPubMedCentralCrossRef Tavolacci, M. P., Ladner, J., Grigioni, S., Richard, L., Villet, H., & Dechelotte, P. (2013). Prevalence and association of perceived stress, substance use and behavioral addictions: A cross-sectional study among university students in France, 2009–2011. BMC Public Health,13(1), 724.PubMedPubMedCentralCrossRef
go back to reference Terre, L., Poston, W. S. C., Foreyt, J., & St Jeor, S. T. (2003). Do somatic complaints predict subsequent symptoms of depression? Psychotherapy and Psychosomatics,72(5), 261–267.PubMedCrossRef Terre, L., Poston, W. S. C., Foreyt, J., & St Jeor, S. T. (2003). Do somatic complaints predict subsequent symptoms of depression? Psychotherapy and Psychosomatics,72(5), 261–267.PubMedCrossRef
go back to reference Tucker, J. D., Cheng, Y., Wong, B., Gong, N., Nie, J.-B., Zhu, W., et al. (2015). Patient–physician mistrust and violence against physicians in Guangdong Province, China: A qualitative study. British Medical Journal Open,5(10), e008221. Tucker, J. D., Cheng, Y., Wong, B., Gong, N., Nie, J.-B., Zhu, W., et al. (2015). Patient–physician mistrust and violence against physicians in Guangdong Province, China: A qualitative study. British Medical Journal Open,5(10), e008221.
go back to reference Tyssen, R., Vaglum, P., Grønvold, N. T., & Ekeberg, Ø. (2001). Suicidal ideation among medical students and young physicians: A nationwide and prospective study of prevalence and predictors. Journal of Affective Disorders,64(1), 69–79.PubMedCrossRef Tyssen, R., Vaglum, P., Grønvold, N. T., & Ekeberg, Ø. (2001). Suicidal ideation among medical students and young physicians: A nationwide and prospective study of prevalence and predictors. Journal of Affective Disorders,64(1), 69–79.PubMedCrossRef
go back to reference Wang, J.-N., Sun, W., Chi, T.-S., Wu, H., & Wang, L. (2010). Prevalence and associated factors of depressive symptoms among Chinese doctors: A cross-sectional survey. International Archives of Occupational and Environmental Health,83(8), 905–911.PubMedCrossRef Wang, J.-N., Sun, W., Chi, T.-S., Wu, H., & Wang, L. (2010). Prevalence and associated factors of depressive symptoms among Chinese doctors: A cross-sectional survey. International Archives of Occupational and Environmental Health,83(8), 905–911.PubMedCrossRef
go back to reference Wege, N., Muth, T., Li, J., & Angerer, P. (2016). Mental health among currently enrolled medical students in Germany. Public Health,132, 92–100.PubMedCrossRef Wege, N., Muth, T., Li, J., & Angerer, P. (2016). Mental health among currently enrolled medical students in Germany. Public Health,132, 92–100.PubMedCrossRef
go back to reference Wu, H., Zhao, Y., Wang, J.-N., & Wang, L. (2010). Factors associated with occupational stress among Chinese doctors: A cross-sectional survey. International Archives of Occupational and Environmental Health,83(2), 155–164.PubMedCrossRef Wu, H., Zhao, Y., Wang, J.-N., & Wang, L. (2010). Factors associated with occupational stress among Chinese doctors: A cross-sectional survey. International Archives of Occupational and Environmental Health,83(2), 155–164.PubMedCrossRef
go back to reference Xu, H., Xiong, H., Chen, Y., Wang, L., Liu, T., Kang, Y., et al. (2013). The application of the Chinese version of K6 and K10 screening scales for psychological distress on the psychological investigation of college students. Modern Preventive Medicine,40(24), 4493–4496. Xu, H., Xiong, H., Chen, Y., Wang, L., Liu, T., Kang, Y., et al. (2013). The application of the Chinese version of K6 and K10 screening scales for psychological distress on the psychological investigation of college students. Modern Preventive Medicine,40(24), 4493–4496.
go back to reference You, Z., Chen, M., Yang, S., Zhou, Z., & Qin, P. (2014a). Childhood adversity, recent life stressors and suicidal behavior in Chinese college students. PLoS ONE,9(3), e86672.PubMedPubMedCentralCrossRef You, Z., Chen, M., Yang, S., Zhou, Z., & Qin, P. (2014a). Childhood adversity, recent life stressors and suicidal behavior in Chinese college students. PLoS ONE,9(3), e86672.PubMedPubMedCentralCrossRef
go back to reference You, Z., Song, J., Wu, C., Qin, P., & Zhou, Z. (2014b). Effects of life satisfaction and psychache on risk for suicidal behaviour: A cross-sectional study based on data from Chinese undergraduates. British Medical Journal Open,4(3), e004096. You, Z., Song, J., Wu, C., Qin, P., & Zhou, Z. (2014b). Effects of life satisfaction and psychache on risk for suicidal behaviour: A cross-sectional study based on data from Chinese undergraduates. British Medical Journal Open,4(3), e004096.
go back to reference Yu, S., Kowitt, S. D., Fisher, E. B., & Li, G. (2018). Mental Health in China: Stigma, family obligations, and the potential of peer support. Community Mental Health Journal,54(6), 757–764.PubMedCrossRef Yu, S., Kowitt, S. D., Fisher, E. B., & Li, G. (2018). Mental Health in China: Stigma, family obligations, and the potential of peer support. Community Mental Health Journal,54(6), 757–764.PubMedCrossRef
go back to reference Zhang, Y., & Feng, X. (2011). The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: A cross-sectional study. BMC Health Services Research,11(1), 235.PubMedPubMedCentralCrossRef Zhang, Y., & Feng, X. (2011). The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: A cross-sectional study. BMC Health Services Research,11(1), 235.PubMedPubMedCentralCrossRef
go back to reference Zhang, L., Fritzsche, K., Liu, Y., Wang, J., Huang, M., Wang, Y., et al. (2016). Validation of the Chinese version of the PHQ-15 in a tertiary hospital. BMC Psychiatry,16(1), 89.PubMedPubMedCentralCrossRef Zhang, L., Fritzsche, K., Liu, Y., Wang, J., Huang, M., Wang, Y., et al. (2016). Validation of the Chinese version of the PHQ-15 in a tertiary hospital. BMC Psychiatry,16(1), 89.PubMedPubMedCentralCrossRef
go back to reference Zhang, J., Wieczorek, W. F., Conwell, Y., & Tu, X. M. (2011). Psychological strains and youth suicide in rural China. Social Science and Medicine,72(12), 2003–2010.PubMedCrossRef Zhang, J., Wieczorek, W. F., Conwell, Y., & Tu, X. M. (2011). Psychological strains and youth suicide in rural China. Social Science and Medicine,72(12), 2003–2010.PubMedCrossRef
go back to reference Zhang, J., Xiao, S., & Zhou, L. (2010). Mental disorders and suicide among young rural Chinese: A case-control psychological autopsy study. American Journal of Psychiatry,167(7), 773–781.CrossRef Zhang, J., Xiao, S., & Zhou, L. (2010). Mental disorders and suicide among young rural Chinese: A case-control psychological autopsy study. American Journal of Psychiatry,167(7), 773–781.CrossRef
go back to reference Zhu, C., Ou, L., Geng, Q., Zhang, M., Ye, R., Chen, J., et al. (2012). Association of somatic symptoms with depression and anxiety in clinical patients of general hospitals in Guangzhou China. General Hospital Psychiatry,34(2), 113–120.PubMedCrossRef Zhu, C., Ou, L., Geng, Q., Zhang, M., Ye, R., Chen, J., et al. (2012). Association of somatic symptoms with depression and anxiety in clinical patients of general hospitals in Guangzhou China. General Hospital Psychiatry,34(2), 113–120.PubMedCrossRef
Metadata
Title
Associations of Suicidality with Adverse Life Events, Psychological Distress and Somatic Complaints in a Chinese Medical Student Sample
Authors
Wanjie Tang
Yukun Kang
Jiuping Xu
Tao Li
Publication date
01-05-2020
Publisher
Springer US
Keywords
Suicide
Suicide
Published in
Community Mental Health Journal / Issue 4/2020
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00523-4

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