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BMC Psychiatry
Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Suicide | Research article

The relationship between post-traumatic stress disorder and suicidal ideation among shidu parents: the role of stigma and social support

Authors: Qiong Wang, Longfei Ren, Wenhao Wang, Weihua Xu, Yang Wang

Published in: BMC Psychiatry | Issue 1/2019

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Abstract

Background

Losing an only child is a particularly traumatic and heartbreaking event for parents, which can trigger a lot of emotional responses, including PTSD and suicidal ideation (SI). The objectives of this study were mainly to identify predictors of SI and examine the interactions of PTSD with stigma and social support on SI among shidu parents.

Methods

A total of 507 shidu parents from Shenyang, China were included in this cross-sectional study. Bivariate logistic regression analyses were conducted to explore risk or protective factors associated with SI. Interactions of PTSD with stigma and social support on SI were also examined by bivariate logistic regression analyses.

Results

The prevalence of SI among shidu parents was 11.24%. PTSD (OR = 2.23, p < 0.05) and stigma (OR = 4.66, p < 0.01) were positively associated with SI. Social support was negatively associated with SI (OR = 0.90, p < 0.01). For individuals with PTSD, the presence of stigma was more likely to lead to SI. For individuals with PTSD, an increased level of social support was less likely to lead to SI.

Conclusions

SI is a serious issue among shidu parents. Stigma aggravated the effect of PTSD on SI, while social support buffered the effect of PTSD on SI among shidu parents.
Literature
1.
The popular research project of Peking University. The study about the caring system of loss-of-single-child families sampled in Liaoning province. Chin J Yanan Cadre Inst. 2011;4:50–60.
2.
Zheng Y, Lawson TR. Identity reconstruction as shiduers : narratives from Chinese older adults who lost their only child. Int J Soc Welf. 2015;24(4):399–406.CrossRef
3.
Cao X, Yang C, Wang D. The impact on mental health of losing an only child and the influence of social support and resilience. OMEGA (Westpot). 2018;1375100856.
4.
Yin Q, Shang Z, Zhou N, Wu L, Liu G, Yu X, et al. An investigation of physical and mental health consequences among Chinese parents who lost their only child. BMC Psychiatry. 2018;18(1):45.PubMedPubMedCentralCrossRef
5.
Wang Z, Xu J. The relationship between post-traumatic stress disorder and quality of life in infertile Shidu parents from the 2008 Sichuan earthquake: the moderating role of social support. J Psychiatr Ment Health Nurs. 2016;23(9–10):543–53.PubMedCrossRef
6.
He L, Tang S, Yu W, Xu W, Xie Q, Wang J. The prevalence, comorbidity and risks of prolonged grief disorder among bereaved Chinese adults. Psychiatry Res. 2014;219(2):347–52.PubMedCrossRef
7.
Rüsch N, Zlati A, Black G, Thornicroft G. Does the stigma of mental illness contribute to suicidality? Br J Psychiatry Suppl. 2014;205(04):257–9.CrossRef
8.
Yershova K, Lesser A, Logan K, Posner K. Asking about suicide as suicide prevention: the Columbia suicide severity rating scale (C-SSRS). Springer International Publishing. 2016.
9.
World Health Organization. Preventing suicide: A global imperative. Geneva, Switzerland: Author. 2014.
10.
Guo J, Liu C, Kong D, Solomon P, Fu M. The relationship between PTSD and suicidality among Wenchuan earthquake survivors: the role of PTG and social support. J Affect Disord. 2018;235:90–5.PubMedCrossRef
11.
Ásgeirsdóttir HG, Valdimarsdóttir UA, Þorsteinsdóttir ÞK, Lund SH, Tomasson G, Nyberg U, et al. The association between different traumatic life events and suicidality. Eur J Psychotraumatol. 2018;9(1):1510279.PubMedPubMedCentralCrossRef
12.
Zhang W, Wang AN, Yao SY, Luo YH, Li ZH, Huang FF, et al. Latent profiles of posttraumatic growth and their relation to differences in resilience among only-child-lost people in China. PLoS One. 2016;11(12):e167398.
13.
Chan CL, Wang CW, Ho AH, Qu ZY, Wang XY, Ran MS, et al. Symptoms of posttraumatic stress disorder and depression among bereaved and non-bereaved survivors following the 2008 Sichuan earthquake. J Anxiety Disord. 2012;26(6):673–9.PubMedCrossRef
14.
Goldstein RB, Black DW, Nasrallah A, Winokur G. The prediction of suicide. Sensitivity, specificity, and predictive value of a multivariate model applied to suicide among 1906 patients with affective disorders. Arch Gen Psychiatry. 1991;48(5):418–22.PubMedCrossRef
15.
Kessler RC, Berglund P, Borges G, Nock M, Wang PS. Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003. JAMA. 2005;293(20):2487–95.PubMedCrossRef
16.
Ariapooran SP, Heidari SM, Asgari MP, Ashtarian HP, Khezeli MP. Individualism-collectivism, social support, resilience and suicidal ideation among women with the experience of the death of a young person. Int J Community Based Nurs Midwifery. 2018;6(3):250–25.
17.
Lee C, Glei DA, Weinstein M, Goldman N. Death of a child and parental wellbeing in old age: evidence from Taiwan. Soc Sci Med. 2014;101:166–73.PubMedCrossRef
18.
Ran M, Zhang Z, Fan M, Li R, Li Y, Ou GJ, et al. Risk factors of suicidal ideation among adolescents after Wenchuan earthquake in China. Asian J Psychiatr. 2015;13:66–71.PubMedCrossRef
19.
Yip PS, Chi I, Chiu H, Chi WK, Conwell Y, Caine E. A prevalence study of suicide ideation among older adults in Hong Kong SAR. Int J Geriatr Psychiatry. 2003;18(11):1056–62.PubMedCrossRef
20.
Ge D, Sun L, Zhou C, Qian Y, Zhang L, Medina A. Exploring the risk factors of suicidal ideation among the seniors in Shandong, China: a path analysis. J Affect Disord. 2017;207:393–7.PubMedCrossRef
21.
Yen YC, Yang MJ, Yang MS, Lung FW, Shih CH, Hahn CY, et al. Suicidal ideation and associated factors among community-dwelling elders in Taiwan. Psychiatry Clin Neurosci. 2005;59(4):365–71.PubMedCrossRef
22.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th edition: DSM-5. Washington, DC: American Psychiatric Association. 2013.
23.
Xu Y, Herrman H, Bentley R, Tsutsumi A, Fisher J. Effect of having a subsequent child on the mental health of women who lost a child in the 2008 Sichuan earthquake: a cross-sectional study. Bull World Health Organ. 2014;92(5):348–55.PubMedPubMedCentralCrossRef
24.
Thibodeau MA, Welch PG, Sareen J, Asmundson GJ. Anxiety disorders are independently associated with suicide ideation and attempts: propensity score matching in two epidemiological samples. Depress Anxiety. 2013;30(10):947–54.PubMedCrossRef
25.
LeBouthillier DM, McMillan KA, Thibodeau MA, Asmundson GJ. Types and number of traumas associated with suicidal ideation and suicide attempts in PTSD: findings from a U.S. nationally representative sample. J Trauma Stress. 2015;28(3):183–90.PubMedCrossRef
26.
Guo J, He H, Fu M, Han Z, Qu Z, Wang X, et al. Suicidality associated with PTSD, depression, and disaster recovery status among adult survivors 8 years after the 2008 Wenchuan earthquake in China. Psychiatry Res. 2017;253:383–90.PubMedCrossRef
27.
Ying L, Chen C, Lin C, Greenberger E, Wu X, Jiang L. The relationship between posttraumatic stress symptoms and suicide ideation among child survivors following the Wenchuan earthquake. Suicide Life Threat Behav. 2015;45(2):230–42.PubMedCrossRef
28.
Bantjes JR, Kagee A, McGowan T, Steel H. Symptoms of posttraumatic stress, depression, and anxiety as predictors of suicidal ideation among south African university students. J Am Coll Heal. 2016;64(6):429–37.CrossRef
29.
Chapple A, Ziebland S, Hawton K. Taboo and the different death? Perceptions of those bereaved by suicide or other traumatic death. Sociol Health Illn. 2015;37(4):610–25.PubMedCrossRef
30.
Riches G, Dawson P. Communities of feeling: the culture of bereaved parents. Mortality. 1996;1(2):143–62.CrossRef
31.
Pitman AL, Osborn DPJ, Rantell K, King MB. The stigma perceived by people bereaved by suicide and other sudden deaths: a cross-sectional UK study of 3432 bereaved adults. J Psychosom Res. 2016;87:22–9.PubMedPubMedCentralCrossRef
32.
Xu Z, Mayer B, Müller M, Heekeren K, Theodoridou A, Dvorsky D, et al. Stigma and suicidal ideation among young people at risk of psychosis after one year. Psychiatry Res. 2016;243:219–24.PubMedCrossRef
33.
Casale M, Boyes M, Pantelic M, Toska E, Cluver L. Suicidal thoughts and behaviour among south African adolescents living with HIV: can social support buffer the impact of stigma? J Affect Disord. 2019;245:82–90.PubMedCrossRef
34.
Murphy D, Busuttil W. PTSD, stigma and barriers to help-seeking within the UK armed forces. J R Army Med Corps. 2015;161(4):322–6.PubMedCrossRef
35.
Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;10:113.PubMedPubMedCentralCrossRef
36.
Miller SM, Pedersen ER, Marshall GN. Combat experience and problem drinking in veterans: exploring the roles of PTSD, coping motives, and perceived stigma. Addict Behav. 2017;66:90–5.PubMedCrossRef
37.
Nickerson A, Byrow Y, Pajak R, McMahon T, Bryant RA, Christensen H, Liddell BJ. ‘Tell your story’: a randomized controlled trial of an online intervention to reduce mental health stigma and increase help-seeking in refugee men with posttraumatic stress. Psychol Med. 2019:1–12.
38.
Endo G, Tachikawa H, Fukuoka Y, Aiba M, Nemoto K, Shiratori Y, et al. How perceived social support relates to suicidal ideation: a Japanese social resident survey. Int J Soc Psychiatry. 2014;60(3):290–8.PubMedCrossRef
39.
Panagioti M, Gooding PA, Taylor PJ, Tarrier N. Perceived social support buffers the impact of PTSD symptoms on suicidal behavior: implications into suicide resilience research. Compr Psychiatry. 2014;55(1):104–12.PubMedCrossRef
40.
Wang Q, Xu W, Ren L, Wang W, Wang Y. The relationship between hope and post-traumatic stress disorder in Chinese shidu parents: the mediating role of perceived stress. J Affect Disord. 2019;251:23–30.PubMedCrossRef
41.
42.
Wang L, Zhang L, Armour C, Cao C, Qing Y, Zhang J, et al. Assessing the underlying dimensionality of DSM-5 PTSD symptoms in Chinese adolescents surviving the 2008 Wenchuan earthquake. J Anxiety Disord. 2015;31:90–7.PubMedCrossRef
43.
Li G, Wang L, Cao C, Fang R, Liu P, Luo S, et al. DSM-5 posttraumatic stress symptom dimensions and health-related quality of life among Chinese earthquake survivors. Eur J Psychotraumatol. 2018;9(1):1468710.PubMedPubMedCentralCrossRef
44.
Broadhead WE, Gehlbach SH, de Gruy FV, Kaplan BH. The Duke-UNC functional social support questionnaire. Measurement of social support in family medicine patients. Med Care. 1988;26(7):709–23.PubMedCrossRef
45.
Liu L, Pang R, Sun W, Wu M, Qu P, Lu C, et al. Functional social support, psychological capital, and depressive and anxiety symptoms among people living with HIV/AIDS employed full-time. BMC Psychiatry. 2013;13:324.PubMedPubMedCentralCrossRef
46.
Murphy SA, Tapper VJ, Johnson LC, Lohan J. Suicide ideation among parents bereaved by the violent deaths of their children. Issues Ment Health Nurs. 2003;24(1):5–25.PubMedCrossRef
47.
Wei Y, Jiang Q, Gietel-Basten S. The well-being of bereaved parents in an only-child society. Death Stud. 2016;40(1):22–31.PubMedCrossRef
48.
Shang ZL. Exploratory study on PTSD and influence factors caused by severe acute stress in Shidu parents. The Second Military Medical University. 2016; (in Chinese).
49.
Zheng, Y., Lawson, T.R., Anderson, H.B. "Our Only Child Has Died"-A Study of Bereaved Older Chinese Parents. Omega (Westport). 2017;74, 410–425.PubMedCrossRef
50.
Ariapooran S, Rajabi M, Goodarzi A. Relationship between social support, time perspective and suicide ideations in patients with multiple sclerosis. Asian Soc Sci. 2016;12.CrossRef
51.
Cao W, Li L, Zhou X, Zhou C. Social capital and depression: evidence from urban elderly in China. Aging Ment Health. 2015;19(5):418–29.PubMedCrossRef
52.
Wu Q, Xie B, Chou C, et al. Understanding the effect of social capital on the depression of urban Chinese adolescents: an integrative framework. Am J Commun Psychol. 2010;45(1):1–16.CrossRef
53.
Farrelly S, Jeffery D, Rüsch N, Williams P, Thornicroft G, Clement S. The link between mental health-related discrimination and suicidality: service user perspectives. Psychol Med. 2015;45(10):2013–22.PubMedCrossRef
54.
Eagles JM, Carson DP, Begg A, Naji SA. Suicide prevention: a study of patients' views. Br J Psychiatry. 2003;182:261–5.PubMedCrossRef
55.
Kumar MB, Walls M, Janz T, Hutchinson P, Turner T, Graham C. Suicidal ideation among Metis adult men and women--associated risk and protective factors: findings from a nationally representative survey. Int J Circumpolar Health. 2012;71:18829.PubMedCrossRef
56.
Zhang X, Wang H, Xia Y, Liu X, Jung E. Stress, coping and suicide ideation in Chinese college students. J Adolesc. 2012;35:683–90.PubMedCrossRef
Metadata
Title
The relationship between post-traumatic stress disorder and suicidal ideation among shidu parents: the role of stigma and social support
Authors
Qiong Wang
Longfei Ren
Wenhao Wang
Weihua Xu
Yang Wang
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-019-2353-7

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