The synergy of depression and flourishing/languishing on suicidal thoughts and behaviors: Findings from a national sample of emerging adult students in higher education in the United States.

Autor: Oh H; University of Southern California, Los Angeles, CA, United States of America., Jacob L; Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, Sant Boi de Llobregat, Barcelona, Spain.; Department of Physical Medicine and Rehabilitation, AP-HP, Lariboisière-Fernand Widal Hospital, Université Paris Cité, Paris, France.; Inserm U1153, Epidemiology of Ageing and Neurodegenerative Diseases (EpiAgeing), Université Paris Cité, Paris, France., Soffer-Dudek N; Department of Psychology, Ben-Gurion University of the Negev, Beersheba, Israel., Shin JI; Department of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea.; Severance Underwood Meta-Research Center, Institute of Convergence Science, Yonsei University, Seoul, Republic of Korea., Smith L; Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, United Kingdom., Besecker M; University of Southern California, Los Angeles, CA, United States of America., Leaune E; Center for Suicide Prevention, Centre Hospitalier Le Vinatier, Bron, France.; RESearch on HealthcAre PErformance (RESHAPE), INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France., Pickering TA; University of Southern California, Los Angeles, CA, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Aug 27; Vol. 19 (8), pp. e0309020. Date of Electronic Publication: 2024 Aug 27 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0309020
Abstrakt: Background: Suicide is a leading cause of death among students in higher education, driven in large part by mental illness, but also mental wellness. Relatively few studies have examined the extent to which depression and flourishing/languishing interact in relation to suicidal thoughts and behaviors.
Methods: We analyzed data from the Healthy Minds Study (2020-2021; emerging adult students aged 18-29; N = 101,435), and calculated interaction contrast ratios to estimate the interaction between depression and flourishing/languishing on suicidal thoughts and behaviors, using an additive scale, adjusting for age, gender, race/ethnicity, and food insecurity.
Results: When compared with students who were flourishing without depression, the students who were languishing without depression, and the students who were depressed but still flourishing had significantly greater odds of suicidal thoughts and behaviors. However, students who were depressed and languishing had the greatest odds, exceeding the sum of the individual effects.
Conclusion: The interaction of depression and flourishing/languishing produced a synergy that increased odds of suicidal thoughts and behaviors. Flourishing interventions may prove to be an effective strategy for universal suicide prevention.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Oh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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