Hope and attitudes related to suicidal behavior among nursing students
Keywords:Hope; Health knowledge, attitudes, practice; Nursing.
Objective: to investigate, among nursing undergraduate students, the predictors of hope, suicidal thoughts and attitudes related to suicidal behavior. Methodology: Cross-sectional study, with a quantitative approach, developed in 2018 with 337 undergraduates from a Brazilian public university. We applied a sociodemographic, clinical and psychosocial questionnaire; the Suicide Behavior Attitude Questionnaire and the Herth Hope Scale. We used mean comparison tests, Pearson’s correlation test and binary logistic regression. Results: Predictors of hopelessness were psychiatric diagnoses, mental health treatment, absence of religious beliefs and dissatisfaction with the received social support. The chances of suicidal thoughts were higher among people with psychiatric diagnoses, dissatisfaction with the received social support, more understanding of the right to suicide and hopelessness. Predictors of more negative feelings about suicidal behavior were less professional competence and non participation in scientific events. Older students and those with less suicidal thoughts increased the chances of condemnatory attitudes. Predictors of fewer self-perceived competence were negative feelings about suicidal behavior, dissatisfaction with social support and less educational exposure (previous reading of suicide prevention materials or participation in events) and not having friends/relatives at suicide risk. Conclusion: it is important to develop and evaluate undergraduate support and educational strategies that consider the factors investigated in this study, in order to promote hope and training for suicide prevention.
Aldrich, R. S. (2018). A closer look: College students’ exposure to suicide and intention to intervene. Mental Health and Prevention, 11, 1–7. https://doi.org/10.1016/j.mhp.2018.04.001
Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: the hopelessness scale. Journal of Consulting and Clinical Psychology, 42(6), 861–865. https://doi.org/10.1037/h0037562
Botega, N. J., Reginato, D. G., Volk, S., Filinto, C., Rapeli, C. B., Lúcia, M., Mauro, F.,Cecconi, J.P., & Stefanello, S. (2005). Nursing personnel attitudes towards suicide : the development of a measure scale, 27(4), 315–318. https://doi.org/10.1590/S151644462005000400011
Bott, N. C. L., de Araujo, L. M. C., Costa, E. E., & Machado, J. S. A. (2015). Nursing students attitudes across the suicidal behavior. Investigacion y Educacion En Enfermeria, 33(2), 334–342. https://doi.org/10.1590/S0120-53072015000200016
Chang, E. C. (2017). Hope and hopelessness as predictors of suicide ideation in Hungarian college students students. Death Studies, 41(7), 455–460. https://doi.org/10.1080/07481187.2017.1299255
Cwik, J. C., Till, B., Bieda, A., Blackwell, S. E., Walter, C., & Teismann, T. (2017). Measuring attitudes towards suicide: Preliminary evaluation of an attitude towards suicide scale. Comprehensive Psychiatry, 72, 56–65. https://doi.org/10.1016/j.comppsych.2016.09.008
Feldman, D. B., & Kubota, M. (2015). Hope, self-efficacy, optimism, and academic achievement: Distinguishing constructs and levels of specificity in predicting college grade-point average. Learning and Individual Differences, 37, 210–216. https://doi.org/10.1016/j.lindif.2014.11.022
Geffken, G. R., Storch, E. A., Duke, D. C., Monaco, L., Lewin, A. B., & Goodman, W. K. (2006). Hope and coping in family members of patients with obsessive-compulsive disorder. Journal of Anxiety Disorders, 20(5), 614–629. https://doi.org/10.1016/j.janxdis.2005.07.001
Gomes, A. P., Soares, A. L. G., Kieling, C., Rohde, L. A., & Gonçalves, H. (2019). Mental disorders and suicide risk in emerging adulthood: The 1993 Pelotas birth cohort. Revista de Saude Publica, 53, 1–11. https://doi.org/10.11606/S1518-8787.20190530012356
Goodwin, J., Behan, L., Kelly, P., McCarthy, K., & Horgan, A. (2016). Help-seeking behaviors and mental well-being of first year undergraduate university students. Psychiatry Research, 246, 129–135. https://doi.org/10.1016/j.psychres.2016.09.015
Hallensleben, N., Glaesmer, H., Forkmann, T., Rath, D., Strauss, M., Kersting, A., & Spangenberg, L. (2019). Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. An ecological momentary assessment study in psychiatric inpatients with depression. European Psychiatry, 56, 43–50. https://doi.org/10.1016/j.eurpsy.2018.11.003
IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.
Kelberer, L. J. A., Kraines, M. A., & Wells, T. T. (2018). Optimism, hope, and attention for emotional stimuli. Personality and Individual Differences, 124, 84–90. https://doi.org/10.1016/j.paid.2017.12.003
Kishi, Y., Kurosawa, H., Morimura, H., Hatta, K., & Thurber, S. (2011). Attitudes of Japanese nursing personnel toward patients who have attempted suicide. General Hospital Psychiatry, 33(4), 393–397. https://doi.org/10.1016/j.genhosppsych.2011.02.005
Klonsky, E. D., Kotov, R., Bakst, S., Rabinowitz, J., & Bromet, E. J. (2012). Hopelessness as a predictor of attempted suicide among first admission patients with psychosis: A 10-year cohort study. Suicide Life Threat Behav, 42(1), 1–10. https://doi.org/10.1111/j.1943-278X.2011.00066.x
Koenig, H. G., Youssef, N. A., Smothers, Z., Oliver, J. P., Boucher, N. A., Ames, D., Volk, F., Teng, E.J., & Haynes, K. (2020). Hope, Religiosity, and Mental Health in U.S. Veterans and Active Duty Military with PTSD Symptoms. Military Medicine, 185(1–2), 97–104. https://doi.org/10.1093/milmed/usz146
Leal, S. C., & Santos, J. C. (2016). Suicidal behaviors, social support and reasons for living among nursing students. Nurse Education Today, 36, 434–438. https://doi.org/10.1016/j.nedt.2015.09.012
Li, W., Dorstyn, D. S., & Jarmon, E. (2020). Identifying suicide risk among college students: A systematic review. Death Studies, 44(7), 450–458. https://doi.org/10.1080/07481187.2019.1578305
Li, Z., Wang, Y., Mao, X., & Yin, X. (2018). Relationship between hope and depression in college students: A cross-lagged regression analysis. Personality and Mental Health, 12(2), 170–176. https://doi.org/10.1002/pmh
Madjar, N., Walsh, S. D., & Harel-Fisch, Y. (2018). Suicidal ideation and behaviors within the school context: Perceived teacher, peer and parental support. Psychiatry Research, 269, 185–190. https://doi.org/10.1016/j.psychres.2018.08.045
Montgomery, D. C., Peck, E. A., & Vining, G. G. (2012). Introduction to linear regression analysis. (Wiley series in probability and statistics, 5th. ed., pp.296-296). Hoboken, New Jersey: John Wiley & Sons, Inc.
Moraes, S. M., Magrini, D. F., Zanetti, A. C. G., Santos, M. A. dos, & Vedana, K. G. G. (2016). Atitudes relacionadas ao suicídio entre graduandos de enfermagem e fatores associados. Acta Paulista de Enfermagem, 29(6), 643–649. https://doi.org/10.1590/1982-0194201600090
Neville, K., & Roan, N. M. (2013). Suicide in Hospitalized Medical-Surgical Patients: Exploring Nurses' Attitudes. Journal of Psychosocial Nursing, 51(1), 35–43. https://doi.org/10.3928/02793695-20121204-01
Norheim, A. B., Grimholt, T. K., Loskutova, E., & Ekeberg, O. (2016). Attitudes toward suicidal behaviour among professionals at mental health outpatient clinics in Stavropol, Russia and Oslo, Norway. BMC Psychiatry, 16(1), 1-12. https://doi.org/10.1186/s12888-016-0976-5
Polit, D.F., Beck, C.T. (2019). Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática de enfermagem. Artmed, 9th edition.
Ramberg, I. L., Di Lucca, M. A., & Hadlaczky, G. (2016). The impact of knowledge of suicide prevention and work experience among clinical staff on attitudes towards working with suicidal patients and suicide prevention. International Journal of Environmental Research and Public Health, 13(2), 1-12. https://doi.org/10.3390/ijerph13020195
Rasic, D., Robinson, J. A., Bolton, J., Bienvenu, O. J., & Sareen, J. (2011). Longitudinal relationships of religious worship attendance and spirituality with major depression, anxiety disorders, and suicidal ideation and attempts: Findings from the Baltimore epidemiologic catchment area study. Journal of Psychiatric Research, 45(6), 848–854. https://doi.org/10.1016/j.jpsychires.2010.11.014
Ryan, M. L., Shochet, I. M., & Stallman, H. M. (2010). Universal online interventions might engage psychologically distressed university students who are unlikely to seek formal help. Advances in Mental Health, 9(1), 73–83. https://doi.org/10.5172/jamh.9.1.73
Sartore, A. C., & Grossi, S. A. A. (2008). Escala de Esperança de Herth - Instrumento adaptado e validado para a língua portuguesa. Rev Esc Enferm USP, 42(2), 227–232.
Saunders, K. E. A., Hawton, K., Fortune, S., & Farrell, S. (2012). Attitudes and knowledge of clinical staff regarding people who self-harm: A systematic review. Journal of Affective Disorders, 139, 205-216. https://doi.org/10.1016/j.jad.2011.08.024
Snyder, C. R., Irving, L. M., & Anderson, J. R. (1991). Hope and health. In Handbook of social and clinical psychology: The health perspective 162, 285–305.
Sun, L., & Zhang, J. (2018). Suicide Acceptability and Suicide Attempt: A Case-Control Study with Medically Serious Suicide Attempters Aged 15 to 54 Years in Rural China. Journal of Nervous and Mental Disease, 206(9), 694–698. https://doi.org/10.1097/NMD.0000000000000863
Swanson, S. A., & Colman, I. (2013). Association between exposure to suicide and suicidality outcomes in youth. CMAJ, 185(10), 870–877. https://doi.org/10.1503/cmaj.121377
Tan, C. S., Low, S. K., & Viapude, G. N. (2018). Extraversion and happiness: The mediating role of social support and hope. PsyCh Journal, 7(3), 133–143. https://doi.org/10.1002/pchj.220
Tong, E. M. W. (2015). Hope and Hopelessness. International Encyclopedia of the Social & Behavioral Sciences: Second Edition (Second Edi, Vol. 11). Elsevier. https://doi.org/10.1016/B978-0-08-097086-8.25013-7
Vedana, K. G. G., Magrini, D. F., Zanetti, A. C. G., Miasso, A. I., Borges, T. L., & Santos, M. A. dos. (2017a). Attitudes toward suicidal behavior and associated factors among nursing professionals: a quantitative study. Journal of Psychiatric and Mental Health Nursing, 24(9-10), 651-659. https://doi.org/10.1111/jpm.12413
Vedana, K. G. G., Magrini, D. F., Miasso, A. I., Zanetti, A. C. G., Souza, J., & Borges, T. L. (2017b). Emergency nursing experiences in assisting people with suicidal behavior: A Grounded Theory Study. Archives of Psychiatric Nursing, 31(4), 345-351. http://dx.doi.org/10.1016/j.apnu.2017.04.003
Vedana, K. G. G., Pereira, C. C. M., Santos, J. C., Ventura, C. A. A., Moraes, S. M., Miasso, A. I., Zannetti, A.C. G. & Borges, T. L. (2017c). The meaning of suicidal behaviour from the perspective of senior nursing undergraduate students. International Journal of Mental Health Nursing 27 (3), 1149-1161. https://doi.org/10.1111/inm.12431
Vedana, K. G. G., & Zanetti, A. C. G. (2019). Atitudes de estudantes de enfermagem relacionadas ao comportamento suicida. Revista Latino-Americana de Enfermagem, 27, Article 3116, 1–8. https://doi.org/10.1590/1518-8345.2842.3116
Vedana, K. G. G., Santos, J. C., Zanetti, A. C. G., Miasso, A. I., Ventura, C. A. A., Pillon, S. C., Souza, J., & Silva, A. C. (2020). Attitudes of Portuguese nursing undergraduate students toward suicidal behaviour. British Journal of Mental Health Nursing, 9(1), 41–49. https://doi.org/10.12968/bjmh.2018.0031
World Health Organization. (2019). World Health Statistics data visualizations dashboard. Noncommunicable diseases and mental health. Data tables. Available in: <https://www.who.int/gho/publications/world_health_statistics/2019/EN_WHS_2019_Main.pdf?ua=1>. Access in: 15 set 2020.
Wu, A., Wang, J.-Y., & Jia, C.-X. (2015). Religion and completed suicide: A meta-analysis. PLoS ONE, 10(6), 1–14.
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Copyright (c) 2021 Bruna Marques Chiarelo; Amanda Heloisa Santana da Silva; Isabelle Wengler Silva; Ana Carolina Guidorizzi Zanetti; Maria Betânia Tinti de Andrade; Kelly Graziani Giacchero Vedana
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