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The aim of the current study was to investigate the psychological mechanism of the risk and protecting factors related to suicidal ideation. A total of 401 university students participated in the current study. First, the question of whether external entrapment and negative affect have a significant influence on suicidal ideation, and whether negative affect mediates the relationship between external entrapment and suicidal ideation was examined. In addition, the question of whether the mediating effect of negative affect in relation to external entrapment and suicidal ideation is moderated by emotion coping resilience was investigated. According to the results, negative affect partially mediated the relationship between external entrapment and suicidal ideation, indicating that external entrapment not only has an indirect effect on suicidal ideation through negative affect, but also has a direct influence on suicidal ideation. In addition, such a mediating effect of negative affect appeared to be moderated by emotion coping resilience. In particular, university students with higher levels of emotion coping resilience, compared to those with lower levels, were more likely to be protected from being susceptible to suicidal ideation, even if both groups suffer from similar levels of negative affect. These results suggest that negative affect (e.g., depression, anxiety), which is well known as a significant risk factor of suicidal ideation, buffers against its pernicious impact on suicidal ideation in university students. Limitations and implications of the current study were discussed.
김현순, 김병석 (2008). 자살 생각과 그 관련 변인들간의 구조적 관계 모형 검증. 한국심리학회지 상담 및 심리치료, 20, 201- 219.
박광배, 신민섭. (1990). 고등학생의 대학입시 목표와 자살생각. 한국심리학회지: 임상, 10(1), 298-314.
신민섭, 박광배, 오경자, 김중술. (1990). 고등학생의 자살 성향에 관한 연구: 우울-절망-자살간의 구조적 관계에 대한 분석. 한국심리학회지: 임상, 9(1), 1-19.
여환홍, 백용매. (2010). 경계선적 성격특성, 부정응적 완벽주의 및 우울이 자살관련 행동에 미치는 영향. 한국심리학회지, 임상, 29(4), 1047-1066.
오세만, 민경준, 박두병 (1999). 병원 불안-우울 척도에 관한 표준화 연구. 신경정신의학, 38(2), 289-296.
육성필 (2002). 자살관련 변인의 탐색과 치료 프로그램 개발. 고려대학교 박사학위 논문
이기종 (2005). 구조방정식모형. 서울: 국민대학교출판부.
이종선, 조현주. (2012). 한국판 내적 속박감 및 외적 속박감 척도의 신뢰도와 타당도 연구. 한국심리학회지: 일반, 31(1), 239- 259.
이현희, 김은정, 이민규. (2003). 한국판 정적 정서 및 부적 정서 척도 (Positive Affect and Negative Affect Schedule; PANAS) 의 타당화 연구. 한국심리학회지 임상, 22, 935- 946.
조 하, 신희천, (2009). 생활사건 스트레스가 자살사고에 미치는 영향: 삶의 의미의 매개효과와 조절효과. 한국심리학회지: 상담 및 심리치료, 21(4), 1011-1026.
최바울, 고은영, 이소연, 이은지, 서영석. (2011). 부정응적 완벽주의, 무망, 우울, 심리적 극통 및 자살사고의 관계. 한국심리학회지: 상담 및 심리치료, 23(3), 693-716.
통계청 (2011). 2010년도 사망원인 통계결과.
하정희, 안성희. (2008). 대학생들의 자살 생각에 영향을 미치는 요인들: 스트레스, 대처방식, 완벽주의, 우울, 충동성의 구조적 관계모형 검증. 한국심리학회지: 상담 및 심리치료, 20(4), 1149-1171.
Agerbo, E., Nordentoft, M., & Mortensen, P. B. (2002). Familial, psychiatric, and socioeconomic risk factors for suicide in young people: Nested case-control study. BMJ, 325, 74-77.
Allan, S., & Gilbert, P. (2002). Anger and anger expression in relation to perceptions of social rank, entrapment and depressive symptoms. Personality and individual Differences, 32(3), 551- 565.
Anderson, J. C., & Garbing, D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103, 411-423.
Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: The Scale for Suicidal Ideation. Journal of Consulting and Clinical Psychology, 47, 343-352.
Beck, A. T., Steer, R. A., Beck, J. S., & Newman, C. F. (1993). Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression. Suicide and Life-Threatening Behavior, 23(2), 139-145.
Borowsky IW, Ireland M, Resnick MD. (2001). Adolescent suicide attempts: risks and protectors. Pediatrics. 107(3), 485-493.
Browne, M. W., Cudeck, R. (1993). Alterative ways of assessing model fit. In K. A. Bollen & J. S. Long (Ed.), Testing structural equation models (pp.136-162). Newburry Park, CA: Sage.
Cha, C. B., & Nock, M. K. (2009). Emotional intelligence is a protective factor for suicidal behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 48(4), 422-430.
Chorpita, B. F. (2002). The tripartite model and dimensions of anxiety and depression: An examination of structure in a large school sample. Journal of abnormal child psychology, 30(2), 177-190.
Connor K. M. (2006). Assessment of resilience in the aftermath of trauma. Journal of Clinical Psychiatry, 67, Supplement 2: 46-49.
Cooper, J., Appleby, L., & Amos, T. (2002). Life events preceding suicide by young people. Social Psychiatry and Psychiatric Epidemiology, 37, 271-275.
Doll, B., & Lyon, M. A. (1998). Risk and resilience: Implications for the delivery of educational and mental health services in schools. School Psychology Review, 27, 348-363.
Fortuna, L. R., Perez, D. J., Canino, G., Sribney, W., & Alegria, M. (2007). Prevalence and correlates of lifetime suicidal ideation and attempts among Latino subgroups in the United States. The Journal of clinical psychiatry, 68(4), 572.
Garlow, S. J. (2002). Age, gender, and ethnicity differences in pattern of cocaine and ethanol use preceding suicide. The American Journal of Psychiatry, 159, 615-619.
Gilbert, P. (2001). Depression and stress: A biopsychosocial exploration of evolved functions and mechanisms. Stress, 4, 121-135.
Gilbert, P., & Gilbert, J. (2003). Entrapment and arrested fight and flight in depression: An exploration using focus groups. Psychology and Psychotherapy: Theory, Research and Practice, 76(2), 173-188.
Gilbert, P., Allan, S., Brough, S., Melley, S., & Miles, J. N. V. (2002). Relationship of anhedonia and anxiety to social rank, defeat and entrapment. Journal of affective disorders, 71, 141-151.
Gilbert, P., Cheung, M., Irons, C., & McEwan, K. (2005). An exploration into depression-focused and anger-focused rumination in relation to depression in a student population. Behavioural and Cognitive Psychotherapy, 33(03), 273-283.
Goldstein, R. C., & Willner, P. (2002). Self-report measures of defeat and entrapment during a brief depressive mood induction. Cognition & Emotion, 16(5), 629-642.
Greene, F. N., Chorpita, B. F., & Aukahi Austin, A. (2009). Examining youth anxiety symptoms and suicidal ideation in the context of the tripartite model of emotion. Journal of Psycho- pathology and Behavioral Assessment, 31(4), 405- 411.
Hawton, K., & van Heeringen, K. (2009). Suicide. Lancet, 373(9672), 1372-1381.
Hirsch, J. K., Wolford, K., LaLonde, S. M., Brunk, L., & Parker-Morris, A. (2009). Optimistic explanatory style as a moderator of the association between negative life events and suicide ideation. Crisis. The Journal of Crisis Intervention and Suicide Prevention, 30(1), 48.
Hu, L. Z., & Bentler, P. M. (1999). Cutoff criteria for fit index in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55.
Johnson, J., Gooding, P. A., Wood, A. M., & Tarrier, N. (2010). Resilience as positive coping appraisals: Testing the schematic appraisals model of suicide (SAMS). Behaviour Research and Therapy, 48(3), 179-186.
Johnson, J., Gooding, P., Wood, A., Taylor, P., Pratt, D., & Tarrier, N. (2010). Resilience to suicidal ideation in psychosis: Positive self- appraisals buffer the impact of hopelessness. Behaviour Research and Therapy, 48(9), 883-889.
Johnson, J., Wood, A. M., Gooding, P., Taylor, P., & Tarrier, N. (2011). Resilience to suicidality: The buffering hypothesis. Clinical Psychology Review, 31(4), 563-591.
Jὃreskog, K. G., & Sὃrbom, D. (1996). LISREL 8: User's Reference Guide, Chicago: Scientific Software International.
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617.
Kisch, J., Leino, E. V., & Silverman, M. M. (2005). Aspects of suicidal behavior, depression, and treatment in college students: Results from the spring 2000 national college health assessment survey. Suicide and Life- Threatening Behavior, 35, 3-13.
Kline, R. B. (2005) Principles and practice of structural equation modeling. New York: Guilford Press.
Kuo, W. H., Gallo, J. J., & Eaton, W. W. (2004). Hopelessness, depression, substance disorder, and suicidality. Social Psychiatry and Psychiatric Epidemiology, 39(6), 497-501.
Kuo, W., Gallo, J. J., & Tien, A. Y. (2001).: The 13-year follow-up of a community samples in Baltimore, Maryland. Psychological Medicine, 31, 1181-1191.
Langhinrichsen-Rohling, J., Arata, C., Bowers, D., O'Brien, N., & Morgan, A. (2004). Suicidal Behavior, Negative Affect, Gender, and Self-reported Delinquency in College Students. Suicide and Life-Threatening Behavior, 34(3), 255 -266.
Lee, H. S., Kim, S., Choi, I., & Lee, K. U. (2008). Prevalence and risk factors associated with suicide ideation and attempts in Korean College Students. Psychiatry investigation, 5(2), 86.
Leenaars, A. A. (1996). Suicide as a multi- dimensional malaise. Suicide and Life-Threatening Behavior, 26, 221-235.
Leenaars, A. A. (1999). Suicide across the adult life span: Replications and failures. Archives of Suicide Research, 5, 263-276.
Leenaars, A. A. (2002). In defense of the idiographic approach: studies of suicide notes and personal documents. Archives of Suicide Research, 6, 19-30.
Linehan, M. M, Goodstein, J. L., Nielsen, S. L., & Chiles, J. A. (1983). Reasons for staying alive when you are thinking of killing yourself: The resons for living inventory. Journal of Counsulting and Clinical Psychology, 51(2), 276- 286.
Long, J. S. (1983). Confirmatory factor analysis: A preface to LISREL. Beverly Hills: Sage.
Mackenzie, S., Wiegel, J. R., Mundt, M., Brown, D., Saewyc, E., Heiligenstein, E., et al. (2011). Depression and suicide ideation among students accessing campus health care. American Journal of Orthopsychiatry, 81(1), 101- 107.
McLaren, S., & Challis, C. (2009). Resilience among men farmers: The protective roles of social support and sense of belonging in the depression-suicidal ideation relation. Death Studies, 33, 262-276.
Nolen-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of personality and social psychology, 77(5), 1061-1072.
O'Connor, R. C. (2003). Suicidal behavior as a cry of pain: Test of a psychological model. Archives of Suicide Research, 7(4), 297-308.
O'Donnell L, O'Donnell C, Wardlaw DM, Stueve A. (2004). Risk and resiliency factors influencing suicidality among urban African American and Latino youth. American Journal of Community Psychology. 33(1-2), 37-49.
Olfson, M., Shea, S., Feder, A., Fuentes, M., Gameroff, M., & Weissman, M. M. (2000). Anxiety, depression, and substance abuse in an urban primary care clinic. Archives of Family Medicine(9), 876-883.
Osman, A., Gutierrez, P. M., Muehlenkamp, J. J., Dix-Richardson, F., Barrios, F. X., & Kopper, B. A. (2004). Suicide resilience inventory-25: development and preliminary psychometric properties 1, 2. Psychological reports, 94(3c), 1349-1360.
Rasmussen, S. A., Fraser, L., Gotz, M., MacHale, S., Mackie, R., Masterton, G., et al. (2010). Elaborating the cry of pain model of suicidality: Testing a psychological model in a sample of first-time and repeat sel-harm patients. British Journal of Clinical Psychology, 49(1), 15-30.
Rudd, M. D. (1990). An integrative model of suicidal ideation. Suicide and Life-Threatening Behavior, 20(1), 16-30.
Rutter, P. A., Freedenthal, S., & Osman, A. (2008). Assessing protection from suicidal risk: Psychometric properties of the suicide resilience inventory. Death Studies, 32(2), 142- 153.
Sareen, J., Cox, B. J., Afifi, T. O., de Graaf, R., Asmundson, G. J. G., ten Have, M., et al. (2005). Anxiety disorders and risk for suicidal ideation and suicide attempts: a population- based longitudinal study of adults. Archives of General Psychiatry, 62(11), 1249.
Shneidman, E. S. (1985). Definition of suicide. New York: John Wiley & Sons.
Shneidman, E. S. (1996). The suicidal mind. New York: Oxford University Press.
Strauss, J., Birmaher, B., Bridge, J., Axelson, D., Chiappetta, L., Brent, D., et al. (2000). Anxiety disorders in suicidal youth. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 45(8), 739.
Sturman, E. D., & Mongrain, M. (2008). Entrapment and perceived status in graduate students experiencing a recurrence of major depression. Canadian Journal of Behavioural Science, 40(3), 185-188.
Taylor, P. J., Wood, A. M., Gooding, P., & Tarrier, N. (2010). Appraisals and suicidality: The mediating role of defeat and entrapment. Archives of Suicide Research, 14(3), 236-247.
Troop, N. A., & Baker, A. H. (2008). The specificity of social rank in eating disorder versus depressive symptoms. Eating Disorders, 16, 331-341.
Tucker, l. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1-10.
Van Orden, K. A., Witte, T. K., James, L. M., Castro, Y., Gordon, K. H., Braithwaite, S. R., et al. (2008). Suicidal ideation in college students varies across semesters: the mediating role of belongingness. Suicide and Life- Threatening Behavior, 38(4), 427-435.
Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. psychological Bulletin, 134(2), 163.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063-1070.
Weissman, M. M., Klerman, G. L., Markowitz, J. S., & Ouellette, R. (1989). Suicidal ideation and suicide attempts in panic disorder and attacks. New England Journal of Medicine, 321(18), 1209-1214.
Wilcox, H. C., Arria, A. M., Caldeira, K. M., Vincent, K. B., Pinchevsky, G. M., & O'Grady, K. E. Prevalence and predictors of persistent suicide ideation, plans, and attempts during college. Journal of affective disorders, 127(1-3), 287-294.
Wild, L. G., Flisher, A. J., & Lombard, C. (2004). Suicidal ideation and attempts in adolescents: Associations with depression and six domains of self-esteem. Journal of Adolescence, 27, 611- 624.
Williams, J. M. G. (1997). Cry of pain: Understanding suicide and selfharm. Harmondsworth, England: Penguin.
Williams, J. M. G., Crane, C., Barnhofer, T., & Duggan, D. S. (2005). Psychology and suicidal behaviour: Elaborating the entrapment model. In K. Hawton (Ed.), Prevention and treatment of suicidal behaviour: From science to practice (pp.71-89). Oxford, England: Oxford University Press.
Williams, J. M. G.,&Pollock, L. R. (2001). Psychological aspects of the suicidal process. In K. van Heeringen (Ed.), Understanding suicidal behaviour (pp.76-93). Chichester: John Wiley & Sons.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.