Abstract

Studies on social factors that could influence the mental health-suicidal ideation link remain scarce, especially in non-Western contexts. This study examined the relationship between mental health symptoms (i.e., depression, anxiety, and stress) and suicidal ideation and whether one’s perceived social rank moderates such a relationship. Data from 631 students from two universities in the Philippines collected between October to December 2018 was analyzed. Bivariate correlations show that greater symptoms of depression, anxiety, and stress are associated with increased suicidal ideation. Hierarchical linear regression models supported the direct relationship between mental health symptoms and suicidal ideation and demonstrated that perceived social rank significantly moderated such a relationship. Johnson-Neyman plots and simple slopes analyses further illustrate how mental health symptoms and perceived social rank interact to impact suicidal ideation. The results show that as one’s perceived social rank lowers, the strength of the positive association between depression, anxiety, and stress symptoms to suicidal ideation strengthens. The results held while controlling for age, gender, college year level, and family income. The findings are discussed using the social rank theory and the Integrated Motivational-Volitional (IMV) model of suicide to view suicidal ideation from both an individual and a social perspective. We expound on the role of low perceived social rank on suicidal ideation among young adults.

• HIGHLIGHTS

• Higher depression, anxiety, and stress symptoms are associated with higher suicidal ideation.

• Perceived social rank moderates the link between mental health symptoms and suicidal ideation.

• One’s perception of being inferior to others can exacerbate suicidal ideation.

摘要

关于可能影响心理健康与自杀意念联系的社会因素的研究仍然很少，尤其是在非西方背景下。本研究调查了心理健康症状（即抑郁、焦虑和压力）与自杀意念之间的关系，以及一个人的社会地位是否调节了这种关系。分析了 2018 年 10 月至 12 月期间收集的来自菲律宾两所大学的 631 名学生的数据。双变量相关性表明，抑郁、焦虑和压力症状加重与自杀意念增加有关。分层线性回归模型支持心理健康症状与自杀意念之间的直接关系，并证明感知到的社会等级显着调节了这种关系。Johnson-Neyman 图和简单的斜率分析进一步说明了心理健康症状和感知的社会等级如何相互作用以影响自杀意念。结果表明，随着一个人的社会地位降低，抑郁、焦虑和压力症状与自杀意念之间的正相关强度会增强。在控制年龄、性别、大学年级和家庭收入的情况下，结果仍然成立。使用社会等级理论和综合动机-意志 (IMV) 自杀模型讨论研究结果，从个人和社会角度看待自杀意念。我们阐述了低感知社会地位对年轻人自杀意念的作用。结果表明，随着一个人的社会地位降低，抑郁、焦虑和压力症状与自杀意念之间的正相关强度会增强。在控制年龄、性别、大学年级和家庭收入的情况下，结果仍然成立。使用社会等级理论和综合动机-意志 (IMV) 自杀模型讨论研究结果，从个人和社会角度看待自杀意念。我们阐述了低感知社会地位对年轻人自杀意念的作用。结果表明，随着一个人的社会地位降低，抑郁、焦虑和压力症状与自杀意念之间的正相关强度会增强。在控制年龄、性别、大学年级和家庭收入的情况下，结果仍然成立。使用社会等级理论和综合动机-意志 (IMV) 自杀模型讨论研究结果，从个人和社会角度看待自杀意念。我们阐述了低感知社会地位对年轻人自杀意念的作用。使用社会等级理论和综合动机-意志 (IMV) 自杀模型讨论研究结果，从个人和社会角度看待自杀意念。我们阐述了低感知社会地位对年轻人自杀意念的作用。使用社会等级理论和综合动机-意志 (IMV) 自杀模型讨论研究结果，从个人和社会角度看待自杀意念。我们阐述了低感知社会地位对年轻人自杀意念的作用。

• 强调

• 更高的抑郁、焦虑和压力症状与更高的自杀意念相关。

• 感知到的社会等级缓和了心理健康症状和自杀意念之间的联系。

• 一个人认为不如别人的看法会加剧自杀意念。