Correlation between interpersonal stress and suicidal ideation: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

LIU Shanshan ¹ , ZHANG Qingqing ¹ , LIU Xinying ¹ , HE Rui ¹ ,  ZHU Chunyan ^1,2

1. The School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei 230032, P. R. China;
2. Anhui Province Key Laboratory of Cognition and Neuropsychiatric Disorders, Hefei 230032, P. R. China;

Corresponding author：

ZHU Chunyan, Email: ayswallow@126.com

Keywords：

Interpersonal stress; Suicidal ideation; Partner pressure; Young adults; Meta-analysis

DOI：

10.7507/1672-2531.202210025

Video：

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Objective To systematically evaluate the correlation between interpersonal stress and suicidal ideation. Methods The PubMed, EMbase, Cochrane Library, CBM, WanFang Data and CNKI databases were searched to collect studies on the correlation between interpersonal pressure and suicidal ideation from database inception to April 27, 2022. Two researchers independently screened the literature, extracted data and assessed the risk of bias of the included studies. Meta-analysis was then performed using Stata 14.0 software. Results A total of 42 studies including 3 cohort studies, and 39 cross-sectional studies, with a total sample size of 193 810 participants were included. Meta-analysis showed that the risk of suicidal ideation was higher in people who had experienced interpersonal pressure than in people who had not (OR=2.11, 95%CI 1.99 to 2.23, P<0.01). Subgroup analysis showed that people in the Americas who had experienced interpersonal pressure were more strongly associated with suicidal ideation than people in other regions of the studied area. Young adults in the study who had experienced interpersonal pressure were more strongly associated with suicidal ideation than other studied age groups; People who had experienced partner pressure were more strongly associated with suicidal ideation than those who had experienced other types of interpersonal pressure. Conclusion This study shows that people who have experienced interpersonal pressure are at greater risk of suicidal ideation, and there are certain differences among study areas, subjects and types of interpersonal pressure. Due to the limited quantity and quality of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation： LIU Shanshan, ZHANG Qingqing, LIU Xinying, HE Rui, ZHU Chunyan. Correlation between interpersonal stress and suicidal ideation: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2023, 23(4): 410-415. doi: 10.7507/1672-2531.202210025 Copy

1.	World Health Organization. Suicide data, 2019.
2.	Pereira AM, Campos RC. Exposure to suicide in the family and suicidal ideation in Portugal during the Covid-19 pandemic: the mediating role of unbearable psychache. Br J Clin Psychol, 2022, 61(3): 598-612.
3.	何兆雄. 自杀病学. 北京: 中国中医药出版社, 1997.
4.	Nock MK, Borges G, Bromet EJ, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry, 2008, 192(2): 98-105.
5.	Nock MK, Green JG, Hwang I, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the national comorbidity survey replication adolescent supplement. JAMA Psychiatry, 2013, 70(3): 300-310.
6.	Joiner TE, Rudd MD, Rouleau MR, et al. Parameters of suicidal crises vary as a function of previous suicide attempts in youth inpatients. J Am Acad Child Adolesc Psychiatry, 2000, 39(7): 876-880.
7.	Lindahl V, Pearson JL, Colpe L. Prevalence of suicidality during pregnancy and the postpartum. Arch Womens Ment Health, 2005, 8(2): 77-87.
8.	Beck AT, Steer RA, Ranieri WF. Scale for suicide ideation: psychometric properties of a self-report version. J Clin Psychol, 1988, 44(4): 499-505.
9.	Kim G, Cha S. A predictive model of suicidal ideation in Korean college students. Public Health Nurs, 2018, 35(6): 490-498.
10.	King CA, Merchant CR. Social and interpersonal factors relating to adolescent suicidality: a review of the literature. Arch Suicide Res, 2008, 12(3): 181-196.
11.	Whitlock J, Wyman PA, Moore SR. Connectedness and suicide prevention in adolescents: pathways and implications. Suicide Life Threat Behav, 2014, 44(3): 246-272.
12.	高佳宁. 人际压力对中学生孤独感的影响. 武汉: 华中师范大学, 2019.
13.	彭艳蛟. 人际压力对中学生睡眠质量的影响: 有调节的中介模型及干预. 重庆: 西南大学, 2020.
14.	Johnson JG, Cohen P, Gould MS, et al. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Arch Gen Psychiatry, 2002, 59(8): 741-749.
15.	Hammen C. Interpersonal stress and depression in women. J Affect Disord, 2003, 74(1): 49-57.
16.	Buitron V, Hill RM, Pettit JW, et al. Interpersonal stress and suicidal ideation in adolescence: an indirect association through perceived burdensomeness toward others. J Affect Disord, 2016, 190: 143-149.
17.	Pettit JW, Green KL, Grover KE, et al. Domains of chronic stress and suicidal behaviors among inpatient adolescents. J Clin Child Adolesc Psychol, 2011, 40(3): 494-499.
18.	谭琪钰, 栾烨, 徐超, 等. 中国大学生自杀意念检出率的Meta分析. 现代预防医学, 2022, 49(7): 1269-1274.
19.	刘裕兴, 聂光辉, 梁好. 医学生儿童期创伤与自杀意念: 述情障碍和反刍思维的链式中介作用. 中国临床心理学杂志, 2022, 30(3): 683-687.
20.	郭世杰, 卢文婷, 王岚, 等. 青少年抑郁症童年期虐待与自杀意念的关联研究. 中国神经精神疾病杂志, 2022, 48(5): 281-285.
21.	Sheets ES, Craighead WE. Comparing chronic interpersonal and noninterpersonal stress domains as predictors of depression recurrence in emerging adults. Behav Res Ther, 2014, 63: 36-42.
22.	Rostom A, Dubé C, Cranney A, et al. Celiac disease. Evid Rep Technol Assess (Summ), 2004, (104): 1-6.
23.	Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
24.	Joiner T. Why people die by suicide. Cambridge: Harvard University Press, 2007.
25.	Van Orden KA, Witte TK, Cukrowicz KC, et al. The interpersonal theory of suicide. Psychol Rev, 2010, 117(2): 575-600.
26.	Lagdon S, Armour C, Stringer M. Adult experience of mental health outcomes as a result of intimate partner violence victimisation: a systematic review. Eur J Psychotraumatol, 2014: 5.
27.	Ha J, Choe K, Son H, et al. Intimate partner violence victimization influences suicidal ideation via interpersonal dependency and anger. Iran J Public Health, 2021, 50(11): 2274-2282.
28.	Rudolph KD, Hammen C. Age and gender as determinants of stress exposure, generation, and reactions in youngsters: a transactional perspective. Child Dev, 1999, 70(3): 660-677.
29.	Beck AT, Kovacs M, Weissman A. Hopelessness and suicidal behavior: an overview. JAMA, 1975, 234(11): 1146-1149.
30.	Black M, Basile K, Breiding M, et al. The national intimate partner and sexual violence survey (NISVS): 2010 summary report.
31.	Bonomi AE, Anderson ML, Nemeth J, et al. Dating violence victimization across the teen years: abuse frequency, number of abusive partners, and age at first occurrence. BMC Public Health, 2012, 12: 637.
32.	Maru M, Saraiya T, Lee CS, et al. The relationship between intimate partner violence and suicidal ideation among young Chinese, Korean, and Vietnamese American women. Women Ther, 2018, 41(3-4): 339-355.
33.	Cavanaugh CE, Messing JT, Del-Colle M, et al. Prevalence and correlates of suicidal behavior among adult female victims of intimate partner violence. Suicide Life Threat Behav, 2011, 41(4): 372-383.
34.	Cavanaugh CE, Messing JT, Eyzerovich E, et al. Ethnic differences in correlates of suicidal behavior among women seeking help for intimate partner violence. Crisis, 2015, 36(4): 257-266.
35.	World Health Organization. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence.
36.	Afe TO, Emedoh TC, Ogunsemi O, et al. Intimate partner violence, psychopathology and the women with schizophrenia in an outpatient clinic South-South, Nigeria. BMC Psychiatry, 2016, 16: 197.
37.	Lee E, Enright R, Kim J. Forgiveness postvention with a survivor of suicide following a loved one suicide: a case study. Soc Sci, 2015, 4(3): 688-699.
38.	Devries KM, Mak JY, Bacchus LJ, et al. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med, 2013, 10(5): e1001439.
39.	Klonsky ED, May AM, Saffer BY. Suicide, suicide attempts, and suicidal ideation. Annu Rev Clin Psychol, 2016, 12: 307-330.
40.	World Health Organization. Suicide, 2018.
41.	O'Connor RC, Kirtley OJ. The integrated motivational-volitional model of suicidal behaviour. Philos Trans R Soc Lond B Biol Sci, 2018, 373(1754): 20170268.
42.	Macklem GL. Practitioner's guide to emotion regulation in school-aged children. New York: Springer US, 2008.
43.	Parr EJ, Shochet IM, Cockshaw WD, et al. General belonging is a key predictor of adolescent depressive symptoms and partially mediates school belonging. School Mental Health, 2020, 12: 626-637.

1. World Health Organization. Suicide data, 2019.
2. Pereira AM, Campos RC. Exposure to suicide in the family and suicidal ideation in Portugal during the Covid-19 pandemic: the mediating role of unbearable psychache. Br J Clin Psychol, 2022, 61(3): 598-612.
3. 何兆雄. 自杀病学. 北京: 中国中医药出版社, 1997.
4. Nock MK, Borges G, Bromet EJ, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry, 2008, 192(2): 98-105.
5. Nock MK, Green JG, Hwang I, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the national comorbidity survey replication adolescent supplement. JAMA Psychiatry, 2013, 70(3): 300-310.
6. Joiner TE, Rudd MD, Rouleau MR, et al. Parameters of suicidal crises vary as a function of previous suicide attempts in youth inpatients. J Am Acad Child Adolesc Psychiatry, 2000, 39(7): 876-880.
7. Lindahl V, Pearson JL, Colpe L. Prevalence of suicidality during pregnancy and the postpartum. Arch Womens Ment Health, 2005, 8(2): 77-87.
8. Beck AT, Steer RA, Ranieri WF. Scale for suicide ideation: psychometric properties of a self-report version. J Clin Psychol, 1988, 44(4): 499-505.
9. Kim G, Cha S. A predictive model of suicidal ideation in Korean college students. Public Health Nurs, 2018, 35(6): 490-498.
10. King CA, Merchant CR. Social and interpersonal factors relating to adolescent suicidality: a review of the literature. Arch Suicide Res, 2008, 12(3): 181-196.
11. Whitlock J, Wyman PA, Moore SR. Connectedness and suicide prevention in adolescents: pathways and implications. Suicide Life Threat Behav, 2014, 44(3): 246-272.
12. 高佳宁. 人际压力对中学生孤独感的影响. 武汉: 华中师范大学, 2019.
13. 彭艳蛟. 人际压力对中学生睡眠质量的影响: 有调节的中介模型及干预. 重庆: 西南大学, 2020.
14. Johnson JG, Cohen P, Gould MS, et al. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Arch Gen Psychiatry, 2002, 59(8): 741-749.
15. Hammen C. Interpersonal stress and depression in women. J Affect Disord, 2003, 74(1): 49-57.
16. Buitron V, Hill RM, Pettit JW, et al. Interpersonal stress and suicidal ideation in adolescence: an indirect association through perceived burdensomeness toward others. J Affect Disord, 2016, 190: 143-149.
17. Pettit JW, Green KL, Grover KE, et al. Domains of chronic stress and suicidal behaviors among inpatient adolescents. J Clin Child Adolesc Psychol, 2011, 40(3): 494-499.
18. 谭琪钰, 栾烨, 徐超, 等. 中国大学生自杀意念检出率的Meta分析. 现代预防医学, 2022, 49(7): 1269-1274.
19. 刘裕兴, 聂光辉, 梁好. 医学生儿童期创伤与自杀意念: 述情障碍和反刍思维的链式中介作用. 中国临床心理学杂志, 2022, 30(3): 683-687.
20. 郭世杰, 卢文婷, 王岚, 等. 青少年抑郁症童年期虐待与自杀意念的关联研究. 中国神经精神疾病杂志, 2022, 48(5): 281-285.
21. Sheets ES, Craighead WE. Comparing chronic interpersonal and noninterpersonal stress domains as predictors of depression recurrence in emerging adults. Behav Res Ther, 2014, 63: 36-42.
22. Rostom A, Dubé C, Cranney A, et al. Celiac disease. Evid Rep Technol Assess (Summ), 2004, (104): 1-6.
23. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
24. Joiner T. Why people die by suicide. Cambridge: Harvard University Press, 2007.
25. Van Orden KA, Witte TK, Cukrowicz KC, et al. The interpersonal theory of suicide. Psychol Rev, 2010, 117(2): 575-600.
26. Lagdon S, Armour C, Stringer M. Adult experience of mental health outcomes as a result of intimate partner violence victimisation: a systematic review. Eur J Psychotraumatol, 2014: 5.
27. Ha J, Choe K, Son H, et al. Intimate partner violence victimization influences suicidal ideation via interpersonal dependency and anger. Iran J Public Health, 2021, 50(11): 2274-2282.
28. Rudolph KD, Hammen C. Age and gender as determinants of stress exposure, generation, and reactions in youngsters: a transactional perspective. Child Dev, 1999, 70(3): 660-677.
29. Beck AT, Kovacs M, Weissman A. Hopelessness and suicidal behavior: an overview. JAMA, 1975, 234(11): 1146-1149.
30. Black M, Basile K, Breiding M, et al. The national intimate partner and sexual violence survey (NISVS): 2010 summary report.
31. Bonomi AE, Anderson ML, Nemeth J, et al. Dating violence victimization across the teen years: abuse frequency, number of abusive partners, and age at first occurrence. BMC Public Health, 2012, 12: 637.
32. Maru M, Saraiya T, Lee CS, et al. The relationship between intimate partner violence and suicidal ideation among young Chinese, Korean, and Vietnamese American women. Women Ther, 2018, 41(3-4): 339-355.
33. Cavanaugh CE, Messing JT, Del-Colle M, et al. Prevalence and correlates of suicidal behavior among adult female victims of intimate partner violence. Suicide Life Threat Behav, 2011, 41(4): 372-383.
34. Cavanaugh CE, Messing JT, Eyzerovich E, et al. Ethnic differences in correlates of suicidal behavior among women seeking help for intimate partner violence. Crisis, 2015, 36(4): 257-266.
35. World Health Organization. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence.
36. Afe TO, Emedoh TC, Ogunsemi O, et al. Intimate partner violence, psychopathology and the women with schizophrenia in an outpatient clinic South-South, Nigeria. BMC Psychiatry, 2016, 16: 197.
37. Lee E, Enright R, Kim J. Forgiveness postvention with a survivor of suicide following a loved one suicide: a case study. Soc Sci, 2015, 4(3): 688-699.
38. Devries KM, Mak JY, Bacchus LJ, et al. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med, 2013, 10(5): e1001439.
39. Klonsky ED, May AM, Saffer BY. Suicide, suicide attempts, and suicidal ideation. Annu Rev Clin Psychol, 2016, 12: 307-330.
40. World Health Organization. Suicide, 2018.
41. O'Connor RC, Kirtley OJ. The integrated motivational-volitional model of suicidal behaviour. Philos Trans R Soc Lond B Biol Sci, 2018, 373(1754): 20170268.
42. Macklem GL. Practitioner's guide to emotion regulation in school-aged children. New York: Springer US, 2008.
43. Parr EJ, Shochet IM, Cockshaw WD, et al. General belonging is a key predictor of adolescent depressive symptoms and partially mediates school belonging. School Mental Health, 2020, 12: 626-637.

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