TY - JOUR
T1 - The relationship between social support and suicidal ideation among newly diagnosed people living with HIV
T2 - the mediating role of HIV-related stress
AU - Bi, Fengying
AU - Luo, Dan
AU - Huang, Yunxiang
AU - Chen, Xi
AU - Zhang, Dexing
AU - Xiao, Shuiyuan
N1 - Publisher Copyright:
© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor &Francis Group.
PY - 2021
Y1 - 2021
N2 - Evidence have consistently shown social support to be protective against suicidal ideation among people living with HIV (PLWH), but little is known how social support protects PLHW from suicidal ideation. We aimed to explore whether social support could reduce suicidal ideation by reducing HIV-related stress levels or depression among PLWH during the early post-diagnosis phase. A cross-sectional study of 557 newly diagnosed PLWH was conducted. Information on suicidal ideation, social support, HIV-related stress and depression was collected using a self-administered questionnaire. Generalized structural equation modeling (GSEM) analyses were performed to determine the mediating effect of HIV-related stress and depression on the relationship between social support and suicidal ideation. One-fourth of participants reported considering suicide after HIV diagnosis. Higher social support could prevent PLWH from suicidal ideation directly or indirectly via reducing the HIV-related stress levels. The mediating effect of depression, as well as the chain mediating effect of HIV-related stress and depression were not found. Enhancing social support and reducing HIV-related stress are important to prevent suicide among PLWH.
AB - Evidence have consistently shown social support to be protective against suicidal ideation among people living with HIV (PLWH), but little is known how social support protects PLHW from suicidal ideation. We aimed to explore whether social support could reduce suicidal ideation by reducing HIV-related stress levels or depression among PLWH during the early post-diagnosis phase. A cross-sectional study of 557 newly diagnosed PLWH was conducted. Information on suicidal ideation, social support, HIV-related stress and depression was collected using a self-administered questionnaire. Generalized structural equation modeling (GSEM) analyses were performed to determine the mediating effect of HIV-related stress and depression on the relationship between social support and suicidal ideation. One-fourth of participants reported considering suicide after HIV diagnosis. Higher social support could prevent PLWH from suicidal ideation directly or indirectly via reducing the HIV-related stress levels. The mediating effect of depression, as well as the chain mediating effect of HIV-related stress and depression were not found. Enhancing social support and reducing HIV-related stress are important to prevent suicide among PLWH.
KW - depression
KW - HIV-related stress
KW - newly diagnosed people living with HIV
KW - social support
KW - Suicidal ideation
UR - http://www.scopus.com/inward/record.url?scp=85084816889&partnerID=8YFLogxK
U2 - 10.1080/13548506.2020.1761987
DO - 10.1080/13548506.2020.1761987
M3 - Journal article
C2 - 32400173
AN - SCOPUS:85084816889
SN - 1354-8506
VL - 26
SP - 724
EP - 734
JO - Psychology, Health and Medicine
JF - Psychology, Health and Medicine
IS - 6
ER -