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. 2019 Jul 1;14(7):e0217372.
doi: 10.1371/journal.pone.0217372. eCollection 2019.

Associations Between Depression, Anxiety, Stress, Hopelessness, Subjective Well-Being, Coping Styles and Suicide in Chinese University Students

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Associations Between Depression, Anxiety, Stress, Hopelessness, Subjective Well-Being, Coping Styles and Suicide in Chinese University Students

Bob Lew et al. PLoS One. .
Free PMC article


Suicide is a major public health concern worldwide. This study aimed to predict the suicidal behavior of Chinese university students by studying psychological measures such as hopelessness, orientation to happiness, meaning in life, depression, anxiety, stress, and coping styles. In November 2016, a stratified-clustered-random sampling approach was utilized to select subjects from two large public medical-related universities in Shandong province, China. This sample consisted of 2,074 undergraduate students (706 males, 1,368 females; mean age = 19.79±1.39 years). The students' major risk factors for suicide were depression, anxiety, stress, and hopelessness, and the students' minor risk factors included orientation to happiness and coping styles (including self-distraction, self-blame and substance use). Notably, the presence of meaning in life had a positive effect on preventing suicide and acted as a protective factor, which suggests that it is important to identify risk factors as well as protective factors relevant to the target population group in order to increase the effectiveness of counseling and suicide prevention programs.

Conflict of interest statement

The authors have declared that no competing interests exist.

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    1. World Health Organization. Suicide data. World Health Organization. 2019; Available from:
    1. Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006; 47(3–4): 372–394. 10.1111/j.1469-7610.2006.01615.x - DOI - PubMed
    1. Spirito A, Esposito-Smythers C. Attempted and completed suicide in adolescence. Annu Rev Clin Psychol. 2006; 2(1): 237–266. - PubMed
    1. Nock MK, Green JG, Hwang I, McLaughlin KA, Sampson NA, Zaslavsky AM, 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. 10.1001/2013.jamapsychiatry.55 - DOI - PMC - PubMed
    1. Kessler RC, Berglund P, Borges G, Nock M, Wang PS. Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990–1992 to 2001–2003. JAMA. 2005; 293(20): 2487–2495. 10.1001/jama.293.20.2487 - DOI - PubMed

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Grant support

Shandong University International Collaboration Project “Religion and suicidal behavior” (21320005281601) to Prof. Jia Cun-Xian.