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Observational Study
. 2022 Nov;9(6):2729-2738.
doi: 10.1002/nop2.973. Epub 2021 Jun 30.

The protective effect of self-esteem on suicidal ideation among nursing home residents with limited social support in China: A cross-sectional study

Yang Yang  1 , Rui Wang  1 , Dan Zhang  1 , Yonggang Su  2   3 , Yuli Zang  4
Affiliations
Observational Study

The protective effect of self-esteem on suicidal ideation among nursing home residents with limited social support in China: A cross-sectional study

Yang Yang et al. Nurs Open. 2022 Nov.

Abstract

Aim: This cross-sectional study aimed to assess the impact of limited social support and loneliness on suicidal ideation, under the influence of self-esteem, an important inner resource for quality living.

Design: An observational cross-sectional study conducted from September 2018-April 2019.

Methods: The participants comprised 538 nursing home residents selected by a stratified sampling method from all seven administrative districts in a capital city of eastern China. All the participants completed the survey that constituted the measurement of suicidal ideation, self-esteem, social support and loneliness. Path analysis was performed using the structural equation modelling method.

Results: A moderating effect, with satisfactory model fit indices and significant path coefficients, was detected between self-esteem and suicidal ideation through limited social support and loneliness, revealing the multiple protective mechanisms of this psychological characteristic on the change of suicidal ideation.

Keywords: loneliness; nursing homes; self-concept; social support; suicidal ideation.

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Conflict of interest statement

The authors have no competing interest to declare.

Figures

FIGURE 1
FIGURE 1
Path diagram with correlation coefficients (H) about the moderation effect of self‐esteem on suicidal ideation through social support and loneliness. *p < .05, ***p < .001
FIGURE 2
FIGURE 2
Participants' recruitment of this study
FIGURE 3
FIGURE 3
Effect of social support on suicidal ideation in participants at different levels of self‐esteem
See this image and copyright information in PMC

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