بررسی رابطه بین افکار خودکشی و سلامت روان با تأکید بر نقش حمایت اجتماعی و سبک‌های مقابله‌ای در دانش‌آموزان متوسطه دوم (مطالعه موردی: شهرستان دزفول)

فاطمه کهکی; ژاله  کاظمی

Authors

Fatemeh Kahaki Department of Psychology ,Payame Noor University ,Tehran,Iran Author https://orcid.org/0000-0002-2743-8649
Zhaleh Kazemi MA, Department of Clinical Psychology, Payame Noor University, Tehran, Iran Author https://orcid.org/0000-0001-5944-5045

Keywords:

suicidal ideation, mental health, social support, coping styles, high school students, Dezful County

Abstract

Objective: This study aimed to examine the relationship between suicidal ideation and mental health, emphasizing the moderating role of social support and the mediating role of coping styles among high school students.

Methodology: This research employed a descriptive-correlational design. The statistical population consisted of all second-cycle high school students in Dezful during the 2024–2025 academic year. A total of 300 students were selected using stratified random sampling. Data were collected using the Beck Scale for Suicide Ideation (BSSI), the General Health Questionnaire (GHQ-28), the Weiss Social Support Questionnaire, and the Lazarus and Folkman Coping Styles Questionnaire. Statistical analyses were conducted using SPSS version 26, including Pearson correlation, multiple regression, and path analysis.

Findings: Results revealed a significant negative correlation between mental health and suicidal ideation (r = -0.56, p < 0.01). Social support was also negatively associated with suicidal ideation (r = -0.48, p < 0.01). Problem-focused coping showed a significant negative relationship with suicidal ideation (r = -0.42, p < 0.01), whereas emotion-focused coping demonstrated a positive and significant association (r = 0.39, p < 0.01). The interaction between mental health and social support was significant (β = -0.21, p < 0.01), indicating a moderating effect. Path analysis confirmed the mediating role of coping styles.

Conclusion: Mental health, perceived social support, and adaptive coping strategies function interactively in reducing suicidal ideation among adolescents, highlighting the importance of multidimensional school-based prevention programs.

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References

Abedini Chamgerdani, S., Bagheri Dasgardi, M., Heidari, F., & Namjou, S. (2023). The Effectiveness of Mindfulness-Based Cognitive Therapy Training on Suicidal Thoughts, Psychological Distress, and Depression in Women with Hypothyroidism. Ravanshenasi Research, 12(7), 175-184. https://frooyesh.ir/article-1-4484-fa.html

Akhoundi, Z., Asghari Ibrahimbad, M. J., Hosseini, A., & Ebrahimi, S. S. (2023). The structural relationships of perceived social support with substance use tendencies in adolescent girls: The mediating role of life satisfaction. Journal of Addiction Research, 17(70), 245-266. https://etiadpajohi.ir/article-1-2930-fa.html

Alami, A., Ishaqian Firmani, H., & Sharifi Mood, F. (2023). The epidemiology of suicidal thoughts and some related factors among students at Gonabad University of Medical Sciences in 2023. Iranian Journal of Epidemiology, 20(3), 143-156. https://www.sid.ir/paper/1517708/fa

Anastasi, G. (2026). Inflammation and suicide risk in adolescents with self-injury: Expanding the role of mental health nursing. World journal of psychiatry, 16(1). https://doi.org/10.5498/wjp.v16.i1.113965

Arab, A., Zeraatkar Makki, M., Eftekhari Kenzraki, F., & Afsharpour, P. (2024). Predicting Suicidal Thoughts Based on Emotion Regulation Difficulties and Perceived Social Support in High School Students. Journal of New Ideas in Psychology, 24(20), 1-13. https://jnip.ir/article-1-1093-fa.html

Asayesh Ardakani, F. (2023). The impact of teaching choice theory concepts on suicidal thoughts and academic meaning in female high school students in Ardakan County

Darvishi, M. S., Kikhani, S., & Ahmadi, V. (2023). Structural model of suicidal thoughts based on parenting styles with the mediating role of self-esteem and social support. Journal of Adolescent and Youth Psychological Studies, 4(5), 103-122. https://www.magiran.com/paper/2600877

Fathi, A., Sharifi Rahnemo, S., Naqhavi, E., Ghahramani, S., & Sharifi Rahnemo, M. (2025). Modeling the Relationship between Meaning in Life and Childhood Trauma with Suicidal Thoughts with the Mediating Role of Coping Styles. Pajouhan Scientific Journal, 23(2), 101-113. http://psj.umsha.ac.ir/article-1-1194-en.html

Gu, H., Fang, L., & Yang, C. (2023). Peer victimization and adolescent non-suicidal self-injury: The mediating role of alienation and moderating role of mindfulness. Journal of interpersonal violence, 38(3-4), 3864-3882. https://doi.org/10.1177/08862605221109903

Gupta, S., Fischer, J., Roy, S., & Bhattacharyya, A. (2024). Emotional regulation and suicidal ideation-Mediating roles of perceived social support and avoidant coping. Frontiers in psychology, 15, 1377355. https://doi.org/10.3389/fpsyg.2024.1377355

Höller, I., Martens, J., Fönschau, C., & Forkmann, T. (2025). A Cross-Sectional Study on the Influence of Emotion Regulation Strategies on the Association Between Trait Mindfulness and Suicidality. BMC psychology, 13(1). https://doi.org/10.1186/s40359-025-02530-5

Hosseini Shad, M. (2023). Predicting suicidal ideation based on perceived social support, happiness, and psychological well-being in women experiencing domestic abuse

Javanmard, M., & Khosravi, S. (2021). The effect of mindfulness-based interventions on suicidal ideation. Iranian journal of psychiatry and behavioral sciences, 15(2), e98765. https://pubmed.ncbi.nlm.nih.gov/33126844/

Kamali Tabrizi, P., Balashour, B., Mohammadi, S., & Kamandlou, M. (2023). The role of perceived stress, emotional alexithymia, and mindfulness in predicting suicidal thoughts among nursing students. Quarterly Journal of Nursing Management, 12(2), 22-32. http://ijnv.ir/article-1-1039-fa.html&sw=

Liu, L. (2025). Suicide Ideation Among Justice-Involved Youth: Trauma History, Mental Disorder, and Experiences in Residential Facilities. Criminal Justice Policy Review, 36(3), 79-98. https://doi.org/10.1177/08874034251314047

Liu, M., Xiao, J., Kamper-DeMarco, K. E., & Fu, Z. (2023). Problematic internet use and suicidality and self-injurious behaviors in adolescents: Effects of negative affectivity and social support. Journal of affective disorders, 325, 289-296. https://doi.org/10.1016/j.jad.2023.01.019

Lopes, D. S. (2025). Factors Contributing to Increased Mental Health Symptoms and Suicidality Among Sexual and Gender Minority Youth: A Scoping Review of Quantitative Research. Journal of Psychosocial Nursing and Mental Health Services, 1-6. https://doi.org/10.3928/02793695-20250305-01

Mahmoudian, T., Pivastehgar, M., & Sadeghifar, J. (2023). Predicting suicidal thoughts based on cognitive emotion regulation strategies, perceived social support, self-efficacy, perfectionism, and spiritual health among students at Ilam University. Scientific Journal of Ilam University of Medical Sciences, 31(3), 20-35. https://sjimu.medilam.ac.ir/article-1-7702-fa.html

Mandatori, F., Paez, G. R., Robinson, R. B., & Severson, R. L. (2023). Comparing the Effects of Victimization, School Connectedness, and Social Support on Heterosexual and Sexual Minority Adolescent Suicidality in the United States: A Partial Test of Minority Stress Theory. Journal of interpersonal violence, 38(15-16), 9563-9589. https://doi.org/10.1177/08862605231168822

Morelli, N., Matuszewski, D., Walker, C., Fatima, S., Bridge, A., Klaus, N., Harris, K. J., & Teran, P. (2025). Chronic Suicidality in Youth Admitted for Mental Health Emergencies: A Retrospective Chart Review. Kansas Journal of Medicine, 18(5), 111-114. https://doi.org/10.17161/kjm.vol18.23589

Motillon-Toudic, C., Walter, M., Séguin, M., Carrier, J.-D., Berrouiguet, S., & Lemey, C. (2022). Social isolation and suicide risk: Literature review and perspectives. European Psychiatry, 65(1), e65, Article e65. https://doi.org/10.1192/j.eurpsy.2022.2320

Otten, D., Ernst, M., Tibubos, A. N., Brahler, E., Fleischer, T., Schomerus, G., & Beutel, M. E. (2022). Does social support prevent suicidal ideation in women and men? Gender-sensitive analyses of an important protective factor within prospective community cohorts. Journal of affective disorders, 306, 157-166. https://doi.org/10.1016/j.jad.2022.03.031

Prades-Caballero, V., Navarro-Pérez, J. J., & Carbonell, Á. (2025). Factors Associated with Suicidal Behavior in Adolescents: An Umbrella Review Using the Socio-Ecological Model. Community Mental Health Journal, 61(4), 612-628. https://doi.org/10.1007/s10597-024-01368-2

Villacura-Herrera, C., Ávalos-Tejeda, M., Gaete, J., Robinson, J., & Núñez, D. (2025). The underlying dynamics of a suicidal ideation latent network model: The role of hopelessness, psychopathology, emotion regulation, and behavioral coping skills in adolescents from the general population. Journal of affective disorders, 379, 540-548. https://doi.org/10.1016/j.jad.2025.02.101

Wu, Y., Guo, Z., Zhang, D., Wang, Y., & Wang, S. (2024). Sleep Quality and Suicidal Ideation in Adolescent Depression: A Chain Mediation Effect of Perceived Social Support and Resilience. Clinical Psychology & Psychotherapy, 31(2). https://doi.org/10.1002/cpp.2990

Xiao, Y. (2025). Addictive Screen Use Trajectories and Suicidal Behaviors, Suicidal Ideation, and Mental Health in US Youths. JAMA. https://doi.org/10.1001/jama.2025.7829

Xiao, Y., Ran, H., Fang, D., Che, Y., Donald, A. R., Wang, S., Peng, J., Chen, L., & Lu, J. (2022). School bullying associated suicidal risk in children and adolescents from Yunnan, China: The mediation of social support. Journal of affective disorders, 300, 392-399. https://doi.org/10.1016/j.jad.2022.01.032

Yang, L. (2025). Childhood Maltreatment and Non-Suicidal Self-Injury: The Mediating Role of Mentalization and Depression. European Journal of Psychotraumatology, 16(1). https://doi.org/10.1080/20008066.2025.2466279

Yuan, G. F., Zhong, S., Liu, C., Liu, J., & Yu, J. (2025). The influence of family resilience on non-suicidal self-injury among Chinese adolescents: The mediating roles of mindfulness and individual resilience. Archives of Psychiatric Nursing. https://doi.org/10.1016/j.apnu.2025.01.003

Zhang, B., Fu, W., Guo, Y., Chen, Y., Jiang, C., Li, X., & He, K. (2022). Effectiveness of mindfulness-based cognitive therapy against suicidal ideation in patients with depression: A systematic review and meta-analysis. Journal of affective disorders, 319, 655-662. https://doi.org/10.1016/j.jad.2022.09.091

Zhou, J., Li, X., Zhu, D., & Gong, X. (2023). Cyber-victimization and Suicidal Ideation in Adolescents: A Longitudinal Moderated Mediation Model. Journal of youth and adolescence, 52(1), 122-133. https://doi.org/10.1007/s10964-022-01670-w