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      Individualism-Collectivism, Social Support, Resilience and Suicidal Ideation among Women with the Experience of the Death of a Young Person

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          A BSTRACT

          Background:

          Grief involves a set of emotions, thoughts and behaviors that people experience when faced with a lack or threat of loss. This study was conducted to evaluate the suicidal ideation among women with experience of the death of a young person and assessed the predictive role of individualism-collectivism, social support, and resilience in suicidal ideation.

          Methods:

          This cross-sectional study was conducted from March to August 2016 through recruitment of 146 breaved women from Gilan-e gharb (the west part of Iran). Data gathering instruments included Individualism-Collectivism Questionnaire, Multidimensional Scale of Perceived Social Support (MSPSS), Connor-Davidson Resilience scale (CD-RISC), and Beck Scale for Suicidal Ideation. Collected data were analyzed using SPSS-22.

          Results:

          The findings showed that among women, 48 percent had suicidal ideation (scores above 6). The results of Pearson correlation showed that there were significant negative relationships between suicidal ideation (P<0.05) and factors such as collectivism (r=-0.286), family support (r=-0.558), support from friends (r=-0.307), support from significant others (r=-0.617), social support (r=-0.561), and resilience (r=-0.457). The results showed that individualism - collectivism, social support, and resilience correctly predicted 73.5% of women with suicidal ideation and 83.3% of women without suicidal ideation.

          Conclusion:

          We concluded that higher collectivism, social support, and resilience in the bereaved women can lead to a reduction in suicidal ideation. Therefore, psychologists and counselors can provide the necessary background to strengthen supportive issues and the use of resilience-based interventions among bereaved women.

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          Most cited references30

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          Social support as a protective factor in suicide: findings from two nationally representative samples.

          Suicide is a problem of worldwide concern and research on possible protective factors is needed. We explored the role of social support as one such factor. Specifically, we hypothesized that increased social support would be associated with decreased likelihood of a lifetime suicide attempt in two nationally representative samples as well as a high-risk subsample.
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            Suicidal ideation and attempts among psychiatric patients with major depressive disorder.

            Few studies have investigated risk factors for suicidal ideation and attempts, or possible variations in them, among representative samples of psychiatric patients with major depressive disorder. As part of the Vantaa Depression Study in Vantaa, Finland, 269 patients with DSM-IV major depressive disorder (MDD), diagnosed by interview using semistructured World Health Organization Schedules for Clinical Assessment in Neuropsychiatry, version 2.0, and Structured Clinical Interview for DSM-III-R Personality Disorders, were thoroughly investigated. Information was gathered on patients' levels of depression, anxiety, hopelessness, perceived social support, social and occupational functioning, and alcohol use. Suicidal behavior was assessed by interviews, including the Scale for Suicidal Ideation, and by information from psychiatric records. Data were gathered from Feb. 1, 1997, to May 31, 1998. During the current MDD episode, 58% of all patients had experienced suicidal ideation; among the 15% of the total who had attempted suicide, almost all (95%) had also had suicidal ideation. In nominal regression models predicting suicidal ideation, hopelessness, alcohol dependence or abuse, low level of social and occupational functioning, and poor perceived social support were found to be significant (p < .05) independent risk factors. High severity of depression and current alcohol dependence or abuse in particular, but also younger age and low level of social and occupational functioning, predicted suicide attempt. Suicidal ideation is prevalent and appears to be a precondition for suicide attempts among psychiatric patients with MDD. The risk factors for suicidal ideation and attempts locate in several clinical and psychosocial domains. While these risk factors largely overlap, the overall level of psychopathology of suicide attempters is higher compared with that in patients with ideation, and substance use disorders and severity of depression may be of particular importance in predicting suicide attempts.
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              Psychometric Properties of the Persian Version of the Multidimensional Scale of Perceived Social Support in Iran

              Background: Social support is a complex and multifaceted construct. Thus, It is important that a given social support scale be theoretically grounded and its purview clearly defined. The purpose of this study was to examine the reliability, validity and factor structure of the Iranian version of the Multidimensional Scale of Perceived Social Support (MSPSS). Methods: The sample study included 176 consecutive myocardial infarction (MI) patients admitted to the coronary care unit (CCU) ward of nine hospitals in Isfahan, Iran, and 71 consecutive subjects from the general population. They all filled out the final Iranian version of the MSPSS and also 71 participants filled out the MSPSS twice over a 2-month period. Factor analysis, Cronbach's α coefficient and Pearson's correlation coefficient correlation were used to analyze data. Results: Factor analysis of the scores of the patient and healthy samples yielded a three-factor structure, including family, friends and significant others. The percentage of variance explained by the three factors in the patient sample and healthy sample were 77.87% and 78.55%, respectively. Cronbach's α coefficient has been found to be 0.84 for the scale and 0.90, 0.93 and 0.85, respectively, for the friends, significant others and family subscales from the patient sample, and 0.92 for the scale and 0.89, 0.92 and 0.87, respectively, for the friends, significant others and family subscales from the healthy sample. Test–retest stability over a 2-month period yielded 0.84 for the scale and 0.73, 0.78 and 0.84, respectively, for the friends, significant others and family subscales from the healthy sample. Conclusions: The findings proved the three-factor structure of the Iranian version of the MSPSS and indicated that the Iranian version of the MSPSS is a reliable, valid and acceptable measure of perceived social support.
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                Author and article information

                Journal
                Int J Community Based Nurs Midwifery
                Int J Community Based Nurs Midwifery
                International Journal of Community Based Nursing and Midwifery
                Shiraz University of Medical Sciences (Iran )
                2322-2476
                2322-4835
                July 2018
                : 6
                : 3
                : 250-259
                Affiliations
                [1 ]Department of Psychology, School of Literatures and Humanistic Sciences, Malayer University, Malayer, Hamadan, Iran
                [2 ]Department of Psychology, School of Psychology & Education, Allameh Tabataba’I University, Tehran, Iran
                [3 ]Department of Health Education, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
                Author notes
                Corresponding author:Saeed Ariapooran, PhD; Department of Psychology, School of Literatures and Humanistic Sciences, Malayer University, Malayer, Hamadan, Iran. Tel:+98 81 32355348
                Article
                IJCBNM-6-3
                10.30476/ijcbnm.2018.40832
                6048008
                30035141
                d0f3eb7f-2823-48ec-ba1d-b770fb67671c
                Copyright: © Shiraz University of Medical Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 9 April 2018
                : 11 April 2018
                : 6 January 2018
                Categories
                Original Article

                grief, resilience, social support, suicidal ideation

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