Alice in Suicideland: Exploring the Suicidal Ideation Mechanism through the Sense of Connectedness and Help-Seeking Behaviors

International Journal of Environmental Research and Public Health

Posted: 23 Mar 2021 Last revised: 1 Apr 2021

See all articles by Minh-Hoang Nguyen

Minh-Hoang Nguyen

Centre for Interdisciplinary Social Research, Phenikaa University ; Ritsumeikan Asia Pacific University

Tam-Tri Le

Phenikaa University - Center for Interdisciplinary Social Research

Hong-Kong Nguyen

Thanh Tay University

Manh-Toan Ho

Vuong & Associates; Phenikaa University, Center for Interdisciplinary Social Research, Students; Thanh Tay University

Huyen Thanh T. Nguyen

Foreign Trade University (FTU)

Quan Hoang Vuong

Université Libre de Bruxelles (ULB) - Solvay Brussels School of Economics and Management; Phenikaa University

Date Written: April 1, 2021

Abstract

On average, one person dies by suicide every 40 s. However, extant studies have largely focused on the risk factors for suicidal behaviors, not so much on the formation of suicidal thoughts. Therefore, we attempt to explain how suicidal thoughts arise and persist inside one’s mind using a multifiltering information mechanism called Mindsponge. Bayesian analysis with Hamiltonian Markov Chain Monte Carlo (MCMC) technique was run on a dataset of multinational students (N = 268) of an international university in Japan. Item 9 in the PHQ-9 was used to survey suicidal ideation. The associations among four main variables, namely, (i) suicidal ideation, (ii) help-seeking willingness (informal and formal sources), (iii) sense of connectedness, and (iv) information inaccessibility (represented by being international students), were tested in four models. Sense of connectedness is negatively associated with suicidal ideation, but its effect becomes less impactful when interacting with international students. The impact of a sense of connectedness on informal help-seeking willingness (toward family members) among international students is also lessened. Informal help-seeking is negatively associated with suicidal ideation, whereas formal help is positive. The findings support our assumption on three fundamental conditions for preventing suicidal thoughts: (i) a high degree of belongingness, (ii) accessibility to help-related information, and (iii) healthy perceived cultural responses towards mental health. Therefore, systematically coordinated programs are necessary to effectively tackle suicidal ideation.

Note:
Funding Statement: No funding.

Declaration of Interests: No conflict of interest.

Ethic Approval Statement: The survey design and procedure received permission from APU’s Ethical Committee Board and strictly conformed to the World Medical Association (WMA) Declaration of Helsinki.

Keywords: Suicidal Ideation Mechanism, Bayesian Inference, Social Connectedness, Help-Seeking Behavior, Transcultural Psychiatry

Suggested Citation

Nguyen, Minh-Hoang and Le, Tam-Tri and Nguyen, Hong-Kong and Ho, Manh-Toan and Ho, Manh-Toan and Nguyen, Huyen Thanh T. and Vuong, Quan Hoang, Alice in Suicideland: Exploring the Suicidal Ideation Mechanism through the Sense of Connectedness and Help-Seeking Behaviors (April 1, 2021). International Journal of Environmental Research and Public Health, Available at SSRN: https://ssrn.com/abstract=3776275 or http://dx.doi.org/10.2139/ssrn.3776275

Minh-Hoang Nguyen

Centre for Interdisciplinary Social Research, Phenikaa University ( email )

Hanoi
Vietnam

Ritsumeikan Asia Pacific University ( email )

Beppu
Japan

Tam-Tri Le (Contact Author)

Phenikaa University - Center for Interdisciplinary Social Research ( email )

Vietnam

Hong-Kong Nguyen

Thanh Tay University

Hanoi
Vietnam

Manh-Toan Ho

Vuong & Associates ( email )

3/161 Thinh Quang
Dong Da District
Hanoi, 100000
Vietnam

Phenikaa University, Center for Interdisciplinary Social Research, Students ( email )

Hanoi
Vietnam

Thanh Tay University ( email )

Yen Nghia Ward, Ha Dong District
Hanoi, 100803
Vietnam

Huyen Thanh T. Nguyen

Foreign Trade University (FTU) ( email )

91 Chua Lang St
Dong Da District
Hanoi, Hochiminh city 10000
Vietnam

Quan Hoang Vuong

Université Libre de Bruxelles (ULB) - Solvay Brussels School of Economics and Management ( email )

ULB CP 145/01
21 Ave. F.D. Roosevelt
Brussels, Bruxelles 1050
Belgium
+32-2-6504864 (Phone)
+32-2-6504188 (Fax)

HOME PAGE: http://www.ceb-ulb.com/vuong-quan-hoang.html

Phenikaa University ( email )

To Huu road, Yen Nghia
Ha Dong district
Hanoi, Hanoi 100803
Vietnam

HOME PAGE: http://sites.google.com/site/vuongqh2019/

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