The Relationship between Depressive Symptoms, Rumination, and Suicide Ideation in Patients with Depression

Yi-Hsuan Chiang, Yu-Chin Ma (), Yu-Chuan Lin, Jin-Ling Jiang, Mei-Hui Wu and Kuo-Cheng Chiang
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Yi-Hsuan Chiang: Department of Nursing, Fu Jen Catholic University, New Taipei City 24205, Taiwan
Yu-Chin Ma: Department of Nursing, Tzu Chi University, Hualien 97004, Taiwan
Yu-Chuan Lin: Department of Nursing, Tzu Chi University, Hualien 97004, Taiwan
Jin-Ling Jiang: Department of Nursing, Tzu Chi University, Hualien 97004, Taiwan
Mei-Hui Wu: Department of Nursing, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan
Kuo-Cheng Chiang: Psychiatric Ward for Hualien Tzu Chi Hospital, Hualien 97004, Taiwan

IJERPH, 2022, vol. 19, issue 21, 1-8

Abstract: The relationship between suicide and rumination in depression is a recent topic of attention in mental health. The purpose of this study was to investigate the relationship between demographic variables, depressive symptoms, rumination, and suicide ideation in patients with depression, as well as the predictors of suicide ideation. Research design: A cross-sectional study of 95 subjects with depression recruited intentionally from the psychiatric ward of Tzu Chi Hospital. The questionnaire included demographic data, the Beck Depression Inventory-II, the Ruminative Response Scale, and the Beck Scale for Suicide Ideation. Independent sample t -test, Pearson product difference correlation, and the stepwise regression test were adopted for data analysis. Results: Age (r = −0.41, p < 0.01), age at diagnosis (r = −0.34, p < 0.01), and sleep duration (r = −0.25, p < 0.05) were negatively correlated with rumination–reflection. The depressive symptoms (r = 0.72, p < 0.01) were positively correlated with rumination, whereas rumination (r = 0.57, p < 0.01) and suicide ideation were positively correlated. Depressive symptoms and rumination could predict suicide ideation, and the effective explanatory power reached 60%. Conclusions: If the patient with depression was younger or the patient was diagnosed at a younger age, the depressive symptoms of the reflection subscale of rumination thinking and suicide ideation were more serious. Our results indicate that clinicians who care for patients with depression should be aware of rumination and its impact on suicide ideation, specifically in younger patients.

Keywords: depressive symptoms; rumination; suicide ideation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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