Kontakt 2023, 25(1):10-17 | DOI: 10.32725/kont.2023.009

Prevalence and predictors of suicidality among nursing students in IndonesiaNursing - Original article

Akbar Satria Fitriawan1, Wiwit Ananda Wahyu Setyaningsih2, *, Apri Nur Wulandari3, Erni Samutri4, Bayu Fandhi Achmad5, Gani Apriningtyas Budiyati6, Yuyun Nailufar7, Listyana Natalia Retnaningsih8
1 Universitas Respati Yogyakarta, Faculty of Health Sciences, Department of Nursing, Yogyakarta 55282, Indonesia
2 Universitas Gadjah Mada, Faculty of Medicine, Public Health and Nursing, Department of Anatomy, Yogyakarta 55281, Indonesia
3 Notokusumo School of Health Sciences, Department of Maternity Nursing, Yogyakarta 55243, Indonesia
4 Universitas Alma Ata, Faculty of Health Sciences, Department of Maternity Nursing, Yogyakarta 55184, Indonesia
5 Universitas Gadjah Mada, Faculty of Medicine, Public Health and Nursing, Department of Emergency Nursing, Yogyakarta 55281, Indonesia
6 Surya Global School of Health Sciences, Department of Pediatric Nursing, Yogyakarta 55194, Indonesia
7 Universitas 'Aisyiyah Yogyakarta, Faculty of Health Sciences, Department of Medical Laboratory Technology, Yogyakarta 55592, Indonesia
8 Universitas Respati Yogyakarta, Faculty of Health Sciences, Department of Nursing Management, Yogyakarta 55282, Indonesia

Introduction: Nursing students are a vulnerable population during the COVID-19 pandemic because they experience a higher level of stress and mental health problems than the non-healthcare student population, putting them at a higher risk for suicidal behaviour.

Aim: To explore suicidality among nursing students and assess the association between independent variables and suicidality.

Methods: This cross-sectional study involved 670 nursing students from 5 Indonesian universities who were recruited using consecutive sampling. Self-administered validated instruments consisted of 8 sections: sociodemographic questionnaire, RSES to assess self-esteem, BHS to assess hopelessness, UCLA-3 to assess loneliness, GSES to assess self-efficacy, PHQ-9 to assess depression, CD-RISC-10 to assess resilience, and SBQ-R to assess suicidality. Binary logistic regression was employed to identify significant predictors of suicidality.

Results: Suicidality prevalence among nursing students was 22.8%. The following factors were significantly associated with suicidality (p < 0.05): low resilience (AOR = 2.044; 95%CI: 1.309-3.192), loneliness (AOR = 1.609; 95%CI: 1.040-2.492), hopelessness (AOR = 4.448; 95%CI: 2.356-8.398), and depression (AOR = 9.413; 95%CI: 5.795-15.288).

Conclusions: These findings provide evidence that resilience, loneliness, hopelessness, and depression are risk factors for suicidality among nursing students. This outcome can be used as a basis to develop appropriate suicide prevention strategies.

Keywords: COVID-19; Indonesia; Nursing students; Predictors; Prevalence; Suicidality
Conflicts of interest:

The authors have no conflict of interests to declare.

Received: February 3, 2023; Revised: February 3, 2023; Accepted: March 24, 2023; Prepublished online: March 27, 2023; Published: March 30, 2023  Show citation

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Satria Fitriawan A, Setyaningsih WAW, Wulandari AN, Samutri E, Achmad BF, Apriningtyas Budiyati G, et al.. Prevalence and predictors of suicidality among nursing students in Indonesia. Kontakt. 2023;25(1):10-17. doi: 10.32725/kont.2023.009.
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