title: Reasons for living and hope as the protective factors against suicidality in Chinese patients with depression: a cross sectional study.
abstract: The risk factors of suicidal ideation and attempts have been discussed in many researches. Few studies have examined reasons for living and hope as protective factors against suicide in a clinical population. It is unclear if these factors help to reduce suicide rates in patients with depression. The study aimed to assess the role of reasons for living and hope in the identification and reduction of suicidality and explore the influence of reasons for living or hope in the transition from suicidal ideation to suicide attempts.
  
  
  
  Patients with depression (N = 115) completed the Beck Depression Inventory, Reasons for Living Inventory, and Adult Suicidal Ideation Questionnaire.
  
  
  
  There were significant correlations among depression, hope, total reasons for living, and suicidal ideation and attempts. Further, after controlling for depression, reasons for living and hope had significant main effects on suicidal ideation. Hope also had a significant predictive effect in the transition of suicidal ideation to suicide attempt.
  
  
  
  We concluded that reasons for living and hope may protect against suicidal ideation and attempts in patients with depression. Especially hope could reduce the possibility of suicide attempt.
authors.affiliation: Medical Psychology Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.|Medical Psychology Institute of Central South University, Changsha, Hunan, 410011, China.
authors.forename: Xingwei
authors.initials: X
authors.lastname: Luo
authors.affiliation: The Third Experimental Primary School, Rizhao, Shandong, 276800, China.
authors.forename: Qin
authors.initials: Q
authors.lastname: Wang
authors.affiliation: Medical Psychology Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.|Medical Psychology Institute of Central South University, Changsha, Hunan, 410011, China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Wang
authors.affiliation: Medical Psychology Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. caitigers@sina.com.|Medical Psychology Institute of Central South University, Changsha, Hunan, 410011, China. caitigers@sina.com.|Medical Institute of Psychology, Secong Xiangya Hospital of Central South University, 139 Renmin Road, Furong District, Changsha, 410011, China. caitigers@sina.com.
authors.forename: Taisheng
authors.initials: T
authors.lastname: Cai
mesh_terms: D000328:Adult; D044466:Asian People / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D065026:Hope; D006801:Humans; D008297:Male; D008875:Middle Aged; D065840:Protective Factors; D011788:Quality of Life; D012307:Risk Factors; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D013406:Suicide, Attempted / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Depression; Hope; Reasons for living; Suicidal ideation; Suicide attempt