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ORIGINAL RESEARCH article

Front. Psychiatry
Sec. Public Mental Health
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1513838
This article is part of the Research Topic Multidimensional Approaches to Suicide Prevention: Innovations, Challenges, and Future Directions View all 6 articles

Risk Factors for Suicidal Ideation Among Survivors of Suicide Loss Using a Psychological Support Hotline

Provisionally accepted
Hong Liang Hong Liang 1Zikang Liu Zikang Liu 2Li Xingxue Li Xingxue 2Jing An Jing An 1Liting Zhao Liting Zhao 1Chen - Lin Chen - Lin 1*
  • 1 Beijing Suicide Research and Prevention Center, Beijing HuiLongGuan Hospital, Beijing, China
  • 2 Chengde Medical University, Chengde, China

The final, formatted version of the article will be published soon.

    Introduction: Suicide of a loved one significantly affects the physical and mental well-being of close friends and family members, potentially escalating to suicidal ideation in severe cases. Suicidal ideation among survivors of suicide loss is influenced by a multitude of factors. This study aims to investigate the prevalence and risk factors of suicidal ideation among survivors of suicide loss utilizing a psychological support hotline.Methods: This study included calls identified as survivors of suicide loss from the Beijing Psychological Support Hotline between 2009 and 2023 and evaluated the suicidal ideation of callers.General demographic data and common risk factors of survivors of suicide loss were collected. A comparison was conducted between survivors of suicide loss with and without suicidal ideation.Logistic regression was used to analyze the risk factors for suicidal ideation among survivors of suicide loss. Finally, we evaluated both multiplicative and additive interactions among the risk factors.Results: Among the 308 calls from survivors of suicide loss, 174 (56.5 %) exhibited suicidal ideation.Survivors who had experienced chronic negative life events (P=0.019), severe depression (P =0.010), or high levels of hopelessness (P=0.008) were more likely to develop suicidal ideation. The interaction between depression severity and hopelessness was additive, resulting in a 14.56-fold increase in the risk of developing suicidal ideation when both factors are present compared to their absence.In the context of psychological support, chronic life events, high levels of hopelessness, and severe depression are risk factors for suicidal ideation among survivors of suicide loss. Moreover, hopelessness and depression demonstrate an additive interaction effect, substantially increasing the risk of suicidal ideation.

    Keywords: psychological support hotline, survivors of suicide loss, Suicidal Ideation, Risk factors, interaction effect 1

    Received: 19 Oct 2024; Accepted: 29 Jan 2025.

    Copyright: © 2025 Liang, Liu, Xingxue, An, Zhao and Lin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Chen - Lin, Beijing Suicide Research and Prevention Center, Beijing HuiLongGuan Hospital, Beijing, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.