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International Journal of Mental Health and Addiction

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28.11.2017 | Original Article

Do Addictive Behaviors Matter for College Students’ Depression and Suicidal Ideation?

verfasst von: Soo Mi Jang, Seunghye Hong

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 5/2018

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Abstract

Previous research has shown that depression is an important predictor for suicidal ideation and that depression, addictive behaviors, and suicidal ideations are highly associated with each other. However, no studies have specifically investigated the role of addictive behaviors (i.e., alcohol use, gambling) as moderators on the association between depression and suicidal ideation among Korean college students. This study examined (1) the association between depression and suicidal ideation using Depression, Anxiety and Stress Scale (DASS-21) and five selected items from the Youth Risk Behavior Surveillance System (YRBSS), and (2) the moderating roles of alcohol use and problem gambling using Alcohol Use Disorder Identification Test (AUDIT) and Problem Gambling Severity Index (PGSI). We collected data from full-time students (n = 870) enrolled at 14 universities throughout South Korea using a self-reported paper-pencil survey conducted on college campuses. More than half of the total sample (52.3%, n = 450) reported either alcohol use or gambling, and findings revealed that depression, alcohol use, and gambling are associated with suicidal ideation. We found a significant moderating effect of alcohol use on the relationship between depression and suicidal ideation (ß = .151, p < .001); whereas, gambling had no significant moderating effect on the relationship (ß = .054, p < .276). The influence of depression on suicidal ideation was greater for Korean college students who used high levels of alcohol compared to those who used low levels of alcohol. The results suggest that alcohol use is an important modifiable factor for suicidal ideation especially in students with depression, and provide a foundation for future research aimed at understanding complex and nuanced mechanisms linking depression, addictive behaviors, and suicidal ideation.

Arnett, J. (2000). Emerging adulthood: a theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480.PubMedCrossRef

Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: the alcohol use disorders identification test: the guidelines for use in primary care (2ND ed.). Geneva: Department of Mental Health and Substance Dependence, WHO.

Baek, S. S., Ha, E., Ryo, E., & Song, M. (2012). Effects of life stress and depression in undergraduates on suicidal ideation. Journal of Korean Academy of Child Health Nursing, 18(4), 157–163.CrossRef

Borsari, B., Murphy, J., & Barnett, N. P. (2007). Predictors of alcohol use during the first year of college: implication for prevention. Addictive Behaviors, 32(10), 2062–2086.PubMedPubMedCentralCrossRef

Bossarte, R. M., & Swahn, M. H. (2011). The association between early alcohol use and suicide attempt among adolescents with history of major depression. Addictive Behaviors, 36(5), 532–535.PubMedCrossRef

Center for Disease Control and Prevention. (1997). Youth risk behavior surveillance: National College Health Risk Behavior Survey United States. MMWR Morbid Mortal Weekly Rep., 46(SS-6), 1–54.

Choi, S. W., Kim, H. S., Kim, G. Y., Jeon, Y., Park, S. M., Lee, J. Y., et al. (2014). Similarities and differences among Internet gaming disorder, gambling disorder and alcohol use disorder: a focus on impulsivity and compulsivity. Journal of Behavioral Addictions, 3(4), 246–253. https://doi.org/10.1556/JBA.3.2014.4.6.PubMedPubMedCentralCrossRef

Chun, S., & Sohn, A. (2005). Correlates of problem drinking by the alcohol use disorders identification test on Korean college campus. Journal of Preventive Medicine & Public Health, 38(3), 307–314.

Conner, K. R., Li, Y., Meldrum, S., Duberstein, P. R., & Conwell, Y. (2003). The role of drinking in suicidal ideation: analyses of project MATCH data. Journal of Studies on Alcohol, 64(3), 402–408.PubMedCrossRef

Cook, S., Turner, N. E., Ballon, B., Paglia-Boak, A., Murray, R., Adlaf, E. M., Ilie, G., den Dunnen, W., & Mann, R. E. (2015). Problem gambling among Ontario students: associations with substance abuse, mental health problems, suicide attempts, and delinquent behaviours. Journal of Gambling Studies, 31(4), 1121–1134.PubMedCrossRef

Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: a motivational model of alcohol use. Journal of Personality and Social Psychology, 69(5), 990–100.PubMedCrossRef

Cukrowicz, K. C., Schlegel, E. F., Smith, P. N., Jacobs, M. P., Van Orden, K. A., Paukert, A. L., Pettit, J. W., & Joiner, T. E. (2011). Suicide ideation among college students evidencing subclinical depression. Journal of American College Health, 59(7), 575–581.PubMedCrossRef

DeMartini, K. S., & Carey, K. B. (2012). Optimizing the use of the AUDIT for alcohol screening in collegestudents. Psychological Assessment, 24(4), 954–963. https://doi.org/10.1037/a0028519.PubMedCrossRef

Engwall, D., Hunter, R. & Steinberg, M. (2004). Gambling and other risk behaviors on University campuses. Journal of American College Health, 52(6), 245–256. https://doi.org/10.3200/JACH.52.6.245-256.PubMedCrossRef

Fairchild, A. J., & MacKinnon, D. P. (2009). A general model for testing mediation and moderation effects. Prevention Science, 10(2), 87–99.PubMedPubMedCentralCrossRef

Feigelman, W., Gormam, B., & Lesieur, H. (2006). Examining the relationship between at-risk gambling and suicidality in a national representative sample of young adults. Suicide and Life-threatening Behavior, 36(4), 396–408.PubMedCrossRef

Ferris, J., & Wynne, H. (2001). The Canadian problem gambling index: final report. Ottawa: Canadian Centre on Substance Abuse.

Galaif, E. R., Sussman, S., Newcomb, M., & Locke, T. F. (2007). Suicidality, depression, and alcohol use among adolescents: a review of empirical findings. International Journal of Adolescent Medicine and Health, 19(1), 27–35.PubMedPubMedCentralCrossRef

Gonzalez, V. M., Bradizza, C. M., & Collins, R. L. (2009). Drinking to cope as a statistical mediator in the relationship between suicidal ideation and alcohol outcomes among underage college drinkers. Psychology of Addictive Behaviors, 23(3), 443–451.PubMedPubMedCentralCrossRef

Harford, T. C., Wechsler, H., & Muthén, B. O. (2002). The impact of current residence and high school drinking on alcohol problems among college students. Journal of Studies on Alcohol, 63(3), 271–279.PubMedCrossRef

Herman, S., Aechambeau, O. G., Deliramich, A. N., Kim, B. S., Chiu, P. H., & Frueh, B. C. (2011). Depressive symptoms and mental health treatment in an ethnoracially diverse college student sample. Journal of American College Health, 59(8), 718–720.CrossRef

Hingson, R., Heeren, T., Winter, M., & Wechsler, H. (2005). Magnitude of alcohol-related mortality and morbidity among US college students age 18-24: changes from 1998-2001. Annual Review of Public Health, 26, 259–279.PubMedCrossRef

Hingson, R., Heeren, T., Zakocs, R., Winter, M., & Wechsler, H. (2003). Age of first intoxication, heavy drinking, driving after drinking and risk of unintentional injury among college students. Journal of Studies on Alcohol, 64(1), 23–31.PubMedCrossRef

Institute of Medicine (2002). Reducing suicide: a national imperative. Washington, DC: National Academies Press; The Committee on the Pathophysiology and Prevention of Adolescent and Adult Suicide.

Hodgins, D., Peden, N., & Cassidy, E. (2005). The association between comorbidity and outcome in pathological gambling: a prospective follow-up of recent quitters. Journal of Gambling Studies, 21(3), 255–271.PubMedCrossRef

Hyun, J. G. (1921). Drinking offering society. A short story published in a magazine Gae-Byeok, meaning “the dawn of a new age.”

Jacob, D. (1986). A general theory of addictions: A new theoretical model. Journal of Gambling Behavior, 2(1), 15–31.CrossRef

Jang, J. Y., Jang, E. Y., Kim, B. S., Roh, Y. H., Lee, J. Y., & Han, J. H. (2004). The longitudinal effects of youth unemployment on mental health. Korean Journal of Psychology: General, 23(2), 121–144.

Jang, S. M. (2013). Structural analysis on the path of problem gambling among college students: using Jacob’s general theory of addiction. Korean Journal of Social Welfare, 65(2), 231–254.CrossRef

Jang, S. M. (2017). The association of depression, coping motives and drinking problems among college students: testing the self-medication hypothesis. Health and Social Welfare Review, 37(1), 5–33.CrossRef

Jang, S. M., & Kyung, S. Y. (2013). The job-seeking stress and addictive behaviors among college students: focused on the mediating effect of anxiety. Health and Social Welfare Review, 33(4), 518–546.CrossRef

Källmén, H., & Gustafson, R. (1988). Alcohol and disinhibition. European Addiction Research, 4(4), 150–162. https://doi.org/10.1159/000018948.CrossRef

Kang, S. J. (2000). A study on health risk behaviors of adolescents (unpublished master’s thesis). Seoul: Seoul National University.

Kim, C. K., Byun, H. S., & Chae, Y. S. (2006). Effectiveness of an integrative literatherapy program on the reduction of college students depression and life stress. Journal of Emotional & Behavioral Disorders, 22(1), 108–125.

Kim, J. J. (2009). An analysis of variables related to university student’s suicidal ideation: regarding effect of suicidal attempt experience, mental health, psychosocial problems. Mental Health & Social Work, 32(8), 413–437.

Kim, S. S., Gulick, E. E., Nam, K. A., & Kim, S. (2008). Psychometric properties of the Alcohol Use Disorders Identification Test: a Korean version. Archives of Psychiatric Nursing, 22(4), 190–199. https://doi.org/10.1016/j.apnu.2007.07.005.PubMedCrossRef

Korean Alcohol Research Foundation (KARF). (2010). National survey on drinking behavior among college students. Goyang: Korean Alcohol Research Foundation.

Korean Alcohol Research Foundation (KARF). (2011). Comparative studies on college students and adults in drinking behaviors. Goyang: Korean Alcohol Research Foundation.

Ladouceur, R., Boudreault, N., Jacques, C., & Vitaro, F. (1999). Pathological gambling and related problems among adolescents. Journal of Child and Adolescent Substance Abuse, 8(4), 55–68.CrossRef

Lee, D., & Chae, S. (2015). A death leap (suicide by drowning) by a college student from Seoul National University: “socioeconomic status in born determines human survival” written in his suicide note. Yonhap News. Retrieved from http://www.yonhapnews.co.kr

Lee, E. S. (2007). Construction of a structural model about male and female adolescences’ alienation, depression and suicidal thoughts. Journal of Korean Academy of Nursing, 27(4), 576–585.CrossRef

Lee, H. G., & Lee, B. H. (2013). The current status and cause of the addiction problem. Health and Welfare Policy Forum, 200, 30–42.

Lee, J. G., Kim, J. S., Jung, J. G., Choi, T. K., & Ryou, Y. I. (2011). Usefulness of the Alcohol Use Disorders Identification Test in screening for problem drinkers among college students. Korean Journal of Family Medicine, 32(1), 29–36. https://doi.org/10.4082/kjfm.2011.32.1.29.832.CrossRef

Lee, J. W. (2015). Suicide and alcohol. Seoul: Suicide Prevention Conference, Korea Association for Suicide Prevention, Korea Suicide Prevention Center.

Lee, T. W. (2003). Legalized gambling behavior: review of proliferations, theories, and empirical findings. Social Science Research, 42, 106–132.

Lewinsohn, P. M., Langhinrichsen-Rohling, J., Langford, R., Rohde, P., Seeley, J., & Chapman, J. (1995). The life attitudes schedule: a scale to assess adolescent life-enhancing and life-threatening behaviors. Suicide and Life-threatening Behavior, 25(4), 458–474.PubMed

Lim, S. B. (2013). A study on gambling addiction factors of university/college students: based on mediating effect of gambling motivation, self-efficacy, and self-regulation. Health and Social Welfare Review, 33(2), 489–524.CrossRef

Lindsey, B. J., Fabiano, P., & Stark, C. (2009). The prevalence and correlates of depression among college students. College Student Journal, 43(4), 999–1014.

Lovibond, S., & Lovibond, P. (1995). Manual for the depression, anxiety, stress scales (2nd ed.). c: Psychology Foundation.

Maccallum, F., & Blaszczynski, A. (2003). Pathological gambling and suicidality: an analysis and lethality. Suicide and Life-threatening Behavior, 33(1), 88–98.PubMedCrossRef

McCormick, R. A., Russo, A. M., Ramirez, L. F., & Taber, J. I. (1984). Affective disorders among pathological gamblers seeking treatment. American Journal of Psychiatry, 141(2), 215–218.PubMedCrossRef

McGirr, A., Renaud, J., Seguin, M., Alda, M., & Turecki, G. (2008). Course of major depressive disorder and suicide outcome: a psychological autopsy study. The Journal of Clinical Psychiatry, 69(6), 966–970.PubMedCrossRef

Michell, R. J., Toomey, T. L., & Erickson, D. (2005). Alcohol policies on college campuses. Journal of American College Health, 53(4), 149–157.CrossRef

National Gambling Control Commission (NGCC). (2010a). Development and implementation of a gambling prevention program for college students. Seoul: National Gambling Control Commission.

National Gambling Control Commission (NGCC). (2010b). A study on the characteristics of Korean problem gamblers: focusing on comparisons of cultural factors between Koreans and Japanese. Seoul: National Gambling Control Commission.

National Gambling Control Commission (NGCC). (2012, 2014). Statistics on gambling industry. Seoul: National Gambling Control Commission.

Nower, L., Gupta, R., Blaszczynski, A., & Derevensky, J. (2004). Suicidality and depression among youth gamblers: a preliminary examination of three studies. International Gambling Studies, 4(1), 69–80.CrossRef

OECD. (2015). Suicide. In Health at a glance 2015: OECD indicators. (pp. 56–57). Paris, France: OECD Publishing. https://doi.org/10.1787/health_glance-2015-11-en

Oei, T., & Goh, Z. (2015). Interactions between risk and protective factors on problem gambling in Asia. Journal of Gambling Studies, 31(2), 557–572.PubMedCrossRef

Phillips, D. P., Welty, W., & Smith, M. (1997). Elevated suicide levels associated with legalized gambling. Suicide and Life-threatening Behavior, 27(4), 373–378.PubMed

Ping, R. A. (1996). Latent variable interaction and quadratic effect estimation: a two-step technique using structural equation analysis. Psychological Bulletin, 119(1), 166–175.CrossRef

Quigley, L., Yakovenko, I., Hodgins, D. C., Dobson, K. S., El-Guebaly, N., Casey, D. M., Currie, S. R., Smith, G. J., Williams, R. J., & Schopflocher, D. P. (2015). Comorbid problem gambling and major depression in a community sample. Journal of Gambling Studies, 31(4), 1135–1152.PubMedCrossRef

Rhodes, A. E., Boyle, M. H., Bridge, J. A., Sinyor, M., Links, P. S., Tonmyr, L., Skinner, R., Bethell, J. M., Carlisle, C., Goodday, S., Hottes, T. S., Newton, A., Bennett, K., Sundar, P., Cheung, A. H., & Szatmari, P. (2014). Antecedents and sex/gender differences in youth suicidal behavior. World Journal of Psychiatry, 4(4), 120–132.PubMedPubMedCentralCrossRef

Ricciardelli, L. A., & McCabe, M. P. (2008). University students’ perception of the alcohol campaign: “Is getting pissed getting pathetic? (just ask your friends)”. Addictive Behaviors, 33(2), 366–372.PubMedCrossRef

Roh, M. S., Jeon, H. J., Lee, H. W., Lee, H. J., Han, S. K., & Ham, B. J. (2006). Depressive disorders among the college students: prevalence, risk factors, suicidal behaviors and dysfunctions. Journal of the Korean Neuropsychiatric Association, 45(5), 432–437.

Roh, M. S., Jeon, H. J., Lee, H. W., Lee, H. J., Han, S. K. & Hahm, B. J. (2007). Suicide-related behaviors among the college students. Journal of Korean Neuropsychiatric Association, 46(1), 35–40.

Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. Addiction, 88(6), 791–804.PubMedCrossRef

Shaffer, H. J., Donato, A. N., LaBrie, R. A., Kidman, R. C., & LaPlante, D. (2005). The epidemiology of college alcohol and gambling policies. Harm Reduction Journal, 2(1), 1–20.PubMedPubMedCentralCrossRef

Shaffer, H. J., & Hall, M. N. (2001). Updating and refining prevalence estimates of disordered gambling behavior in the United States and Canada. Canadian Journal of Public Health, 92(3), 168–172.PubMedCrossRef

Shin, S., Kim, N., & Jang, E. (2011). Comparison of problematic internet and alcohol use and attachment styles among industrial workers in Korea. Cyberpsychology, Behavior, and Social Networking, 14(11), 665–672. https://doi.org/10.1089/cyber.2010.0470.CrossRef

Song, I. H., & Kim, H. J. (2010). Depressive mood, suicidal ideation, and alcohol drinking behavior among employees. Mental Health and Social Work, 36, 5–34.

Song, Y., & Lindquist, R. (2015). Effects of mindfulness-based stress reduction on depression, anxiety, stress and mindfulness in Korean nursing students. Nurse Education Today, 35(1), 86–90. https://doi.org/10.1016/j.nedt.2014.06.010 PubMedCrossRef

Stathham, D., Health, A., Madden, P., Bucholz, K., Bierut, L., Dinwiddie, S., Slutske, S., Dunne, W., & Martin, N. (1998). Suicide behavior: an epidemiological and genetic study. Psychological Medicine, 28(4), 839–855.CrossRef

Statistics Korea. (2015). 2014 causes of death statistics. Deajeon: Statistics Korea.

Stone, A. L., Becker, L. G., Huber, A. M., & Catalano, R. F. (2012). Review of risk and protective factors of substance use and problem use in emerging adulthood. Addictive Behaviors, 37(7), 747–775.PubMedCrossRef

Strang, S. P., & Orlofsky, J. L. (1990). Factors underlying suicidal ideation among college students: a test of Teicher and Jacobs’ model. Journal of Adolescence, 13(1), 39–52.PubMedCrossRef

Struhldreher, W., Struhldreher, T., & Forrest, K. (2007). Gambling as an emerging health problem on campus. Journal of American College Health, 56(1), 75–83.CrossRef

Stucki, S., & Rihs-Middel, M. (2007). Prevalence of adult problem and pathological gambling between 2000 and 2005: an update. Journal of Gambling Studies, 23(3), 245–257.PubMedCrossRef

Thomsen, K., Callesen, M., Linnet, J., Kringelbach, M., & Moller, A. (2009). Severity of gambling is associated with severity of depressive symptoms in pathological gamblers. Behavioral Pharmacology, 20(5–6), 527–536.CrossRef

Vörös, V., Osváth, P., & Fekete, S. (2004). Gender differences in suicidal behavior. Neuropsychopharmacologia Hungarica, 6(2), 65–71.PubMed

Wechsler, H., Lee, J., Kuo, M., Seibring, M., Nelson, T., & Lee, H. (2002). Trends in college binge drinking during a period of increased prevention efforts. Journal of American College Health, 50(5), 203–217.PubMedCrossRef

Weissman, M. M., Bland, R. C., Canino, G. J., Greenwald, S., Hwu, H. G., Joyce, P. R., Karam, E. G., Lellouch, J., Lefine, J. P., Newman, S. G., Rubio-Stipec, M., Wells, J. E., Wickrmaratne, P. J., Wittchen, H. U., & Yeh, E. K. (1999). Prevalence of suicide ideation and suicide attempts in nine countries. Psychological Medicine, 29(1), 9–17.PubMedCrossRef

Westefeld, J. S., & Furr, S. R. (1987). Suicide and depression among college students. Professional Psychology: Research and Practice, 18, 119–123.CrossRef

Winters, K., Bengston, P., Door, D., & Stichfield, R. (1998). Prevalence and risk factors of problem gambling among college students. Psychology of Addictive Behaviors, 12(2), 127–135.CrossRef

Wong, I. L., & So, E. M. (2003). Prevalence estimates of problem and pathological gambling in Hong Kong. American Journal of Psychiatry, 160(7), 1353–1354.PubMedCrossRef

Wong, P. W., Chan, W. S., Conwell, Y., Conner, K. R., & Yip, P. S. (2010). A psychological autopsy study of pathological gamblers who died by suicide. Journal of Affective Disorder, 120(1–3), 213–216.CrossRef

Wynne, H. J. (2003). Introducing the Canadian Problem Gambling Index. Edmonton: Wynne Resources.

Yoon, M. S., Cho, H. J., & Choi, S. Y. (2009). Effects of intention for moderate drinking and drinking environment on problem drinking among college students. Journal of Korean Alcohol Science, 10(2), 35–50.

Yoon, M. S., & Lee, H. S. (2012). The relationship between depression, job preparing stress and suicidal ideation among college students: moderating effect of problem drinking. Korean Journal of Youth Studies, 18(3), 109–137.

Zangeneh, M., & Hason, T. (2006). Suicide and gambling. International Journal of Mental Health and Addiction, 4(3), 191–193.CrossRef

Titel: Do Addictive Behaviors Matter for College Students’ Depression and Suicidal Ideation?
verfasst von: Soo Mi Jang
Seunghye Hong
Publikationsdatum: 28.11.2017
Verlag: Springer US
Erschienen in: International Journal of Mental Health and Addiction / Ausgabe 5/2018
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-017-9832-1

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Do Addictive Behaviors Matter for College Students’ Depression and Suicidal Ideation?

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