Interpersonal Needs and Dysfunctional Self-Focus Mediate the Effect of Dysfunctional Pandemic Grief on Suicidality Among Nursing Professionals Who Witnessed Patients’ Deaths
Background: We aimed to explore whether the dysfunctional pandemic grief of nursing professionals who experienced a patient’s death may be related with their suicidal ideation and examine whether their interpersonal problems and dysfunctional self-focus mediate this association. Methods: An anonymou...
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| Vydáno v: | Journal of Korean medical science s. 1 - 15 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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대한의학회
01.12.2025
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| ISSN: | 1011-8934, 1598-6357 |
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| Abstract | Background: We aimed to explore whether the dysfunctional pandemic grief of nursing professionals who experienced a patient’s death may be related with their suicidal ideation and examine whether their interpersonal problems and dysfunctional self-focus mediate this association.
Methods: An anonymous online survey was conducted on November 16–18, 2023 among nurses in a tertiary hospital who witnessed people’s death. Their psychological states were assessed using the Pandemic Grief Scale (PGS) for healthcare workers, Dysfunctional Selffocus Attributes Scale (DSAS), Interpersonal Needs Questionnaire (INQ), and Depressive Symptom Inventory-Suicidality Subscale (DSI-SS). Linear regression analysis was conducted to explore the expecting variables for the DSI-SS. Mediation analysis was performed to examine the mediating effects of self-focus and interpersonal problems between grief reaction and suicidal ideation.
Results: The PGS (β = 0.18, P = 0.005), INQ-Perceived Burdensomeness (INQ-PB; β = 0.51, P < 0.001), and DSAS-Negatively Biased Focus (DSAS-NBF; β = 0.17, P = 0.021) were significantly associated with the DSI-SS. Mediation analysis using these variables showed that the PGS directly influenced the DSI-SS, and the INQ-PB and DSAS-NBF partially mediated the influence of the PGS on DSI-SS.
Conclusion: Dysfunctional grief experienced by nurses following the loss of patients during the pandemic exacerbated suicidal ideation by fostering a greater focus on negative outcomes and heightened feelings of being a burden. These findings underscore the need for targeted interventions to address these specific cognitive and emotional vulnerabilities to mitigate the risk of suicidal ideation. KCI Citation Count: 0 |
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| AbstractList | Background: We aimed to explore whether the dysfunctional pandemic grief of nursing professionals who experienced a patient’s death may be related with their suicidal ideation and examine whether their interpersonal problems and dysfunctional self-focus mediate this association.
Methods: An anonymous online survey was conducted on November 16–18, 2023 among nurses in a tertiary hospital who witnessed people’s death. Their psychological states were assessed using the Pandemic Grief Scale (PGS) for healthcare workers, Dysfunctional Selffocus Attributes Scale (DSAS), Interpersonal Needs Questionnaire (INQ), and Depressive Symptom Inventory-Suicidality Subscale (DSI-SS). Linear regression analysis was conducted to explore the expecting variables for the DSI-SS. Mediation analysis was performed to examine the mediating effects of self-focus and interpersonal problems between grief reaction and suicidal ideation.
Results: The PGS (β = 0.18, P = 0.005), INQ-Perceived Burdensomeness (INQ-PB; β = 0.51, P < 0.001), and DSAS-Negatively Biased Focus (DSAS-NBF; β = 0.17, P = 0.021) were significantly associated with the DSI-SS. Mediation analysis using these variables showed that the PGS directly influenced the DSI-SS, and the INQ-PB and DSAS-NBF partially mediated the influence of the PGS on DSI-SS.
Conclusion: Dysfunctional grief experienced by nurses following the loss of patients during the pandemic exacerbated suicidal ideation by fostering a greater focus on negative outcomes and heightened feelings of being a burden. These findings underscore the need for targeted interventions to address these specific cognitive and emotional vulnerabilities to mitigate the risk of suicidal ideation. KCI Citation Count: 0 |
| Author | Park C. Hyung Keun Makhour Hussein Chung Seockhoon Ahn Junseok Park Jangho Jun Jin Yong |
| Author_xml | – sequence: 1 fullname: Park C. Hyung Keun organization: (Department of Psychiatry, Asan Medical Center, University Ulsan College of Medicine, Seoul, Korea.) – sequence: 2 fullname: Makhour Hussein organization: (Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.) – sequence: 3 fullname: Ahn Junseok organization: (Department of Psychiatry, Ulsan University Hospital, University Ulsan College of Medicine, Ulsan, Korea.) – sequence: 4 fullname: Jun Jin Yong organization: (Department of Psychiatry, Ulsan University Hospital, University Ulsan College of Medicine, Ulsan, Korea.) – sequence: 5 fullname: Park Jangho organization: (Department of Psychiatry, Ulsan University Hospital, University Ulsan College of Medicine, Ulsan, Korea.) – sequence: 6 fullname: Chung Seockhoon organization: (Department of Psychiatry, Asan Medical Center, University Ulsan College of Medicine, Seoul, Korea.Life Care Center for Cancer Patient, Asan Medical Center Cancer Institute, Asan Medical Center, Seoul, Korea.) |
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| Title | Interpersonal Needs and Dysfunctional Self-Focus Mediate the Effect of Dysfunctional Pandemic Grief on Suicidality Among Nursing Professionals Who Witnessed Patients’ Deaths |
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