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Resilience and suicidality in the Taiwanese general public: a population-based study
Wei-Chieh Hung1,2, Chia-Yi Wu3,4, Vivian Isaac5
1Cheng Hsin General Hospital, Taipei, Taiwan.
BMC Psychiatry
|May 30, 2026
Summary
Resilience, self-efficacy, and physical health perceptions are linked to lower suicide risk. Strengthening these factors may aid suicide prevention efforts in the general population.
Area of Science:
- Psychiatry and Mental Health
- Public Health Research
- Epidemiology
Background:
- Protective factors against suicidal risk require further investigation.
- Resilience is increasingly recognized for its association with psychological distress.
- The interplay between psychosocial factors, resilience, and suicidality in the general population remains underexplored.
Purpose of the Study:
- To investigate the relationship between psychological distress, suicide risks, and resilience.
- To explore the associations between resilience, psychological distress, and suicide-related features in a representative Taiwanese population.
Main Methods:
- A cross-sectional, population-based survey was conducted in Taiwan in 2017.
- Data collected included demographics, self-rated health, psychological distress (Brief Symptom Rating Scale, Concise Mental Health Checklist), resilience (Brief Resilient Coping Scale), and suicide ideation/attempt.
- Linear regression analyses were used to identify predictors of overall suicide risk.
Main Results:
- A total of 2098 participants were enrolled; average resilience was 16.75, higher for married and white-collar individuals.
- Resilience positively correlated with self-efficacy, self-rated mental health, and self-rated physical health.
- Resilience negatively correlated with psychological distress and overall suicidality; predictors of suicide risk included age, gender, employment, marital status, physical health, self-efficacy, and resilience, explaining 16.8% of variance.
Conclusions:
- Self-rated physical health, self-efficacy, and resilience are significantly associated with overall suicide risk.
- Resilience demonstrates a modest independent effect on suicide risk, alongside other psychological constructs.
- Perceptions of physical health and self-efficacy are potential targets for suicide prevention, with resilience-building strategies offering supportive roles.
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