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Volume 7, Issue 1 (2026)
J Clinic Care Skill 2026, 7(1): 1-7 |
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Ethics code: IR.ARUMS. REC.1403.226
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Received: 2025/09/16 | Accepted: 2025/11/21 | Published: 2026/01/8
Received: 2025/09/16 | Accepted: 2025/11/21 | Published: 2026/01/8
How to cite this article
Rahimi A, Ghadermazi M, Khalili Z. Prevalence of Suicidal Ideation among Nursing College Students in Ardabil, Iran. J Clinic Care Skill 2026; 7 (1) :1-7
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URL: http://jccs.yums.ac.ir/article-1-426-en.html
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1- Students Research Committee, Ardabil University of Medical Sciences, Ardabil, Iran
2- Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, West Azarbaijan, Iran
3- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
2- Department of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, West Azarbaijan, Iran
3- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract (1298 Views)
Aims: Nursing students frequently encounter significant occupational and academic stressors, increasing their susceptibility to suicidal ideation. This study investigated the prevalence and associated factors of suicidal ideation among nursing students in Ardabil, Iran, a region facing socioeconomic challenges.
Instrument & Methods: This cross-sectional survey was conducted among 256 nursing students at Ardabil University of Medical Sciences between November and December 2024. Data were collected using the Beck Scale for Suicidal Ideation and a sociodemographic questionnaire. Independent t-tests and analysis of variance were employed to analyze associations.
Findings: The prevalence of low-risk suicidal ideation was 84.8%, high-risk suicidal ideation was 12.1%, and very high-risk suicidal ideation was 3.1%. Mean suicidal ideation scores were significantly higher among females (p=0.007), single students (p=0.03), those with a history of mental illness (p=0.03), and psychiatric medication users (p<0.0001). Academic year, grade point average, and residential status were not significantly associated with suicidal ideation.
Conclusion: Nursing students in Ardabil exhibit a high prevalence of suicidal ideation, with gender, marital status, mental health history, and psychiatric medication use identified as significant predictors.
Instrument & Methods: This cross-sectional survey was conducted among 256 nursing students at Ardabil University of Medical Sciences between November and December 2024. Data were collected using the Beck Scale for Suicidal Ideation and a sociodemographic questionnaire. Independent t-tests and analysis of variance were employed to analyze associations.
Findings: The prevalence of low-risk suicidal ideation was 84.8%, high-risk suicidal ideation was 12.1%, and very high-risk suicidal ideation was 3.1%. Mean suicidal ideation scores were significantly higher among females (p=0.007), single students (p=0.03), those with a history of mental illness (p=0.03), and psychiatric medication users (p<0.0001). Academic year, grade point average, and residential status were not significantly associated with suicidal ideation.
Conclusion: Nursing students in Ardabil exhibit a high prevalence of suicidal ideation, with gender, marital status, mental health history, and psychiatric medication use identified as significant predictors.
Keywords:
References
1. Alharbi S, Hasan AA. Occupational stress, coping strategies, and quality of life among nurses in general and psychiatric setting in Jeddah City-KSA. Open J Psychiatry. 2019;9(2):124-37. [Link] [DOI:10.4236/ojpsych.2019.92010]
2. Dafny HA, McCloud C, Pearson V, Brown S, Phillips C, Waheed N, et al. Nursing students' experience of workplace violence in clinical practice: A qualitative systematic review. J Clin Nurs. 2023;32(17-18):6136-64. [Link] [DOI:10.1111/jocn.16746]
3. Hamaideh SH, Abuhammad S, Khait AA, Al-Modallal H, Hamdan-Mansour AM, Masa'deh R, et al. Levels and predictors of empathy, self-awareness, and perceived stress among nursing students: A cross sectional study. BMC Nurs. 2024;23(1):131. [Link] [DOI:10.1186/s12912-024-01774-7]
4. Sabzi Z, Jafari H, Bakhshian F, Saadat Mehr R. Factors associated with nurses' absenteeism in clinical settings: A narrative review. J Nurs Rep Clin Pract. 2024;2(1):27-31. [Link] [DOI:10.32598/JNRCP.23.36]
5. Babapour AR, Gahassab-Mozaffari N, Fathnezhad-Kazemi A. Nurses' job stress and its impact on quality of life and caring behaviors: A cross-sectional study. BMC Nurs. 2022;21(1):75. [Link] [DOI:10.1186/s12912-022-00852-y]
6. Aryuwat P, Holmgren J, Asp M, Radabutr M, Lövenmark A. Experiences of nursing students regarding challenges and support for resilience during clinical education: A qualitative study. Nurs Rep. 2024;14(3):1604-20. [Link] [DOI:10.3390/nursrep14030120]
7. Moraes SMAB, Barbosa VFB, Alexandre ACS, Santos SCd, Guimarães FJ, Veras JLdA. Risk of suicide among nursing students. REVISTA BRASILEIRA DE ENFERMAGEM. 2021;74(6):e20200867. [Link] [DOI:10.1590/0034-7167-2020-0867]
8. WHO. Suicide worldwide in 2021: Global health estimates. Geneva: World Health Organization; 2025. [Link]
9. Pranckeviciene E, Kasperiuniene J. Global suicide mortality rates (2000-2019): Clustering, themes, and causes analyzed through machine learning and bibliographic data. Int J Environ Res Public Health. 2024;21(9):1202. [Link] [DOI:10.3390/ijerph21091202]
10. Alrehaili MM, Alrashedi GSO, Alshammary GRS, Alshammari NR, Alshammari FK, Dagreri WA, et al. Caring under pressure: Unraveling the crisis of nursing workload and stress in modern healthcare. J Int Crisis Risk Commun Res. 2024;7(S4):7-15. [Link]
11. Yang X, Hu D, Li L, Rezak R. Factors of suicide-related behaviors based on stress-vulnerability model and prevention strategies among nurses: A scoping review. Front Psychol. 2025;16:1483904. [Link] [DOI:10.3389/fpsyg.2025.1483904]
12. Miri M, Rezaeian M, Ghasemi SA. A systematic review on the prevalence and causes of suicide (thoughts and actions) in Iranian school and university students. J Rafsanjan Univ Med Sci. 2022;21(5):551-74. [Link] [DOI:10.52547/jrums.21.5.551]
13. Sonmez Y, Akdemir M, Meydanlioglu A, Aktekin MR. Psychological distress, depression, and anxiety in nursing students: A longitudinal study. Healthcare. 2023;11(5):636. [Link] [DOI:10.3390/healthcare11050636]
14. Fergusson DM, Woodward LJ, Horwood LJ. Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood. Psychol Med. 2000;30(1):23-39. [Link] [DOI:10.1017/S003329179900135X]
15. Mortier P, Alonso J, Auerbach RP, Bantjes J, Benjet C, Bruffaerts R, et al. Childhood adversities and suicidal thoughts and behaviors among first-year college students: Results from the WMH-ICS initiative. Soc Psychiatry Psychiatr Epidemiol. 2022;57(8):1591-601. [Link] [DOI:10.1007/s00127-021-02151-4]
16. Groves S, Lascelles K, Hawton K. Suicidal thoughts and behaviours among student nurses and midwives: A systematic review. J Adv Nurs. 2024;80(6):2202-13. [Link] [DOI:10.1111/jan.15982]
17. Khademian F, Aslani A, Ravangard R, Nami M, Abbasi S, Bastani P. Iranian university students' stressors and coping strategies: A qualitative study. J Educ Health Promot. 2021;10:244. [Link] [DOI:10.4103/jehp.jehp_1278_20]
18. Goudarzian AH, Nikbakht Nasrabadi A, Sharif-Nia H, Farhadi B, Navab E. Exploring the concept and management strategies of caring stress among clinical nurses: A scoping review. Front Psychiatry. 2024;15:1337938. [Link] [DOI:10.3389/fpsyt.2024.1337938]
19. Geda A. The challenge of unemployment and youth unemployment amidst fast economic growth in Ethiopia. Nairobi: African Economic Research Consortium; 2022. [Link]
20. Sinyor M, Silverman M, Pirkis J, Hawton K. The effect of economic downturn, financial hardship, unemployment, and relevant government responses on suicide. Lancet Public Health. 2024;9(10):e802-6. [Link] [DOI:10.1016/S2468-2667(24)00152-X]
21. Beck AT, Steer RA, Ranieri WF. Scale for suicide ideation: Psychometric properties of a self‐report version. J Clin Psychol. 1988;44(4):499-505.
https://doi.org/10.1002/1097-4679(198807)44:4<499::AID-JCLP2270440404>3.0.CO;2-6 [Link] [DOI:10.1002/1097-4679(198807)44:43.0.CO;2-6]
22. Baek IC, Jo S, Kim EJ, Lee GR, Lee DH, Jeon HJ. A review of suicide risk assessment tools and their measured psychometric properties in Korea. Front Psychiatry. 2021;12:679779. [Link] [DOI:10.3389/fpsyt.2021.679779]
23. Esfahani M, Hashemi Y, Alavi K. Psychometric assessment of beck scale for suicidal ideation (BSSI) in general population in Tehran. Med J Islam Repub Iran. 2015;29:268. [Link]
24. Schröpfer K, Schmidt N, Kus S, Koob C, Coenen M. Psychological stress among students in health-related fields during the COVID-19 pandemic: Results of a cross-sectional study at selected Munich universities. Int J Environ Res Public Health. 2021;18(12):6611. [Link] [DOI:10.3390/ijerph18126611]
25. Statistical Center of Iran (SCI). Tehran: Statistical Center of Iran; [cited 2026 May 20]. Available from: https://www.amar.org.ir/english/News/Item/1004088 [Link]
26. Bjuresäter K, Olsson C, Larsson M, Nilsson J. Self-reported professional competence among Swedish contact nurses in cancer care: A cross-sectional study. Cancer Care Res Online. 2022;2(3):e024. [Link] [DOI:10.1097/CR9.0000000000000024]
27. McKenzie SK, Oliffe JL, Black A, Collings S. Men's experiences of mental illness stigma across the lifespan: A scoping review. Am J Mens Health. 2022;16(1):15579883221074789. [Link] [DOI:10.1177/15579883221074789]
28. Mohammadinia N, Rezaei M, Sameizadehtoosi T, Darban F. Assessing suicidal ideation frequency in medical students. Q J Nurs Manag. 2012;1(1):83-91. [Persian] [Link]
29. Kim JH. Behavioral, psychological, and physical predictors of adolescent drug use in South Korea: Insights obtained using machine learning. Int J Ment Health Addctn. 2025. [Link] [DOI:10.1007/s11469-025-01496-0]
30. Hernandez K. The effects of family role obligations on first-generation Latina college students' experience. Fresno: California State University; 2024. [Link]
31. Karimi R, Bakhtiyari M, Arani AM. Protective factors of marital stability in long-term marriage globally: A systematic review. Epidemiol Health. 2019;41:e2019023. [Link] [DOI:10.4178/epih.e2019023]
32. Lovero KL, Dos Santos PF, Come AX, Wainberg ML, Oquendo MA. Suicide in global mental health. Curr Psychiatry Rep. 2023;25(6):255-62. [Link] [DOI:10.1007/s11920-023-01423-x]