Evidence map›Paper›PMID 40859254›Full record

ArticleBMC psychiatry2025

Structural equation modeling of suicidal ideation among medical students in Iran: the role of perfectionism, repetitive negative thinking and feelings of loneliness.

Ali Hosseinzadeh Oskouei, Reyhaneh Sardarzehi, Mohammad Sadegh Zamani Zarchi, Fatemeh Serjouie, Seyed Alireza Tavallaei Zavareh, Amir Sam Kianimoghadam, Abbas Masjedi-Arani

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Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ali Hosseinzadeh OskoueiDepartment of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Reyhaneh SardarzehiDepartment of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad Sadegh Zamani ZarchiDepartment of Counseling, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran.
Fatemeh SerjouieDepartment of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyed Alireza Tavallaei ZavarehStudent Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amir Sam KianimoghadamDepartment of Clinical Psychology, Taleghani Hospital Clinical Research Development Unit, Shahid Beheshti University of Medical Sciences, Arabi St., Student Blvd., Valenjak, Tehran, Iran.
Abbas Masjedi-AraniDepartment of Clinical Psychology, Taleghani Hospital Clinical Research Development Unit, Shahid Beheshti University of Medical Sciences, Arabi St., Student Blvd., Valenjak, Tehran, Iran. a.masjediarani@sbmu.ac.ir.ORCID 0000-0002-2474-3381

Funding

Taleghani Hospital Research Development Unit, School of Medicine, Shahid Beheshti University of Medical Sciences Grant No 31719
6 · The paper itself

Abstract

objectiveSuicidal ideation, with an estimated prevalence of 25%, has become a significant concern among medical students in Iran, underscoring the urgent need to identify its underlying contributing factors in this population. The present study was conducted with the aim of investigating the mediating role of repetitive negative thinking and feelings of loneliness in the relationship between perfectionism and suicidal ideation among Iranian medical students.

methodThe current study employed a descriptive-correlational design utilizing structural equation modeling (SEM). The study population consisted of all medical students of Shahid Beheshti University of Medical Sciences (SBMU) in Tehran in 2024. From this population, 505 individuals were selected through a convenience sampling method. Tehran Multidimensional Perfectionism Scale (TMPS, 2007), Beck Scale for Suicidal Ideation (BSSI, 1997), Repetitive Negative Thinking Questionnaire (RNTQ, 2010) and UCLA Loneliness Scale (UCLA-LS, 1980) were used to collect data. Data were analyzed using structural equation analysis.

resultsBased on the results, 150 individuals (29.7%) reported no suicidal ideation, while 355 individuals (70.3%) reported experiencing suicidal ideation. The findings also showed that the research model had a excellent goodness of fit. Although perfectionism was not directly related to suicidal ideation (p > 0.01), it could indirectly affect suicidal ideation in medical students (p > 0.001) through repetitive negative thinking (β = 0.14) and feelings of loneliness (β = 0.19). In addition, perfectionism, repetitive negative thinking and feelings of loneliness explained a total of 30% of the variance in suicidal ideation (R

conclusionBased on the above findings, it can be concluded that the perfectionism leads to an increase in suicidal ideation among medical students by increasing repetitive negative thinking and feelings of loneliness. Accordingly, it is recommended that psychotherapists and policymakers give focused attention to these mediating factors to effectively reduce suicidal ideation in perfectionistic medical students.

Indexed as

LonelinessPerfectionismPessimismRumination, CognitiveStudents, MedicalSuicidal IdeationAdultFemaleHumansIranLatent Class AnalysisMaleSurveys and QuestionnairesYoung AdultLonelinessMedicalPerfectionismStudentsSuicidal ideationThinking

Identifiers

PMID40859254
PMCPMC12382042

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