Gan QW, Yuan YL, Li YP, Du YW, Zheng LL. Work-family behavioral role conflict and daytime sleepiness on suicide risk among Chinese nurses: A cross-sectional study. World J Psychiatry 2025; 15(2): 100859 [DOI: 10.5498/wjp.v15.i2.100859]
Corresponding Author of This Article
Li-Lan Zheng, PhD, Department of Nursing, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Nanchang 330006, Jiangxi Province, China. ganqingwen2021@163.com
Research Domain of This Article
Psychiatry
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Feb 19, 2025; 15(2): 100859 Published online Feb 19, 2025. doi: 10.5498/wjp.v15.i2.100859
Work-family behavioral role conflict and daytime sleepiness on suicide risk among Chinese nurses: A cross-sectional study
Qing-Wen Gan, Yi-Ling Yuan, Yuan-Ping Li, Yi-Wen Du, Li-Lan Zheng
Qing-Wen Gan, School of Nursing, Jiangxi Medical College, Shangrao 334099, Jiangxi Province, China
Qing-Wen Gan, Li-Lan Zheng, Department of Nursing, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China
Yi-Ling Yuan, Yuan-Ping Li, Yi-Wen Du, School of Nursing, Nanchang University, Nanchang 330006, Jiangxi Province, China
Author contributions: Gan QW conceived, researched, analyzed, and wrote this manuscript; Yuan YL conducted conceptualization, data collection, and statistical analysis; Li YP collected data and data analysis; Du YW conducted investigations and data collection. Zheng LL revised the manuscript and provided funding support.
Institutional review board statement: The study was approved by the Ethics Committee of The First Affiliated Hospital of Nanchang University, No. IIT2024235.
Informed consent statement: The study was conducted in strict compliance with the Declaration of Helsinki, and all subjects who participated in the study were informed of the study and agreed to complete the questionnaire.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Data sharing statement: Data from this study are available with the consent of both the corresponding and first authors of the manuscript at ganqingwen2021@163.com.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Lan Zheng, PhD, Department of Nursing, The First Affiliated Hospital of Nanchang University, No. 17 Yongwaizheng Street, Donghu District, Nanchang 330006, Jiangxi Province, China. ganqingwen2021@163.com
Received: August 28, 2024 Revised: November 27, 2024 Accepted: December 20, 2024 Published online: February 19, 2025 Processing time: 138 Days and 16.1 Hours
Abstract
BACKGROUND
Work-family conflicts and daytime sleepiness are related to the risk of suicide. At present, no study has investigated the relationship between nurses’ work-family behavioral role conflict and suicide risk. Moreover, it has not been confirmed whether, considering the effect of daytime sleepiness on suicide risk, daytime sleepiness mediates the effect of work-family behavioral role conflict and suicide risk.
AIM
To explore the pathway relationships among nurses' work-family behavioral role conflict, daytime sleepiness, and suicide risk.
METHODS
Convenience and purposive sampling methods were used to select 750 nurses from six provinces, including Jiangxi, Sichuan, and Shanxi. The work-family behavioral role conflict scale, the Chinese adult daytime sleepiness scale, and the suicide behavior questionnaire were used for the survey. The data were statistically analyzed via SPSS 25.0 software, Pearson correlation analysis was used to explore the correlations between the variables, the PROCESS 4.0 program was used for the mediation effect analysis, and the mediation effect model was tested via the bootstrap method.
RESULTS
Nurses' work-family behavioral role conflict and daytime sleepiness were positively correlated with suicide risk (r = 734, 0.717). Work-family behavioral role conflict positively predicted suicide risk (β = 0.118), and daytime sleepiness positively predicted suicide risk (β = 0.152). Daytime sleepiness partially mediated the role of nurses' work-family behavioral role conflict and suicide risk, with a mediation effect value of 0.046 and a mediation effect accounting for 38.98%.
CONCLUSION
The results of the Pearson correlation analysis and mediation effect analysis revealed that nurses' work-family behavioral role conflict has a direct effect on suicide risk and indirectly affects suicide risk through daytime drowsiness symptoms.
Core Tip: We found that nurses' work-family behavioral role conflict and daytime sleepiness were strongly associated with suicide risk and that daytime sleepiness mediated the relationship between nurses' work-family behavioral role conflict and suicide risk. This study provides a reference basis for improving nurses' mental health by exploring the pathways that influence nurses' suicide risk.
