Investigating the Relationship between Tolerance for Ambiguity, Hardiness , And Trauma with Suicidal Tendencies Mediated by Attitudes Toward Death in Young People

This study aimed to investigate the relationship between tolerance for ambiguity, psychological hardiness, and trauma with suicidal tendencies and the mediating role of attitudes toward death in medical students in Zanjan in ۲۰۲۴. The statistical population of this study included medical students and sampling was conducted using the convenience method. Data were collected from ۳۲۴ participants using standardized tolerance for ambiguity (DTS), psychological hardiness (PHQ), trauma (IES-R), suicidal tendencies (BSSI), and attitudes toward death (DAP) questionnaires and analyzed with SPSS ۲۵ and AMOS ۲۴ software. The findings showed that tolerance for ambiguity had a strong positive effect on psychological hardness (β=۰.۵۸) and a negative impact on suicidal tendencies (β=-۰.۳۲), while trauma was associated with a decrease in psychological hardness (β=-۰.۴۱) and an increase in suicidal tendencies (β=۰.۴۷). Attitudes towards death also significantly increased suicidal tendencies (β=۰.۵۴). Indirect effects showed that tolerance for ambiguity, by enhancing psychological hardiness, reduced suicidal tendencies by ۰.۲۱ points, while trauma, by weakening psychological hardiness, increased this risk by ۰.۱۸ points. The model fit indices (CFI=۰.۹۶, RMSEA=۰.۰۳, χ²/ df =۱.۸) and coefficients of determination (R²=۰.۴۸ to ۰.۶۲) emphasized the favorable fit of the model to the data. These results indicate that tolerance for ambiguity and psychological hardiness reduce the risk of suicidal tendencies by moderating attitudes toward death, while trauma increases this risk by intensifying negative attitudes toward death. These findings highlight the need to design psychotherapy interventions to enhance tolerance for ambiguity and psychological resilience and reduce the effects of trauma on medical students .This study aimed to investigate the relationship between tolerance for ambiguity, psychological hardiness, and trauma with suicidal tendencies and the mediating role of attitudes toward death in medical students in Zanjan in ۲۰۲۴. The statistical population of this study included medical students and sampling was conducted using the convenience method. Data were collected from ۳۲۴ participants using standardized tolerance for ambiguity (DTS), psychological hardiness (PHQ), trauma (IES-R), suicidal tendencies (BSSI), and attitudes toward death (DAP) questionnaires and analyzed with SPSS ۲۵ and AMOS ۲۴ software. The findings showed that tolerance for ambiguity had a strong positive effect on psychological hardness (β=۰.۵۸) and a negative impact on suicidal tendencies (β=-۰.۳۲), while trauma was associated with a decrease in psychological hardness (β=-۰.۴۱) and an increase in suicidal tendencies (β=۰.۴۷). Attitudes towards death also significantly increased suicidal tendencies (β=۰.۵۴). Indirect effects showed that tolerance for ambiguity, by enhancing psychological hardiness, reduced suicidal tendencies by ۰.۲۱ points, while trauma, by weakening psychological hardiness, increased this risk by ۰.۱۸ points. The model fit indices (CFI=۰.۹۶, RMSEA=۰.۰۳, χ²/ df =۱.۸) and coefficients of determination (R²=۰.۴۸ to ۰.۶۲) emphasized the favorable fit of the model to the data. These results indicate that tolerance for ambiguity and psychological hardiness reduce the risk of suicidal tendencies by moderating attitudes toward death, while trauma increases this risk by intensifying negative attitudes toward death. These findings highlight the need to design psychotherapy interventions to enhance tolerance for ambiguity and psychological resilience and reduce the effects of trauma on medical students .

کلیدواژه ها:

Tolerance of ambiguity ، psychological hardiness ، trauma ، suicidal tendency ، attitude towards death