Page 137 - GHES-3-3

Global Health Economics and
Sustainability
Polyvictimization and suicidal behaviors

Table 2. Standardized bootstrapped effects: mediating effect Table 4. Conditional indirect effect analysis at values of the
of polyvictimization on suicidal thoughts/behaviors moderator
95% BCa CI Moderator: perceived social 95% BCa CI
β (SE) Lower Upper support Effect SE Lower Upper
Total effect (ab+c’): 4.87 (0.58) 3.742 6.005 Low perceived social support 4.98*** 0.69 3.63 6.33
Polyvictimization→Suicidal thoughts/ (M − 1 SD)
behaviors Medium perceived social support 4.00*** 0.57 2.88 5.12
Direct effect (c’): 4.53 (0.57) 3.413 5.64 High perceived social support 3.02*** 0.79 1.47 4.57
Polyvictimization→Suicidal thoughts/ (M + 1 SD)
behaviors
Note. ***p < 0.001.
Indirect effect (ab): 0.347 (0.16) 0.053 0.679 Abbreviations: BCa: Bias-corrected and accelerated; CI: Confidence
Polyvictimization→Suicidal thoughts/ interval; M: Mean; SD: Standard deviation; SE: Standard error.
behaviors through resilience
Note. These values are based on standardized path coefficients.
All parameter estimates and significance tests are based on 5,000
bootstrapped samples. BCa interval addresses bias and skewness in the
distribution of the bootstrap estimate.
Abbreviations: BCa: Biascorrected and accelerated; CI: Confidence
interval; SE: Standard error.

Table 3. Moderating effect of perceived social support on
the relationship between polyvictimization and suicidal
thoughts/behaviors
β (SE) 95% BCa CI
Lower Upper
Polyvictimization 4.000 (0.572) 2.879 5.122
Figure 1. Moderated mediation model. This model was applied to
Resilience −0.168 (0.034) −0.234 −0.102
examine the influence of polyvictimization on suicidal thoughts and
Social support −0.067 (0.016) −0.099 −0.036 behaviors. The effect of polyvictimization is mediated by resilience against
Polyvictimization × perceived −0.071 (0.034) −0.138 −0.004 suicidal thoughts/behaviors, with perceived social support serving as a
social support moderator in the relationship between polyvictimization and suicidal
thoughts/behaviors
Age (range: 18–31) −0.257 (0.079) −0.411 −0.103
White −1.98 (0.677) −3.312 −0.653 While college students typically enjoy a relatively stable
African American −1.458 (0.784) −2.997 0.081 status in terms of mental and physical well-being compared
Hispanic −1.466 (0.845) −3.125 0.194 with adolescents, incarcerated women, or soldiers, those
Others 0.004 (0.733) −1.436 1.44 who have experienced polyvictimization face a heightened
Male −4.510 (0.776) −6.033 −2.99 risk of suicidal thoughts/behaviors. Thus, polyvictimized
Female −2.948 (0.692) −4.306 −1.590 college students are mentally vulnerable, which can
No preferred gender 0.957 (1.963) −2.896 4.809 potentially lead to suicidal thoughts/behaviors.
Abbreviations: BCa: Bias-corrected and accelerated; CI: Confidence According to the SAMS, although polyvictimization
interval; SE: Standard error. experiences can have negative impacts on college student’s
mental and physical health, they may also foster positive
polyvictimization are likely to have an increased risk of self-appraisal, leading to an increased ability to cope
suicidal thoughts/behaviors, which confirms hypothesis with challenging situations—known as resilience. Our
1 and aligns with prior research findings (Kennedy et al., findings suggest that polyvictimized college students with
2021; Le et al., 2016; Stein et al., 2018; Suárez-Soto et al., higher levels of resilience are less likely to experience
2019). Studies have explored the relationship between suicidal thoughts/behaviors, which supports hypothesis 2.
polyvictimization and suicidal thoughts/behaviors Studies have investigated the critical role of resilience in
among adolescents, soldiers, and incarcerated women. subjective well-being among those who have experienced
Our findings indicate that regardless of the demographic polyvictimization (Latham et al., 2023; Suárez-Soto et al.,
group, individuals with polyvictimization experiences may 2019; Víllora et al., 2020), finding that college students may
develop severe negative mental and physical outcomes. possess resilience needed to adapt to a better life despite

Volume 3 Issue 3 (2025) 129 https://doi.org/10.36922/ghes.3737