Gratitude and patience moderate meaning struggles and suicidal risk in a cross-sectional study of inpatients at a Christian psychiatric hospital

Virtue in Pursuit of Goals: A Goals-Based Approach to Patience Measurement

In this paper, we provide a contextualized assessment of virtue through validation of a goals-based approach to measuring patience, the Goals-Based Virtue-Patience Scale (GBV-P). To assess virtue in a way congruent with its definition requires consideration of situational and contextual factors; however, most extant measures of virtue instead assess virtue at a decontextualized, global level (Ng & Tay, 2020). As such, we developed a contextualized and motivationally attuned goals-based assessment of the virtue of patience, the ability to remain calm in the face of frustration, suffering, or delay in goal pursuit. We engaged multilevel structural equation modeling to validate a new measure of patience in pursuit of goals nested within people. Across three studies (N = 798) assessing the GBV-P, data were consistent with reliability and structural validity tests, and associations of the new measure with other regulatory virtues or constructs (e.g., global patience, self-control, conscientiousness, perseverance, emotion regulation) as well as well-being (e.g., life satisfaction, goal orientation, meaning) and ill-being outcomes (e.g., depression and anxiety symptoms, loneliness, stress) provided evidence of convergent validity. Likewise, patience was differentially engaged depending on the goal domain and type; approach (vs. avoidance), interpersonal (vs. intrapersonal), and generativity goals were pursued with more patience.

Childhood Sexual Abuse and Associated Suicidal Ideation and Attempts Among Gay and Bisexual Men in China: A Moderated Mediation Model

Childhood sexual abuse (CSA) is a critical risk factor for suicidal ideation and attempts, especially among gay and bisexual men who experience living as a minority. However, whether internalized homophobia (IH) underlies suicide risk and the role of outness to one's family in this association warrants investigation to inform preventive interventions. Using a cross-sectional survey of 570 gay and bisexual men in China, we examined the relationship between CSA and suicidality in the Chinese context and tested a moderated mediation model in this relationship. Nearly 65.6% of the participants had experienced suicidal ideation and 36.8% had attempted suicide. Participants with a history of CSA had higher suicidal ideation (r = 0.33, p < .01) and attempts (r = 0.48, p < .01). Our bootstrapped mediation analysis showed that IH partially mediated the relationship between CSA and suicidal ideation and attempts. Moreover, outness to one's family (parents and other family members) strengthened the direct association of CSA and IH, and the indirect relationship between CSA and suicidal ideation and attempts. These findings highlight the significance of identifying risk factors and mechanisms for suicidality among Chinese gay and bisexual men, suggesting the importance of early intervention, especially for those who have experienced CSA, to eliminate their IH and to improve family support for coming out to prevent the onset of suicidal ideation and attempts.