The Moderating Effect of Academic Stress on the Relationship between Self-esteem, Loneliness, Personality Traits, Academic Procrastination, and Suicidality among University Students in Jordan

Background
Several factors contribute to psychosocial disturbances among university students, which may lead to suicidality. There is a bidirectional relationship between academic and psychological well-being that warrants further investigation.
Objective
This study aims to examine the moderating effect of academic stress on the relationship between self-esteem, loneliness, personality traits, academic procrastination, and suicidality among university students in Jordan.
Methods
A convenience sample of 440 university students was recruited for a study employing a cross-sectional, correlational design. Participants completed an online self-administered questionnaire composed of six validated instruments, each assessing one of the following constructs: academic anxiety, loneliness, academic procrastination, personality dysfunction, self-esteem, and suicidality.
Results
The analysis showed that 25.0% of the students were at greater risk of suicide. Students demonstrated moderate levels of procrastination, moderate to high levels of self-esteem, moderate academic anxiety, low to moderate levels of global personality dysfunctions, and low to moderate levels of loneliness. Suicide risk was significantly and positively associated with procrastination, academic anxiety, loneliness, and overall personality dysfunction but not significantly associated with self-esteem. Academic stress had a significant moderating effect on the relationship between psychological factors and suicidality after controlling for demographic and personal characteristics (F[23, 416] = 7.52, p<0.001; R2 = 0.306).
Conclusion
Suicide is a significant psychological problem among university students and can be exacerbated by academic and psychological-related factors. There is a pressing need to integrate screening and early detection programs for suicide risk and to establish professional psychological counseling services within academic institutions.
- Hamaideh SH, Abuhammad S, Khait AA, et al. Levels and predictors of empathy, self-awareness, and perceived stress among nursing students: A cross-sectional study. BMC Nurs. 2024;23:131. doi: 10.1186/s12912-024-01774-7
- Hamdan-Mansour LA, Al Shibi AN, Jabaiti S, Alrafayia M, Hamdan Mansour A. Status of and sociodemographic and psychological correlates of personality dysfunction among university students: A cross-sectional study. Ment Health Soc Incl. 2024;29(2):199-209. doi: 10.1108/ MHSI-08-2024-0128
- Shehadeh J, Hamdan-Mansour A, Halasa S, et al. Academic stress and self-efficacy as predictors of academic satisfaction among nursing students. Open Nurs J. 2020;14:92-99. doi: 10.2174/1874434602014010092
- World Health Organization. Suicide; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/suicide [Last accessed on 2023 Oct 04].
- Fekih-Romdhane F, Daher-Nashif S, Stambouli M, et al. Suicide literacy mediates the path from religiosity to suicide stigma among Muslim community adults: Cross-sectional data from four Arab countries. Int J Soc Psychiatry. 2023;69(7):1658-1669. doi: 10.1177/00207640231174359
- Al Hadid LA, Al-Rajabi O, Al Barmawi M, Alhadidi M, Jaradat AM. Measuring the prevalence of psychological symptoms and the predictors associated with seeking counseling and psychological help among university students. J Am Coll Health. 2023;71(2):389-395. doi: 10.1080/07448481.2021.1891918
- Hamdan-Mansour A, Shehadeh JH, Hamdan- Mansour LA. Using cognitive behavioral intervention to prevent substance use among university students: Comparative study. Ment Health Soc Incl. 2020;24(4):207-215. doi: 10.1108/ MHSI-04-2020-0021
- Hamaideh SH, Al Modallal H, Tanash M, Hamdan-Mansour A. Depression, anxiety and stress among undergraduate students during COVID-19 outbreak and “home-quarantine”. Nurs Open. 2022;9(2):1423-1431. doi: 10.1002/nop2.918
- Hamdan-Mansour AM, Alzayyat AA, Hamaideh SH, Rafaiah MQB, Al Jammal OL, Hamdan-Mansour LA. Predictors of deliberate self-harm among university students. Int J Ment Health Addict. 2022;20:2993-3005. doi: 10.1007/ s11469-021-00561-8
- Shehadeh J, Marairah O, Hamdan-Mansour A. Determinants of moral distress among mental health professionals. OpenNursJ. 2022;16:e187443462203030. doi: 10.2174/18744346-v16-e2203030
- Younis W, Shawashi T, Abdalrahim MS, et al. Students perspective of clinical online training during COVID-19 pandemic: A descriptive phenomenological study. Educ Sci Theory Pract. 2021;21(3):74-87.
- Güngör AY. The relationship between academic procrastination, academic self-efficacy, and academic achievement among undergraduates. Oltu Beşeri Ve Sosyal Bilimler Fakültesi Dergisi. 2020;1(1):57-68.
- Google Form. Mountain View. CA: Google; 2024.
- Lay C. Attributions and behavioral characteristics of procrastinators: The delay of “everything”. In: Solomon LJ, Rothblum ED, editors. Academic Procrastination: Theory, Research, and Practice. New York: Plenum Press; 1986.
- Steinert C, Heim N, Leichsenring F. Procrastination, perfectionism, and other work-related mental problems: Prevalence, types, assessment, and treatment-a scoping review. Front Psychiatry. 2021;12:736776. doi: 10.3389/ fpsyt.2021.736776
- Zajacova A, Lynch SM, Espenshade TJ. Self-efficacy, stress, and academic success in college. Res High Educ. 2005;46(6):677-706. doi: 10.1007/ s11162-004-4139-z
- Momani F, Hamdan-Mansour A, Alshoukhni M. Suicidality and its relationship to psychological and sociodemographic factors among individuals with obsessive compulsive disorders in Jordan. Malays J Med Health Sci. 2020;16(1):247-253.
- Osman A, Bagge CL, Gutierrez PM, Konick LC, Kopper BA, Barrios FX. The suicidal behaviors questionnaire-revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment. 2001;8(4):443-454. doi: 10.1177/107319110100800409
- Schmidt N, Sermat V. Measuring loneliness in different relationships. J Pers Soc Psychol. 1983;44(5): 1038-1047. doi: 10.1037/0022-3514.44.5.1038
- Markon KE, Quilty LC, Bagby RM, Krueger RF. The development and psychometric properties of an informant-report form of the personality inventory for DSM-5 (PID-5). Assessment. 2013;20(3):370- 383. doi: 10.1177/1073191113486513
- Rosenberg M. Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy. Measures package. 1965;61:18.
- Hamdan-Mansour A, Hamdan-Mansour R, Allaham D, Alrashidi M, Alhaiti A, Hamdan- Mansour L. Academic procrastination, loneliness, and academic anxiety as predictors of suicidality among university students. Int J Ment Health Nurs. 2024;33:2054-2062. doi: 10.1111/inm.13366
- Okechukwu FO, Ogba KT, Nwufo JI, et al. Academic stress and suicidal ideation: Moderating roles of coping style and resilience. BMC Psychiatry. 2022;22(1):546. doi: 10.1186/s12888-022-04063-2
- Mirawdali S, Morrissey H, Ball P. Academic anxiety and its effects on academic performance. Int J Curr Res. 2021;10(6):70017-70026.
- Alazzam M, Abuhammad S, Alhmoud A, Hamdan-Mansour AM. Predictors of depression and anxiety among senior high school students during COVID-19 pandemic: The context of home quarantine and online education. J Sch Nurs. 2021;37(4): 241-248. doi: 10.1177/1059840520988548
- Pillay J. Suicidal behaviour among university students: A systematic review. S Afr J Psychol. 2021;51(1):54-66. doi: 10.1177/0081246321992177
- Ashari ZM, Liow YE, Zainudin NFB. Psychological risk factors and suicidal ideation among undergraduate students of a Malaysian public university. J Kemanusiaan. 2022;19(2):33-40.
- Qaddoura N, Dardas LA, Pan W. Psychosocial determinants of adolescent suicide: A national survey. Arch Psychiatr Nurs. 2022;40:15-24. doi: 10.1016/j.apnu.2022.04.004
- Porru F, Schuring M, Bültmann U, Portoghese I, Burdorf A, Robroek SJ. Associations of university student life challenges with mental health and self-rated health: A longitudinal study with 6 months follow-up. J Affect Disord. 2022;296:250-257. doi: 10.1016/j.jad.2021.09.057
- Duffy A, Keown-Stoneman C, Goodday S, et al. Predictors of mental health and academic outcomes in 1st-year university students: Identifying prevention and early-intervention targets. BJPsych Open. 2020;6(3):e46. doi: 10.1192/bjo.2020.24