Covitality in the Association Between Depressive Symptoms and Suicidality Among Italian University Students: A Cross-Sectional Study of Indirect Associations

Background/Objectives: University students may experience depressive symptoms and suicidality. Covitality—the combination of belief in self, belief in others, emotional competence, and engaged living—may be a relevant positive mental-health resource. This study examined whether depressive symptoms were indirectly associated with suicidality through covitality among Italian university students. Methods: A cross-sectional survey included 482 Italian university students aged 18–51 years (M = 21.2, SD = 4.48); 81.1% were women. Covitality was assessed with the Social Emotional Health Survey–Higher Education, depressive symptoms with the Depression Anxiety Stress Scales–21 depression subscale, and suicidality with a seven-item self-report index adapted from the Columbia–Suicide Severity Rating Scale screener (not used as a diagnostic interview). Structural equation modeling with 5000 bootstrap samples tested the indirect association. Results: The model showed good fit. Depressive symptoms were negatively associated with covitality and positively associated with suicidality, and covitality was negatively associated with suicidality. The indirect association through covitality was statistically significant and accounted for 16.3% of the total association; the estimate was similar without the non-suicidal self-injury item but not significant among complete responders. Conclusions: Covitality was statistically associated with suicidality and accounted for a small part of the association between depressive symptoms and suicidality. Because the data are cross-sectional, these findings do not establish mediation as a temporal or causal process. Social-emotional strengths may complement, but not replace, symptom-focused assessment in university mental-health and suicide-prevention research; longitudinal and intervention studies are needed.

Authors

Institutions

Publication Details

Journal
Journal of Clinical Medicine
Published
2026-11-11
DOI
https://doi.org/10.3390/jcm15228826
Primary Topic
Suicide and Self-Harm Studies
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
article

Covitality in the Association Between Depressive Symptoms and Suicidality Among Italian University Students: A Cross-Sectional Study of Indirect Associations

Przemysław Marcin Zdybek, Alessandro Geraci, Antonella D’Amico, Katarzyna Błońska
Journal of Clinical Medicine
Suicide and Self-Harm Studies
article

Covitality in the Association Between Depressive Symptoms and Suicidality Among Italian University Students: A Cross-Sectional Study of Indirect Associations

Przemysław Marcin Zdybek, Alessandro Geraci, Antonella D’Amico, Katarzyna Błońska
article en

Abstract

Background/Objectives: University students may experience depressive symptoms and suicidality. Covitality—the combination of belief in self, belief in others, emotional competence, and engaged living—may be a relevant positive mental-health resource. This study examined whether depressive symptoms were indirectly associated with suicidality through covitality among Italian university students. Methods: A cross-sectional survey included 482 Italian university students aged 18–51 years (M = 21.2, SD = 4.48); 81.1% were women. Covitality was assessed with the Social Emotional Health Survey–Higher Education, depressive symptoms with the Depression Anxiety Stress Scales–21 depression subscale, and suicidality with a seven-item self-report index adapted from the Columbia–Suicide Severity Rating Scale screener (not used as a diagnostic interview). Structural equation modeling with 5000 bootstrap samples tested the indirect association. Results: The model showed good fit. Depressive symptoms were negatively associated with covitality and positively associated with suicidality, and covitality was negatively associated with suicidality. The indirect association through covitality was statistically significant and accounted for 16.3% of the total association; the estimate was similar without the non-suicidal self-injury item but not significant among complete responders. Conclusions: Covitality was statistically associated with suicidality and accounted for a small part of the association between depressive symptoms and suicidality. Because the data are cross-sectional, these findings do not establish mediation as a temporal or causal process. Social-emotional strengths may complement, but not replace, symptom-focused assessment in university mental-health and suicide-prevention research; longitudinal and intervention studies are needed.

Journal of Clinical MedicineVol. 15(22)
University of Opole (PL), University of Palermo (IT)
Suicide and Self-Harm Studies
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

Laika access coming soon