J Korean Acad Psychiatr Ment Health Nurs.  2010 Sep;19(3):278-287. 10.12934/jkpmhn.2010.19.3.278.

Development of a Multisystem Core Competency Support Model to Prevent Suicidal Ideation in Adolescents

• Park HS
• Jung SY

• KMID: 2321841
• DOI: http://doi.org/10.12934/jkpmhn.2010.19.3.278

Abstract

PURPOSE
In this study, the fitness of a path model on the relationship among the variables, parent-adolescent communication, school resilience, self-esteem, depression, and suicidal ideation for adolescents, was examined. The aim of the study was to provide fundamental data about preventing adolescent's suicidal ideation by developing and examining a multisystem core competency support model.
METHODS
The participants were 398 adolescents. The data were analyzed with the SPSS and AMOS programs.
RESULTS
Parent-adolescent communication, school resilience, self-esteem, and depression showed a direct effect on suicidal ideation for adolescents, while parent-adolescent communication, school resilience, and self-esteem showed an indirect effect on suicidal ideation for adolescents. The modified path model of adolescent's suicidal ideation was shown to be correct.
CONCLUSION
These results suggest that adolescent's suicidal ideation can be decreased by increasing parent-adolescent communication, school resilience, and self-esteem and reducing depression. The findings of the study indicate a need to design a core competency reinforcement program that emphasizes increases in parent-adolescent communication, school resilience, and self-esteem and reduction of depression in order to decrease adolescent's suicide ideation.

Keyword

Adolescent; Suicide; Competency

MeSH Terms

Adolescent*
Depression
Humans
Suicidal Ideation*
Suicide

Figure

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  Figure 1 Hypothetical path model.

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  Figure 2 Modified path model.

Reference

1. Beck AT, Streer RA, Ranieri WF. Scale for suicide ideation: Psychometric properties of a self-report version. J Clin Psychol. 1988; 44:499–505.

2. Cho HJ. A study on the characteristics of the protective factors for school resilience among adolescents in poverty. Seoul: The Catholic University of Korea;2002. Unpublished master's thesis.

3. Choi YJ, Yoo GS. Effect of parent-adolescent communication, adolescent's self-esteem and strategies in peer conflict situations on satisfaction with peer relationships among Korean adolescents. J Korean Home Manage Assoc. 2007; 25(3):1–17.

4. Chon KK, Lee MK. Preliminary development of Korean version of CES-D. Korean J Clin Psychol. 1992; 11:65–76.

5. Chun YJ. Path model for the family and school environment affecting adolescent suicidal ideation medicated by depression. J Korean Home Econ Assoc. 2001; 39(1):1–17.

6. Doo JY. The effects of group counselling program for mental health on the Juvenile's suicide factors. Gyeongsan: Youngnam Theological College & Seminary;2004. Unpublished mater's thesis.

7. Henggeler SW. The family-ecological system theory. In : Henggeler SW, editor. Delinquency and adolescent psychopathology: A family-ecological systems approach. Littleton, MA: John Wright;1982.

8. Jeon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974; 11:109–129.

9. Kim BY, Lee CS. A meta-analysis of variables related to suicidal ideation in adolescents. J Korean Acad Nurs. 2009; 39(5):651–661.

10. Kim EK. A study on factors influencing on the school resilience of North Korean immigrant youth. Daegu: Kyungpook National University;2008. Unpublished master's thesis.

11. Kim GS. Analysis of structural equation model. Seoul: Nannarae Publishing;2006.

12. Kim HS. The current trend of suicide and its prevention in life stages: Focusing on the comparison of elderly and youth suicide. J Welf Aged. 2006; 34:271–292.

13. Korea National Statistical Office. Annual report on the causes of death statistics in 2007. Daejeon: Author;2008.

14. Lee HS, Kwon JH. Validation for the Beck scale for suicide ideation with Korean university students. Korean J Clin Psychol. 2009; 28(4):1155–1172.

15. MacDonald MG. Teacher's knowledge of facts and myths about suicide. Psychol Rep. 2004; 95:651–656.

16. Martin G, Richardson AS, Bergen HA, Roeger L, Allison S. Perceived academic performance, self-esteem, and locus of control as indicators of need for assessment of adolescent suicide risk: Implications for teachers. J Adolesc. 2005; 28:75–87.

17. Min HY. A study on the relationship between Juvenile delinquency and Juvenile delinquent's perception of parent-adolescent communication, family cohesion, and adaptability. Seoul: Seoul National University;1991. Unpublished master's thesis.

18. Moor S, Ann M, Hester M, Elisabeth WJ, Robert E, Robert W, et al. Improving the recognition of depression in adolescence: Can we teach the teachers? J Adolesc. 2005; 30:81–95.

19. Oh HA, Park YR, Choi MH. The effects of parent-adolescent communication and depression on suicide ideation. J Korean Acad Child Health Nurs. 2008; 14(1):35–43.

20. Olson DH, MacCubbin H, Barnes HL, Larsen A, Muxen M, Wilson M. Family inventories. Minnesota, MN: University of Minnesota Press;1982.

21. Park HS. Validation of a path model on adolescent's suicidal ideation and violent behavior. J Korean Acad Nurs. 2007; 37(6):835–843.

22. Park HS, Koo HY. The buffering effect of parentadolescent communication in the relation between stress and suicidal ideation for Korean adolescents. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18(1):87–94.

23. Park JY. Adolescent suicidal crisis and resilience. Seoul: Ewha Womans University;2010. Unpublished doctoral dissertation.

24. Radloff L. The CES-D scale: A new self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1:385–401.

25. Rider EA, Keefer CH. Communication skills competencies. Med Educ. 2006; 40:624–629.

26. Rosenberg M. Society and adolescent self-image. Princeton NJ: Princeton University Press;1965.

27. Schoeder M, Pridham K. Development of relationship competencies through guided participation for mothers of preterm infants. J Obstet Gynecol Neonatal Nurs. 2005; 35(3):358–368.

28. Seo HS. A study of factors influencing on adolescent's suicide thinking. Gyeongsan: Daegu University;2006. Unpublished doctoral dissertation.

29. Sohn JN. A structural model of impulsive suicidal ideation in adolescents. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18(4):418–430.

30. Stewart F, O'Halloran C, Barton FR, Singleton SF, Harrigan P, Spencer EF. Clarifying the concepts of confidence and competence to produce appropriate self-evaluation measurement scale. Med Educ. 2000; 34:903–909.