J Korean Neuropsychiatr Assoc.  2014 Jul;53(4):228-236.

The Predictor of Suicidal Ideation and Attempt of Middle School Adolescents in an Urban Community

Affiliations
  • 1Department of Psychiatry, Hanyang University Guri Hospital, Guri, Korea. hypyc@hanyang.ac.kr

Abstract


OBJECTIVES
This study was conducted in order to explore the prevalence of suicidal behavior and the risk or protecting factors. In addition, childhood trauma, school violence, and social support were hypothesized to have an association with suicidal behavior.
METHODS
Data were collected by self-report questionnaire from 1219 students selected from middle schools in Guri-city, Korea. The students were asked to complete self-questionnaires and sociodemographic variables were collected for identification of factors associated with suicidal behavior.
RESULTS
The prevalence of suicidal attempt was 1.1% (0.6%, 1.3%) from the total sample. Meaningful predictors of suicidal ideation were female, low socioeconomic status, low self-esteem, emotional abuse, neglect, delinquency, perpetration of school violence, family support, and friend support, in addition to the significant effect of depressive mood. In the case of suicidal attempt, female, low socioeconomic status, or delinquency showed a significant incremental effect, in addition to the explaining variance of depressive mood and suicidal ideation.
CONCLUSION
Childhood experience should be dealt with, and school violence should be controlled in order to modulate mood disturbance and pessimistic ideation, which can block the channel to suicidal attempt. In addition, development of strategies for management of depression and delinquency is needed for prevention of suicidal attempt.

Keyword

Suicide; Suicidal ideation; Suicidal attempt; Childhood trauma; School violence

MeSH Terms

Adolescent*
Depression
Domestic Violence
Female
Friends
Humans
Korea
Prevalence
Surveys and Questionnaires
Social Class
Suicidal Ideation*
Suicide
Violence

Reference

1. It's necessary to meet the demands on the time and take social responsibility as a mental health professional. J Korean Neuropsychiatr Assoc. 2012; 52:1.
2. Lee CJ, Kim SW. The issues and challenges of suicide prevention program. Program Evaluation Issue. National Assembly Budget Office;2013. Available from: http://korea.nabo.go.kr/eng/publications.do?psStep=list&shSearch=&shKeyword=&shPubCD=pubBudget&shDivisionCD=PD600&x=11&y=8.
3. WHO Mortality Database. CO4.1: Teenage suicide (15-19 years old). Chart CO4.1.A: Suicide rates among teenagers have been falling across the OECD Suicides per 100 000 persons 15-19 years old, OECD-33 average from 1990-2009. Geneva: World Health Organization;2011. Available from: http://www.oecd.org/els/family/48968307.pdf.
4. Statistics Korea. Cause of Death Statistics: Cause of death (103 items)/gender/age (1983~2012). Daejeon: Statistics Korea;2013. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E01&conn_path=I2.
5. Reynolds WM. Suicide Ideation Questionnaire: Professional Manual. Odessa, FL: Psychological Assessment Resources Inc.;1988.
6. Clayton PJ. Suicide. Psychiatr Clin North Am. 1985; 8:203–214.
Article
7. Hirschfeld RMA, Davidson L. Risk factors for suicide. American Psychiatr Press Rev Psychiatry. 1988; 7:307–333.
8. Cho SJ, Jeon HJ, Kim JK, Suh TW, Kim SU, Hahm BJ, et al. Prevalence of suicide behaviors (suicidal ideation and suicide attempt) and risk factors of suicide attempts in junior and high school adolescents. J Korean Neuropsychiatr Assoc. 2002; 41:1142–1155.
9. Joffe RT, Offord DR, Boyle MH. Ontario Child Health Study: suicidal behavior in youth age 12-16 years. Am J Psychiatry. 1988; 145:1420–1423.
Article
10. Kim JY. Suicide-related behaviors among college students and suicide prevention. J Digit Policy Manage. 2012; 10:525–533.
11. Bae S, Ye R, Chen S, Rivers PA, Singh KP. Risky behaviors and factors associated with suicide attempt in adolescents. Arch Suicide Res. 2005; 9:193–202.
Article
12. Langhinrichsen-Rohling J, Lamis DA. Current suicide proneness and past suicidal behavior in adjudicated adolescents. Suicide Life Threat Behav. 2008; 38:415–426.
Article
13. Tang TC, Ko CH, Yen JY, Lin HC, Liu SC, Huang CF, et al. Suicide and its association with individual, family, peer, and school factors in an adolescent population in southern Taiwan. Suicide Life Threat Behav. 2009; 39:91–102.
Article
14. Lowry R, Crosby AE, Brener ND, Kann L. Suicidal thoughts and attempts among U.S. High school students: trends and associated health-risk behaviors, 1991-2011. J Adolesc Health. 2014; 54:100–108.
Article
15. Chang EJ. Critical review on the current study of adolescent suicide in Korea. J Future Oriented Youth Soc. 2011; 8:171–195.
16. Kim SW, Kim SY, Yang SJ, Kim JM, Shin IS, Jeong S, et al. Psychosocial correlates of suicidal ideation in middle-school students. J Korean Neuropsychiatr Assoc. 2010; 49:604–610.
17. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the Scale for Suicide Ideation. J Consult Clin Psychol. 1979; 47:343–352.
Article
18. Shin MS, Park KB, Oh KJ, Kim ZS. A study of suicidal ideation among high school students: the structural relation among depression, hopelessness, and suicidal ideation. Korean J Clin Psychol. 1990; 9:1–19.
19. You SM, Lee SY. Relationship of perceived stress, maladaptive perfectionism, and suicidal ideation: Focusing on the moderating effects of social problem solving and attachment styles. Korean J Sch Psychol. 2008; 5:119–136.
20. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc. 1993; 32:381–399.
21. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press;1965.
22. Jon BJ. Self-esteem: a test of its measurability. Yonsei Nonchong. 1974; 11:107–130.
23. Hong NM. Study on the psychosocial factors influencing the suicide ideation among adolescents [dissertation]. Seoul: Ehwa Womans University;1998.
24. Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl. 2003; 27:169–190.
Article
25. Kim EK, Lee JS. Effects of abusive experiences on adolescent's suicidal ideation: focusing on mediating effects of shame-proneness and friendships. J Korean Home Manage Assoc. 2008; 26:123–134.
26. Bhang SY, Yoo HK, Kim JH, Kim B, Bahn GH, Ahn D, et al. Revision of Adolescent Mental Health and Problem Behavior Screening Questionnaire: Development of Adolescent Mental Health and Problem Behavior Screening Questionnaire-II. J Korean Acad Child Adolesc Psychiatry. 2011; 22:271–286.
Article
27. Olweus D. Bullying at school: what we know and what we can do. Malden, MA: Blackwell Publishing;1993.
28. Son WK. A study on bully/victim students' social support perception in middle school [dissertation]. Busan: Dong-A University;1998.
29. Kim MS. Development of the Children's Social Support Scale. J Korean Home Econ Assoc. 1995; 33:37–47.
30. Dubow EF, Ullman DG. Assessing social support in elementary school children: the survey of children's social support. J Clin Child Psychol. 1989; 18:52–64.
Article
31. Harter S. Manual for the social support scale for children. Denver, CO: University of Denver;1985.
32. Cohen S, Hoberman HM. Positive events and social supports as buffers of life change stress. J Appl Soc Psychol. 1983; 13:99–125.
33. Kokkevi A, Rotsika V, Arapaki A, Richardson C. Adolescents' self-reported suicide attempts, self-harm thoughts and their correlates across 17 European countries. J Child Psychol Psychiatry. 2012; 53:381–389.
Article
34. Lewis SA, Johnson J, Cohen P, Garcia M, Velez CN. Attempted suicide in youth: its relationship to school achievement, educational goals, and socioeconomic status. J Abnorm Child Psychol. 1988; 16:459–471.
Article
35. Hong J, Knapp M, McGuire A. Income-related inequalities in the prevalence of depression and suicidal behaviour: a 10-year trend following economic crisis. World Psychiatry. 2011; 10:40–44.
Article
36. Kõlves K. Child suicide, family environment, and economic crisis. Crisis. 2010; 31:115–117.
Article
37. Kim DS, Kim HS. Early initiation of alcohol drinking, cigarette smoking, and sexual intercourse linked to suicidal ideation and attempts: findings from the 2006 Korean Youth Risk Behavior Survey. Yonsei Med J. 2010; 51:18–26.
Article
38. Ghanem M, Gamaluddin H, Mansour M, Samiee' AA, Shaker NM, El Rafei H. Role of impulsivity and other personality dimensions in attempted suicide with self-poisoning among children and adolescents. Arch Suicide Res. 2013; 17:262–274.
Article
39. Bella ME, Bauducco R, Leal JL, Decca MG. [Epidemiological characterization of hospitalizations due to mental and behavior disorder in children and adolescents in Córdoba, Argentina]. Vertex. 2012; 23:331–338.
40. Baumeister RF. Suicide as escape from self. Psychol Rev. 1990; 97:90–113.
Article
41. Kim YH. The interrelationship between the juvenile delinquency and the couple relationship, parent-adolescent communication, and family functioning [dissertation]. Seoul: Sookmyung Women's University;1989.
42. Kim KI. Family Violence: the Fact and Management. Seoul: Tamgudang;1988.
43. Nam M. Adolescent suicide. J Korean Med Assoc. 1997; 40:1282–1287.
44. Barnes HL, Olson DH. Parent-adolescent communication and the circumplex model. Child Dev. 1985; 56:438–447.
Article
45. Donaldson D, Spirito A, Farnett E. The role of perfectionism and depressive cognitions in understanding the hopelessness experienced by adolescent suicide attempters. Child Psychiatry Hum Dev. 2000; 31:99–111.
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr