J Korean Acad Nurs.  2015 Oct;45(5):752-760. 10.4040/jkan.2015.45.5.752.

Effect of Adolescents' Abuse Experience on Suicidal Ideation: Focused on Moderated Mediation Effect of Self-esteem on Depression and Anxiety

Affiliations
  • 1Department of Nursing, Changwon Moonsung University, Changwon, Korea.
  • 2College of Nursing, Keimyung University, Daegu, Korea. khl645@kmu.ac.kr

Abstract

PURPOSE
The purpose of this study was to examine the moderating mediation effect of self-esteem on the relations among adolescents' abuse experiences, depression and anxiety, and suicidal ideation.
METHODS
The participants were selected using secondary data from a population in the 2012 Korea Welfare Panel Survey (KOWEPS). Data were analyzed using SPSS 15.0 and SPSS Macro, and bootstrapping and hierarchical regression analysis were performed to analyze multilevel models.
RESULTS
First, analysis of the mediating effect of the adolescents' abuse showed that there was significant mediating influence between suicidal ideation and depression and anxiety. Second, hierarchical regression analysis showed that self-esteem had significant mediation effect on depression and anxiety in adolescents' suicidal ideation. Third, SPSS Macro showed that self-esteem also significantly moderated the mediating effect of adolescents' abuse experiences on suicidal ideation through depression and anxiety.
CONCLUSION
The study results suggest that in future research on adolescent's abuse experience, the risk of suicide in depression and anxiety scores should be selected through evaluation of each individual's self-esteem scale. Coping strategies with immediate early intervention should be suggested.

Keyword

Abuse; Suicidal ideation; Depression; Anxiety; Self-esteem

MeSH Terms

Adaptation, Physiological
Adolescent
*Anxiety
Depression/*etiology
Female
Humans
Male
Regression Analysis
Risk Factors
*Self Concept
*Suicidal Ideation
Surveys and Questionnaires

Figure

  • Figure 1 Conceptual framework of this study.


Reference

1. Lee JH. Current conditions and development plan of child abuse prevention efforts in Korea. Korean J Clin Soc Work. 2007; 4(1):213–235.
2. Kang MC, Cho HJ, Lee JS. A latent profile analysis of depression, anxiety, shame, and suicidal ideation. Korean J Couns Psychother. 2013; 25(4):873–896.
3. Afifi TO, Enns MW, Cox BJ, Asmundson-Gordon JG, Stein MB, Sareen J. Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences. Am J Public Health. 2008; 98(5):946–952. DOI: 10.2105/ajph.2007.120253.
4. Joiner TE Jr, Sachs-Ericsson NJ, Wingate LR, Brown JS, Anestis MD, Selby EA. Childhood physical and sexual abuse and lifetime number of suicide attempts: A persistent and theoretically important relationship. Behav Res Ther. 2007; 45(3):539–547. DOI: 10.1016/j.brat.2006.04.007.
5. Kim JR, Kim HS. The influence of family violence and school violence on suicidal impulses in adolescents. Health Soc Welf Rev. 2014; 34(2):310–333.
6. Kim JY, Chung YK, Lee JS. The moderating effect of social supportive relationship in the contribution of adolescents' experience of domestic child abuse to suicidal ideation. Korean J Soc Welf Res. 2009; 21:119–144.
7. Prinstein MJ, Nock MK, Simon V, Aikins JW, Cheah-Charissa SL, Spirito A. Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. J Consult Clin Psychol. 2008; 76(1):92–103. DOI: 10.1037/0022-006x.76.1.92.
8. Hwang ES, Seong YH. The mediating effects of self-conscious affect and the impact of childhood abuses on depression and anxiety. Korean J Play Ther. 2006; 9(2):73–89.
9. Kim SJ, Chung IJ. A longitudinal study of persistent and recency effects of child maltreatment on depression anxiety and aggression. J Korean Soc Child Welf. 2013; 43:1–28.
10. Rodriguez CM. Parental discipline and abuse potential affects on child depression, anxiety, and attributions. J Marriage Fam. 2003; 65(4):809–817. DOI: 10.1111/j.1741-3737.2003.00809.x.
11. Moon DK, Kim YH. A meta-regression analysis on related triggering variables of adolescents' suicidal ideation. Korean J Couns. 2011; 12(3):945–964.
12. Barr SC, Hanson R, Begle AM, Kilpatrick DG, Saunders B, Resnick H, et al. Examining the moderating role of family cohesion on the relationship between witnessed community violence and delinquency in a national sample of adolescents. J Interpers Violence. 2012; 27(2):239–262. DOI: 10.1177/0886260511416477.
13. Koo CS, Kim DH. The effect of adolescent' peer victimization experience on suicide ideation: Moderating effect of self-esteem. Korean J Youth Stud. 2013; 20(8):225–256.
14. Lee KH, Kim JY. Moderating effects of self-esteem on the relationship between traumatic experiences and suicidal thought in adolescence. Tourism Res. 2013; 38(2):79–101.
15. Lee SH, Chun JS. The influence of stress on suicidal ideation among male and female adolescents: Focusing on the moderating effects of self-esteem. Ewha J Soc Sci. 2012; 28:173–202.
16. Lieberman Z, Solomon Z, Ginzburg K. Suicidal ideation among young adults: Effects of perceived social support, self-esteem, and adjustment. J Loss Trauma. 2005; 10(2):163–181. DOI: 10.1080/15325020590908867.
17. Park BK. An exploratory study of eco-system factors on adolescents' suicidal ideation [dissertation]. Cheongju: Chungbuk National University;2006.
18. Preacher KJ, Rucker DD, Hayes AF. Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behav Res. 2007; 42(1):185–227. DOI: 10.1080/00273170701341316.
19. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates;1988.
20. Straus MA, Hamby SL, Finkelhor D, Moore DW, Runyan D. Identification of child maltreatment with the parent-child conflict tactics scales: Development and psychometric data for a national sample of American parents. Child Abuse Negl. 1998; 22(4):249–270. DOI: 10.1016/S0145-2134(97)00174-9.
21. Oh KJ, Lee HR, Hong KE, Ha EH. Manual for K-CBCL: Korean child behavior checklist. Seoul: Chung-Ang Aptitiude Publisher;2001.
22. Rosenberg M. Conceiving the self. New York, NY: Basic Books;1979.
23. Park HS. The school resilience of Korean adolescents in poverty [dissertation]. Seoul: Seoul National University;1998.
24. Reynolds WM. Suicidal ideation questionnaire: Professional manual. Odessa, FL: Psychological Assessment Resources;1988.
25. Shin MS. An empirical study of the mechanism of suicide: Validation of the scale for escape from the self [dissertation]. Seoul: Yonsei University;1992.
26. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986; 51(6):1173–1182. DOI: 10.1037/0022-3514.51.6.1173.
27. Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput. 2004; 36(4):717–731. DOI: 10.3758/BF03206553.
28. Preacher KJ, Curran PJ, Bauer DJ. Computational tools for probing interactions in multiple linear regression, multilevel modeling, and latent curve analysis. J Educ Behav Stat. 2006; 31(4):437–448. DOI: 10.3102/10769986031004437.
29. Aiken LS, West SG. Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage Publications;1991.
30. Ahn DH. Child neglect: Revisited. J Korean Counc Child Rights. 2000; 4(1):7–26.
Full Text Links
  • JKAN
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