Factors Related to Suicidal Ideation in Adolescents According to Types of Stress
Background: This study aimed to identify the factors associated with suicidal ideation by classifying adolescents into three groups: no stress, interpersonal stress, as well as academic and career stress.
Method: Using the data from the 16th Korea Youth Risk Behavior Web-Based Survey (2020), 15,343 adolescents were included in the study, and their socio-demographic characteristics as well as physical and psychological factors were assessed. A complex sample logistic regression was performed to identify factors associated with suicide.
Results: The following factors were significantly associated with suicide: fatigue recovery by sleep, body mass index, physical activity, and depression in the no stress group; current school, academic grade, drinking, depression, loneliness, and anxiety in the interpersonal stress group; and gender, current school, academic grade, father’s educational level, drinking, fatigue recovery by sleep, depression, loneliness, subjective health, smartphone overdependence, as well as anxiety in the academic and career stress group.
Conclusion: To prevent suicide among adolescents, it is necessary to consider these factors when developing educational policies.
2. Bhargava M, Bhargava A, Ghate SD, et al. (2020). Nutritional status of Indian adolescents (15-19 years) from National Family Health Surveys 3 and 4: Revised estimates using WHO 2007 Growth reference. PloS One, 15 (6): e0234570.
3. McLoughlin AB, Gould MS, Malone KM (2015). Global trends in teenage suicide: 2003-2014. QJM, 108: 765-80.
4. Nock MK, Borges G, Bromet EJ, et al. (2008). Suicide and suicidal behavior. Epidemiol Rev, 30 (1):133-154
5. Franklin JC, Ribeiro JD, Fox KR, et al. (2017). Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychol Bull, 143 (2):187-232
6. King CA, Merchant CR (2008). Social and interpersonal factors relating to adolescent suicidality: a review of the literature. Arch Suicide Res, 12 (3):181-196.
7. Rudolph KD (2009). The interpersonal context of adolescent depression. In Nolen-Hoeksema S & Hild LM, eds. Handbook of depression in adolescents. New York, NY: Routledge; 2009:377-418.
8. MacGeorge EL, Samter W, Gillihan SJ (2005). Academic stress, supportive communication, and health. Commun Edu, 54: 365-372.
9. Serafini G, Muzio C, Piccinini G, et al. (2015). Life adversities and suicidal behavior in young individuals: a systematic review. Eur Child Adolesc Psychiatry, 24: 1423-1446.
10. Sullivan EM, Annest JL, Simon TR, et al. (2015). Suicide trends among persons aged 10–24 years – United States, 1994–2012. MMWR Morb Mortal Wkly Rep, 64 (8): 201-5.
11. Taliaferro LA, Muehlenkamp JJ (2014). Risk and protective factors that distinguish adolescents who attempt suicide from those who only consider suicide in the past year. Suicide Life Threat Behav. 44 (1): 6-22.
12. Spirito A, Esposito-Smyther C (2006). Attempted and completed suicide in adolescence. Annu Rev Clin Psychol, 2: 237-66.
13. Joiner TE Jr, Ribeiro JD (2011). Assessment and management of suicidal behavior in children and adolescents. Pediatr Ann, 40 (6): 319-24.
14. Park B, Cho HN, Choi E, et al. (2019). Self-perceptions of body weight status according to age-groups among Korean women: a nationwide population-based survey. PLoS One, 14 (1): e0210486.
15. National Information Society Agency (2016). Digital culture forum policy research report. Available from: https://www.nia.or.kr/site/nia_kor/ex/bbs/View.do?cbIdx=39485&bcIdx=18317&parentSeq=18317. Accessed Jun 10, 2020.
16. Spitzer RL, Kroenke K, Williams JB, et al. (2006). A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Arch Intern Med, 166: 1092-97.
17. Statistics Korea. Available at: https://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&bSeq=&aSeq=389790&pageNo=10&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=. Accessed August 15, 2021.
18. Cheng G, Liu J, Yang Y, et al. (2021). Stressful events and adolescents’ suicidal ideation during the COVID-19 epidemic: A moderated mediation model of depression and parental educational involvement. Child Youth Serv Rev. 127: 106047.
19. Hankin BL, Mermelstein R, Roesch L (2007). Sex differences in adolescent depression: Stress exposure and reactivity models. Child Dev, 78 (1): 279-95.
20. Lee D, Jung S, Park S, et al. (2018). The impact of psychological problems and adverse life events on suicidal ideation among adolescents using nationwide data of a school-based mental health screening test in Korea. Eur Child Adolesc Psychiatry, 27 (10): 1361-72.
21. Kim MS, Kim HJ, Kim AN. (2018). International comparison on the children's quality of life and the impacts of play and leisure activities on it. J Eurasian Stud, 15 (3): 29-59.
22. Cheong MK. (2019). An analysis of the growing process of middle school students: focusing on schools, families, and communities(Ⅳ)(RR2019-01). [KEDI], 1-309. Available at https://www.kedi.re.kr/khome/main/research/selectPubForm.do?plNum0=12760 Accessed August 15, 2021.
23. Nam E, Sohn A. A convergent study of mediating effect of time spent on internet use and amount of alcohol drinking in the influence of high school students’ perceived stress on suicidal thoughts- Based on 2019 Adolescent Health Behavior Survey (2021). J Korea Convergence Soc, 12 (4): 77-86.
24. Jou HM, Kim SS, Lim HK, et al. (2007). An effect of the parent's achievement pressure on the youth group's stress. J Environ and Sanitary Engineering, 22 (1): 67-74.
25. Zaborskis A, Sirvyte D, Zemaitiene N (2016). Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014. BMC Public Health, 16 (1): 1-15.
26. Ministry of Health & Welfare, Korea Foundation for Suicide Prevention. (2021). White Paper on Suicide Prevention. Available at http://www.mohw.go.kr/upload/viewer/skin/doc.html?fn=1625469584505_20210705161944.pdf&rs=/upload/viewer/result/202110/ (Accessed August 20, 2021).
27. Naviya AK, Sultana AS (2021). Stress, Depression and Gender Differences among Adolescents. International Journal of Asia Pacific School Psychology, 2 (1): 68-76.
28. Zaborskis A, Sirvyte D, Zemaitiene N (2016). Prevalence and familial predictors of suicidal behaviour among adolescents in Lithuania: a cross-sectional survey 2014. BMC Public Health, 16: 554.
29. Jatmiko I, Fitryasari R, Tristiana RD (2021). Analysis of the Risk Factors Related to Suicide Idea Among Adolescent: A Literature Review. Journal Ilmu Keperawatan Jiwa, 4 (2): 361-74.
30. Low YTA. Family Conflicts, Anxiety and Depressive Symptoms, and Suicidal Ideation of Chinese Adolescents in Hong Kong. Appl Res Qual Life, 16: 2457-73.
|Issue||Vol 52 No 11 (2023)|
|adolescents stress Korea Youth Risk Behavior Web-Based Survey suicidal ideation regression|
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