Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
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Factors related to Suicidal Planning among Adolescents who had Suicidal Ideation

자살생각을 해 본 청소년의 자살계획 관련요인

  • Yi, Jee-Seon (College of Nursing.Institute of Health Sciences, Gyeongsang National University) ;
  • Park, Chang-Seung (Department of Nursing, Cheju Halla University)
  • 이지선 (경상국립대학교 간호대학.건강과학연구원) ;
  • 박창승 (제주한라대학교 간호학과)
  • Received : 2022.06.10
  • Accepted : 2022.08.16
  • Published : 2022.08.31
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Abstract

Purpose: Adolescent suicide is an important issue worldwide. Although literature on preventing suicide among adolescents tends to focus on suicidal ideation, suicidal planning is also an important issue as a stage leading to suicidal behavior. This study aims to identify suicidal planning-related factors, including generalized anxiety disorder, among adolescents who had suicidal ideation. Methods: This secondary study used data generated from the 16th(2020) Korea Youth Risk Behavior Web-based Survey, which included 5,979 students who had suicidal ideation. Factors related to suicidal planning were identified by performing a logistic regression analysis of the participants. All analyses were performed using SPSS 27.0. Results: Among adolescents who had suicidal ideation, 23.8% had suicide plans. The suicidal plans were significantly related to school level (middle, OR=1.38, 95% CI=1.22~1.55), whether they were living with family (no, OR=1.36, 95% CI=1.06~1.75), perceived body image (normal, OR=1.23, 95% CI=1.05~1.44; Obese, OR=1.33, 95% CI=1.14~1.54), depression (yes, OR=1.47, 95% CI=1.25~1.72), tobacco use (yes, OR=1.31, 95% CI=1.12~1.54), alcohol use (yes, OR=1.21, 95% CI=1.06~1.38), drug use (yes, OR=1.96, 95% CI=1.44~2.66), and/or generalized anxiety disorder (severe, OR=1.76, 95% CI=1.44~2.14). Conclusion: The findings of the study suggest that in addition to the commonly recognized factors for adolescent suicide, generalized anxiety disorder should also be considered when establishing strategies to prevent suicide planning in adolescents who had suicidal ideation.

Keywords

References

  1. Statistics Korea. 2020 annual report on the cause of death statistics [Internet]. Daejeon: Statistics Korea; 2020 [cited 2022 January 2]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board
  2. Liu JW, Tu YK, Lai YF, Lee HC, Tsai PS, Chen TJ, et al. Associations between sleep disturbances and suicidal ideation, plans, and attempts in adolescents: a systematic review and meta-analysis. Sleep. 2019;42(6):zsz054. https://doi.org/10.1093/sleep/zsz054
  3. Suh HN. A longitudinal study of adolescents' suicidal ideation: focusing on the effect of stress and depression. Korean Journal of Psychology. 2011;30(3):629-646.
  4. Lim SJ. The associated factors with generalized anxiety disorder in Korean adolescents. Korean Public Health Research. 2021;47(4):197-208. https://doi.org/10.22900/kphr.2021.47.4.014
  5. Kim M, Cho K. Factors affecting health risk behaviors, suicidal ideation, suicidal plans and suicidal attempts in adolescents. Korean Journal of Health Education and Promotion. 2019;36(3):61-71. https://doi.org/10.14367/kjhep.2019.36.3.61
  6. WHO. Public health action for the prevention of suicide: a framework. 2012.
  7. Kim H-S. The suicidal pathways and the influence of risk factors of adolescents. Korean Journal of Counseling. 2019;20(5):273-288.
  8. Sohn S-Y. Factors affecting suicidal ideation, suicidal plan and suicidal attempt in Korean adolescents. Journal of the Korea Academia-Industrial cooperation Society. 2014;15(3):1606-1614. https://doi.org/10.5762/KAIS.2014.15.3.1606
  9. Kessler RC, Berglund P, Borges G, Nock M, Wang PS. Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003. JAMA. 2005;293(20):2487-2495. https://doi.org/10.1001/jama.293.20.2487
  10. Xiao Y, Chen Y, Meng Q, Tian X, He L, Yu Z, et al. Suicide ideation and suicide plan in Chinese left-behind children: prevalence and associated factors. Journal of Affective Disorders. 2019;257:662-668. https://doi.org/10.1016/j.jad.2019.07.072
  11. Kim M. The effects of off-line and cyber bullying victimization experiences and depression on suicidal ideation in adolescents. Forum for Youth Culture. 2018;56:29-52. https://doi.org/10.17854/ffyc.2018.10.56.29
  12. Bilsen J. Suicide and youth: risk factors. Frontiers in Psychiatry. 2018:540. https://doi.org/10.3389/fpsyt.2018.00540
  13. Gould MS. Suicide and the media. Annals of the New York Academy of Sciences. 2001;932(1):200-224. https://doi.org/10.1111/j.1749-6632.2001.tb05807.x
  14. Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun PO, et al. Child and adolescent mental health worldwide: evidence for action. The Lancet. 2011;378(9801):1515-1525. https://doi.org/10.1016/S0140-6736(11)60827-1
  15. Kim E. Differences in quality of life according to the level of generalized anxiety among adolescents. Journal of Learner-Centered Curriculum and Instruction. 2022;22:599-612. https://doi.org/10.22251/jlcci.2022.22.4.599
  16. Ibrahim N, Amit N, Suen MWY. Psychological factors as predictors of suicidal ideation among adolescents in Malaysia. PLoS One. 2014;9(10):e110670. https://doi.org/10.1371/journal.pone.0110670
  17. Kim HW, Kim YK, Paik JY, Hong CB, Lee K, Park TJ, et al. The Relationship between smoking and suicidal behavior in Korean adolescents: 12th Korea Youth Risk Behavior Web- based Survey. Korean Journal of Health Promotion. 2017;17(4):219-233. https://doi.org/10.15384/kjhp.2017.17.4.219
  18. Joff RT, Bagb RM, Lewitt AJ, Regan JJ, Parker JDA. The tridimensional personality questionnaire in major depression. The American Journal of Psychiatry. 1993;150:959-960. https://doi.org.10.1176/ajp.150.6.959
  19. Gasperini M, Battaglia M, Diaferia G, Bellodi L. Personality features related to generalized anxiety disorder. Comprehensive Psychiatry. 1990;31(4):363-368. https://doi.org/10.1016/0010-440X(90)90044-S
  20. Aikins DE, Craske MG. Cognitive theories of generalized anxiety disorder. The Psychiatric Clinics of North America. 2001;24(1):57-74. https://doi.org/10.1016/S0193-953X(05)70206-9
  21. Korea Disease Control and Prevention Agency. Korean youth risk behavior survey [Internet]. Chungcheongbuk-do: Korea Disease Control and Prevention Agency; 2021 [cited 2022 January 7]. Available from: https://www.kdca.go.kr/yhs/
  22. Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine. 2006;166(10):1092-1097. https://doi.org/10.1001/archinte.166.10.1092
  23. Kim CG. Structural relationships among adolescents' family risk factors, depression, hopelessness, and suicidal ideation. Korean Journal of Youth Studies. 2017;24(10):339-363. https://doi.org/10.21509/KJYS.2017.10.24.10.339
  24. Ryu G. Effects of body image distortion on stress and suicidal ideation in adolescents of multi-cultural families: focusing on differences by parents' country of origin. Journal of Health Informatics and Statistics. 2019;44(2):160-171. https://doi.org/10.21032/jhis.2019.44.2.160
  25. Kwon Y, Yun H. An analysis of the structural relationships among adolescents' happiness related variables: a comparison between ordinary and delinquent groups. Studies on Korean Youth. 2020;3(1):183-210. https://doi.org/10.14816/sky.2020.31.1.183
  26. Bae S-Y, Yoon H-S, Cho Y-C. Factors related to suicide ideation among middle school students. Journal of the Korea Academia-Industrial cooperation Society. 2015;16(1):544-554. https://doi.org/10.5762/KAIS.2015.16.1.544
  27. Statistics Korea. 2021 statistics on the youth [Internet]. Daejeon: Statistics Korea; 2021 [cited 2022 January 2]. Available from: https://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&bSeq=&aSeq=389790&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=srch&sTarget=title&sTxt=0
  28. Kang DH, Kim JW, Lee JH, Yoon SY, Choi TY. Factors associated with smoking frequency and suicidal attempt in Korean adolescent smokers. Journal of the Korean Society of Biological Therapies in Psychiatry. 2018;24(3):230-238. https://doi.org/10.22802/jksbtp.2018.24.3.230
  29. Choi W, Kang S, Paeg S. The effects of middle school students' depression and anxiety on suicide accidents: mediated moderation effect of atrophy and self-esteem. Forum for Youth Culture. 2020;70:85-108. https://doi.org/10.17854/ffyc.2020.07.63.85
  30. Wolk CB, Kendall PC, Beidas RS. Cognitive-behavioral therapy for child anxiety confers long-term protection from suicidality. Journal of the American Academy of Child & Adolescent Psychiatry. 2015;54(3):175-179. https://doi.org/10.1016/j.jaac.2014.12.004