Journal of Preventive Medicine and Public Health

  • 제53권6호
  • /
  • Pages.419-428
  • /
  • 2020
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

Association Between Parental Marital Status and Types of Suicidal Behavior Among Korean Adolescents: A Cross-sectional Study

  • Park, Yoon Sik (Department of Preventive Medicine and Institute of Health Services Research, Yonsei University College of Medicine) ;
  • Park, Eun-Cheol (Department of Preventive Medicine and Institute of Health Services Research, Yonsei University College of Medicine)
  • 투고 : 2020.01.04
  • 심사 : 2020.08.11
  • 발행 : 2020.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: Adolescent suicide is a global problem. This study aimed to identify associations between parental marital status and suicidal behavior. Methods: This study analyzed 118 715 middle and high school students from the 13th and 14th Korea Youth Risk Behavior Web-based Survey. The odds ratios (ORs) of suicidal ideation, planning, and attempts were calculated based on parental marital status, living situation, and socioeconomic factors. The data were analyzed using multiple logistic regression. Results: When compared to those living with 2 married biological parents, the ORs of suicidal ideation among adolescents living with either remarried or no parents were 1.34 (95% confidence interval [CI], 1.17 to 1.53) and 1.36 (95% CI, 1.11 to 1.66), respectively. For suicidal planning, the OR of those living with 1 remarried biological parent was 1.24 (95% CI, 1.01 to 1.52), and that of those living without parents was 1.28 (95% CI, 0.95 to 1.73), when compared to adolescents living with 2 married biological parents. For suicide attempts, when compared to adolescents with 2 married biological parents, the OR of those living with 1 remarried biological parent was 1.48 (95% CI, 1.17 to 1.87) and that of those living without parents was 2.02 (95% CI, 1.44 to 2.83). For adolescents living with 1 remarried biological parent, suicidal behavior was strongly associated with having no siblings and were weakly associated with not living with grandparents. Conclusions: Suicidal behavior among adolescents was associated with the remarriage and loss of parents. Therefore, special attention and interventions are needed for adolescents in those situations.

키워드

참고문헌

  1. Organisation for Economic Co-operation and Development (OECD). OECD statistics: intentional self-harm (indicator) [cited 2019 Oct 30]. Available from: https://stats.oecd.org/index.aspx?queryid=30115.
  2. Korean Statistical Information Service. Statistical database: health - cause of death (indicator) [cited 2019 Oct 30]. Available from: http://kosis.kr/eng/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ETITLE&parmTabId=M_01_01.
  3. Barber BK, Erickson LD. Adolescent social initiative: antecedents in the ecology of social connections. J Adolesc Res 2001;16(4):326-354. https://doi.org/10.1177/0743558401164003
  4. Roizblatt SA, Leiva FV, Maida SA. Parents separation or divorce. Potential effects on children and recommendations to parents and pediatricians. Rev Chil Pediatr 2018;89(2):166-172 (Spanish). https://doi.org/10.4067/S0370-41062018000200166
  5. Martin G, Rozanes P, Pearce C, Allison S. Adolescent suicide, depression and family dysfunction. Acta Psychiatr Scand 1995;92(5):336-344. https://doi.org/10.1111/j.1600-0447.1995.tb09594.x
  6. Garnefski N, Diekstra RF. Adolescents from one parent, stepparent and intact families: emotional problems and suicide attempts. J Adolesc 1997;20(2):201-208. https://doi.org/10.1006/jado.1996.0077
  7. Perales F, Johnson SE, Baxter J, Lawrence D, Zubrick SR. Family structure and childhood mental disorders: new findings from Australia. Soc Psychiatry Psychiatr Epidemiol 2017;52(4):423-433. https://doi.org/10.1007/s00127-016-1328-y
  8. Santelli JS, Lowry R, Brener ND, Robin L. The association of sexual behaviors with socioeconomic status, family structure, and race/ethnicity among US adolescents. Am J Public Health 2000;90(10):1582-1588. https://doi.org/10.2105/AJPH.90.10.1582
  9. Lee DW, Shin J, Choi DW, Kim K, Park EC. Effects of household income change on children's problem behavior: findings from a longitudinal study. J Adolesc Health 2019;65(4):527-535. https://doi.org/10.1016/j.jadohealth.2019.05.003
  10. Lee D, McLanahan S. Family structure transitions and child development: instability, selection, and population heterogeneity. Am Sociol Rev 2015;80(4):738-763. https://doi.org/10.1177/0003122415592129
  11. Heard HE. The family structure trajectory and adolescent school performance: differential effects by race and ethnicity. J Fam Issues 2007;28(3):319-354. https://doi.org/10.1177/0192513X06296307
  12. Korean Statistical Information Service. Statistical database: population-vital status (indicator) [cited 2020 Jun 30]. Available from: http://kosis.kr/eng/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ETITLE&parmTabId=M_01_01&statId=1962001&themaId=#A_3.2.
  13. Ponnet K, Vermeiren R, Jespers I, Mussche B, Ruchkin V, SchwabStone M, et al. Suicidal behaviour in adolescents: associations with parental marital status and perceived parent-adolescent relationship. J Affect Disord 2005;89(1-3):107-113. https://doi.org/10.1016/j.jad.2005.08.014
  14. Lee K, Namkoong K, Choi WJ, Park JY. The relationship between parental marital status and suicidal ideation and attempts by gender in adolescents: results from a nationally representative Korean sample. Compr Psychiatry 2014;55(5):1093-1099. https://doi.org/10.1016/j.comppsych.2014.03.010
  15. Bae J, Joung H, Kim JY, Kwon KN, Kim YT, Park SW. Test-retest reliability of a questionnaire for the Korea Youth Risk Behavior Web-based Survey. J Prev Med Public Health 2010;43(5):403-410. https://doi.org/10.3961/jpmph.2010.43.5.403
  16. Cherlin AJ, Furstenberg FF Jr. Stepfamilies in the United States: a reconsideration. Annu Rev Sociol 1994:20(1):359-381. https://doi.org/10.1146/annurev.so.20.080194.002043
  17. Rubenstein JL, Halton A, Kasten L, Rubin C, Stechler G. Suicidal behavior in adolescents: stress and protection in different family contexts. Am J Orthopsychiatry 1998;68(2):274-284. https://doi.org/10.1037/h0080336
  18. Thompson RG Jr, Alonzo D, Hu MC, Hasin DS. The influences of parental divorce and maternal-versus-paternal alcohol abuse on offspring lifetime suicide attempt. Drug Alcohol Rev 2017;36(3):408-414. https://doi.org/10.1111/dar.12441
  19. Lindstrom M, Rosvall M. Parental separation in childhood, social capital, and suicide thoughts and suicide attempts: a population-based study. Psychiatry Res 2015;229(1-2):206-213. https://doi.org/10.1016/j.psychres.2015.07.034
  20. Hollingshaus MS, Smith KR. Life and death in the family: early parental death, parental remarriage, and offspring suicide risk in adulthood. Soc Sci Med 2015;131:181-189. https://doi.org/10.1016/j.socscimed.2015.02.008
  21. Bearman PS, Moody J. Suicide and friendships among American adolescents. Am J Public Health 2004;94(1):89-95. https://doi.org/10.2105/AJPH.94.1.89
  22. Attar-Schwartz S. Emotional closeness to parents and grandparents: a moderated mediation model predicting adolescent adjustment. Am J Orthopsychiatry 2015;85(5):495-503. https://doi.org/10.1037/ort0000082
  23. Blum RW, Beuhring T, Shew ML, Bearinger LH, Sieving RE, Resnick MD. The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. Am J Public Health 2000;90(12):1879-1884. https://doi.org/10.2105/AJPH.90.12.1879
  24. Ministry of Health and Welfare. Welfare services at a glance [cited 2019 Dec 20]. Available from: http://bokjiro.go.kr/nwel/html/world/en/list.html.
  25. Bahr SJ. The effects of welfare on marital stability and remarriage. J Marriage Fam 1979;41(3):553-560. https://doi.org/10.2307/351625
  26. Dewilde C, Uunk W. Remarriage as a way to overcome the financial consequences of divorce-a test of the economic need hypothesis for European women. Eur Sociol Rev 2008;24(3):393-407. https://doi.org/10.1093/esr/jcn025