DOI QR코드

DOI QR Code

The Relationship between Academic Stress and Suicidal Ideation among Middle-school Students: The Moderated Mediating Effects of Entrapment and Emotional Support from Peers

중학생의 학업스트레스와 자살생각 간의 관계: 속박감과 또래로부터의 정서적 지지의 조절된 매개효과

  • Youn, Hayoung (Department of Child & Family Studies / Human Life & Innovation Design, Yonsei University) ;
  • Park, Ju Hee (Department of Child & Family Studies, Yonsei University)
  • 윤하영 (연세대학교 아동.가족학과/인간생애와 혁신적 디자인 융합전공) ;
  • 박주희 (연세대학교 아동.가족학과)
  • Received : 2022.06.20
  • Accepted : 2022.08.02
  • Published : 2022.08.30

Abstract

This study examined the moderated mediating impact of entrapment and emotional support from peers in the relationship between academic stress and suicidal ideation among middle-school students. The participants consisted of 214 middle-school students in the first to third grades from four middle schools located in Seoul, Gyeong-gi, Chun-cheon, and Jeonnam. The data were analyzed using descriptive statistics, Pearson's correlation coefficients, and the Process Macro Model versions 4, 1, and 14. The results of this study were as follows. First, academic stress did not directly influence suicidal ideation; however, entrapment mediated the relationship between academic stress and suicidal ideation. Second, emotional support from peers moderated the mediating effect of entrapment in the aforementioned relationship. This means that if students perceived emotional support from peers, then academic stress had a smaller impact on suicidal ideation through entrapment. These findings highlight the importance of decreasing levels of academic stress and entrapment to prevent suicidal ideation among middle-school students. They also suggest that enhancing students' emotional support networks with their peers could be an effective way of reducing suicidal ideation when students feel high levels of entrapment and academic stress.

Keywords

Acknowledgement

This work was supported by the BK21 plus project of Yonsei University in 2022.

References

  1. Ang, R. P., & Huan, V. S. (2006). Relationship between academic stress and suicidal ideation: Testing for depression as a mediator using multiple regression. Child Psychiatry and Human Development, 37(2), 133-143. https://doi.org/10.1007/s10578-006-0023-8
  2. Bak, B. G., & Park, S. M. (2012). Development and validation of an academic stress scale. The Korean Journal of Educational Psychology, 26(2), 563-585.
  3. Barzilay, S., Feldman, D., Snir, A., Apter, A., Carli, V., Hoven, C. W., et al. (2015). The interpersonal theory of suicide and adolescent suicidal behavior. Journal of Affective Disorders, 183, 68-74. https://doi.org/10.1016/j.jad.2015.04.047
  4. Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97(1), 90-113. https://doi.org/10.1037/0033-295X.97.1.90
  5. Bonner, R. L., & Rich, A. R. (1987). Toward a predictive model of suicidal ideation and behavior: some preliminary data in college students. Suicide and Life-Threatening Behavior, 17 (1), 50-63. https://doi.org/10.1111/j.1943-278X.1987.tb00061.x
  6. Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38(5), 300-314. https://doi.org/10.1097/00006842-197609000-00003
  7. Cohen, S., & Hoberman, H. M. (1983). Positive events and social supports as buffers of life change stress. Journal of Applied Social Psychology, 13(2), 99-125. https://doi.org/10.1111/j.1559-1816.1983.tb02325.x
  8. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98 (2), 310-357. https://doi.org/10.1037/0033-2909.98.2.310
  9. Cole, D. E., Protinsky, H. O., & Cross, L. H. (1992). An empirical investigation of adolescent suicidal ideation. Adolescence, 27(108), 813-818.
  10. Crosby, A., Gfroerer, J., Han, B., Ortega, L., & Parks, S. E. (2011). Suicidal thoughts and behaviors among adults aged>≥18 Years-United States, 2008-2009. MMWR Surveillance summaries, 60(13), 1-22.
  11. Cutrona, C. E., & Russell, D. W. (1990). Type of social support and specific stress: Toward a theory of optimal matching. In B. R. Sarason, I. G. Sarason, & G. R. Pierce (Eds.), Social support: An interactional view (pp. 319-366). New York, NY: John Wiley & Sons.
  12. Dhingra, K., Boduszek, D., & O'connor, R, C, (2016). A structural test of the Integrated Motivational-Volitional model of suicidal behaviour. Psychiatry Research, 239, 169-178. https://doi.org/10.1016/j.psychres.2016.03.023
  13. Evans, E., Hawton, K., Rodham, K., & Deeks, J. (2005). The prevalence of suicidal phenomena in adolescents: a systematic review of population-based studies. Suicide and Life Threatening Behavior, 35(3), 239-250. https://doi.org/10.1521/suli.2005.35.3.239
  14. Fergusson, D. M., Woodward, L. J., & Horwood, L. J. (2000). Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood. Psychological Medicine, 30(1), 23-39. https://doi.org/10.1017/S003329179900135X
  15. Finch, J. F., & West, S. G. (1997). The investigation of personality structure: Statistical models. Journal of Research in Personality, 31(4), 439-485. https://doi.org/10.1006/jrpe.1997.2194
  16. Gilbert, P., & Allan, S. (1998). The role of defeat and entrapment (arrested flight) in depression: an exploration of an evolutionary view. Psychological Medicine, 28(3), 585-598. https://doi.org/10.1017/S0033291798006710
  17. Gilbert, P., Allan, S., Brough, S., Melley, S., & Miles, J. N. V. (2002). Relationship of anhedonia and anxiety to social rank, defeat and entrapment. Journal of Affective Disorders, 71(1-3), 141-151. https://doi.org/10.1016/S0165-0327(01)00392-5
  18. Gould, M. S., Greenberg, T. E. D., Velting, D. M., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: a review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry, 42(4), 386-405. https://doi.org/10.1097/01.CHI.0000046821.95464.CF
  19. Granovetter, M. S. (1973). The strength of weak ties. American Journal of Sociology, 78(6), 1360-1380. https://doi.org/10.1086/225469
  20. Ha, J. H. (2015). The effects of middle school students' academic stress on suicidal ideation: Mediating effect of parent attachment and depression. Journal of Emotional & Behavioral Disorders, 31(1), 115-134.
  21. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (Methodology in the social sciences). New York: Guilford Press.
  22. Hofmann, S. G., Wu, J. Q., & Boettcher, H. (2014). Effect of cognitive-behavioral therapy for anxiety disorders on quality of life: A meta-analysis. Journal of Consulting and Clinical Psychology, 82(3), 375-391. https://doi.org/10.1037/a0035491
  23. Holler, I., Rath, D., Teismann, T., Glaesmer, H., Lucht, L., Paashaus, L., et al. (2022). Defeat, entrapment, and suicidal ideation: Twelve-month trajectories. Suicide and Life Threatening Behavior, 52 (1), 69-82. https://doi.org/10.1111/sltb.12777
  24. Horwitz, A. G., Hill, R. M., & King, C. A. (2011). Specific coping behaviors in relation to adolescent depression and suicidal ideation. Journal of Adolescence, 34(5), 1077-1085. https://doi.org/10.1016/j.adolescence.2010.10.004
  25. Hwang, Y. K. (1996). A study on social- support perceived by adolescent peer-group and psychosocial maturity (Unpublished master's thesis). Ewha University, Seoul, Korea.
  26. Jang, S. H., & Lee, M. A. (2010). A study on factors related to adolescents' suicide ideation : Focusing on social support and buffering effects of self-esteem. Korean Youth Research Association, 17(8), 27-55.
  27. Jiang, Y., Perry, D. K., & Hesser, J. E. (2010). Adolescent suicide and health risk behaviors: Rhode Island's 2007 youth risk behavior survey. American Journal of Preventive Medicine, 38(5), 551-555. https://doi.org/10.1016/j.amepre.2010.01.019
  28. Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
  29. Jung, C. S. (2011). How study stress of high school seniors affects their mental health: Validation of mediation effect of self control. Korean Journal of Youth Studies, 18(9), 1-18.
  30. Kandel, D. B., Raveis, V. H., & Davies, M. (1991). Suicidal ideation in adolescence: Depression, substance use, and other risk factors. Journal of Youth and Adolescence, 20(2), 289-309. https://doi.org/10.1007/BF01537613
  31. Kim H. J., & Bae S. W. (2017). Analyses of the suicidal path among college students: Focusing on the Integrated Motivational-Volitional Model. Journal of School Social Work, 39, 1-23. https://doi.org/10.20993/jSSW.39.1
  32. Kim, J. H., & Hong H. Y. (2016). The relation between life stress and suicidal ideation of university students: The mediating effects of internal entrapment and external entrapment. Korea Journal of Counseling, 17(1), 391-413. https://doi.org/10.15703/KJC.17.1.201602.391
  33. Kim, J. Y., Sung, S. M., & Jang, G. H. (2016). A study on the effect of adolescent's academic stress to suicidal ideation: Moderating effect of family support. Korean Journal of Family Social Work, 51, 187-218.
  34. Kim, K. (2018). Emotional support network and suicidal ideation of korean adolescents: Exploring Gender effects and moderating factors. Korea Journal of Population Studies, 41(1), 53-77.
  35. Kim, S. Y., & Hong, S. H. (2012). Identifying and predicting trajectories of latent classes in adolescents' suicidal ideation. Studies on Korean Youth, 23(1), 251-275.
  36. Klatt, M. D., Buckworth, J., & Malarkey, W. B. (2009). Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Education & Behavior, 36(3), 601-614. https://doi.org/10.1177/1090198108317627
  37. Korea Centers for Disease Control and Prevention. (2021). Reports on the Korea Youth Risk Behavior Web-based Survey . Retrieved September, from http://www.kdca.go.kr/
  38. Kwon, S. W. & Song, I. H. (2011). Cognitive distortions as a moderator on the relationship between educational stress and suicidal ideation among middle school students. Korean Journal of Youth Welfare, 13(3), 67-92.
  39. Kwon, T. W. (2016). Analysis of the structural relationships among family adaptability, egoresilience, social support and school life adjustment of middle school students (Unpublished doctoral dissertation). Dong-A University, Busan, Korea.
  40. Laursen, B., & Collins, W. A. (1994). Interpersonal conflict during adolescence. Psychological Bulletin, 115(2), 197-209. https://doi.org/10.1037/0033-2909.115.2.197
  41. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer publishing company.
  42. Lee, J. H., & Lee, J. Y. (2009). The relationship between academic stress and suicidal ideation among adolescents: Mediating effects of relationships with parents or peer and cognitive errors. The Korea Journal of Counseling, 10(2), 1113-1126. https://doi.org/10.15703/KJC.10.2.200906.1113
  43. Lee, J. S., & Cho, H. J. (2012). The reliability and validity of the Korean version of the internal and extranal entrapment scale. The Korean Journal of Psychology: General, 31(1), 239-259.
  44. Lee, J. Y. (2017). The relationship between entrapment, defeat, alienation, emotional support and suicidal ideation, willingness to recover among alcoholic patients (Unpublished master's thesis). Sahmyook University, Seoul, Korea.
  45. Lee, J. Y., An, J. S., & Suh, K. H. (2021). The double mediating effect of social isolation and emotional support on feelings of entrapment and motivation for recovery among Korean alcoholic inpatients. International Journal of Environmental Research and Public Health, 18(9), 4710. https://doi.org/10.3390/ijerph18094710
  46. Martin, R. C., & Dahlen, E. R. (2005). Cognitive emotion regulation in the prediction of depression, anxiety, stress, and anger. Personality and Individual Differences, 39(7), 1249-1260. https://doi.org/10.1016/j.paid.2005.06.004
  47. Ministry of Education, Ministry of Health and Welfare of Korea, Korea Centers for Disease Control and Prevention (2018). The statistics on the 14th Korea youth risk behavior survey in 2018, p. 14-15.
  48. Moon, Y. J. (2020). Effect of stress on suicidal ideation : Mediating effect of depression moderated by mindfulness - Focus on N area residents -. Journal of Regional Studies, 28(2), 89-117. https://doi.org/10.22921/JRS.2020.28.2.005
  49. Nakano, M., Yamazaki, C., Teshirogi, H., Kubo, H., Ogawa, Y., Kameo, S., et al. (2022). How worries about interpersonal relationships, academic performance, family support, and classmate social capital influence suicidal ideation among adolescents in Japan. The Tohoku Journal of Experimental Medicine, 256(1), 73-84. https://doi.org/10.1620/tjem.256.73
  50. Nho, C. R., & Kim, S. H. (2012). The Relationship between study-related stress, perceived school grades, and psychological well-being among middle school students -Mediating effects of personal factors and social support on self-esteem, depression, and anxiety-. Journal of the Korean Society of Child Welfare, 39, 39-68.
  51. O'Connor, R. C. (2011). Towards an integrated motivational-volitional model of suicidal behaviour. International handbook of suicide prevention: Research, policy and practice, 1, 181-98. https://doi.org/10.1002/9781119998556.ch11
  52. O'Connor, R. C., & Kirtley, O. J. (2018). The integrated motivational-volitional model of suicidal behaviour. Philosophical Transactions of the Royal Society B: Biological Sciences, 373(1754), 1-10..https://doi.org/10.1098/rstb.2017.0268
  53. O'Connor, R. C., & Portzky, G. (2018). The relationship between entrapment and suicidal behavior through the lens of the integrated motivational-volitional model of suicidal behavior. Current Opinion in Psychology, 22, 12-17. https://doi.org/10.1016/j.copsyc.2017.07.021
  54. Oh, M. H., & Cheon, S. M. (1994). Analysis of academic stressors and symptoms of juveniles and effects of meditation training on academic stress reduction. Journal of Human Understanding and Counseling, 15, 63-96.
  55. Park, J. W. (1985). A study to development a scale of social support (Unpublished doctoral dissertation). Yonsei University, Seoul, Korea.
  56. Park, K. W. (2013). Factors affecting adolescents' suicidal ideation : Stress of school works, bullying from peer groups, and social supports (Unpublished master's thesis). Soongsil University, Seoul, Korea.
  57. Park, S. H., & Kim, H. H. (2008). The relationship between children's and adolescents' academic stress and learned helplessness. Korean Journal of Youth Studies, 15(3), 159-182.
  58. Park, S. O. (2021). The effect of defeat on suicidal ideation : the mediating effect of entrapment and the moderated mediation effect of mindfulness (Unpublished doctoral dissertation). Dankook University, Seoul, Korea.
  59. Prinstein, M., Boergers, J., Spirito, A., Little, T. D., & Rapentine, W. L. (2000). Peer psychological functioning, family dysfunction, and symptoms in a risk factor model for adolescent inpatients' suicidal ideation severity. Journal of Clinical Child Psychology, 29, 392-405. https://doi.org/10.1207/S15374424JCCP2903_10
  60. Reynolds, W. M. (1988). SIQ Professional manual. Odessa, FL: Psychological Assessment Resources.
  61. Shin, M. S. (1992). An empirical study of the mechanism of suicide: validation of the scale for escape from the self (Unpublished master's thesis). Yonsei University, Seoul, Korea.
  62. Simons, R. L., & Murphy, P. I. (1985). Sex differences in the causes of adolescent suicide ideation. Journal of Youth and Adolescence, 14(5), 423-434. https://doi.org/10.1007/BF02138837
  63. Song, E. J. (2014). Effects of adolescents' stress on suicide ideation and suicide attempt: targeting on elementary, middle, high school students (Unpublished doctoral dissertation). Hanyang University, Seoul, Korea.
  64. Statistics Korea. (2021). Youth of death rate in 2021. Retrieved May 25, 2022, from http://kostat.go.kr/portal/korea/index.action.
  65. Taylor, P. J., Gooding, P. A., Wood, A. M., Johnson, J., & Tarrier, N. (2011a). Prospective predictors of suicidality: Defeat and entrapment lead to changes in suicidal ideation over time. Suicide and Life Threatening Behavior, 41(3), 297-306. https://doi.org/10.1111/j.1943-278X.2011.00029.x
  66. Taylor, P. J., Gooding, P., Wood, A. M., & Tarrier, N. (2011b). The role of defeat and entrapment in depression, anxiety, and suicide. Psychological Bulletin, 137 (3), 391-420. https://doi.org/10.1037/a0022935
  67. Toero, K., Nagy, A., Sawaguchi, T., Sawaguchi, A., & Sotonyi, P. (2001). Characteristics of suicide among children and adolescents in Budapest. Pediatrics International, 43(4), 368-371 https://doi.org/10.1046/j.1442-200X.2001.01414.x
  68. Weinberger, M., Tierney, W. M., Booher, P., & Hiner, S. L. (1990). Social support, stress and functional status in patients with osteoarthritis. Social Science & Medicine, 30(4), 503-508. https://doi.org/10.1016/0277-9536(90)90353-T
  69. Williams, J. M. G. (1997). The Cry of Pain. London: Penguin.
  70. Woo, C. Y., Park, A. Y., & Jeong, H. H. (2010). The structural relationship among human relations, stress, depression and suicidal ideation of adolescents by genders and level of school. The Korean Journal of Educational Psychology, 24(1), 19-38.
  71. Yang, S. Y., & Oh, Y. H. (2017). Effects of anger and entrapment on psychological health of high school boys: Focused on the mediating effects of social support. Child Health Nursing Research, 23(4), 429-439. https://doi.org/10.4094/chnr.2017.23.4.429
  72. Yoo, Y. (2014). Effects of depression, stress, and social support on adolescents' suicidal ideation. Journal of the Korean contents Association, 14(10), 189-197. https://doi.org/10.5392/JKCA.2014.14.10.189
  73. Ystgaard, M. (1997). Life stress, social support and psychological distress in late adolescence. Social Psychiatry and Psychiatric Epidemiology, 32(5), 277-283. https://doi.org/10.1007/BF00789040