The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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The influences of mental health problem on suicide-related behaviors among adolescents: Based on Korean Youth Health Behavior Survey

청소년의 정신건강문제가 자살 관련 행위에 미치는 영향: 청소년 건강행태조사 자료를 이용하여

  • Park, Eunok (College of Nursning․Health and Nursing Research Institute, Jeju National University)
  • 박은옥 (제주대학교 간호대학.건강과간호연구소)
  • Received : 2022.12.17
  • Accepted : 2023.01.17
  • Published : 2023.02.28
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Abstract

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

Keywords

Acknowledgement

This research was supported by the 2021 scientific promotion program funded by Jeju National University.

References

  1. Statistics Korea. The statistics of causes of death in Korea, 2021. Daejeon: Statistics Korea; 2022.
  2. Organisation for Economic Co-operation and Development (OECD). Health at a glance 2021: OECD indicators [Internet]. OECD; 2021 [cited 2023 January 1]. Available from: https://www.oecd-ilibrary.org/sites/ae3016b9-en/1/3/3/10/index.html?itemId=/content/publication/ae3016b9-en&_csp_=ca413da5d44587bc56446341952c275e&itemIGO=oecd&itemContentType=book
  3. Korea Foundation for Suicide Prevention; Ministry of Health and Welfare. White Paper on suicide prevention. Seoul: Korea Foundation for Suicide Prevention; 2022.
  4. Gili M, Castellvi P, Vives M, de la Torre-Luque A, Almenara J, Blasco MJ, et al. Mental disorders as risk factors for suicidal behavior in young people: A meta-analysis and systematic review of longitudinal studies. Journal of Affective Disorders. 2019;245:152-162. https://doi.org/10.1016/j.jad.2018.10.115
  5. Orri M, Scardera S, Perret LC, Bolanis D, Temcheff C, Seguin JR, et al. Mental health problems and risk of suicidal ideation and attempts in adolescents. Pediatrics. 2020; 146(1):e20193823. https://doi.org/10.1542/peds.2019-3823
  6. Castle K, Kreipe R. Suicidal behavior. In: Garfunkel LC, Kaczorowski JM, Christy C, editors. Pediatric clinical advisor. Philadelphia: Mosby; 2007. p. 544-545.
  7. Choi HA, Yang H. Associated factors of depression and suicidal behaviors among Korean adolescents: Web-based survey of the Korea youth risk behavior in 2015~2017. Journal of Korean Academy of Community Health Nursing. 2021;32(3):292-302. https://doi.org/10.12799/jkachn.2021.32.3.292
  8. Twenge JM. Increases in depression, self-harm, and suicide among U.S. adolescents after 2012 and links to technology use: Possible mechanisms. Psychiatric Research and Clinical Practice. 2020;2(1):19-25. https://doi.org/10.1176/appi.prcp.20190015
  9. Kalin NH. Anxiety, depression, and suicide in youth. American Journal of Psychiatry. 2021;178(4):275-279. https://doi.org/10.1176/appi.ajp.2020.21020186
  10. Carballo JJ, Llorente C, Kehrmann L, Flamarique I, Zuddas A, Purper-Ouakil D, et al. Psychosocial risk factors for suicidality in children and adolescents. European Child & Adolescent Psychiatry. 2020;29(6):759-776. https://doi.org/10.1007/s00787-018-01270-9
  11. Kim S, Park H, Jeong Y. Adolescents' suicide thoughts, plans, and attempts: Focusing on Adolescent health behavior survey (2011-2020). Health Service Management Review. 2022;16(1):37-48. https://doi.org/10.18014/hsmr.2022.16.1.37
  12. Lee J, Chun J, Kim J, Lee J, Lee S. A social-ecological approach to understanding the relationship between cyberbullying victimization and suicidal ideation in South Korean adolescents: The moderating effect of school connectedness. International Journal of Environmental Research and Public Health. 2021;18(20):10623. https://doi.org/10.3390/ijerph182010623
  13. Park E. The influencing factors on suicide attempt among adolescents in South Korea. Journal of Korean Academy of Nursing. 2008;38(3):465-473. https://doi.org/10.4040/jkan.2008.38.3.465
  14. Kim J, Ko Y. Influence of experiencing bullying victimization on suicidal ideation and behaviors in Korean adolescents. International Journal of Environmental Research and Public Health. 2021;18(20):10853. https://doi.org/10.3390/ijerph182010853
  15. Sohn SY. 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
  16. Kim J, Han KH. Anxiety-depression comorbidity and suicide attempts in high-risk adolescents: Aggravating effect of lower parental interest in mental health. Mental Health & Social Work. 2020;48(3):5-34. https://doi.org/10.24301/MHSW.2020.09.48.3.5
  17. Ministy of Education; Korea Disease Control and Prevention Agency. User's guidelines of the raw data from the Korea Youth Risk Behavior Survey (The 1st~17th). Cheongju: Korea Disease Control and Prevention Agency; 2022.
  18. Ministry of Education; Ministry of Health and Welfare; Korea Disease Control and Prevention Agency. The 16th Korea Youth Risk Behavior Survey. Cheongju: Korea Disease Control and Prevention Agency; 2020.
  19. 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
  20. Lee J, Ko YH, Chi S, Lee MS, Yoon HK. Impact of the COVID-19 pandemic on Korean adolescents' mental health and lifestyle factors. Journal of Adolescent Health. 2022;71(3):270-276. https://doi.org/10.1016/j.jadohealth.2022.05.020
  21. Shin SY, Choi YJ. Comparison of cyberbullying before and after the COVID-19 pandemic in Korea. International Journal of Environmental Research and Public Health. 2021;18(19):10085. https://doi.org/10.3390/ijerph181910085
  22. Surkalim DL, Luo M, Eres R, Gebel K, van Buskirk J, Bauman A, et al. The prevalence of loneliness across 113 countries: Systematic review and meta-analysis. British Medical Journal. 2022;376:e067068. https://doi.org/10.1136/bmj-2021-067068
  23. Biswas T, Scott JG, Munir K, Renzaho AMN, Rawal LB, Baxter J, et al. Global variation in the prevalence of suicidal ideation, anxiety and their correlates among adolescents: A population based study of 82 countries. EClinicalMedicine. 2020;24:100395. https://doi.org/10.1016/j.eclinm.2020.100395
  24. Kim H, Kim SH, Jang SI, Park EC. Association between sleep quality and anxiety in Korean adolescents. Journal of Preventive Medicine and Public Health. 2022;55(2):173-181. https://doi.org/10.3961/jpmph.21.498
  25. Li L, You D, Ruan T, Xu S, Mi D, Cai T, et al. The prevalence of suicidal behaviors and their mental risk factors among young adolescents in 46 low- and middle-income countries. Journal of Affective Disorders. 2021;281:847-855. https://doi.org/10.1016/j.jad.2020.11.050
  26. Dorol-Beauroy-Eustache O, Mishara BL. Systematic review of risk and protective factors for suicidal and self-harm behaviors among children and adolescents involved with cyberbullying. Preventive Medicine. 2021;152(Part 1):106684. https://doi.org/10.1016/j.ypmed.2021.106684
  27. Campisi SC, Carducci B, Akseer N, Zasowski C, Szatmari P, Bhutta ZA. Suicidal behaviours among adolescents from 90 countries: A pooled analysis of the global school-based student health survey. BMC Public Health. 2020;20(1):1102. https://doi.org/10.1186/s12889-020-09209-z
  28. Barzilay S, Brunstein Klomek A, Apter A, Carli V, Wasserman C, Hadlaczky G, et al. Bullying victimization and suicide ideation and behavior among adolescents in Europe: A 10-country study. Journal of Adolescent Health. 2017;61(2):179-186. https://doi.org/10.1016/j.jadohealth.2017.02.002
  29. Scardera S, Perret LC, Ouellet-Morin I, Gariepy G, Juster RP, Boivin M, et al. Association of social support during adolescence with depression, anxiety, and suicidal ideation in young adults. JAMA Network Open. 2020;3(12):e2027491. https://doi.org/10.1001/jamanetworkopen.2020.27491
  30. Park JW, Heo MS. Mental health status of children and adolescents, support system, and direction for improvement. Seoul: National Assembly Research Service; 2021.