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http://dx.doi.org/10.12799/jkachn.2020.31.3.269

Effects of the Subjective Family Class on the Suicide Ideation of Adolescents: Double Mediating Effect of Social Support and Sense of Coherence  

Kim, Jiyoun (College of Nursing, Kyungdong University)
Ko, Young (College of Nursing, Gachon University)
Publication Information
Research in Community and Public Health Nursing / v.31, no.3, 2020 , pp. 269-278 More about this Journal
Abstract
Purpose: The study was conducted to identify the relationship between subjective family class and suicidal ideation and to determine the double mediating effect of social support and sense of coherence on their relationship. Methods: Secondary analysis of data from 2015 Korean Psycho-social Anxiety which was a population-based representative was performed. Double mediating effects of social support and sense of coherence on suicidal ideation were analyzed using the PROCESS macro (model 6) with bootstrapping methods. Results: Subjective family class directly influenced social support (β=.20, p<.001) and sense of coherence (β=.10, p<.001). Subjective family class directly influenced suicide ideation (β=-.08, p<.001). Sense of coherence was directly influenced by social support (β=.28, p<.001). Suicide ideation was indirectly influenced by subjective family class through social support (β=-.22, p<.001) and sense of coherence (β=-.36, p=.001). The size of direct effect of subjective family class on suicide ideation was 0.24 and the total size of indirect effect was 0.12. Conclusion: Intervention to improve social support and sense of coherence is needed to prevent the suicide among adolescents.
Keywords
Social class; Suicidal ideation; Adolescent; Social support; Sense of coherence;
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1 Sweeting H, Hunt K. Adolescent socio-economic and schoolbased social status, health, and well-being. Social Science & Medicine. 2014;121:39-47. https://doi.org/10.1016/j.socscimed.2014.09.037   DOI
2 Bacak V. Measuring inequalities in health from survey data using self-assessed social class. Journal of Public Health. 2018;40 (1):183-190. https://doi.org/10.1093/pubmed/fdx036   DOI
3 Goodman E, Amick BC, Rezendes MO, Levine S, Kagan J, Rogers WH, et al. Adolescents' understanding of social class: A comparison of white upper class and working class youth. Journal of Adolescent Health. 2000;27(2):80-83. https://doi.org/10.1016/S1054-139X(99)00116-0   DOI
4 Hong J, Yi J. The relationship of subjective social status to mental health in South Korean adults. World Psychiatry: Official Journal of the World Psychiatric Association. 2017;16(1):107-108. https://doi.org/10.1002/wps.20357   DOI
5 Rubin M, Staurt R. Kill or cure? Different types of social class identification amplify and buffer the relationship between social class and mental health. The Journal of Social Psychology. 2018;58(2):236-251. https://doi.org/10.1080/00224545.2017.1327405   DOI
6 Statistics Korea. Cause of death statistic [Internet]. Daejeon: Statistics Korea. 2019. [cited 2020 February 12]. Available from http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv
7 National Youth Policy Institute. The survey on Rights of the Children and Youth in South of Korea [Internet]. Sejong; National Youth Policy Institute. 2019. [cited 2020 February 07]. Available from https://www.nypi.re.kr/brdrr/boardrrList.do?menu_nix=4o9771b7&brd_id=BDIDX_PJk7xvf7L096m1g7Phd3YC
8 Ko MJ, Lee EY, Kim K. Relationship between socioeconomic position and suicide attempts among the Korean adolescents. Journal of Korean Medical Science. 2014;29(9):1287-1292.   DOI
9 Park D, Jang S. Influence of parental socioeconomic status on stress, depression and suicidal ideation among Korean adolescents. Journal of Korean Academia-Industrial cooperation Society. 2013;14(6):2667-2676. https://doi.org/10.5762/KAIS.2013.14.6.2667   DOI
10 Kang LY, Kim BS, Choi HR, Won CW, Kim SY, Kim JA. The effect of socioeconomic status on mental health in Korean adolescent. Korean Journal of Family Practice. 2015;5 suppl 3: 665-672.
11 Kim JY, Kim CY. The relationship of 'Sense of Coherence', suicidal thought and social support. Health and Social Science. 2014;36(1):77-102.
12 Antonovsky A. The Jossey-Bass social and behavioral science series and the Jossey-Bass health series. Unraveling the mystery of health: How people manage stress and stay well. Jossey-Bass; 1987. 78 p.
13 Eriksson M, Lindstrom B. Validity of Antonovsky's sense of coherence scale: A systematic review. Journal of Epidemiology Community Health. 2005;59(6):460-466. https://doi.org/10.1136/jech.2003.018085   DOI
14 Wolff AC, Ratner PA. Stress, social support and sense of coherence. Western Journal of Nurse Research. 1999;21(2):182-197. https://doi.org/10.1177/01939459922043820   DOI
15 Srensen T, Klungsyr O, Kleiner R, Klepp OM. Social support and sense of coherence: Independent, shared and interaction relationships with life stress and mental health. International Journal of Mental Health Promotion. 2011;13(1):27-44. https://doi.org/10.1080/14623730.2011.9715648   DOI
16 Mehlum L. Suicidal ideation and sense of coherence in male conscripts. Acta Psychiatrica Scandinavia. 1998;98(6):487-492. https://doi.org/10.1111/j.1600-0447.1998.tb10124.x   DOI
17 Polewka A, Chrostek-Maj J, Kroch S, Mikolaszek-Boba M, Ryn E, Datka W, et al. The sense of coherence and risk of suicide attempt. Przeglaad Lekarski. 2001;58(4):335-339.
18 Kong HS, Lee MS. A study on the effects of the elderly's social support and self-esteem on the suicidal ideation. The Journal of Korean Society for School & Community Health Education. 2012;13(3):115-125.
19 Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D(Center for Epidemiological Studies Depression) depression symptoms index. Journal of Aging and Health. 1993;5(2):179-193. https://doi.org/10.1177/089826439300500202   DOI
20 Shin J, Lee T, Yun SJ. A bifactor approach to the factor structure study of the CED-S scale. Stress. 2017;25(4):272-278. https://doi.org/10.17547/kjsr.2017.25.4.272   DOI
21 Shin JD. National health status in the light of the Korea welfare panel study. Health and Welfare Policy Forum. 2010;170:23-31.
22 Hayes AF. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press; 2013. 692 p.
23 Langeland E, Wahl AK, Kristoffersen K, Hanestad BR. Promoting coping salutogenesis among people with mental health problems. Issues in Mental Health Nursing. 2007;28(3):275-295. https://doi.org/10.1080/01612840601172627   DOI
24 Quon EC, McGrath JJ. Subjective socioeconomic status and adolescent health: A meta-analysis. Health Psychology: An official Journal of Division of Health Psychology, American Psychology Association. 2014;33(5):433-447. https://doi.org/10.1037/a0033716   DOI
25 Myrin B, Lagerström M. Sense of coherence and psychosocial factors among adolescents. Acta Paediatrica. 2008;97(6):805-811. https://doi.org/10.1111/j.1651-2227.2008.00801.x   DOI
26 Strang S, Strang P. Spiritual thoughts, coping and 'sense of coherence' in brain tumor patients and their spouse. Palliative Medicine. 2001;15(2):127-134. https://doi.org/10.1191/026921601670322085   DOI
27 Eriksson M, Lindström B. Antonovsky's sense of coherence scale and its relation with quality of life: A systematic review. Journal of Epidemiology Community Health. 2007;61(11):938-944. https://doi.org/10.1136/jech.2006.056028   DOI
28 Seo HN. A longitudinal study of adolescents' suicidal Ideation: Focusing on the effect of stress and depression. The Journal of Korean Psychology: General. 2011;30(3):629-646.