• Journal of Korean Academy of Nursing
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• v.35 no.8
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• pp.1433-1442
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• 2005

Purpose. The purposes of this study were 1) to examine the differences in suicidal ideation and psychological variables by gender, 2) compare the contribution of demographic-behavioral variables and psychosocial variables in explaining the variance in suicidal ideation, and 3) identify the most important predictors of suicidal ideation for male adolescents and female adolescents. Methods. The subjects consisted of 271 male adolescents and 230 female adolescents. Data were collected through self-report questionnaires, which were constructed to include SSI-C, DEP subscale of the SCL-90-R, PACI, and SWLS. The data were analyzed by the SPSS/WIN program. Results. Suicidal ideation differed by gender. Depression and family communication differed by gender. The unique contribution of demographic-behavioral variables and psychosocial variables in explaining the variance in suicidal ideation differed between male adolescents and female adolescents. The significant predictors of suicidal ideation for male adolescents were life satisfaction, depression, and family communication, explaining $28\%$ of the variance in suicidal ideation. The significant predictors of suicidal ideation for female adolescents were depression, smoking, and life satisfaction, explaining $38\%$ of the variance in suicidal ideation. Conclusion. The findings of this study suggest that the approach to effective suicide prevention program for adolescents should consider gender differences.

• Journal of the Korean Home Economics Association
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• v.39 no.1
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• pp.151-167
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• 2001

This study tests the path model which examines how the variables of past and present family dynamics, school adjustment, filed life events affect the adolescents'depression which in tum influencing their suicidal ideation. In the path model, the exogenous varialbes were negative parenting experience in childhood, maladjustment history of the family (e.g., alcohol, divorce), present parent-adolesecent communication, school adjustment, filed life events were used, whereas the adolescent depression was used as the mediated variable. The endogenous variable was the adolescent suicidal ideation. The respondents of the survey were 635 adolescent who were 1st and 2nd grade of high school located in Seoul and Busan. Using SPSS for Windows, the path analysis was done for male and female adolescents separately, since female adolescents were found to report significantly higher degree of depression and suicidal ideation then were male adolescents. The results of the path analysis were as followings. First, for both the male and female adolescents, depression was the strongest predictor of their suicidal ideation. Also, school adjustment strongly affected the adolescents'depression as well as their suicidal ideation. Meanwhile, filed life events indirectly influenced the suicidal ideation only through the depression. Second, for the male adolescents, negative parenting experience in childhood affected both the depression and suicidal ideation, while the parent-adolescent communication directly affected the suicidal ideation. Third, for the female adolescents, maladjustment family history and negative parenting experience did not affect their depression, but the suicidal ideation. Meanwhile, parent-adolescent communication was a significant predictor of female adolescents'suicidal ideation as well as their depression. In conclusion, discussion on different path of male and female adolescents'suicidal ideation was provided.

• Research in Community and Public Health Nursing
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• v.24 no.3
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• pp.255-263
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• 2013

Purpose: This study examined the fitness of a path model for the relationship among daily life stress, problem of life, social support, depression, and suicidal ideation in adolescents. Methods: The subjects consisted of 247 adolescents. Data were collected through self-report questionnaires. The data were analyzed by the SPSS and AMOS programs. Results: Daily life stress, problem of life, social support, and depression showed direct effects on suicidal ideation in adolescents, while daily life stress and problem of life showed indirect effects on suicidal ideation in adolescents. Daily life stress and problem of life showed direct effects on social support and depression in adolescents. The hypothetical path model of adolescents' suicidal ideation was proven correct. Conclusion: Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes the reduction of daily life stress, problem of life, depression and enhancement social support in order to prevention adolescents' suicidal ideation.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.30 no.1
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• pp.26-33
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• 2019

Objectives: Suicide is the most frequent cause of death among Korean adolescents, and adolescents who have experienced trauma have an increased risk of post-traumatic stress disorder (PTSD) symptoms, depression, and suicide attempts. However, resilience and self-esteem are protective factors. We examined the effects of resilience and self-esteem on the relationship among traumatic experiences, PTSD symptoms, depression, and suicidal ideation. Methods: Middle-school students (n=403) completed questionnaires assessing traumatic experiences, PTSD symptoms, depression, suicidal ideation, resilience, and self-esteem. Path analysis was performed to investigate the mediating effects of PTSD symptoms, resilience, self-esteem, and depression on the relationship between trauma exposure and suicidal ideation. Results: Traumatic experience was positively correlated with PTSD symptoms, depression, and suicidal ideation. PTSD symptoms and depression were positively correlated with suicidal ideation. The relationship between traumatic experiences and suicidal ideation was mediated by PTSD symptoms, which had both direct and indirect effects on suicidal ideation; the indirect effect was mediated by resilience, self-esteem, and depression. Conclusion: Korean adolescents who had experienced trauma were more likely to develop PTSD symptoms, increasing their risk of depression and suicidal ideation. However, self-esteem and resilience may help protect against depression and suicidal ideation. Our findings could inform suicide prevention initiatives.

• Korean Journal of Human Ecology
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• v.16 no.3
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• pp.505-522
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• 2007

This study examined the effects of eco-system factors on adolescents' suicidal ideation and whether self-esteem and depression mediate in the process to provide theoretical basis for prevention and treatment for problems of adolescents who have suicidal ideation. 2,088 high school students were asked to complete self-administering questionnaires on eco-system factors and adolescents' suicidal ideation. Data were analyzed with frequencies, t-test, ANOVA with Scheffe ad-hoc test, correlation analysis using SPSS 12.0 program and AMOS 5.0 program. Study results were ; First, adolescents' suicidal ideation showed significant differences according to their gender, socio-economic financial status, family structure, and the type of school they attended. Second, self-esteem and depression were proved to have significant mediating effect. Child abuse victimization, subjective school achievement and influence of media coverage of celebrity suicide were most important variables which influenced adolescents' suicidal ideation. These results reinforce importance of understanding adolescents' suicidal ideation with eco-system perspective. Moreover, prevention programs for adolescents' suicide require differentiated strategies and tactics according to the target group characteristics.

• Journal of the Korean Society of School Health
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• v.31 no.3
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• pp.167-177
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• 2018

Purpose: This study examined the factors that affect suicidal ideation among Korean adolescents according to their family type. Methods: The data of the 2017 Korea Youth Risk Behavior Web-based Survey was used in this study. Out of 62,276, a total of 60,077 adolescents (51,367 adolescents from two-parent families and 8,710 adolescents from single-parent families) were included in the analysis. Results: This study demonstrated that the level of suicidal ideation of the adolescents in single-parent families was significantly higher than that of the adolescents in two-parent families. The factors that affect suicidal ideation among the two-parent family adolescents were gender, grade, economic status, academic performance, smoking, drinking, physical activity, subjective health status, subjective body image, subjective happiness, stress, and depression. The factors that affect suicidal ideation among the single-parent family adolescents included gender, grade, smoking, subjective health status, subjective happiness, stress and depression. Conclusion: Single-parent family adolescents are likely to have a higher level of suicidal ideation along with higher levels of depression and stress and lower levels of subjective health and happiness, compared to single-parent family adolescents. For this higher-risk group of suicidal ideation, more thoughtful attentions and proactive policies are needed to manage their mental health and stress in school and family situations.

• Human Ecology Research
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• v.54 no.3
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• pp.307-319
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• 2016

This study examined the influences of both peer and parent-child relationships on suicidal ideation in adolescents with a focus on interpersonal relationships in adolescence that can act as risks as well as protective factors for youth suicide. This study analyzed 5,440 middle and high school students drawn from data, the seventh Happy Planet Index of children-adolescent in Korea, and conducted a series of logistic regressions. The results are as follows. First, both direct and indirect involvement in the school violence affects suicidal ideation as a risk factor in peer relationships. However, the quality and quantity of close friends of adolescents do not represent a protective role against suicidal ideation insofar as they are exposed to school violence. Second, adolescents who live apart from one of their parents are vulnerable to suicidal ideation than those who live with two parents. Third, very poor parent-child relationships in adolescence are not necessarily associated with suicidal ideation in adolescents. Fourth, shared time or activities between parents and adolescents in terms of family meal times are more likely to reduce suicidal ideation in adolescents than the emotional characteristics (trustworthiness or a close relationship) of parents and adolescents. The findings provide implications that frequent contact and shared activities in terms of family dining may contribute to the prevention of adolescent suicide.

• Women's Health Nursing
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• v.26 no.3
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• pp.213-221
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• 2020

Purpose: This study aimed to examine factors affecting suicidal ideation among female late adolescents from a Korean rural province. Methods: A descriptive cross-sectional design involving self-reported questionnaires was used. The data were collected from female adolescents aged 18 to 22 years, from high schools, universities, churches, and local community centers. The sample consisted of 197 female late adolescents from three rural areas in Korea. The Center for Epidemiological Studies-Depression Scale and the Suicidal Ideation Scale were used to measure depression and suicidal ideation, respectively. Results: Suicidal ideation was correlated with having a specific suicide plan (r=.65, p<.001), depression (r=.39, p<.001), subjective well-being (r=-.46, p<.001), ever experienced violence (r=.15, p=.029), and age (r=-.21, p=.003). Factors affecting suicidal ideation among rural female adolescents were having a specific suicide plan (β=.56, p<.001), subjective well-being (β=-.23, p=.001), and suicide of a close person (β=.12, p=.035). These factors explained 48.0% of the variance in suicidal ideation (F=37.62, p<.001). Conclusion: This study demonstrated that affective factors and personal experiences regarding suicide were critical indicators for suicidal ideation among female late adolescents. These factors should be managed and tailored nursing interventions should be offered to prevent suicide and to enhance the psychiatric health status of female late adolescents.

• Korean Journal of Child Studies
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• v.37 no.1
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• pp.61-71
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• 2016

Objective: The purpose of this study was to confirm if there are gender differences in influences of parental support, control, and school life adjustment on suicidal ideation of adolescents and to examine the mediating effect of depression on the influences of independent variables on their suicidal ideation. Methods: This study comprised a total of 671 students in seventh and eighth grades in Seoul and Gyeonggi-do. The data were analyzed for frequency, average, and standard deviation, using the t-test, Pearson's correlation analysis, stepwise regression analysis, hierarchical multiple regression analysis, and the Sobel test. Results and Conclusion: First, significant differences among adolescents' gender were shown in fathers' psychological control, mothers' behavior control, and suicidal ideation. Second, in the case of male adolescents, all independent variables were found to have a full mediating effect on their suicidal ideation. Meanwhile, in the case of female adolescents, independent variables except for mothers' psychological control were found to have a full mediating effect on their suicidal ideation. Mothers' psychological control was found to have a partial mediating effect on suicidal ideation of adolescents for both genders.

• Journal of Korean Academy of Nursing
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• v.37 no.6
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• pp.835-843
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• 2007

Purpose: This study examined the fitness of a path model on the relationship among stress, self-esteem, aggression, depression, suicidal ideation, and violent behavior for adolescents. Methods: The subjects consisted of 1,177 adolescents. Data was collected through self-report questionnaires. The data was analyzed by the SPSS and AMOS programs. Results: Stress, self-esteem, aggression, and depression showed a direct effect on suicidal ideation for adolescents, while stress, self-esteem, and aggression showed an indirect effect on suicidal ideation for adolescents. Stress, self-esteem, aggression, and suicidal ideation showed a direct effect on violent behavior for adolescents, while stress, self-esteem, aggression, and depression showed an indirect effect on violent behavior for adolescents. The modified path model of adolescent's suicidal ideation and violent behavior was proven correct. Conclusion: These results suggest that adolescent's suicidal ideation and violent behavior can be decreased by reducing stress, aggression, and depression and increasing self-esteem. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes reducing stress, aggression, and depression and increasing self-esteem in order to decrease adolescents' suicide ideation and violence.