Association of school, family, and mental health characteristics with suicidal ideation among Korean adolescents

Gyuyoung, Lee; Choi, Yun‐Jung

doi:10.1002/nur.21661

Cited by 33 publications

(31 citation statements)

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“…Korean adolescents in high school with poor academic achievement had an increased risk of participating in multiple HRBs, consistent with previous studies (Hong et al, 2011;Park & Kim, 2015;Sychareun et al, 2011). This results from high levels of stress owing to school workload (Lee & Choi, 2015) or intense competition for admission to higher education institutions (Hong et al, 2011). In addition, academic achievement is correlated with self-control (Kuhnle, Hofer, & Kilian, 2012), and lower levels of self-control might increase the risk of involvement in multiple HRBs (de Winter et al, 2016).…”

Section: Discussionsupporting

confidence: 85%

“…child and adolescent, health promotion, depression, suicide among Korean adolescents is 7.6 per 100,000 people, which is higher than the OECD countries' average suicide rate of 5.9 per 100,000 people (KMOH & Korea Suicide Prevention Center, 2018). Korean adolescents experience high stress owing to the burden of academic achievement and high competition for college admission, which could lead to poor mental health (Hong, Lee, Grogan-Kaylor, & Huang, 2011;Lee & Choi, 2015). However, there is limited information concerning different combination of multiple HRBs among Korean adolescents, whether partaking in a different number of HRBs is associated with the risk of having mental health problems.…”

Section: Introductionmentioning

confidence: 99%

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How are depression and suicidal ideation associated with multiple health risk behaviours among adolescents? A secondary data analysis using the 2016 Korea Youth Risk Behavior Web‐based Survey

Kim

Park

2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? Adolescents who partake in one health risk behaviour (HRB) easily adopt other HRBs, simultaneously or subsequently. Multiple HRBs might threaten adolescents’ future health in adulthood. Adolescents with psychological problems have higher rates of smoking, alcohol use, early sexual initiation and activity, and illicit substance use compared with others. What does this paper add to existing knowledge? A considerable number of Korean adolescents with mental health problems were engaged in multiple HRBs. For those with mental health problems, more than half of the Korean adolescents with multiple HRBs tended to use alcohol and cigarettes concurrently. Korean adolescents who felt depressed and had suicidal ideation were more likely to engage in a greater number of HRBs. Substance abuse is the most prevalent problem that is combined with other HRBs among those with depression and suicidal ideation compared to those who exhibited other HRBs. What are the implications for practice? When mental health nurses working in schools and community centres for mental health identify Korean adolescents with significant depression and suicide ideation levels, they should also assess adolescents’ engagement in multiple HRBs. Population‐based campaigns and policy changes that emphasize both psychological health and risky behaviour reduction among adolescents should be provided simultaneously to students and school nurses. Abstract IntroductionThere is limited understanding about whether poor mental health is associated with certain combinations of multiple health risk behaviours (HRBs) such as smoking, drinking, early sexual activity and substance abuse. AimTo determine the prevalence of multiple HRBs and to identify associations between poor mental health and multiple HRBs as the number of HRBs increases. MethodsThis cross‐sectional study was conducted using the 2016 Korea Youth Risk Behavior Web‐based Survey (N = 65,528). Descriptive statistics and multinomial logistic regression analyses were conducted using the complex sample data. ResultsOverall, 28.6% and 13.9% of Korean adolescents were involved in one or multiple HRBs, respectively. Adolescents who were depressed (OR = 1.43–4.47, 95% CI = 1.37–1.49 to 3.23–6.20) and/or who had suicidal ideation (OR = 1.33–3.19, 95% CI = 1.25–1.42 to 2.25–4.51) were more likely to engage in multiple HRBs. DiscussionA considerable numbers of Korean adolescents are engaged in multiple HRBs. When adolescents self‐reported depression and suicidal ideation, they were more likely to engage in a greater number of HRBs than single HRB. Implications for practiceTailored interventions to decrease multiple HRBs should be designed and provided by considering adolescents’ mental health status and needs.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

How are depression and suicidal ideation associated with multiple health risk behaviours among adolescents? A secondary data analysis using the 2016 Korea Youth Risk Behavior Web‐based Survey

Kim

Park

2020

Psychiatric Ment Health Nurs

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“…As a first step, it requires the identification of modifiable risk factors in order to develop effective prevention strategies. Recognized risk factors for mental health problems among adolescents can be categorized into demographic risk factors (e.g., advancing age, perceived obesity), physical status (e.g., physical disease, teenage pregnancy), unhealthy lifestyle behaviors (such as poor diet, gaming addiction, smoking, alcohol or substance abuse), and familial factors (e.g., living apart from family, parenting styles, family functioning, family income, and parental education) [ 1 , 9 , 18 , 19 , 20 , 21 ]. For example, rapid changes in family structure, such as divorce, often lead to mental health problems in adolescents [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Mental Health Problems and Associated Factors in Chinese High School Students in Henan Province: A Cross-Sectional Study

Luo

Cui

Zou

et al. 2020

IJERPH

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Approximately one in five adolescents experience mental health problems globally. However, studies on mental health problems in Chinese high school students are few. Therefore, this study examined the status and associated factors of mental health problems in high school students in China. A stratified two-stage cluster sampling procedure was adopted, leading to a final sample of 15,055 participants from 46 high schools in all 17 provincial cities of Henan province, China. Self-reported questionnaires were used to collect the data. A mental health problems variable was assessed using the Mental Health Inventory of Middle School Students. The positive rate of mental health problems among high school students was 41.8%, with a male predominance (43.3% versus 40.2% in females; p < 0.01). The most frequent mental health problem was academic stress (58.9%). Higher grades, physical disease, chronic constipation, alcohol consumption, engagement in sexual behavior, residence on campus, and living in nonurban areas and with single-parent families were significantly associated with higher odds of having mental health problems (p < 0.05). We suggest that the prevention of mental health problems in high school students be strengthened, especially in students with physical illnesses, unhealthy behaviors, and single-parent families.

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“…Suicide is the leading cause of mortality among Korean youths aged 10–19 years, which demonstrates that suicide among youths is a significant issue [1]. Suicidal behavior includes suicidal ideation, plans, attempts, and death through a medically serious action [2].…”

Section: Introductionmentioning

confidence: 99%

Type of sexual intercourse experience and suicidal ideation, plans, and attempts among youths: a cross-sectional study in South Korea

2016

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BackgroundDespite abundant theoretical evidence of higher rates of suicide among lesbian, gay, and bisexual (LGB) youths, little is known about the relationship between suicide and types of sexual intercourse experience in youths. This study examines the association between the type of intercourse experience and suicide risk outcomes (SROs: suicidal ideation, plans for suicide, suicidal attempts) from the Korea Youth Risk Behavior Web-based Survey.MethodsWe analyzed cross-sectional data from 146,621 students aged 12–17 years for the years 2012 and 2013. We defined lesbian, gay, or bisexual youth as youths who engaged in a type of sexual intercourse (same-sex or both-sex intercourse). A chi-square test and logistic regression analysis were used to evaluate the association between intercourse experience and SROs.ResultsThe results showed that the prevalence of suicidal ideation was higher among youths with same-sex intercourse experience (45.9% for females, 33.7% for males) than among youths with opposite-sex intercourse experience (42.2% for females, 23.8% for males) and those with no experience in intercourse (21.0% for females, 12.7% for males). After adjusting for revealed risk factors that were associated with suicide risks, among males, suicide risks based on intercourse experience seemed to increase in the following order: no experience in sexual intercourse, opposite-sex, same-sex, and then both-sexes sexual intercourse experience. Same- and both-sexes intercourse related SROs are strongly linked to violence (being physically assaulted, threatened, or bullied) and sexually transmitted diseases (STDs), including HIV infection. Those having no sexual intercourse experience showed the least probability of suicide risks among youths.ConclusionThe SROs of youths with same-sex or both-sex intercourse experience had strong associations with gender (males), violence, and STDs. Therefore, school educators must continue to advocate for and to implement LGB inclusive policies and programs in order to promote safe and supportive learning environments where all students are protected from health risk behaviors.

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Association of school, family, and mental health characteristics with suicidal ideation among Korean adolescents

Cited by 33 publications

References 31 publications

How are depression and suicidal ideation associated with multiple health risk behaviours among adolescents? A secondary data analysis using the 2016 Korea Youth Risk Behavior Web‐based Survey

How are depression and suicidal ideation associated with multiple health risk behaviours among adolescents? A secondary data analysis using the 2016 Korea Youth Risk Behavior Web‐based Survey

Mental Health Problems and Associated Factors in Chinese High School Students in Henan Province: A Cross-Sectional Study

Type of sexual intercourse experience and suicidal ideation, plans, and attempts among youths: a cross-sectional study in South Korea

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