J Korean Med Sci.  2009 Apr;24(2):215-222. 10.3346/jkms.2009.24.2.215.

Childhood Predictors of Deliberate Self-Harm Behavior and Suicide Ideation in Korean Adolescents: A Prospective Population-Based Follow-Up Study

• Shin YM
• Chung YK
• Lim KY
• Lee YM
• Oh EY
• Cho SM

• KMID: 1779121
• DOI: http://doi.org/10.3346/jkms.2009.24.2.215

Abstract

The aim of this study was to investigate predictors of adolescence suicidality in a longitudinal study. Additionally, the prevalence of deliberate self-harm behavior and suicide ideation at age 7 and during middle school were examined. Initial assessment data was obtained from 1998 to 2000, and a follow-up assessment was performed in 2006 when the original subjects became middle school students. The addresses and names of 1,857 subjects were located from the original data; they were 910 boys and 947 girls. The subjects were evaluated with the Korean version of the Child Behavior Checklist (K-CBCL), which was administered by the parents of the children, and by various demographic and psychosocial factors. They were reassessed using self reports on the Korea Youth Self Report (K-YSR); in particular, replies to items related to self-harm behavior and suicide ideation were recorded. A logistic regression analysis showed that the factors of gender, economic status, the overall amount of behavior problems, the tendency to internalizing and externalizing problems, somatic problems, thought problems, delinquent behavior, and aggressive behavior were independent predictors of adolescent suicide ideation and self-harm behavior. The importance of total behavior problems suggested that adolescent difficulty is a consequence of an accumulation of various risk factors. Accordingly, clinicians must consider a range of internalizing and externalizing issues, especially overall adaptation, for suicide intervention.

Keyword

Child; Adolescent; Suicide; Longitudinal Studies

MeSH Terms

Adolescent
Child
Factor Analysis, Statistical
Female
Follow-Up Studies
Humans
Korea
Longitudinal Studies
Male
Odds Ratio
Predictive Value of Tests
Prospective Studies
Questionnaires
Self-Injurious Behavior/*psychology
Suicide/*psychology/statistics & numerical data

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