J Korean Acad Community Health Nurs.  2010 Mar;21(1):71-81. 10.12799/jkachn.2010.21.1.71.

The Effects of a Depression Intervention and Suicide Prevention Program in Adolescents with High Risk of Suicide

• Yoo JS
• Son JW
• Nam MS

• KMID: 2292914
• DOI: http://doi.org/10.12799/jkachn.2010.21.1.71

Abstract

PURPOSE
This study was to examine the effects of a depression intervention and suicide prevention program in adolescents with high risk of suicide.
METHODS
This research was designed as a nonequivalent control group pretest-posttest study. The participants were adolescents with high risk of suicide in mental health screening examination. A total of 40 adolescents (experimental group=21, control group=19) were sampled from C-gun, Chungbuk Province. The experimental group participated in the depression intervention and suicide prevention program for eight sessions while the control group did not participate in the program. Data were collected with a self-reporting structured questionnaire from November to December, 2008. SPSS/Win 12.0 was used for data analyses including chi-square test, t-test, and paired t-test.
RESULTS
After this program, there was no statistically significant difference in depression (t=1.498, p=.142) between the two groups, but depression decreased in the experimental group. There was a statistically significant difference in suicide ideation (t=2.058, p=.047).
CONCLUSION
To decrease depression and suicide ideation in adolescents with high risk of suicide, it is necessary to offer this program in a more intensive course and for a longer period. Also, family consultation programs and individual case treatment and consultation programs should be offered.

Keyword

Adolescent; Depression; Suicide

MeSH Terms

Adolescent*
Chungcheongbuk-do
Depression*
Humans
Mass Screening
Mental Health
Statistics as Topic
Suicide*
Surveys and Questionnaires

Reference

1. Chung HK, Ahn OH, Kim KH. Predicting factors on youth suicide impulse. Korean J Youth Stud. 2003; 10(2):107–126.

2. Cho CC, Lee YS. Development of the Korean form of the Kovacs' childrens' depression inventory. J Korean Neuropsychiatr Assoc. 1990; 29(4):943–956.

3. Hyun M, Kim MA. The effects of the cognitive-behavioral therapy on depression and self efficacy of the problem behavior adolescents in middle school. J Korean Acad Psychiatr Ment Health Nurs. 2004; 13(4):458–466.

4. Jang HJ. The relationship between stress, depression, & suicidal ideation among high school students in a city. Seoul: Ewha Womans University;2004. Unpublished master's thesis.

5. Kim HS. The present state of suicidal act of the young people and confrontation a plan-centering around a middle schoolboy. Daegu: Keimyung University;2003. Unpublished master's thesis.

6. Kim JY. The effects of suicide prevention program among adolescents in school. Suwon: Ajou University;2004. Unpublished master's thesis.

7. Kim YA, Kwon YS, Park KM. The relationship among the suicidal risk, self-esteem, spiritual well-being of high school students. J Korean Acad Community Health Nurs. 2006; 17(1):112–124.

8. Kim YS. The effects of a group counseling program on depression and suicidal prevention in high school students. J Korean Acad Community Health Nurs. 2009; 20(3):343–350.

9. Korea Centers for Disease Control and Prevention. The 2007 online survey of the health behavior among adolescents. 2008. Retrieved November 20, 2008. from http://cdc.go.kr/kcdchome/jsp/general/search/tot/.

10. Korea Centers for Disease Control and Prevention. The 2008 online survey of the health behavior among adolescents. 2009. Retrieved February 24, 2009. from http://cdc.go.kr/kcdchome/jsp/home/brd/.

11. La HJ. Factors influencing the impluse of suicide in adolescence. Seoul: Konkuk University;2005. Unpublished master's thesis.

12. Lee CS, Kweon YR, Kim SJ, Choi BS. The effects of suicide prevention program on depression, suicidal ideation, and problem solving ability on middle school students. J Korean Acad Psychiatr Ment Health Nurs. 2007; 16(4):337–347.

13. Lee EO, Lim NY, Park HA. Nursing · medical research and statistical analysis. Seoul: Soomoonsa;1998.

14. Lee ES. Construction of a structural model about male and female adolescents' alienation, depression, and suicidal thoughts. J Korean Acad Nurs. 2007; 37(4):576–585.

15. Lee JS. The relationship between individual and family variation and depression of adolescents. Seoul: Chungang University;2006. Unpublished master's thesis.

16. Lee YS. Effects of the Satir's family reconstruction group counseling based on mediation model between family support and depression and anxiety. Chonju: Chonbuk National University;2004. Unpublished doctoral dissertation.

17. Lee YS, Suh DS, Yang SH, Lee KH. Development of Korea adolescent form of suicidal ideation questionnaire. J Child Adolesc Psychiatry. 2004; 15(2):168–177.

18. Ministry of Education, Science and Technology. Systematic health education curriculum for the modified portion notic. 2008. 09. 11. Retrieved November 20, 2008. from http://mest.korea.kr/gonews.

19. Ministry for Health, Welfare and Family Affairs. Health plan 2010. 2005. Retrieved August 2, 2009. from http://2010.hp.go.kr/goal/.

20. Ministry for Health, Welfare and Family Affairs. Child and adolescents mental health service. 2008a. Retrieved September 3, 2008. from http://www.mw.go.kr/front/jb/sjb03030/vw.jsp.

21. Ministry for Health, Welfare and Family Affairs. The 2nd strategy for suicide prevention. 2008b. Retrieved September 3, 2009. from http://www.mw.go.kr/front/jb/sjb03030/vwo.jsp.

22. OECD. Society at a glance-OECD social indicators. 2009. Retrieved August 2, 2009. from http://www.oecd.org/els/social/indicators/SAG.

23. Oh HA. The effects of parent-adolescent communication on the suicide ideation. Seoul: Chungang University;2006. Unpublished master's thesis.

24. Seo HS. A study of factors influencing on adolescent's suicide thinking. Daegu: Daegu University;2006. Unpublished doctoral dissertation.

25. Shim MJ. The effects of life-respect education program on the respect for life and attitudes toward suicide of middle school students with difficulties adjusting to school life. Seoul: Ewha Womans University;2007. Unpublished master's thesis.

26. Statistics Korea. 2008 Annual report on the cause of death statistics. Daejeon: Statistics Korea;2009.

27. The Central Mental Health Supporting Committee. Child and adolescents case management program. 2008. Retrieved August 3, 2008. from http://www.cmhsc.or.kr.

28. Yoo JS, Son JW, Nam MS. Factors influencing suicide ideation among adolescents. J Korean Acad Community Health Nurs. 2008; 19(3):419–430.

29. WHO. Preventing Suicide: A Resource for the teachers and other staff. 2000. Retrieved August 2, 2009. from http://www.who.int/mental_health/prevention/suicide/suicideprevent/en.

30. Wichstøm L. Predictors of adolescents suicide attempts: A nationally representative longitudinal study of Norweigan adolescents. J Am Acad Child Adolesc Psychiatry. 2000; 39(5):603–610.