J Korean Acad Psychiatr Ment Health Nurs.  2019 Sep;28(3):205-215. 10.12934/jkpmhn.2019.28.3.205.

Suicidal Behaviors of Culturally Diverse Adolescents with Sexual Experience: Using Date from the 10~12th Korean Youth Risk Behavior Web-based Survey

  • 1Doctoral Student, College of Nursing, The Catholic University of Korea, Seoul, Korea.
  • 2Associate Professor, College of Nursing, The Catholic University of Korea, Seoul, Korea. kjdooly@catholic.ac.kr


The purpose of this study is to investigate how sexual experience associate with the suicide ideation, suicide plan and suicide attempt among culturally diverse adolescents compared with Korean adolescents.
This study used a secondary data analysis study with the data derived from the 10~12th (2014~2016) Korean Youth Risk Behavior Web-based Survey. Data of 2,201 culturally diverse adolescents and 189,278 Korean adolescents were analyzed. Descriptive statistics, χ² test, and hierarchical logistic regression were used for data analysis.
After controlled for individual, family and social factors as compounding variables, the suicide ideation of culturally diverse adolescents with sexual experience was higher for 1.72 (95% CI: 1.24~2.38), suicide plan for 2.24 (95% CI: 1.58~3.17) and suicide attempt for 2.71 (95% CI: 1.87~3.93) compared to Korean adolescents without sexual experience. Regardless of cultural diversity, the risk of suicide ideation, suicide plan and suicide attempt of adolescents with sexual experience was higher than adolescents without sexual experience.
Our study findings indicate the highest need to prevent suicide ideation, suicide plan and suicide attempt among culturally diversity adolescents with sexual experience among all the other adolescents' group.


Cultural diversity; Adolescent; Sexual behavior; Suicide

MeSH Terms

Cultural Diversity
Logistic Models
Sexual Behavior
Statistics as Topic


1. World Health Organization. Causes of death statistics for 2016 [Internet]. 2017. [cited 2019 Sep 1]. Available from: https://www.who.int/mental_health/prevention/suicide/suicideprevent/en/.
2. Statistics Korea. Rate of suicide attempt statistics for 2018 [Internet]. 2019. [cited 2019 Aug 8]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117_12_Y071&conn_path=I2.
3. Kidd S, Henrich CC, Brookmeyer KA, Davidson L, King R, Shahar G. The social context of adolescent suicide attempts: interactive effects of parent, peer, and school social relations. Suicide and Life-Threatening Behavior. 2006; 36(4):386–395. 10.1521/suli.2006.36.4.386.
4. Boeninger DK, Masyn KE, Feldman BJ, Conger RD. Sex differences in developmental trends of suicide ideation, plan, and attempts among European American adolescent. Suicide and Life-Threatening Behavior. 2010; 40(5):451–464. 10.1521/suli.2010.40.5.451.
5. Kim SY, Hong SH. Identifying and predicting trajectories of latent classes in adolescents' suicidal ideation. Studies on Korean Youth. 2012; 23(1):251–275.
6. Lizardi D, Thompson RG, Keyes K, Hasin D. The role of depression in the differential effect of childhood parental divorce on male and female adult offspring suicide attempt. Journal of Nervous and Mental Disease. 2010; 198(9):687–690. 10.1097/NMD.0b013e3181ef218c.
7. Ko SD. Correlate of the smoking and drinking behavior among adolescents from multi-cultural families. Alcohol and Health Behavior Research. 2015; 16(1):99–108. 10.15524/KSAS.2015.16.1.099.
8. Ahn IY, Seo J, Lee D, Lee SJ, Cha B, Lee CS, et al. Emotional characteristics of adolescents in monocultural and multicultural families in Korea. Journal of the Korean Academy of Child and Adolescent Psychiatry. 2016; 27(4):306–312. 10.5765/jkacap.2016.27.4.306.
9. Kim MK, Kim HY. The effects of psychological characteristics, parent-child relationship, and coping strategies on school adjustment of multicultural family adolescents. Korean Journal of Family Welfare. 2015; 20(2):367–385. 10.13049/kfwa.2015.20.2.367.
10. Armour S, Haynie DL. Adolescent sexual debut and later delinquency. Journal of Youth and Adolescence. 2007; 36(2):141–152. 10.1007/s10964-006-9128-4.
11. Kuzman M, Šimetin IP, Franelić IP. Early sexual intercourse and risk factors in Croatian adolescents. Collegium Antropologicum. 2007; 31 Suppl 2:121–130.
12. Jamieson LK, Wade TJ. Early age of first sexual intercourse and depressive symptomatology among adolescents. Journal of Sex Research. 2011; 48(5):450–460. 10.1080/00224499.2010.509892.
13. Avery L, Lazdane G. What do we know about sexual and reproductive health of adolescents in Europe? The European Journal of Contraception and Reproductive Health Care. 2010; 15 Suppl 2:S54–S66. 10.3109/13625187.2010.533007.
14. Madkour AS, Farhat T, Halpern CT, Godeau E, Gabhainn SN. Early adolescent sexual initiation as a problem behavior: a comparative study of five nations. Journal of Adolescent Health. 2010; 47(4):389–398. 10.1016/j.jadohealth.2010.02.008.
15. Korea Centers for Disease Control and Prevention. The thirteenth Korea youth risk behavior web-based survey [Internet]. 2017. cited 2019 Aug 8. Available from: https://www.cdc.go.kr/yhs/home.jsp?id=m03_02.
16. Kim HS. Effects of sexual intercourse on suicidal behaviors among adolescents in South Korea. Journal of Korean Academy of Nursing. 2015; 45(2):183–191. 10.4040/jkan.2015.45.2.183.
17. Kim DS, Kim HS. Early initiation of alcohol drinking, cigarette smoking, and sexual intercourse linked to suicidal ideation and attempts: findings from the 2006 Korean youth risk behavior survey. Yonsei Medical Journal. 2010; 51(1):18–26. 10.3349/ymj.2010.51.1.18.
18. Lee SH, Yoo JH, Yun ME, Chun SS. Correlate of the drinking behavior and sexual experience between multicultural family adolescents and general family adolescents. Journal of Korean Society for School & Community Health Education. 2015; 16(2):45–57.
19. Kim HS, Kim DS. Adolescents of multicultural families and differential risks of suicidal behaviors. Korean Journal of Sociology. 2014; 48(2):35–66.
20. Ministry of Education. Status of students from multicultural families statistics for 2014 [Internet]. 2014. [citied 2019 Sep 1]. Available from: https://kess.kedi.re.kr/publ/publFile?survSeq=2014&menuSeq=3645&publSeq=3&menuCd=63048&menuId=2_6_0&item Code=02&language=.
21. Donath C, Bergmann MC, Kliem S, Hillemacher T, Baier D. Epidemiology of suicidal ideation, suicide attempts, and direct self-injurious behavior in adolescents with a migration background: a representative study. BMC Pediatrics. 2019; 19(1):45. .
22. Zayas LH, Bright CL, Alvarez-Sanchez T, Cabassa LJ. Acculturation, familism and mother-daughter relations among suicidal and non-suicidal adolescent Latinas. The Journal of Primary Prevention. 2009; 30(3-4):351–369. .
23. Kim HS. Differential risks of juvenile delinquency among adolescents of multicultural families. Korean Journal of Sociology. 2016; 50(1):41–74.
24. Gillmore MR, Chen ACC, Haas SA, Kopak AM, Robillard AG. Do family and parenting factors in adolescence influence condom use in early adulthood in a multiethnic sample of young adults? Journal of Youth and Adolescence. 2011; 40(11):1503–1518. .
25. Ethier KA, Kann L, McManus T. Sexual intercourse among high school students-29 states and United States overall, 2005-2015. Morbidity and Mortality Weekly Report. 2018; 66(51-52):1393–1397. .
26. Cordova D, Huang S, Lally M, Estrada Y, Prado G. Do parent-adolescent discrepancies in family functioning increase the risk of Hispanic adolescent HIV risk behaviors. Family Process. 2014; 53(2):348–363. .
27. Langley C. Father knows best: paternal presence and sexual debut in African-American adolescents living in poverty. Family Process. 2016; 55(1):155–170. .
28. Kapungu CT, Holmbeck GN, Paikoff RL. Longitudinal association between parenting practices and early sexual risk behaviors among urban African American adolescents: the moderating role of gender. Journal of Youth and Adolescence. 2006; 35(5):783–794. .
29. Davalos DB, Chavez EL, Guardiola RJ. Effects of perceived parental school support and family communication on delinquent behaviors in Latinos and white non-Latinos. Cultural Diversity and Ethnic Minority Psychology. 2005; 11(1):57–68. .
30. Klein JD, Sabaratnam P, Pazos B, Auerbach MM, Havens CG, Brach MJ. Evaluation of the parents as primary sexuality educators program. Journal of Adolescent Health. 2005; 37(3 Suppl):S94–S99. .
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