Korean J Women Health Nurs.  2020 Sep;26(3):213-221. 10.4069/kjwhn.2020.06.15.

Factors influencing suicidal ideation among female late adolescents from a Korean rural province

Affiliations
  • 1Department of Nursing, Kongju National University, Jeonju, Korea
  • 2Department of Nursing, Kongju National University, Kongju, Korea

Abstract

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 18- to 22-year-old female adolescents at high schools, universities, churches, and local community centers. The sample consisted of 197 female 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), and subjective well-being (r=–.46, p<.001). 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 preventing suicidal ideation among female adolescents. These factors should be managed among female adolescents, and tailored nursing interventions should be offered to enhance their psychiatric health status.

Keyword

Adolescent; Depression; Female; Suicide; Violence; 청소년; 우울; 여성; 자살; 폭력

Reference

References

1. Vital Statistics Division, Statistics Korea, Shin HY, Kim J, Lee S, Park MS, Park S, Huh S. Cause-of-death statistics in 2018 in the Republic of Korea. J Korean Med Assoc. 2020; 63(5):286–297. https://doi.org/10.5124/jkma.2020.63.5.286.
Article
2. Seo JH. Psychological autopsy: Why do people commit suicide. Seoul: Siganyeohaeng;2015. p. 248.
3. Glenn CR, Cha CB, Kleiman EM, Nock MK. Understanding suicide risk within the Research Domain Criteria (RDoC) framework: insights, challenges, and future research considerations. Clin Psychol Sci. 2017; 5(3):568–592. https://doi.org/10.1177/2167702616686854.
Article
4. Ministry of Gender Equality & Family. The adolescents’ statistics in 2019. [Internet]. Seoul: Statistics Korea, Ministry of Gender Equality & Family;2019. [cited 2019 Nov 27]. Available from: http://www.mogef.go.kr/kor/skin/doc.html?fn=e2f80bae4bfe4b4fabc54349f236e9a4.pdf&rs=/rsfiles/202008/.
5. Lee KH, Lee YS, Ko MS, Kim HJ, Park NJ, Park YJ, et al. Maternity & women’s health nursing. 2nd ed. Seoul: Hyunmoonsa;2010. p. 1070.
6. Shin HJ, Chung IJ, Lee SA, Lee HY, Park JY. Factors affecting depression, suicidal ideation, suicidal plans and suicide attempts in adolescents. J Sch Soc Work. 2014; 27:25–50.
7. Ha YS, Lee JH, Kim HS, Kim SJ, Kim JH, Kim HK, et al. Child adolescent health nursing. Seoul: Singwang Publishing;2017. p. 375.
8. Morales-Vives F, Dueñas JM. Predicting suicidal ideation in adolescent boys and girls: the role of psychological maturity, personality traits, depression and life satisfaction. Spanish J Psychol. 2018; 21:E10. https://dx.doi.org/10.1017/sjp.2018.12.
Article
9. Park S. Brief report: sex differences in suicide rates and suicide methods among adolescents in South Korea, Japan, Finland, and the US. J Adolesc. 2015; 40:74–77. https://dx.doi.org/10.1016/j.adolescence.2015.01.007.
Article
10. Park SJ. The effect of regional factors on youth suicide rates. Ment Health Soc Work. 2019; 47(1):174–203. https://dx.doi.org/10.24301/MHSW.2019.03.47.1.174.
Article
11. Suh EK, Koo J. A Concise Measure of Subjective Well-Being (COMOSWB): scale development and validation. Korean J Soc Personal Psychol. 2011; 25(1):95–113. https://dx.doi.org/10.21193/kjspp.2011.25.1.006.
12. Cha CB, Franz PJ, M Guzmán E, Glenn CR, Kleiman EM, Nock MK. Annual research review: suicide among youth - epidemiology, (potential) etiology, and treatment. J Child Psychol Psychiatry. 2018; 59(4):460–482. https://dx.doi.org/10.1111/jcpp.12831.
Article
13. Büscher R, Torok M, Terhorst Y, Sander L. Internet-based cognitive behavioral therapy to reduce suicidal ideation: a systematic review and meta-analysis. JAMA Netw Open. 2020; 3(4):e203933. https://dx.doi.org/10.1001/jamanetworkopen.2020.3933.
14. Pitman AL, Osborn DP, Rantell K, King MB. Bereavement by suicide as a risk factor for suicide attempt: a cross-sectional national UK-wide study of 3432 young bereaved adults. BMJ Open. 2016; 6(1):e009948. https://dx.doi.org/10.1136/bmjopen-2015-009948.
Article
15. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1(3):385–401. https://doi.org/10.1177/014662167700100306.
Article
16. Shin SC, Kim MK, Yun KS, Kim JH, Lee MS, Moon SJ, et al. The Center Epidemiologic Studies-Depression Scale (CES-D): its use in Korea. J Korean Neuropsychiatric Assoc. 1990; 30:752–767.
17. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the Scale for Suicide Ideation. J Consult Clin Psychol. 1979; 47(2):343–352. https://dx.doi.org/10.1037/0022-006x.47.2.343.
Article
18. Shin MS, Park KB, Oh KJ, Kim JS. A study of suicidal ideation among high school students: the structural relation among depression, hopelessness, and suicidal ideation. Korean J Clin Psychol. 1991; 9(1):1–19.
19. Renberg ES, Jacobsson L. Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide Life Threat Behav. 2003; 33(1):52–64. https://dx.doi.org/10.1521/suli.33.1.52.22784.
Article
20. Park JI, Kim YJ. Factor structure of Korean version of attitudes toward suicide (ATTS-20). Ment Health Soc Work. 2014; 42(1):92–114.
21. Kim JH. A study on the adolescents’ suicidal ideation and its moderating factors. Korean J Child Prot. 2016; 1(1):51–68.
22. Park SR, Yang MH. A study on the research trends of youth suicidal ideation: centering on major academic journals. J Couns Educ Res. 2019; 2(1):101–111.
23. Hong MS. An analysis on determinants of youth suicidal ideation. J Policy Dev. 2017; 17(1):63–98. https://dx.doi.org/10.35224/kapd.2017.17.1.003.
24. Kwon J, Na WY. A longitudinal analysis of high school students’ dropping out: focusing on the change pattern of dropout, changes in school violence and school counseling. J Korean Soc Child Welf. 2017; 59:209–234. https://dx.doi.org/10.24300/jkscw.2017.09.59.209.
25. Kwon J. Suicide risk prediction of in children and adolescents through suicide risk profile and suicide-thinking map. In : . Collection of Research Papers. Seoul: Child Fund Korea;2018. p. 162–230.
Article
26. Choi JW, Park MJ. Research on adolescent suicidal ideation: what are the risk factors? Surv Res. 2016; 17(3):53–79. https://dx.doi.org/10.20997/SR.17.3.3.
Article
27. Yoo CM, Kahng SK. Predictors of suicide ideation trajectory among adolescence: focused on the risk and protective factors. Korean J Soc Welf Res. 2015; 46:25–54. https://dx.doi.org/10.17997/SWRY.46.1.2.
Article
28. Yon HJ. Effect study of youth suicide prevention program. Ment Health Soc Work. 2010; 36:265–293.
29. Kwon H, Kim R, Bhang SY, Hong HJ, Kweon YS. A methodological review of psychological autopsy for adolescents. J Korean Acad Child Adolesc Psychiatry. 2014; 25(3):121–127. https://doi.org/10.5765/jkacap.2014.25.3.121.
Article
30. Kim JH, Park EC, Nam JM, Park S, Cho J, Kim SJ, et al. The Werther effect of two celebrity suicides: an entertainer and a politician. PLoS One. 2013; 8(12):e84876. https://dx.doi.org/10.1371/journal.pone.0084876.
Article
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr