Suicidality in Chinese adolescents in Hong Kong: the role of family and cultural influences
Suicidality in Chinese adolescents in Hong Kong: the role of family and cultural influences
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DOI：
10.1007/s00127-008-0434-x
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发表时间：
2009-04-01
影响因子：
4.4
通讯作者：
Yip, Paul S. F.
中科院分区：
文献类型：
--
作者：
Chan, Wincy S. C.;Law, Chi Kin;Yip, Paul S. F.
背景：青少年自杀意念可以预测成年后的自杀行为和精神病理。以前的研究只关注医疗和环境风险因素，这不足以给出青少年自杀的整体情况。目的探讨情感和认知属性在青少年自杀意念识别和预防中的作用。方法对511名15~19岁的社区调查对象进行问卷调查，调查对象为自杀后12个月和其一生中的自杀行为。广义估计方程回归模型被用来检验心理社会和社会环境因素对青少年自杀意念的影响。结果家庭责任感是青少年自杀意念的唯一保护因素，行为解脱的应对机制、抑郁症状的严重程度、故意自残史、慢性躯体疾病或疼痛、媒体报道自杀消息、家庭收入低是青少年自杀意念的危险因素。结论通过对贫困家庭儿童的支持，提高青少年的生活技能，加强家庭关系，改善心理和卫生服务，促进媒体对自杀的负责任报道，需要多层次的努力来预防青少年自杀。
Background Adolescent suicidal ideation has found to predict suicidal behaviors and psychopathology in adulthood. Previous studies focused solely on the medical and environmental risk factors, which were insufficient to give a holistic picture of adolescent suicidality. Objectives To assess the role of affective and cognitive attributes in the identification and prevention of adolescent suicidal ideation. Method A community sample of 511 participants (age 15-19 years) were asked to indicate their suicidality in the 12 months and in their lifetime. Generalized estimating equation regression models were used to examine the effect of psychosocial and socio-environmental correlates in relation to adolescent suicidal ideation. Results The data show that perceived responsibilities for family was the only protective factor, while a coping mechanism by behavioral disengagement, severity of depressive symptoms, a history of deliberate self-harm, chronic physical illness or pain, media reporting of suicide news, and low household income were the risk factors for adolescent suicidal ideation. Conclusions The results suggest that a multilayer effort for preventing adolescent suicide is needed by providing support for children in deprived families; enhancing life skills in the teens; strengthening family relationship; improving mental and health services; and promoting responsible media reporting on suicide.