Article Data

  • Views 2508
  • Dowloads 196

Original Research

Open Access

Gender-specific factors of typical and atypical suicidal behaviors: a secondary data analysis of the 2018 Korea Youth Risk Behavior Survey

  • Heejung Kim1
  • Eun-Mi Kim2
  • Sunyoung Park3

1Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 03722 Seoul, Republic of Korea

2Research Institute of Nursing Science, College of Nursing, Pusan National University, 50612 Yangsan, Republic of Korea

3Department of Psychiatry, National Health Insurance Service Ilsan Hospital, 10444 Goyang, Republic of Korea

DOI: 10.31083/jomh.2021.094 Vol.17,Issue 4,September 2021 pp.141-150

Submitted: 31 May 2021 Accepted: 15 July 2021

Published: 30 September 2021

*Corresponding Author(s): Eun-Mi Kim E-mail: emkim@pusan.ac.kr

Abstract

Background and objective: There are limited information about factor associated with linear sequences of suicidal ideation, planning, and attempts among adolescents by gender groups, and those of out-of-linear sequences. The aims of this study was to identify factors associated with typical and atypical patterns of suicidal behaviors by comparing two gender groups of adolescents.

Material and methods: This secondary data analysis was conducted based on the 2018 Korea Youth Risk Behavior Survey (N = 65528) by using descriptive statistics and multinomial logistic regression analyses with this complex sample.

Results: A total of 12.4% of adolescents were in typical groups, and 1.6% were in atypical groups. Excessive stress and a depressed state were related to typical suicidal behaviors, while violent victimization accounted for atypical suicidal behaviors (all P values < 0.001). In spite of similar degrees and directions in both gender groups, there were some different findings between the gender groups, such as a poor level of academic achievement and stress, as well as living arrangements.

Conclusion: Our study findings provide a comprehensive understanding of the risks of typical and atypical suicidal behaviors in adolescents by considering gender differences. Psychological interventions including school violence prevention should be provided to vulnerable adolescents at risk of suicide, specifically tailored to their gender differences.

Keywords

Adolescent; Depression; Psychological stress; Suicide; Violence

Cite and Share

Heejung Kim,Eun-Mi Kim,Sunyoung Park. Gender-specific factors of typical and atypical suicidal behaviors: a secondary data analysis of the 2018 Korea Youth Risk Behavior Survey. Journal of Men's Health. 2021. 17(4);141-150.

References

[1] Korean Ministry of Health and Welfare and Korea Suicide Prevention Center. 2020 Suicide Prevention White Book. Seoul, Korea: Korea Suicide Prevention Center. 2020.

[2] Korean Ministry of Health and Welfare and Korea Suicide Prevention Center. 2018 Suicide Prevention White Book. Seoul, Korea: Korea Suicide Prevention Center. 2018.

[3] Arun P, Garg R, Chavan BS. Stress and suicidal ideation among adolescents having academic difficulty. Industrial Psychiatry Journal. 2017; 26: 64–70.

[4] Klonsky ED, May AM. Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research. Suicide & Life-Threatening Behavior. 2014; 44: 1–5.

[5] Klonsky ED, May AM, Saffer BY. Suicide, Suicide Attempts, and Suicidal Ideation. Annual Review of Clinical Psychology. 2016; 12: 307–330.

[6] Oppong Asante K, Kugbey N, Osafo J, Quarshie EN, Sarfo JO. The prevalence and correlates of suicidal behaviours (ideation, plan and attempt) among adolescents in senior high schools in Ghana. SSM -Population Health. 2017; 3: 427–434.

[7] Harmer B, Lee S, Duong TVH, Saadabadi A. Suicidal ideation. 2021. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2020.

[8] Lakeman R, Fitzgerald M. Ethical suicide research: a survey of researchers. International Journal of Mental Health Nursing. 2009; 18: 10–17.

[9] National Institute of Mental Health. Conducting research with participants at elevated risk for suicide: considerations for researchers. 2020. Available at: https://www.nimh.nih.gov/funding/clinical-research/conducting-research-with-participants-at-elevated-risk-for-suicide-considerations-for-researchers.shtml (Assessed: 15 December 2020).

[10] Klonsky ED, May AM. The Three-Step Theory (3ST): a New Theory of Suicide Rooted in the “Ideation-to-Action” Framework. International Journal of Cognitive Therapy. 2015; 8: 114–129.

[11] O’Connor RC. Towards an integrated motivational–volitional model of suicidal behaviour. In: O’Connor RC, Platt S, Gordon J, eds. International handbook of suicide prevention: Research, policy and practice (pp. 181–198). Chichester, UK: Wiley. 2011.

[12] O’Carroll PW, Berman AL, Maris RW, Moscicki EK, Tanney BL, Silverman MM. Beyond the Tower of Babel: a nomenclature for suicidology. Suicide & Life-Threatening Behavior. 1996; 26: 237–252.

[13] Lee G, Choi Y. Association of school, family, and mental health characteristics with suicidal ideation among Korean adolescents. Research in Nursing & Health. 2015; 38: 301–310.

[14] Doyle L, Treacy MP, Sheridan A. Self-harm in young people: Prevalence, associated factors, and help-seeking in school-going adolescents. International Journal of Mental Health Nursing. 2015; 24: 485–494.

[15] Lee D, Jung S, Park S, Hong HJ. The impact of psychological problems and adverse life events on suicidal ideation among adolescents using nationwide data of a school-based mental health screening test in Korea. European Child & Adolescent Psychiatry. 2018; 27: 1361–1372.

[16] Bauman S, Toomey RB, Walker JL. Associations among bullying, cyberbullying, and suicide in high school students. Journal of Adoles-cence. 2013; 36: 341–350.

[17] Holt MK, Vivolo-Kantor AM, Polanin JR, Holland KM, DeGue S, Matjasko JL, et al. Bullying and suicidal ideation and behaviors: a meta-analysis. Pediatrics. 2015; 135: e496–e509.

[18] Avenevoli S, Swendsen J, He J, Burstein M, Merikangas KR. Major depression in the national comorbidity survey-adolescent supplement: prevalence, correlates, and treatment. Journal of the American Academy of Child and Adolescent Psychiatry. 2015; 54: 37–44.

[19] Bae SM. Individual and social stress, social capital, and depressive symptoms as predictors of adolescent suicide in South Korea: a mediated moderation model. Journal of Health Psychology. 2019; 24: 1909–1919.

[20] Boeninger DK, Masyn KE, Feldman BJ, Conger RD. Sex differences in developmental trends of suicide ideation, plans, and attempts among European American adolescents. Suicide & Life-Threatening Behavior. 2010; 40: 451–464.

[21] Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, Alonso I, et al. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. International Journal of Public Health. 2019; 64: 265–283.

[22] Korean Ministry of Education, Korean Ministry of Health and Welfare & Korean Centers for Disease Control and Prevention. Guidelines for the Use of the 14th Korea Youth Risk Behavior Web-based Survey. 2018. Available at: https://www.kdca.go.kr/yhs/ (Accessed: 20 June 2019).

[23] Korean Ministry of Education, Korean Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention. The Fourteenth Korea Youth Risk Behavior Web-based Survey Statistics. 2018. Available at: https://www.kdca.go.kr/yhs/ (Accessed: 20 June 2019).

[24] Smith TJ, McKenna CM. A comparison of logistic regression pseudo R2 indices. Multiple Linear Regression Viewpoints. 2013; 39: 17–26.

[25] Centers for Disease Control and Prevention. Youth risk behavior survey data summary & trends reports 2007-2017. 2018. Available at: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/trendsreport.pdf (Assessed: 1 March 2021).

[26] Wei S, Li H, Hou J, Chen W, Tan S, Chen X, et al. Comparing characteristics of suicide attempters with suicidal ideation and those without suicidal ideation treated in the emergency departments of general hospitals in China. Psychiatry Research. 2018; 262: 78–83.

[27] Liu RT, Miller I. Life events and suicidal ideation and behavior: a systematic review. Clinical Psychology Review. 2014; 34: 181–192.

[28] Kelly EV, Newton NC, Stapinski LA, Slade T, Barrett EL, Conrod PJ, et al. Suicidality, internalizing problems and externalizing problems among adolescent bullies, victims and bully-victims. Preventive Medicine. 2015; 73: 100–105.

[29] Durkheim E. Suicide: A Study in Sociology. 2nd edn. New York: The Free Press. 1951.

[30] McAndrew S, Warne T. Hearing the voices of young people who self-harm: implications for service providers. International Journal of Mental Health Nursing. 2014; 23: 570–579.

[31] Manuel J, Crowe M, Inder M, Henaghan M. Suicide prevention in mental health services: a qualitative analysis of coroners’ reports. International Journal of Mental Health Nursing. 2018; 27: 642–651.

[32] Diamond GS, Herres JL, Krauthamer Ewing ES, Atte TO, Scott SW, Wintersteen MB, et al. Comprehensive Screening for Suicide Risk in Primary Care. American Journal of Preventive Medicine. 2017; 53: 48–54.

[33] Miller AB, Eisenlohr-Moul T, Giletta M, Hastings PD, Rudolph KD, Nock MK, et al. A within-person approach to risk for suicidal ideation and suicidal behavior: Examining the roles of depression, stress, and abuse exposure. Journal of Consulting and Clinical Psychology. 2017; 85: 712–722.

[34] King KA, Strunk CM, Sorter MT. Preliminary effectiveness of surviving the teens(®) suicide prevention and depression awareness program on adolescents’ suicidality and self-efficacy in performing help-seeking behaviors. Journal of School Health. 2011; 81: 581–590.

[35] McCabe R, Garside R, Backhouse A, Xanthopoulou P. Effectiveness of brief psychological interventions for suicidal presentations: a systematic review. BMC Psychiatry. 2018; 18: 120.

[36] Wasserman D, Hoven CW, Wasserman C, Wall M, Eisenberg R, Hadlaczky G, et al. School-based suicide prevention programmes: the SEYLE cluster-randomised, controlled trial. Lancet. 2015; 385: 1536–1544.

[37] Naninck EFG, Lucassen PJ, Bakker J. Sex Differences in Adolescent Depression: do Sex Hormones Determine Vulnerability? Journal of Neuroendocrinology. 2011; 23: 383–392.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.

SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)

Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.

Scopus: CiteScore 0.7 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).

Submission Turnaround Time

Conferences

Top