Purpose: In South Korea, suicide mortality has rapidly increased, so it has become a major public health concern. Multicultural adolescents are regarded as a high-risk group due to their situation. In this study, we compared the prevalence and risk factors of suicide ideation between Korean and mult...
Purpose: In South Korea, suicide mortality has rapidly increased, so it has become a major public health concern. Multicultural adolescents are regarded as a high-risk group due to their situation. In this study, we compared the prevalence and risk factors of suicide ideation between Korean and multicultural adolescents. Methods: Data from the eleventh Korean Youth Risk Behavior Web-based Survey (2015), collected by the Korean Centers for Disease Control and Prevention, were statistically analyzed using the descriptive statistics and multivariate logistic regression. The total participants were 63,376 in numbers. They were composed of 62,649 (98.9%) Korean and 727 (1.1%) multicultural adolescents. Results: I found that the prevalence of suicide ideation was significantly higher among the multicultural adolescents (15.8%) compared with those of Korean (11.3%). The risk factors of suicide ideation in the Korean group were co-residence without family, poor perceived health status, depressive mood, high stress level, poor perceived happiness level, and experience of violence. Conversely, the risk factors of the multicultural group were smoking, depressive mood, and experience of violence. Conclusion: These findings suggest that appropriate and practical prevention strategies should focus on psychological and environmental factors in order to prevent suicide ideation and reduce suicide behavior in Korean and multicultural adolescents.
Purpose: In South Korea, suicide mortality has rapidly increased, so it has become a major public health concern. Multicultural adolescents are regarded as a high-risk group due to their situation. In this study, we compared the prevalence and risk factors of suicide ideation between Korean and multicultural adolescents. Methods: Data from the eleventh Korean Youth Risk Behavior Web-based Survey (2015), collected by the Korean Centers for Disease Control and Prevention, were statistically analyzed using the descriptive statistics and multivariate logistic regression. The total participants were 63,376 in numbers. They were composed of 62,649 (98.9%) Korean and 727 (1.1%) multicultural adolescents. Results: I found that the prevalence of suicide ideation was significantly higher among the multicultural adolescents (15.8%) compared with those of Korean (11.3%). The risk factors of suicide ideation in the Korean group were co-residence without family, poor perceived health status, depressive mood, high stress level, poor perceived happiness level, and experience of violence. Conversely, the risk factors of the multicultural group were smoking, depressive mood, and experience of violence. Conclusion: These findings suggest that appropriate and practical prevention strategies should focus on psychological and environmental factors in order to prevent suicide ideation and reduce suicide behavior in Korean and multicultural adolescents.
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문제 정의
Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated, with suicide ideation as the main outcome variable and health behaviors and psychological variables as the main predictors, after controlling for gender, residence, co-residential status, perceived economic status, and perceived academic performance. The purpose of this study was to compare the factors affecting suicide ideation in Korean adolescents and the factors affecting suicide ideation in adolescents in multicultural families. Therefore, the two groups were separated and analyzed statistically within each group.
제안 방법
Therefore, the two groups were separated and analyzed statistically within each group. All analyses took into account the sampling design parameters, including weighting, clustering, and stratification. Specifically, participants' general characteristics were weighted according to each respondent's probability of being selected for the sex-, grade-, and school-type-specific distributions for the region [20].
Descriptive statistics were used to identify general characteristics, health behavior, psychological variables, suicide ideation rate of two groups. The x 2 test was used to compare study variables according to presence of suicide ideation in adolescents from multicultural and Korean families.
Health behavior variables included perceived health status, alcohol drinking, and smoking. Perceived health status was assessed using a 5-point Likert scale (very healthy, healthy, normal, a little unhealthy, and very unhealthy). Smoking was assessed with the following question (with possible responses of “yes” or “no”: “Have you smoked a cigarette in the last 1 month?” Alcohol drinking was assessed with a similar question (also yes/no): “Have you drank alcohol in the last 1 month?"
This study was a secondary analysis of national survey data. The purpose of the current study was to compare the rate of suicide ideation and the factors of multicultural and Korean adolescents. A composite sample analysis method was used to analyze survey data designed to reflect the gender, age, and demographic structure of the population [20].
The present study was conducted to investigate and compare the risk factors influencing suicide ideation among adolescents from multicultural families and Korean families by same dataset, and to provide basic data for the development of one comprehensive programs for the prevention of suicide of adolescents itself not differentiate Korea or multicultural. The specific purposes of this study are as follows: (1) to analyze the rates of suicide ideation among adolescents from multicultural and Korean families; (2) to analyze what general characteristics of these two groups of adolescents relate to suicide ideation; (3) and to determine and compare the relationship between general characteristic factor, health risk behavior, psychological variables and suicide ideation in two groups.
A cross-sectional study design was used with a random-ized sample of adolescents in Korea. This study is a secondary data analysis wherein I compared suicide ideation between adolescents of multicultural and Korean families and identified the factors that influence suicide ideation. Data were taken from the 2015 Korean Youth Risk Behavior Web-Based Survey (KYRBWS).
대상 데이터
A total of 70,362 students from 400 middle schools and 400 high schools participated in the survey (response rate=96.7%). So, the final sample of this study was 63,376 students (32,715 boys and 30,661 girls, mean age=14.
The KYRBWS is a government-approved statistical survey that has been performed annually by the Korea Centers for Disease Control and Prevention since 2005 in order to monitor health risk behaviors among Korean adolescents. It uses a stratified multistage cluster sampling design to obtain a nationally representative sample of middle and high school students. After the survey was fully explained to potential participants, those who provided their informed consent completed the anonymous, self-administered web-based survey during a regular class period.
So, the final sample of this study was 63,376 students (32,715 boys and 30,661 girls, mean age=14.96±1.74 years, range=12~18 years).
성능/효과
In the analysis of the prevalence of suicide ideation according to health risk behaviors and psychological factors, the factors associated with suicide ideation among adolescents from Korean families were perceived health status, alcohol drinking, smoking, perceived happiness, perceived stress, depression, and experience of violence. Those among adolescents from multicultural families, perceived health status, alcohol drinking, perceived happiness, perceived stress, depression, and experience of violence were related to suicide ideation.
More specifically, older age (OR=0.86 for every 1 year), female gender (OR=1.43), living without family members (OR=1.39), poor perceived health status (OR=1.37), depressive mood (OR= 8.68), >average perceived stress (OR=2.70), >average perceived happiness (OR=3.29), and experience of violence (OR=3.32) were all positively associated with increased odds of suicide ideation.
Logistic regression analyses were performed to determine the factors that influence the odds of suicide ideation. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated, with suicide ideation as the main outcome variable and health behaviors and psychological variables as the main predictors, after controlling for gender, residence, co-residential status, perceived economic status, and perceived academic performance. The purpose of this study was to compare the factors affecting suicide ideation in Korean adolescents and the factors affecting suicide ideation in adolescents in multicultural families.
Specifically, female gender (OR=13.16), ≤average perceived economic status (OR=21.53), smoking (OR=13.14), depression (OR=18.87), >average perceived stress (OR=3.16) and experience of violence (OR=54.07) had positive and significant associations with odds of suicide ideation.
후속연구
However, the cross-sectional nature of this study limits our understanding of the influencing factors; thus, future prospective studies are required in order to identify the casual relationships among suicide ideation and various risk factors.
This is because smoking rates and drinking rates of adolescents in multicultural families are lower than those of Korean families [24], and smoking rates and drinking rates of multicultural families are higher than those of general household adolescents [25]. Therefore, this relationship seems to require further research to analyze what are the causes and long-term results through longitudinal study.
This may limit the validity of the measurements of these variables. Third, this study is a cross-sectional study, so it is difficult to ensure causality in epidemiological studies, and has limitation in generalize. it will be interpretate only for adolescents in South Korea.
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