Validation of a Path Model for Adolescents' Suicidal Ideation

Article information

Res Community Public Health Nurs. 2013;24(3):255-263
Publication date (electronic) : 2013 September 30
doi : https://doi.org/10.12799/jkachn.2013.24.3.255
1College of Nursing, Keimyung University, Daegu, Korea.
2Department of Nursing, Taegu Science University, Daegu, Korea.
Corresponding author: Kwon, Yunhee. Department of Nursing, Taegu Science University, 390 Taejeon-dong, Buk-gu, Daegu 702-723, Korea. Tel: +82-53-320-1056, Fax: +82-53-320-1761, sengbira@hanmail.net
Received 2013 January 28; Accepted 2013 July 29.

Abstract

Purpose

This study examined the fitness of a path model for the relationship among daily life stress, problem of life, social support, depression, and suicidal ideation in adolescents.

Methods

The subjects consisted of 247 adolescents. Data were collected through self-report questionnaires. The data were analyzed by the SPSS and AMOS programs.

Results

Daily life stress, problem of life, social support, and depression showed direct effects on suicidal ideation in adolescents, while daily life stress and problem of life showed indirect effects on suicidal ideation in adolescents. Daily life stress and problem of life showed direct effects on social support and depression in adolescents. The hypothetical path model of adolescents' suicidal ideation was proven correct.

Conclusion

Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes the reduction of daily life stress, problem of life, depression and enhancement social support in order to prevention adolescents' suicidal ideation.

Notes

This research has been supported by the Dongil foundation of scholarship.

References

1. Bronfenbrenner U. The ecology of human development: Experiments by nature and design Cambridge, MA: Havard University Press; 1979.
2. Centers for Disease Control and Prevention. 2007 Young health status on line survey 2008. Retrieved July 3, 2012. from http://www.cdc.go.kr/CDC/intro/CdcKrIntro0201.jsp?menuIds=HOME001-MNU0005-MNU0011&cid=8849.
3. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean J Health Psychol 2001;6(1):59–76.
4. Conner KR, Duberstein PR, Conwell Y, Caine ED. Reactive aggression and suicide: Theory and evidence. Aggress Violent Behav 2003;8(4):413–432.
5. Daniel SS, Goldston DB. Interventions for suicidal youth: A review of the literature and developmental considerations. Suicide Life Threat Behav 2009;39(3):252–268.
6. Hawton K, Kingsbury S, Steinhardt K, James A, Fagg J. Repetition of deliberate self-harm by adolescents: The role of psychological factors. J Adolesc 1999;22(3):369–378.
7. Hoffman ML. Empathy, its limitation, and its role in a comprehensive moral theory. In : Kurtines WM, Gewirtz JL, eds. Morality, moral behavior and moral development New York: Wiley; 1984. p. 283–302.
8. Hwang Bo SY. A study on the influencing factors on suicidal ideation in adolescents from an eco-system perspective Daegu: Keimyung University; 2011. Unpublished master's thesis.
9. Kang MO. The benefits of social support in the relationship between adolescent group bullying and emotional stability of the victims Changwon: Kyungnam University; 2011. Unpublished master's thesis.
10. Kang SJ. A study on family function of child headed families under the care of relatives Seoul: Yonsei University; 2000. Unpublished master's thesis.
11. Kang SO. A study on the effect of juvenile's depression, social support and stress on suicide thinking Changwon: Kyungnam University; 2010. Unpublished master's thesis.
12. Korea Institute for Health and Social Affairs. Rate of Death on OECD 2013. Retrieved May 20, 2013. from https://www.kihasa.re.kr/html/tsearch/search.jsp.
13. Kwon EH. A study on the factors influencing the suicide ideation juveniles-focused on psychosocial factors- Iksan: Wonkwang University; 2009. Unpublished doctoral dissertation.
14. Lubell KM, Vetter JB. Suicide and youth violence prevention: The promise of an integrated approach. Aggress Violent Behav 2005;11(2):167–175.
15. Matsuishi K, Kitamura N, Sato M, Nagai K, Huh SY, Ariyoshi K, et al. Change of suicidal ideation induced by suicidal attempt. Psychiatry Clin Neurosci 2005;59(5):599–604.
16. Mun SB. Basic concepts and applications of structural equating model Seoul: Hakjisa Publishing Co; 2009.
17. Park BG. Factors associated with adolescents' suicidal ideation: Focus on self-esteem and depression as mediators. Korean J Hum Ecol 2007;16(3):505–522.
18. Park JS. The effects of school risk factors on suicide ideation in adolescence -With a test the Baumeister' escape theory model- Daegu: Kyungpook National University; 2010. Unpublished doctoral dissertation.
19. Rohde P, Seeley JS, Rohling J, Rohling M. The life attitudes schedule-short form: Psychometric properties and correlates of adolescent suicide proneness. Suicide Life Threat Behav 2003;33(3):249–260.
20. Statistics Korea. Cause of death 2011 2012a. Retrieved July 6, 2012. fromhttp://kostat.go.kr/portal/korea/kor_ko/5/2/index.board?bmode=read&aSeq=260141.
21. Statistics Korea. Adolescents' index 2012 2012b. Retrieved July 7, 2012. fromhttp://kostat.go.kr/wnsearch/search.jsp.
22. Sanchez HG. Risk factors model for suicide assessment and intervention. Prof Psychol Res Pr 2001;32(4):351–358.
23. Shin JE. A study on the psychosocial factors affecting of adolescent's depression Seoul: Ewha Womans University; 1998. Unpublished master's thesis.
24. Smochek MR, Oblaczynski C, Lauck DL, Green PT, Early JA, Smity JE. Interventions for risk for suicidal and risk for violence. Int J Nurs Terminol Classif 2000;11(2):60–68.
25. Sung YM. Adolescents' perception of inter-parental conflict and problem behaviors: Social support as a buffer Kyungnam University: Changwon; 2008. Unpublished master's thesis.
26. Worley NK. Mental health nursing in the community St. Louise, MO: Mosby; 1997.
27. Yoo HJ, Han MY. Development of a daily hassles scale for school age children. J Korean Home Econ Assoc 1995;33(4):49–64.
28. Yoo JS, Son JW, Nam MS. Factors influencing suicide ideation among adolescents. J Korean Acad Community Health Nurs 2008;19(3):419–430.
29. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess 1988;52(1):30–41.

Article information Continued

Funded by : Dongil foundation of scholarship

Figure 1

Hypothetical path model diagram.

Figure 2

Modified path model diagram.

Table 1

General Characteristics of Subjects (N=247)

Table 1

Table 2

Correlation Coefficient, Mean, and Standard Deviation of Daily Life Stress, Problem of Life, Social Support, Depression, and Suicidal Ideation of Subjects (N=247)

Table 2

Table 3

Goodness for Fit Test of Hypothetical and Modified Path Model (N=247)

Table 3

Table 4

Direct Effect, Indirect Effect, and Total Effect in Path Model (N=247)

Table 4