Kim Dong-Sik, Kim Hyun-Sun
School of Public Health and Institute of Health and Environment, Seoul National University, 28 Yeongun-Dong, Jongro-Ku, Seoul, 110-799, Republic of Korea.
J Adolesc Health. 2009 Jul;45(1):47-54. doi: 10.1016/j.jadohealth.2008.11.017. Epub 2009 Feb 12.
To descriptively examine trends in body dissatisfaction and suicidal ideation during adolescence, and to investigate whether body dissatisfaction at an early stage (Time 1) predicts suicidal ideation at a later stage (Time 2) among boys and girls in different stages of adolescence (early and midadolescence), controlling for Time 1 of relevant variables, including suicidal ideation, depressed mood, and self-esteem.
Data were obtained from Korea Youth Panel Survey data sets for early adolescents (1380 boys and 1209 girls, Time 1 mean age 10 years) and midadolescents (1429 boys and 1437 girls, Time 1 mean age 15 years) and from follow-up surveys of the same individuals after 2 years. Multivariate logistic analyses were carried out to assess the relationship of Time 1 body dissatisfaction to Time 2 suicidal ideation.
For both genders, body dissatisfaction and suicidal ideation progressively increased until peaking at midadolescence and slightly decreasing thereafter. After controlling for psychological problems and other possible variables, body dissatisfaction prospectively predicted the risk of suicidal ideation in early-adolescent girls and midadolescent boys, but not in early-adolescent boys or midadolescent girls.
The results underscore that programs aimed at adolescents with body dissatisfaction should contain different material according to their gender and stage of adolescence. Such differential interventions may reduce suicide risk in adolescents.
描述性地研究青少年时期身体不满和自杀意念的趋势,并调查在控制包括自杀意念、抑郁情绪和自尊等相关变量的时间1的情况下,青春期不同阶段(青春期早期和中期)的男孩和女孩在早期阶段(时间1)的身体不满是否能预测后期阶段(时间2)的自杀意念。
数据来自韩国青少年面板调查数据集,涉及青春期早期青少年(1380名男孩和1209名女孩,时间1平均年龄10岁)和青春期中期青少年(1429名男孩和1437名女孩,时间1平均年龄15岁),以及对同一批个体2年后的随访调查。进行多变量逻辑分析以评估时间1的身体不满与时间2的自杀意念之间的关系。
对于男女两性,身体不满和自杀意念在青春期中期之前逐渐增加,直至达到峰值,此后略有下降。在控制心理问题和其他可能变量后,身体不满前瞻性地预测了青春期早期女孩和青春期中期男孩的自杀意念风险,但在青春期早期男孩或青春期中期女孩中则不然。
结果强调,针对身体不满青少年的项目应根据其性别和青春期阶段包含不同内容。这种差异化干预可能会降低青少年的自杀风险。