Kim Joo Young, Han Young Joo, Lee Ju Suk, Lee Jun Hwa, Jo Seon Hui, Kim Sung Hoon
Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.
Department of Biostatistics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.
Int J Pediatr Otorhinolaryngol. 2020 Jul;134:110070. doi: 10.1016/j.ijporl.2020.110070. Epub 2020 Apr 28.
We assessed associated factors for depression and suicidality among adolescents with allergic rhinitis (AR) by analyzing data from annual Korea Youth Risk Behavior Web-based Surveys (KYRBSs) completed from 2007 to 2017.
Data from the KYRBS were obtained from a stratified, multistage, clustered sample. Using self-reported questionnaires, students provided yes-or-no answers to questions addressing their doctor-diagnosed AR and self-experienced depression, suicidal ideation and suicide attempts. Associated factors for depression and suicidality were identified by logistic regression models after controlling for potential confounding factors. A total of 818,684 adolescents were targeted, and 788,411 adolescents completed the survey.
An AR diagnosis was reported in 30.8% of respondents. Among respondents with AR, 34.5%, 18.4%, and 4.2% reported depression, suicidal ideation, and suicide attempts, respectively. Adolescents with AR were significantly more likely to have negative mental health status, including suicidality than adolescents without AR. After multiple logistic regression analyses, perception of stress was most strongly associated with depression and suicidal ideation (adjusted odds ratio: 5.16 [95% confidence interval; 5.04-5.28], 4.81 [4.65-4.98], respectively). For suicide attempts, subjective unhappiness was most strongly associated (3.63 [3.47-3.79]) among adolescents with AR. Presence of AR itself was also associated with depression and suicidality (1.10 [1.08-1.11], 1.08 [1.06-1.10], 1.05 [1.01-1.08], respectively).
Adolescents with AR had significantly greater prevalence of depression and suicidality. Multidisciplinary team approaches, including psychological support, may be needed to prevent suicide among adolescents with AR, especially those with identifiable risk factors.
通过分析2007年至2017年完成的年度韩国青少年风险行为网络调查（KYRBS）数据，评估过敏性鼻炎（AR）青少年中抑郁和自杀倾向的相关因素。
KYRBS的数据来自分层、多阶段、整群抽样。学生们使用自我报告问卷，对关于医生诊断的AR以及自我经历的抑郁、自杀意念和自杀未遂的问题回答“是”或“否”。在控制潜在混杂因素后，通过逻辑回归模型确定抑郁和自杀倾向的相关因素。共针对818,684名青少年，788,411名青少年完成了调查。
30.8%的受访者报告有AR诊断。在有AR的受访者中，分别有34.5%、18.4%和4.2%报告有抑郁、自杀意念和自杀未遂。与没有AR的青少年相比，有AR的青少年更有可能有负面心理健康状况，包括自杀倾向。经过多重逻辑回归分析，压力感知与抑郁和自杀意念的关联最为强烈（调整后的优势比分别为：5.16 [95%置信区间；5.04 - 5.28]，4.81 [4.65 - 4.98]）。对于自杀未遂，主观不幸福感在有AR的青少年中关联最为强烈（3.63 [3.47 - 3.79]）。AR本身的存在也与抑郁和自杀倾向相关（分别为1.10 [1.08 - 1.11]，1.08 [1.06 - 1.10]，1.05 [1.01 - 1.08]）。
有AR的青少年抑郁和自杀倾向的患病率显著更高。可能需要多学科团队方法，包括心理支持，以预防有AR的青少年自杀，特别是那些有可识别风险因素的青少年。
