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父母对子女的自杀意念:韩国父母自杀意念与子女自杀意念的关系。

Suicidal ideation from parents to their children: An association between parent's suicidal ideation and their children's suicidal ideation in South Korea.

机构信息

Department of Public Health, College of Medicine, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.

Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea; Department of Preventive Medicine, Yonsei University, Seoul, Republic of Korea.

出版信息

Compr Psychiatry. 2020 Aug;101:152181. doi: 10.1016/j.comppsych.2020.152181. Epub 2020 May 4.

Abstract

BACKGROUND

Suicide has been a major social and public health issue for Koreans, and currently, we are witnessing an increasing rate of teen suicides. This study's purpose was to investigate suicidal ideation in families by examining the associations between suicidal ideation between parents and their offspring using a representative sample of the Korean population.

METHODS

This cross-sectional study used data collected for the Korean National Health and Nutrition Examination Survey (KNHANES) from 2007 to 2013 and 2015. The study population consisted of 2324 adolescents 12 to 18 years-old and both parents. We used the chi-square test and logistic regression for the data analyses. The outcome variable was suicide ideation among adolescents adjusted for depressive symptoms, stress level, and the parental variables.

RESULTS

In total, 16.1% of the parents had suicidal ideation and 18.4% of the adolescents experienced suicidal ideation that was influenced by their parents. The adjusted odds ratio between the suicidal ideation of the parents and adolescents was 2.01 (95% CI 1.32-3.05). Depressive symptoms (AOR: 5.43, 95% CI 3.66-8.04) and stress level (AOR: 15.51 95% CI 6.14-39.19) were major risk factors for offspring's suicidal ideation. The association of the fathers' suicidal ideation with their offspring's suicidal ideation was greater than that of the mothers.

CONCLUSION

Knowing the risk factors of the offspring's suicidal ideation can prevent teen suicide and protect adolescents at risk. Thus, suicide prevention at the family level should be examined in relation to traditional risk factors at the individual level.

摘要

背景

自杀一直是韩国的一个重大社会和公共卫生问题,目前,我们正在目睹青少年自杀率的上升。本研究旨在通过使用韩国人口的代表性样本,考察父母与子女之间的自杀意念关联,来研究家庭中的自杀意念。

方法

本横断面研究使用了 2007 年至 2013 年和 2015 年韩国国家健康和营养检查调查(KNHANES)的数据。研究人群由 2324 名 12 至 18 岁的青少年及其父母组成。我们使用卡方检验和逻辑回归进行数据分析。因变量是调整了抑郁症状、压力水平和父母变量后青少年的自杀意念。

结果

共有 16.1%的父母有自杀意念,18.4%的青少年有自杀意念,这受到其父母的影响。父母的自杀意念与青少年自杀意念之间的调整后优势比为 2.01(95%置信区间 1.32-3.05)。抑郁症状(AOR:5.43,95%置信区间 3.66-8.04)和压力水平(AOR:15.51,95%置信区间 6.14-39.19)是子女自杀意念的主要危险因素。父亲的自杀意念与其子女自杀意念的关联大于母亲的自杀意念。

结论

了解子女自杀意念的危险因素可以预防青少年自杀,保护处于危险中的青少年。因此,应在个体层面的传统危险因素的基础上,研究家庭层面的自杀预防措施。

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