College of Nursing, Dankook University, Cheonan-si 31116, Korea.
College of Nursing, The Catholic University of Korea, Seoul 06591, Korea.
Int J Environ Res Public Health. 2020 Oct 20;17(20):7656. doi: 10.3390/ijerph17207656.
Depression, depression stigma, and attitude toward psychiatric help are associated factors of suicide in adolescents. As parents are the main decision-makers of receiving professional help for their children's depression and suicide, parental factors influencing their children's suicide should be examined. Moreover, parents' help-seeking attitude for their own mental health problems could affect their children's mental health problems. Therefore, this study examined the serial mediation of adolescents' depression, depression stigma, and attitude toward psychiatric help in the relationship between parental attitude toward psychiatric help and the suicidal ideation of their children, using data of 103 parent-child pairs. A cross-sectional study was conducted by employing a self-administered survey. A serial mediation analysis was performed using Amos 25.0. Parental attitude toward psychiatric help directly and indirectly influenced children's suicidal ideation. Children's depression stigma, attitude toward psychiatric help, and depression mediated the relationship of parental attitude toward psychiatric help and their children's suicidal ideation. When parents have a more positive attitude toward psychiatric help, their children's suicidal ideation become more decreased. Enhancing only parental attitude toward psychiatric help may make a positive change on their children's suicidal ideation. The study findings imply that when developing and applying youth suicide prevention programs, how parents affect their children's suicidal ideation should be considered as well as adolescents' depression stigma, attitude toward psychiatric help, and depression. Given the results of this study, healthcare providers may better evaluate the effectiveness of their intervention programs for preventing adolescents' suicide.
抑郁、抑郁污名和对精神科帮助的态度是青少年自杀的相关因素。由于父母是为孩子的抑郁和自杀寻求专业帮助的主要决策者,因此应该检查影响他们孩子自杀的父母因素。此外,父母对自身心理健康问题的寻求帮助态度可能会影响其子女的心理健康问题。因此,本研究使用 103 对亲子数据,检验了青少年抑郁、抑郁污名和对精神科帮助的态度在父母对精神科帮助的态度与子女自杀意念之间的关系中的序列中介作用。采用横断面研究,通过自我管理调查进行。使用 Amos 25.0 进行了序列中介分析。父母对精神科帮助的态度直接和间接地影响了孩子的自杀意念。儿童的抑郁污名、对精神科帮助的态度和抑郁中介了父母对精神科帮助的态度与他们孩子自杀意念之间的关系。当父母对精神科帮助持有更积极的态度时,他们孩子的自杀意念会减少。仅增强父母对精神科帮助的态度可能会对他们孩子的自杀意念产生积极的改变。研究结果表明,在制定和应用青少年自杀预防计划时,应考虑父母如何影响他们孩子的自杀意念,以及青少年的抑郁污名、对精神科帮助的态度和抑郁。鉴于本研究的结果,医疗保健提供者可能会更好地评估其预防青少年自杀干预计划的有效性。