Kim Yunkyung, Jeong Wonjeong, Yang Jieun, Lee Sang Ah, Park Eun-Cheol
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea.
Child Adolesc Psychiatry Ment Health. 2021 Nov 6;15(1):62. doi: 10.1186/s13034-021-00414-1.
Counseling for adolescents who consider or attempt suicide may help reduce suicide rates. However, the impact of the type of counselor (e.g., father, mother, sibling, friend, teacher, other) on suicidal ideation/suicide attempts remains unclear. Therefore, we examined this association in Korean adolescents.
Using data from the 2015 Korea Youth Risk Behavior Web-based Survey of 65,485 adolescents, we examined risk factors for suicidal ideation/suicide attempts according to sex using a multiple logistic regression analysis. In a subgroup analysis, we investigated the associations between counselor type and suicidal ideation/suicide attempts stratified by the cause of stress for both sexes.
Male participants were less likely to consider suicide when counseled by their mother (odds ratio [OR] 0.80; 95% confidence interval [CI] 0.70-0.90) or friend (OR 0.89; 95% CI 0.80-0.99) and to attempt suicide when counseled by a friend (OR 0.74; 95% CI 0.60-0.92) than were those who did not receive any counseling. Female participants were less likely to attempt suicide when counseled by their mother (OR 0.66; 95% CI 0.53-0.82) or friends (OR 0.70; 95% CI 0.58-0.83) than when not counseled. Furthermore, adolescents with achievement/career choice-related and family problems were at a lower risk of suicide ideation/suicide attempts when counseled by their mother or friend than when they received no counseling.
Suicidal ideation/suicide attempts showed different associations for both sexes in accordance with the type of counselor. Even if counseling by specialists for issues such as achievement/career choice-related or family matters is needed, the risk of suicide could be reduced through counseling by the people around them. Therefore, adolescents should form mutually supportive relationships through active communication with surrounding people.
为有自杀念头或有过自杀企图的青少年提供咨询可能有助于降低自杀率。然而，咨询师类型（如父亲、母亲、兄弟姐妹、朋友、老师、其他人）对自杀意念/自杀企图的影响仍不明确。因此，我们在韩国青少年中研究了这种关联。
利用2015年韩国青少年风险行为网络调查中65485名青少年的数据，我们通过多元逻辑回归分析按性别研究了自杀意念/自杀企图的风险因素。在亚组分析中，我们按性别对压力原因进行分层，研究了咨询师类型与自杀意念/自杀企图之间的关联。
与未接受任何咨询的男性相比，男性在接受母亲（优势比[OR]0.80；95%置信区间[CI]0.70 - 0.90）或朋友咨询时考虑自杀的可能性较小，在接受朋友咨询时企图自杀的可能性较小（OR 0.74；95% CI 0.60 - 0.92）。与未接受咨询的女性相比，女性在接受母亲（OR 0.66；95% CI 0.53 - 0.82）或朋友咨询时企图自杀的可能性较小（OR 0.70；95% CI 0.58 - 0.83）。此外，在因成就/职业选择相关问题和家庭问题而产生压力的青少年中，与未接受咨询相比，在接受母亲或朋友咨询时，自杀意念/自杀企图的风险较低。
根据咨询师类型的不同，自杀意念/自杀企图在男女两性中呈现出不同的关联。即使对于成就/职业选择相关或家庭事务等问题需要专家咨询，但通过身边人的咨询也可以降低自杀风险。因此，青少年应通过与周围人积极沟通建立相互支持的关系。
