Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea.
Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea.
Int J Environ Res Public Health. 2023 Aug 7;20(15):6538. doi: 10.3390/ijerph20156538.
This study aimed to evaluate the impact of parental mental health on adolescent offspring. Data regarding 6512 families from the 2010-2021 Korean National Health and Nutrition Examination Survey were analyzed; among them, 428 were placed in the suicidal ideation (SI) group and 421 were placed in the matched control (MC) group. This number was selected for the use of the propensity score matching method. The findings highlighted significant associations between parental mental health and adolescent suicidal ideation, with mothers in the SI group having higher odds of Diagnosed Depression (OR 2.109, 1.023-4.350 95% CI), Depressive Mood (OR 2.155, 1.224-3.793 95% CI), and Suicidal Ideation (OR 2.532, 1.322-4.851 95% CI) compared to the MC group. Regarding the fathers, paternal Suicidal Ideation (OR 4.295, 1.747-10.599 95% CI) was the only significant factor for adolescent suicidal ideation. In contrast, maternal depressive symptoms and help-seeking behavior significantly impacted adolescent help-seeking; Maternal Depressive Mood increased with adolescent Help-Seeking (OR 4.486, 1.312-15.340 95% CI) while Maternal Suicidal Ideation reduced the probability of Help-Seeking in the SI group (OR 0.15, 0.031-0.721, 95% CI). Chronic and severe depressive symptoms in mothers could make adolescents less likely to seek help for their suicidal ideations. Therefore, clinicians working with adolescents should prioritize a family-oriented approach.
本研究旨在评估父母心理健康对青少年子女的影响。对 2010-2021 年韩国国家健康和营养检查调查的 6512 个家庭的数据进行了分析;其中,428 个家庭的青少年子女有自杀意念,421 个家庭的青少年子女作为对照组。使用倾向评分匹配方法选择了该数量的家庭。研究结果表明,父母的心理健康与青少年自杀意念之间存在显著关联,与对照组相比,自杀意念组的母亲患诊断性抑郁症的几率更高(OR 2.109,1.023-4.350 95%CI)、抑郁情绪(OR 2.155,1.224-3.793 95%CI)和自杀意念(OR 2.532,1.322-4.851 95%CI)。至于父亲,与对照组相比,父亲的自杀意念(OR 4.295,1.747-10.599 95%CI)是青少年自杀意念的唯一显著因素。相比之下,母亲的抑郁症状和寻求帮助的行为对青少年寻求帮助的意愿有显著影响;母亲的抑郁情绪与青少年寻求帮助的意愿呈正相关(OR 4.486,1.312-15.340 95%CI),而母亲的自杀意念降低了自杀意念组青少年寻求帮助的可能性(OR 0.15,0.031-0.721,95%CI)。母亲长期且严重的抑郁症状可能会使青少年不太可能寻求帮助来缓解自杀意念。因此,与青少年一起工作的临床医生应优先采用以家庭为导向的方法。