Kim Soo Young, Park Yu Shin, Joo Hye Jin, 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.
Front Psychiatry. 2024 Jul 8;15:1321925. doi: 10.3389/fpsyt.2024.1321925. eCollection 2024.
This study aims to explore the association between types of stress and suicidal behaviors-ideation and attempts-among Korean adolescents in two distinct years: 2015 and 2020.
Data were acquired from the Korea Youth Risk Behavior Web-based Survey conducted in 2015 and 2020. Participants' desire for suicide was evaluated by asking questions about suicidal ideation and attempts, during the past year. Types of stress were divided into five categories: none, home, school, academic achievement, and appearance. Multiple logistic regression was used to investigate the association between variables of interest and dependent variables.
Among the 77,363 adolescents included in this study, 8.8% male and 13.2% female participants had seriously thought about committing suicide, and the rate of male and female participants who tried committing suicide was 1.6% and 2.5%, respectively. While every type of stress was highly associated with suicidal ideation, family and home types of stress had the highest odds ratio (OR), that was statistically significant for both sexes (Male: OR 3.81, 95% Confidence Interval [CI] 2.81 to 5.15; Female: OR 3.64, 95% CI 2.42 to 5.50). Moreover, the OR increased in order of: appearance; academic achievement; school and friends; and family and home, compared to the group that perceived no stress. Suicidal attempts were statistically significant and higher in likelihood, only amongst the female group that experienced stress from family and home (OR 2.48, 95% CI 1.08 to 5.67). In comparison to year 2015, suicidal ideation and attempts decreased in year 2020, but participants experiencing stress from family and home had a higher tendency of attempting suicide, though not statistically significant, regardless of their sex (Male: OR 1.03, 95% CI 0.74 to 1.44; Female: OR 1.06, 95% CI 0.81 to 1.4).
Adolescents who experience stress from family and home, or school and friends, are more likely to think about suicide, or carry it out, as compared to those having different causes of stress.
本研究旨在探讨2015年和2020年这两个不同年份韩国青少年的压力类型与自杀行为（自杀意念和自杀未遂）之间的关联。
数据来自于2015年和2020年开展的韩国青少年风险行为网络调查。通过询问过去一年中有关自杀意念和自杀未遂的问题来评估参与者的自杀意愿。压力类型分为五类：无压力、家庭压力、学校压力、学业成绩压力和外貌压力。采用多元逻辑回归分析来研究感兴趣的变量与因变量之间的关联。
在本研究纳入的77363名青少年中，8.8%的男性和13.2%的女性参与者曾认真考虑过自杀，尝试自杀的男性和女性参与者比例分别为1.6%和2.5%。虽然每种压力类型都与自杀意念高度相关，但家庭和家庭类型的压力具有最高的优势比（OR），对两性而言均具有统计学意义（男性：OR 3.81，95%置信区间[CI] 2.81至5.15；女性：OR 3.64，95% CI 2.42至5.50）。此外，与无压力感知组相比，优势比按以下顺序增加：外貌；学业成绩；学校和朋友；以及家庭和家庭。自杀未遂仅在经历家庭和家庭压力的女性组中具有统计学意义且可能性更高（OR 2.48，95% CI 1.08至5.67）。与2015年相比，2020年自杀意念和自杀未遂有所下降，但无论性别如何，经历家庭和家庭压力的参与者自杀未遂的倾向更高，尽管无统计学意义（男性：OR 1.03，95% CI 0.74至1.44；女性：OR 1.06，95% CI 0.81至1.4）。
与具有不同压力来源的青少年相比，经历家庭和家庭压力或学校和朋友压力的青少年更有可能考虑自杀或实施自杀行为。
