1.Risk factors for suicide attempt among college students at Central South University.
Hui-lan XU ; Shui-yuan XIAO ; Shan-shan FENG ; Xi-xi CHEN
Chinese Journal of Epidemiology 2004;25(4):288-291
OBJECTIVETo understand the prevalence and risk factors for suicidal ideation among college students and to provide a scientific basis for promoting psychological health and suicide prevention.
METHODS623 college students at Central South University were selected using stratified cluster sampling and administered a suicide ideation questionnaire, a Symptom Check List (SCL-90), an Adolescent Self-Rating Life Events Check List (ASLEC), a Social Support Rating Scale (SSRS) and a questionnaire about background information. Multivariate logistic regression analysis was employed to identify risk factors for suicide ideation.
RESULTSOne year prior to our investigation, 14.6% of respondents had suicide ideation, 2.5% had made a specific suicide plan, and 1.8% had made a suicide attempt. The main risk factors for suicide ideation were dissatisfaction with the selected major of study, limited social support, recent negative life events and depressive tendency.
CONCLUSIONSThe prevalence of suicide ideation among these college students was high. Appropriate measures focusing on the risk factors identified in this study should be urgently developed to prevent suicides in college students.
China ; Female ; Humans ; Logistic Models ; Male ; Risk Factors ; Students ; psychology ; Suicide, Attempted ; psychology ; statistics & numerical data ; Surveys and Questionnaires ; Universities
2.Association between distorted weight perception and suicide ideation among normal weight adolescents.
Qing-hua YAN ; Hui-yan XIE ; Yong-hui ZHANG ; Wen-jun MA ; Shao-ping NIE ; Yan-jun XU ; Hao-feng XU ; Xiu-ling SONG ; Xiao-jun XU
Chinese Journal of Preventive Medicine 2011;45(9):790-793
OBJECTIVETo explore the relationship between distorted weight perception and suicide ideation among normal weight adolescents in Guangdong province.
METHODSThis study used the data of Guangdong Provincial Youth Health Risk Behavior Survey in 2004 and 2007. To identify the association between distorted weight perception and suicide ideation, a logistic regression analysis was performed. The effects of age, economic status, mother's education, mental health, and depression were also adjusted.
RESULTSA total of 12 729 people participated in this study, 6096 males and 6633 females. The prevalence of suicide ideation among normal weight adolescents was 13.58% (1729/12 729) in the past 12 months, with higher prevalence in girls (16.15%, 1071/6633) than that in boys (10.79%, 658/6096) (χ(2) = 77.71, P = 0.00). It was common that the adolescents misperceived their weight. Only 44.93% (5719/12 729) of normal weight students correctly perceived their body weight while 43.52% (5540/12 729) of them overestimated their weight and 11.43% (1455/12 729) underestimated their weight. The distorted weight perception in girls (65.58%, 4350/6633) was higher than that in boys (43.39%, 2645/6096) (χ(2) = 993.91, P = 0.00). Distorted weight perception was significantly associated with suicide ideation after controlling for factors age, economic status, mother's education, mental health, and depression. The students who overestimate their body weight were more likely to have suicide ideation than that who correctly perceived their weight (OR = 1.43, 95%CI: 1.27 - 1.61).
CONCLUSIONThe prevalence of distorted weight perception was high and it significantly associated with suicide ideation.
Adolescent ; Body Weight ; Female ; Humans ; Male ; Self Concept ; Students ; psychology ; Suicide, Attempted ; psychology ; statistics & numerical data ; Surveys and Questionnaires
3.Relationship between Socioeconomic Position and Suicide Attempts among the Korean Adolescents.
Min Jung KO ; Eun Young LEE ; Kirang KIM
Journal of Korean Medical Science 2014;29(9):1287-1292
This study explored the relationship of the subjective socioeconomic position (SEP) as well as the objective SEP with the rate of suicide attempts in 74,186 adolescents from the 2012 Korea Youth Risk Behavior Web-based Survey (KYRBS). The SEP was measured by the Family Affluence Scale (FAS) and the self-rated household economic status. The low perceived SEP for either the high or low FAS score was related to the elevated likelihood of suicide attempts in both genders. As compared with the adolescents in both the high level of perceived SEP and FAS score after adjusting for other confounding factors, the middle school students were more likely to attempt suicide in both low level of perceived SEP and FAS score (OR, 1.81; 95% CI, 1.18-2.78 for boys, OR, 1.46; 95% CI, 1.13-1.90 for girls). The high school students were more likely to attempt suicide in the low perceived SEP and high FAS score (OR, 1.44; 95% CI, 1.14-1.81 for boys, OR, 1.29; 95% CI, 1.07-1.56 for girls). In conclusion, the relationship of subjective SEP is important in suicide attempts as much as objective SEP and far more important in the high school students.
Adolescent
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Data Collection
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Female
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Humans
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Internet
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Male
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Odds Ratio
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Republic of Korea
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*Socioeconomic Factors
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Students/psychology
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Suicide, Attempted/*statistics & numerical data
4.The Influencing Factors on Suicide Attempt among Adolescents in South Korea.
Journal of Korean Academy of Nursing 2008;38(3):465-473
PURPOSE: Suicide has been considered a large public health concern in recent years because suicide mortality has been increasing rapidly. This study was done to investigate the prevalence and risk factors of a suicide attempt among adolescents in South Korea. METHODS: The data of the 2006 Youth Health Risk Behavior web-based Survey collected by the Korean Center for Disease Control was analyzed using logistic regression for this study. RESULTS: The prevalence of a suicide attempt was 5.2% in South Korea. The risk factors of a suicide attempt were suicidal ideation (odds 31.83), depression (odds 7.98), drug use (odds 4.67), currently smoking (odds 3.19), feeling unhappiness (odds 2.77), stress (odds 2.60), currently drinking alcohol (odds 2.39), sexual activity (odds 2.33), living with neither parent (odds 2.24), initial alcohol drinking by age 9 (odds 1.80), health status (odds 2.15), skipped breakfast (odds 1.75), disease (odds 1.65), and school records (odds 1.22). CONCLUSION: Suicide screening and prevention programs should be developed, considering these risk factors. Suicide prevention programs should be applied to the at risk population prior to a suicide attempt.
Adolescent
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Adolescent Behavior
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*Adolescent Psychology
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Depression
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Female
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Humans
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Korea
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Male
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Peer Group
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Risk Factors
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Risk-Taking
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Suicide/prevention & control
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*Suicide, Attempted/statistics & numerical data
5.Suicidal behaviors and correlated psychological factors in secondary school students.
Ying SUN ; Fang-biao TAO ; Ming GAO
Chinese Journal of Epidemiology 2006;27(1):33-36
OBJECTIVETo investigate the prevalence of suicide ideation, suicide plan and suicide attempts in middle school students in Hefei, Anhui province, and to determine correlated factors.
METHODSThe investigation was administered to 3127 middle school students from 7 schools in Hefei, Anhui province. All participants completed an anonymous questionnaire concerning their experiences with specific suicide behaviors during the 12 months preceding the survey. School life satisfaction, coping style were evaluated by School Life Satisfaction Rating Questionnaire for Adolescent and Trait Coping Style Questionnaire, respectively. Chi-squared test was used to assess gender difference of suicide ideation, suicide plan and suicide attempt. Logistic regression analyses were applied to identify factors associated with adolescent suicide behaviors.
RESULTSOf the subjects investigated, 28.0 percent had thought seriously about attempting suicide, 11.9 percent had made a specific plan to attempt suicide, and 4.0 percent actually had attempted suicide. It was found that main risk factors among three specific suicide behaviors were related to negative coping style. School life satisfaction was protecting factor of suicide ideation and suicide attempt.
CONCLUSIONIt was suggested that focusing on these psychosocial factors would help enhance suicide assessment and prevention efforts with adolescents.
Adaptation, Psychological ; Adolescent ; Adolescent Behavior ; psychology ; Chi-Square Distribution ; China ; epidemiology ; Female ; Humans ; Logistic Models ; Male ; Personal Satisfaction ; Prevalence ; Risk Factors ; Schools ; Social Environment ; Students ; psychology ; statistics & numerical data ; Suicide ; statistics & numerical data ; Suicide, Attempted ; statistics & numerical data ; Surveys and Questionnaires
6.A case-control study on the risk factors for attempted suicide in patients with major depression.
Yu-qi ZHANG ; Guo-zhen YUAN ; Gui-lin LI ; Jian-jun YAO ; Zao-huo CHENG ; Xing CHU ; Chao-jun LIU ; Qing-hai LIU ; Ai-rong WANG ; Gui-zhi SHI ; Bao-heng WANG ; Yi-ren CHENG ; Ming-lian ZHANG ; Ke LI
Chinese Journal of Epidemiology 2007;28(2):131-135
OBJECTIVETo understand the environmental risk factors on attempted suicide in patients with major depression, and to study the interaction between factors as single nucleotide polymorphism(SNP) of TPH2 gene rs7305115 associated to attempted suicide in major depression.
METHODSPaired case-control study on 215 suicide attempters with major depression (92 male, 123 female) and molecular biological techniques were used to study the relation between TPH2 gene rs7305115 SNP,interrelated environmental factors and the rate of attempted suicide. Controls were paired with cases according to the same gender, similar age (no more than 3 years) and from the same district.
RESULTSThere were remarkably significant differences in gene types and gene frequency between case and control groups (P < 0.001). Data from multivariate conditional logistic regression model analysis showed that hopelessness, negative life-events and family history of suicide were relationship of attempted suicide in patients with major depression with OR values as 0.33 (95% CI: 0.22-0.99), 7.68 (95% CI: 5.79-13.74), 6.64 (95% CI: 2.48-11.04), 2.98 (95% CI: 1.17-5.04) respectively. There was no first level interaction between any of the two risk factors.
CONCLUSIONResults from the study supported the idea that hopelessness, negative life-events and family history of suicide were risk factors of attempted suicide in major deprbssion while TPH2 gene rs7305115 A/A might be the protective factor.
Case-Control Studies ; China ; epidemiology ; Depressive Disorder, Major ; genetics ; psychology ; Humans ; Odds Ratio ; Polymorphism, Single Nucleotide ; Risk Factors ; Suicide, Attempted ; psychology ; statistics & numerical data ; Tryptophan Hydroxylase ; genetics
7.Suicide Attempts and Risk Factors Among Children and Adolescents.
Fevziye TOROS ; Nursel Gamsiz BILGIN ; Tayyar SASMAZ ; Resul BUGDAYCI ; Handan CAMDEVIREN
Yonsei Medical Journal 2004;45(3):367-374
The purpose of this study was to determine the prevalence of suicide attempts, and to identify the risk factors for suicide attempts in Turkish children and adolescents between the ages 10 and 20 years. Multi-step, stratified, cluster sampling was used. A stratified sample of 4256 students was selected as representative of the city's school children population. Data was obtained with a pair of structured questionnaires designed to evaluate the presence and risk factors of suicide attempts, both in the children and adolescents and their parents. These questionnaires investigated family environment, subject characteristics, and various risk factors for suicide attempts. Child Beck Depression Inventory (CBDI) was administered to all children and adolescents. After the data quality control process, the study sample was reduced to 4143 children and adolescents. Children and adolescents were divided two groups according to the experience or non-experience of suicide attempts: group 1 (n=80) and group 2 (n=4063), respectively. Three categories of independent variables were assessed: adolescent, family, and socioeconomic characteristics. Logistic regression models were based on the children and adolescents and on parent reports. The prevalence of suicide attempts as reported by the children and adolescents was 1.93% (n=80). The mean age of group 1 was higher than that of group 2 (p=0.002, t=-3.172), as was the mean score of CBDI (p=0.000, t=-9.083). Logistic regression analysis indicated that having problems with parents, using illicit drugs, and psychiatric problems in relatives best predicted suicide attempts in Turkish children and adolescents.
Adolescent
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Adult
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Child
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Human
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Logistic Models
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Parents
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Peer Group
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Prevalence
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Psychology
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Risk Factors
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Smoking/epidemiology
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Substance-Related Disorders/epidemiology
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Suicide, Attempted/*statistics & numerical data
8.Suicidal ideation, suicidal plan and suicidal attempts among those with major depressive disorder.
Mythily SUBRAMANIAM ; Edimansyah ABDIN ; Esmond L S SEOW ; Louisa PICCO ; Janhavi Ajit VAINGANKAR ; Siow Ann CHONG
Annals of the Academy of Medicine, Singapore 2014;43(8):412-421
INTRODUCTIONThe aims of the study were to identify the prevalence and sociodemographic and clinical correlates of suicidal behaviours using data from a cross-sectional survey among those with major depressive disorder (MDD) in Singapore.
MATERIALS AND METHODSThe Singapore Mental Health Study (SMHS) was a cross-sectional epidemiological study that surveyed Singapore residents (Singapore citizens and permanent residents) aged 18 years and above. The assessment of mental disorders was established using version 3.0 of the Composite International Diagnostic Interview (CIDI 3.0). For the purposes of this study, suicidal behaviour was assessed by questions which were asked to respondents who answered positively to the screening questions in the CIDI 3.0 "Depression" module.
RESULTSThe prevalence of suicidal ideation, plan and attempt among those with lifetime MDD was 43.6%, 13.7% and 12.3%, respectively. We found that suicidal ideation, plan and attempt were significantly associated with ethnicity, education and income. The rate of those who had sought some professional help was higher among those with suicidal plan (71.7%) and attempt (72.3%) as compared to those with suicidal ideation (48.7%) and those with MDD but no suicidal behaviour (29%).
CONCLUSIONIndividuals with MDD and suicidal behaviour do differ from their non-suicidal counterparts as they have a different sociodemographic and clinical profile. There is a need for more research and a better understanding of this population which in turn could lead to the development and implementation of relevant interventions.
Adolescent ; Adult ; Aged ; Cross-Sectional Studies ; Depressive Disorder, Major ; complications ; psychology ; Female ; Humans ; Male ; Middle Aged ; Singapore ; Socioeconomic Factors ; Suicidal Ideation ; Suicide, Attempted ; statistics & numerical data ; Young Adult
9.A cross-sectional study on suicide attempts in urban middle school students in Chengdu.
Chinese Journal of Epidemiology 2003;24(3):189-191
OBJECTIVETo study the prevalence and associated factors of suicide attempt in middle school students.
METHODSFive middle schools in Chengdu were randomly sampled in the study. A total of 1393 students between the ages of 11 and 18 finished a self-administered questionnaire, Beck Depression Inventory (BDI), Adolescent Self-Rating Life Events Check List (ASLEC) and Egma Minnen av Bardodosnauppforstran (EMBU). Everyone who had suicide attempts was interviewed. Data were analysed by SPSS 8.0 (statistical package for the social science) program on computer.
RESULTSThirty-six (2.6%) of the 1 393 students has the history of attempted suicide and the ratio of boys and girls was 1:2. Among the suicide attempters, 33.3% had recurrent events. The most common reason of suicide attempts in middle school stage was family conflicts (34.4%) with most common event as taking overdose tranquilizers or poisoning (50.0%). Risk factors of suicide attempt seemed to include hallucination, cigarette smoking, being bullied by peers, wanting to change sex, parents' remarriage, being female, father's refusal, being neglected in childhood and experiencing more events in the previous year. Protecting factor was found to have been family warmness.
CONCLUSIONSuicide attempts were not uncommonly seen in middle school students. Clinicians and teaching staff should identify the risk factors and carry out intervention as early as possible.
Adolescent ; Child ; China ; epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Risk Factors ; Sampling Studies ; Sex Factors ; Students ; psychology ; statistics & numerical data ; Suicide, Attempted ; prevention & control ; psychology ; statistics & numerical data ; Surveys and Questionnaires ; Urban Population
10.Initial Depressive Episodes Affect the Risk of Suicide Attempts in Korean Patients with Bipolar Disorder.
Vin RYU ; Duk In JON ; Hyun Sang CHO ; Se Joo KIM ; Eun LEE ; Eun Joo KIM ; Jeong Ho SEOK
Yonsei Medical Journal 2010;51(5):641-647
PURPOSE: Suicide is a major concern for increasing mortality in bipolar patients, but risk factors for suicide in bipolar disorder remain complex, including Korean patients. Medical records of bipolar patients were retrospectively reviewed to detect significant clinical characteristics associated with suicide attempts. MATERIALS AND METHODS: A total of 579 medical records were retrospectively reviewed. Bipolar patients were divided into two groups with the presence of a history of suicide attempts. We compared demographic characteristics and clinical features between the two groups using an analysis of covariance and chi-square tests. Finally, logistic regression was performed to evaluate significant risk factors associated with suicide attempts in bipolar disorder. RESULTS: The prevalence of suicide attempt was 13.1% in our patient group. The presence of a depressive first episode was significantly different between attempters and nonattempters. Logistic regression analysis revealed that depressive first episodes and bipolar II disorder were significantly associated with suicide attempts in those patients. CONCLUSION: Clinicians should consider the polarity of the first mood episode when evaluating suicide risk in bipolar patients. This study has some limitations as a retrospective study and further studies with a prospective design are needed to replicate and evaluate risk factors for suicide in patients with bipolar disorder.
Adult
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Asian Continental Ancestry Group
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Bipolar Disorder/*complications/*psychology
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Depressive Disorder/complications/*psychology
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Female
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Humans
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Korea
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Male
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Middle Aged
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Retrospective Studies
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Risk Factors
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Suicide, Attempted/*psychology/statistics & numerical data
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Young Adult