Suicidal Ideation among Thai Adolescents: An Empirical Test of a Causal Model
Keywords:
Adolescents, Negative psychological attributes, Overall distress, Stressful events, Suicidal ideation, Thailand.Abstract
The purpose of this cross-sectional study was to test the Rungsang-Chaimongkol Model of Suicidal Ideation among Thai Adolescents. A multi-stage random sampling technique was used to recruit a sample of 437 adolescents attending secondary schools in a central province of Thailand. Research instruments were self-report questionnaires, including the Scale for Suicidal Ideation, the General Health Questionnaire, the Strengths and Difficulties Questionnaire, the Rosenberg Self-Esteem Scale, and the Negative Event Scale. Descriptive statistics and structural equation modeling were used to explore the magnitude of direct and indirect effects on the suicidal ideation among the sample.
Results revealed that negative psychological attributes and stressful events had a direct positive effect on suicidal ideation. Overall distress mediated the link between negative psychological attributes and stressful events, and suicidal ideation. The Model accounted for 32% of the overall variance in prediction of suicidal ideation among Thai adolescents. These findings suggested that the intervention program to prevent suicidal ideation aiming at decrease negative psychological attributes, stressful events and overall distress would be beneficial. However, it requires further testing with other groups.
References
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29. Goodman R. Psychometric properties of the Strengths and Difficulties Questionnaire. J Am Acad Child Adolesc Psychiatry 2001; 40: 1337 - 45.
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34. Nilchaikovit T, Sukying C, Silpakit C. Reliability and validity of the Thai version of the General Health Questionnaire. Journal of Psychiatric Association of Thailand 1996; 41(1): 2-17.
35. Goldberg D. The detection of psychiatric illness by questionnaire: A technique for the identification and assessment of non-psychotic psychiatric illness: London, New York: Oxford University Press; 1972.
36. Izadinia N, Amiri M, Jahromi RG, Hamid S. A study of relationship between suicidal ideas, depression, anxiety, resiliency, daily stresses and mental health among Tehran university students. Procedia Soc Behav Sci 2010; 5: 1515–19.
37. Rudd MD. Cognitive therapy for suicidality: An integrative, comprehensive, and practical approach to conceptualization. J Contemp Psychother 2004; 34: 59 -72.
2. Kittiteerasack P. Trends and Assessment of Suicidal Behavior. Journal of Science and Technology [Internet]. 2012 [cited 2014 Oct 27]. Available from: https://www.tci- thaijo.org/index.php/tstj/article/view/12636/11364
3. Boonyamalik P. Epidemiology of adolescent suicidal ideation: Roles of perceived life stress, depressive symptoms, and substance use [dissertation]. Baltimore: Johns Hopkins University; 2005.
4. Peltzer K, Pengpid S. Suicidal Ideation and Associated Factors among School-Going Adolescents in Thailand. Int J Environ Res Public Health 2012; 9(2): 462-73.
5. Garcia C, Skay C, Sieving R, Naughton S, Bearinger LH. Family and racial factors associated with suicide and emotional distress among latino students. J Sch Health 2008; 78(9), 487-95.
6. Zhai H, Bai B, Chen L, Han D, Wang L, Qiao Z, et al. Correlation between Family Environment and Suicidal Ideation in University Students in China. Int J Environ Res Public Health 2015; 12: 1412-24.
7. Rudd MD. Assessing and Managing Suicidality: A Pocket Guide. Sarasota: Professional Resource Press; 2006.
8. Aarif SMM, Mishra BM. Are the Future Doctors Low on Mental Health and Self Esteem: A Cross Sectional Study from a Rural Health University. Indian J Pre Soc Med 2009; 40 (3).
9. Chau K, Kabuth B, Chau N. Association between Suicide Ideation and Attempts and Being an Immigrant among Adolescents, and the Role of Socioeconomic Factors and School, Behavior, and Health-Related Difficulties. Int. J. Environ. Res. Public Health 2016; 13:1070.
10. Bhola P, Rekha DP, Sathyanarayanan V, Daniel S,Thomas T. Self-reported suicidality and its predictors among adolescents from a pre-university college in Bangalore. India Asian J Psychiatr 2014; 7: 38–45.
11. Ng SM, Ran MS, Chan CLW. Factors related to suicidal ideation among adolescents in Hong Kong. Illn Crises Loss 2010; 18(4): 341-54.
12. Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 2006; 47: 372–394.
13. George A, Berg HSvd. The influence of psychosocial variables on adolescent suicidal ideation. J Child Adolesc Ment Health 2012; 24(1): 45 - 57.
14. Madge N, Hawton K, McMahon EM, Corcoran P, Leo DD, Wilde E J, et al. Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Eur Child Adolesc Psychiatry; 2011: 20, 499–508. doi:10.1007/s00787-011-0210-4.
15. Jang JM, Park JI, Oh KY, Lee KH, Kim MS, Yoon MS, Ko SH, Cho HC, Chung YC. Predictors of suicidal ideation in a community sample: Roles of anger, self-esteem, and depression. Psychiatry Res 2014; 216(1):74–81.
16. Evans E, Hawton K, Rodham K. Factors associated with suicidal phenomena in adolescents: A systematic review of population-based studies. Clin Psychol Rev 2004; 24(8): 957-79.
17. Mohammadkhani P, Mohammadi MR, Delavar A, Khushabi KS, Rezaeidogaheh E, Azadmehr H. Predisposing and precipitating risk factors for suicide ideations and suicide attempts in young and adolescent girls. Med J Islam Repub Iran 2006;20(3):123-29.
18. Thanoi W, Phancharoenworakul K, Thompson E, Panitrat R, Nityasuddhi D. Thai Adolescent Suicide Risk Behaviors: Testing a Model of Negative Life Events, Rumination, Emotional Distress, Resilience and Social Support. Pac Rim Int J Nurs Res Thail 2010; 14(3): 187-202.
19. Zong S. A study on adolescent suicide ideation in South Korea. Procedia Soc Behav Sci 2015; 174: 1949-56.
20. Cui S, Cheng Y, Xu Z, Chen D, Wang Y. Peer relationships and suicide ideation and attempts among Chinese adolescents. Child Care Health Dev 2011; 37(5): 692 - 702
21. Samm A, Tooding L, Sisask M, Kolves K, Aasvee K, Varnik A. Suicidal thoughts and depressive feeling amongst Estonian schoolchildren: Effects of family relationship and family structure. Eur Child Adolesc Psychiatry 2010; 19: 457-68.
22. Ibrahim N, Amit N, Suen MWY. Psychological factors as predictors of suicidal ideation among adolescents in Malaysia. PLoS 2014; 9(10):1-6.
23. Kawabe K, Horiuchi F, Ochi M, Oka Y, Ueno SI. Suicidal ideation in adolescents and their caregivers: a cross sectional survey in Japan. BMC Psychiatry 2016; 16:231.
24. Yeojin I, Won-Oak O, Minhyun S. Risk Factors for Suicide Ideation among Adolescents: Five-Year National Data Analysis. Arch Psychiatr Nurs [Internet]. 2017 [cited 2017 Jan 6]. Available from: https://dx.doi.org/10.1016/ j.apnu.2017.01.001
25. Wong JP, Stewart SM, Ho SY, Rao U, Lam TH. Exposure to suicide and suicidal behaviors among Hong Kong adolescents. Soc Sci Med 2005; 61(3): 591–99.
26. Nolen-Hoeksema S. Responses to depression and their effects on the duration of depressive episodes. J Abnorm Psychol. 1991; 100: 569-82.
27. Hair JFJr, Anderson RE, Tatham RL, Black WC.). Multivariate Data Analysis. 5thed. Upper Saddle River, NJ: Prentice Hall; 1998.
28. Kittiteerasack P, Muijeen K. Psychometric Properties of the Scale for Suicide Ideation, Thai version (SSI-Thai Version 2014). J Psychiatr Ment Health Nurs 2015; 1: 93-102.
29. Goodman R. Psychometric properties of the Strengths and Difficulties Questionnaire. J Am Acad Child Adolesc Psychiatry 2001; 40: 1337 - 45.
30. Woerner W, Nuanmanee S, Becker A, Wongpiromsarn Y, Mongkol A. Normative data and psychometric properties of Thai version of the Strengths and Difficulties Questionnaire (SDQ). Journal of Mental Health of Thailand 2011; 19:42-57.
31. Rosenberg M. Society and the adolescent self-image: Princeton, NJ: Princeton University Press; 1965.
32. Tinakon W, Nahathai W. Confirmatory factor analysis of Rosenberg Self Esteem Scale: a study of Thai sample. Journal of Psychiatry Association of Thailand 2011; 56: 59–70.
33. Mayberry D. Incorporating interpersonal events within hassle measurement. Stress Health 2003; 19: 97-110.
34. Nilchaikovit T, Sukying C, Silpakit C. Reliability and validity of the Thai version of the General Health Questionnaire. Journal of Psychiatric Association of Thailand 1996; 41(1): 2-17.
35. Goldberg D. The detection of psychiatric illness by questionnaire: A technique for the identification and assessment of non-psychotic psychiatric illness: London, New York: Oxford University Press; 1972.
36. Izadinia N, Amiri M, Jahromi RG, Hamid S. A study of relationship between suicidal ideas, depression, anxiety, resiliency, daily stresses and mental health among Tehran university students. Procedia Soc Behav Sci 2010; 5: 1515–19.
37. Rudd MD. Cognitive therapy for suicidality: An integrative, comprehensive, and practical approach to conceptualization. J Contemp Psychother 2004; 34: 59 -72.
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2017-05-05
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Rungsang B, Chaimongkol N, Deoisres W, Wongnam P. Suicidal Ideation among Thai Adolescents: An Empirical Test of a Causal Model. PRIJNR [Internet]. 2017 May 5 [cited 2024 Nov. 6];21(2):97-107. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/62887
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