Parent-reported suicidal behavior and correlates among adolescents in China

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• 作者：Xianchen Liu ; Zhenxiao Sun ; Yanyun Yang
• 关键词：Suicidal behavior ; Self-harm ; Depression ; Risk factors ; Adolescents
• 刊名：Journal of Affective Disorders
• 出版年：2008
• 期刊代码：141_01650327
• 类别：med
• 出版时间：January 2008
• 卷：105
• 期：1-3
• 页码：73-80
• 文件大小：259 K

摘要

Suicidal risk begins to increase during adolescence and is associated with multiple biological, psychological, social, and cultural factors. This study examined the prevalence and psychosocial factors of parent-reported suicidal behavior in Chinese adolescents.

Methods

A community sample of 1920 adolescents in China participated in an epidemiological study. Parents completed a structured questionnaire including child suicidal behavior, illness history, mental health problems, family history, parenting, and family environment. Multiple logistic regression was used for data analysis.

Results

Overall, 2.4%of the sample talked about suicide in the previous 6 months, 3.2%had deliberately hurt themselves or attempted suicide, and 5.1%had either suicidal talk or self-harm. The rate of suicidal behavior increased as adolescents aged. Multivariate logistic regression indicated that the following factors were significantly associated with elevated risk for suicidal behavior: depressive/anxious symptoms, poor maternal health, family conflict, and physical punishment of parental discipline style.

Limitations

Suicidal behavior was reported by parents. No causal relationships could be made based on cross-sectional data.

Conclusions

The prevalence rate of parent-reported suicidal behavior is markedly lower than self-reported rate in previous research. Depressive/anxious symptoms and multiple family environmental factors are associated with suicidal behavior in Chinese adolescents.