KMID : 1009020200180010116
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Clinical Psychopharmacology and Neuroscience 2020 Volume.18 No. 1 p.116 ~ p.126
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Gender-based Multilevel Analysis of Influential Factors for Suicide Attempts among At-risk Non-referred Adolescents in Korea
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Lee Yu-Mi
Lee Da-Young Hong Hyun-Ju
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Abstract
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Objective: Effective suicide prevention for at-risk adolescents requires increased access to medical treatment. Investigating the unique characteristics of suicide in this vulnerable at-risk non-referred sample can contribute to establishing effective suicide prevention policies. This study aimed to (a) examine at-risk non-referred adolescents¡¯ suicide attempt rate, (b) investigate influential multilevel factors in predicting these adolescents¡¯ suicide attempts, and (c) compare the results of (a) and (b) by gender.
Methods: A total of 401 samples (216 boys and 185 girls) were recruited through a school-based mental health project for at-risk adolescents. Multivariate hierarchical logistic regression analyses were performed at the individual-, contextual-, and protective levels to evaluate three multilevel models as well as to investigate predictabilities for the overall group and by gender.
Results: The suicide attempt rate of the overall sample was 29.4% (boys: 18.1%, girls: 42.7%), which was significantly higher than that of community samples. For boys, individual-level predictors (depression and conduct problems) had the most significant contribution in predicting suicide attempts. In contrast, for girls, protective-level predictors (family satisfaction) contributed the most to the prediction of suicide attempts, followed by contextual-level predictors (academic grades).
Conclusion: This study is an important step in understanding the unique characteristics of at-risk non-referred adolescents who have not yet been considered in mental health policies. Improving medical accessibility will be the first step in establishing effective suicide prevention policies for these vulnerable samples.
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KEYWORD
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Suicide, attempted, Mental health, School, Vulnerable, Students
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