Loneliness as a Risk Factor for Suicidal Ideation and Depressive Mood Among Korean Adolescents in 2020–2021
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Suicide is the leading cause of death among Korean adolescents. There is a growing interest in the role of loneliness as a risk factor for suicide ideation and depressive symptoms. However, little is known in the Korean context. This study analyzed a total of 109,796 respondents from the Korea Youth Health Behavior Survey in 2020 and 2021. Multiple logistic regression models were implemented to test the association between loneliness and either of suicidal ideation and depressive mood. Covariates included demographic characteristics, school enrolled, household income, living arrangement, self-rated health, and the number of times treated for violence. Adjusted odd ratio (OR) and 95% confidence intervals (CI) were computed. 12.0% of adolescents reported to have felt lonely frequently and 3.0% always. 11.8% and 26.0% had suicidal ideation and depressive mood, respectively. The prevalence of suicidal ideation was higher in the always-lonely adolescents (52.6%) than in the frequently-lonely adolescents (35.1%). The always-lonely adolescents were nearly 30 times more likely to have suicidal ideation (OR=30.7; 95% CI, 27.1 – 34.8) and to feel depressed (OR=32.5; 95% CI, 29.2 – 36.4) than adolescents who felt never lonely. In conclusion, Loneliness was a major risk factor for suicidal ideation and depressive mood among Korean adolescents. Monitoring and addressing the condition of loneliness may help reduce suicidal ideation and depressive mood.
Abstract
Suicide is the leading cause of death among Korean adolescents. There is a growing interest in the role of loneliness as a risk factor for suicide ideation and depressive symptoms. However, little is known in the Korean context. This study analyzed a total of 109,796 respondents from the Korea Youth Health Behavior Survey in 2020 and 2021. Multiple logistic regression models were implemented to test the association between loneliness and either of suicidal ideation and depressive mood. Covariates included demographic characteristics, school enrolled, household income, living arrangement, self-rated health, and the number of times treated for violence. Adjusted odd ratio (OR) and 95% confidence intervals (CI) were computed. 12.0% of adolescents reported to have felt lonely frequently and 3.0% always. 11.8% and 26.0% had suicidal ideation and depressive mood, respectively. The prevalence of suicidal ideation was higher in the always-lonely adolescents (52.6%) than in the frequently-lonely adolescents (35.1%). The always-lonely adolescents were nearly 30 times more likely to have suicidal ideation (OR=30.7; 95% CI, 27.1 – 34.8) and to feel depressed (OR=32.5; 95% CI, 29.2 – 36.4) than adolescents who felt never lonely. In conclusion, Loneliness was a major risk factor for suicidal ideation and depressive mood among Korean adolescents. Monitoring and addressing the condition of loneliness may help reduce suicidal ideation and depressive mood.
참고문헌 (31)
- "Children and Youth Well-being in Korea 2022" (2022)[URL]
- H. Kim, "Increasing trend in the risk of suicide among residential care children and adolescents in South Korea", Children and Youth Services Review, 105, pp.104445~ (2019)[DOI]
- J. S. Jung, "Prediction models for high risk of suicide in Korean adolescents using machine learning techniques", PLOS ONE, 14(6), pp.e0217639~ (2019)[DOI]
- S. C. Jeong, "Identification of influencing factors for suicidal ideation and suicide attempts among adolescents : 11-year national data analysis for 788, 411 participants", Psychiatry Research, 291, pp.113228~ (2020)
- J. Deighton, "Prevalence of mental health problems in schools : Poverty and other risk factors among 28 000adolescents in England", The British Journal of Psychiatry, 215(3), pp.1~3 (2019)[DOI]
- G. Y. Lee, "Association of school, family, and mental health characteristics with suicidal ideation among Korean adolescents", Research in Nursing & Health, 38(4), pp.301~310 (2015)[DOI]
- H. D. Anderson, "Suicide Ideation, Depressive Symptoms, and Out-of-Home Placement Among Youth in the U. S. Child Welfare System", Journal of Clinical Child & Adolescent Psychology, 40(6), pp.790~796 (2011)[DOI]
- A. R. Rönkä, "Associations of deliberate self-harm with loneliness, self-rated health and life satisfaction in adolescence:Northern Finland Birth Cohort 1986 Study", International Journal of Circumpolar Health, 72(S2), pp.21085~21010 (1986)[DOI]
- Mi-Sun Lee, "Associations of the Number of Medical Visits for the Violence Victimization and Psychological Problems in Adolescents in Korea", PSYCHIATRY INVESTIGATION, 17(2), pp.114~121 (2020), 대한신경정신의학회[DOI]
- J. Y. Lee, "Non-suicidal self-injury is associated with psychotic like experiences, depression, and bullying in Korean adolescents", Early Intervention in Psychiatry, 15(6), pp.1696~1704 (2021)[DOI]
- R. E. Roberts, "Depressive Symptoms and Suicidal Ideation among Mexican-Origin and Anglo Adolescents", Journal of the American Academy of Child & Adolescent Psychiatry, 34(1), pp.81~90 (1995)[DOI]
- N. Lyyra, "Loneliness and subjective health complaints among school-aged children", Scandinavian Journal of Public Health, 46(20_suppl), pp.87~93 (2018)[DOI]
- H. McClelland, "Loneliness as a predictor of suicidal ideation and behaviour : A systematic review and meta-analysis of prospective studies", Journal of Affective Disorders, 274, pp.880~896 (2020)[DOI]
- E. C. Chang, "Loneliness and Suicidal Risk in Young Adults : Does Believing in a Changeable Future Help Minimize Suicidal Risk Among the Lonely", The Journal of Psychology, 151(5), pp.453~463 (2017)[DOI]
- W. D. Killgore, "Loneliness : A signature mental health concern in the era of COVID-19", Psychiatry Research, 290, pp.113117~ (2020)[DOI]
- A. Stravynski, "Loneliness in relation to suicide ideation and parasuicide : A population-wide study", Suicide & Life-Threatening Behavior, 31(1), pp.32~40 (2001)[DOI]
- M. E. Loades, "Rapid Systematic Review : The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19", Journal of the American Academy of Child &Adolescent Psychiatry, 59(11), pp.1218~1239.e3 (2020)
- 송인명, "Prevalence of Loneliness and Its Association with Marital Status in Korean Adults: Analysis of the Korean Welfare Panel Study Data in 2021", 보건정보통계학회지, 47(4), pp.331~338 (2022), 한국보건정보통계학회[DOI]
- M. Shevlin, "Adolescent loneliness and psychiatric morbidity in Northern Ireland", British Journal of Clinical Psychology, 52(2), pp.230~234 (2013)[DOI]
- S. Pengpid, "Prevalence and Associated Factors of Loneliness Among National Samples of In-School Adolescents in Four Caribbean Countries", Psychological Reports, 124(6), pp.2669~2683 (2021)[DOI]
- "The young Australian loneliness survey: Understanding loneliness in adolescence and young adulthood (Victoria)" (2019)[URL]
- K. R. Madsen, "Trends in social inequality in loneliness among adolescents 1991-2014", Journal of Public Health, 41(2), pp.e133~e140 (1991)[DOI]
- R. Calati, "Suicidal thoughts and behaviors and social isolation : A narrative review of the literature", Journal of Affective Disorders, 245, pp.653~667 (2019)[DOI]
- B. McKinnon, "Adolescent suicidal behaviours in 32 low-and middle-income countries", Bulletin of the World Health Organization, 94(5), pp.340~350F (2016)[DOI]
- R. H. Wang, "Risk and Protective Factors for Suicidal Ideation Among Taiwanese Adolescents", Nursing Research, 60(6), pp.413~ (2011)[DOI]
- R. Kaltiala-Heino, "Bullying, depression, and suicidal ideation in Finnish adolescents : School survey", BMJ, 319(7206), pp.348~351 (1999)[DOI]
- E. Lee, "Effects of School Violence on Depression and Suicidal Ideation in Multicultural Adolescents", Iranian Journal of Public Health, 48, pp.262~269 (2019)
- A. E. Waldrop, "Risk factors for suicidal behavior among a national sample of adolescents : Implications for prevention", Journal of Traumatic Stress, 20(5), pp.869~879 (2007)[DOI]
- R. Vermeiren, "Exposure to Violence and Suicide Risk in Adolescents : A Community Study", Journal of Abnormal Child Psychology, 30(5), pp.529~537 (2002)[DOI]
- R. Evans, "Comparison of suicidal ideation, suicide attempt and suicide in children and young people in care and noncare populations : Systematic review and metaanalysis of prevalence", Children and Youth Services Review, 82, pp.122~129 (2017)[DOI]
- J. Y. Yun, "Prevalence and associated factors of depression among Korean adolescents", PLOS ONE, 14(10), pp.e0223176~ (2019)[DOI]