A Latent Class Analysis of Suicidal Behaviors in Adolescents
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective The purpose of the present study was to identify adolescents’ suicide subgroups using five indicators (depression, anxiety, suicide ideation, and planned and attempted suicide), and explore the distinctive features of each subgroup.Methods This study included 2,258 teenagers from four schools. Both adolescents and their parents, who voluntarily agreed to participate in the study, completed a series of self-reported questionnaires on depression, anxiety, suicide, self-harm, self-esteem, impulsivity, childhood maltreatment, and deviant behaviors. The data were analyzed using latent class analysis, a person-centered method.Results Four classes were detected: “high risk for suicide without distress,” “high risk for suicide with distress,” “low risk for suicide with distress,” and “healthy.” The “high risk for suicide with distress” class was the most severe on all evaluated psychosocial risk factors, namely, impulsivity, low self-esteem, self-harming behaviours, deviant behaviour problems, and childhood maltreatment, followed by “high risk for suicide without distress.”Conclusion This study identified two high risk subgroups for adolescent’ suicidality, “high risk for suicide with or without distress.” Both high risk subgroups for suicide showed higher scores for all psychosocial risk factors than low risk subgroups for suicide. Our findings suggest that special attention needs to be paid to the latent class “high risk for suicide without distress,” as this group’s “cry for help” might be relatively difficult to detect. Specific interventions for each group (e.g., distress safety plans for “suicidal potential with or without emotional distress”) need to be developed and implemented.
Abstract
Objective The purpose of the present study was to identify adolescents’ suicide subgroups using five indicators (depression, anxiety, suicide ideation, and planned and attempted suicide), and explore the distinctive features of each subgroup.Methods This study included 2,258 teenagers from four schools. Both adolescents and their parents, who voluntarily agreed to participate in the study, completed a series of self-reported questionnaires on depression, anxiety, suicide, self-harm, self-esteem, impulsivity, childhood maltreatment, and deviant behaviors. The data were analyzed using latent class analysis, a person-centered method.Results Four classes were detected: “high risk for suicide without distress,” “high risk for suicide with distress,” “low risk for suicide with distress,” and “healthy.” The “high risk for suicide with distress” class was the most severe on all evaluated psychosocial risk factors, namely, impulsivity, low self-esteem, self-harming behaviours, deviant behaviour problems, and childhood maltreatment, followed by “high risk for suicide without distress.”Conclusion This study identified two high risk subgroups for adolescent’ suicidality, “high risk for suicide with or without distress.” Both high risk subgroups for suicide showed higher scores for all psychosocial risk factors than low risk subgroups for suicide. Our findings suggest that special attention needs to be paid to the latent class “high risk for suicide without distress,” as this group’s “cry for help” might be relatively difficult to detect. Specific interventions for each group (e.g., distress safety plans for “suicidal potential with or without emotional distress”) need to be developed and implemented.
참고문헌 (56)
- World Health Organization, "Suicide worldwide in 2019: global health estimates", World Health Organization, ~ (2019)
- Kessler RC, "Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey", Arch Gen Psychiatry, 56, pp.617~626 (1999)
- Van Orden KA, "The interpersonal theory of suicide", Psychol Rev, 117, pp.575~600 (2010)
- Kotila L, "Adolescents who make suicide attempts repeatedly", Acta Psychiatr Scand, 76, pp.386~393 (1987)
- Nock MK, "Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents : results from the National Comorbidity Survey Replication Adolescent Supplement", JAMA Psychiatry, 70, pp.300~310 (2013)
- Giner L, "Cognitive, emotional, temperament, and personality trait correlates of suicidal behavior", Curr Psychiatry Rep, 18, pp.102~ (2016)
- O’Carroll PW, "Beyond the tower of Babel : a nomenclature for suicidology", Suicide Life Threat Behav, 26, pp.237~252 (1996)
- Posner K, "Columbia Classification Algorithm of Suicide Assessment(C-CASA) : classification of suicidal events in the FDA’s pediatric suicidal risk analysis of antidepressants", Am J Psychiatry, 164, pp.1035~1043 (2007)
- Silverman MM, "Rebuilding the tower of Babel : a revised nomenclature for the study of suicide and suicidal behaviors. Part 2 : suicide-related ideations, communications, and behaviors", Suicide Life Threat Behav, 37, pp.264~277 (2007)
- Bentley KH, "Anxiety and its disorders as risk factors for suicidal thoughts and behaviors : a meta-analytic review", Clin Psychol Rev, 43, pp.30~46 (2016)
- Miller AB, "A within-person approach to risk for suicidal ideation and suicidal behavior : examining the roles of depression, stress, and abuse exposure", J Consult Clin Psychol, 85, pp.712~722 (2017)
- Prinstein MJ, "Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization", J Consult Clin Psychol, 76, pp.92~103 (2008)
- Rudd MD, "Warning signs for suicide : theory, research, and clinical applications", Suicide Life Threat Behav, 36, pp.255~262 (2006)
- Lewinsohn PM, "Adolescent suicidal ideation and attempts: prevalence, risk factors, and clinical implications", Clin Psychol(New York), 3, pp.25~ (1996)
- Klonsky ED, "Rethinking impulsivity in suicide", Suicide Life Threat Behav, 40, pp.612~619 (2010)
- Brezo J, "Personality traits as correlates of suicidal ideation, suicide attempts, and suicide completions : a systematic review", Acta Psychiatr Scand, 113, pp.180~206 (2006)
- Giletta M, "Multi-level risk factors for suicidal ideation among at-risk adolescent females : the role of hypothalamic-pituitary-adrenal axis responses to stress", J Abnorm Child Psychol, 43, pp.807~820 (2015)
- Wild LG, "Suicidal ideation and attempts in adolescents : associations with depression and six domains of self-esteem", J Adolesc, 27, pp.611~624 (2004)
- Chatard A, "Self-esteem and suicide rates in 55 Nations", Eur J Pers, 23, pp.19~32 (2009)
- Bagge CL, "Adolescent alcohol involvement and suicide attempts : toward the development of a conceptual framework", Clin Psychol Rev, 28, pp.1283~1296 (2008)
- Gini G, "Peer victimization, cyberbullying, and suicide risk in children and adolescents", JAMA, 312, pp.545~546 (2014)
- King RA, "Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation", J Am Acad Child Adolesc Psychiatry, 40, pp.837~846 (2001)
- Renaud J, "Suicide in adolescents with disruptive disorders", J Am Acad Child Adolesc Psychiatry, 38, pp.846~851 (1999)
- Guan K, "Nonsuicidal self-injury as a time-invariant predictor of adolescent suicide ideation and attempts in a diverse community sample", J Consult Clin Psychol, 80, pp.842~849 (2012)
- Joiner TE, "Nonsuicidal self-injury, suicidal behavior, and their co-occurrence as viewed through the lens of the interpersonal theory of suicide", Curr Dir Psychol Sci, 21, pp.342~347 (2012)
- Beautrais AL, "Child and young adolescent suicide in New Zealand", Aust N Z J Psychiatry, 35, pp.647~653 (2001)
- Dube SR, "Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span : findings from the adverse childhood experiences study", JAMA, 286, pp.3089~3096 (2001)
- Khan A, "Childhood maltreatment, depression, and suicidal ideation : critical importance of parental and peer emotional abuse during developmental sensitive periods in males and females", Front Psychiatry, 6, pp.42~ (2015)
- Ginley MK, "Psychiatric heterogeneity of recent suicide attempters : a latent class analysis", Psychiatry Res, 251, pp.1~7 (2017)
- Jiang Y, "Suicide patterns and association with predictors among Rhode Island public high school students : a latent class analysis", Am J Public Health, 100, pp.1701~1707 (2010)
- Kessler RC, "The World Mental Health(WMH)survey initiative version of the World Health Organization(WHO)Composite International Diagnostic Interview(CIDI)", Int J Methods Psychiatr Res, 13, pp.93~121 (2004)
- Brener ND, "Reliability of the 1999 youth risk behavior survey questionnaire", J Adolesc Health, 31, pp.336~342 (2002)
- Eaton DK, "Associations of body mass index and perceived weight with suicide ideation and suicide attempts among US high school students", Arch Pediatr Adolesc Med, 159, pp.513~519 (2005)
- May A, "Validity of suicidality items from the Youth Risk Behavior Survey in a high school sample", Assessment, 18, pp.379~381 (2011)
- Barratt ES, "Impulse control and anxiety related to social adjustment and academic achievement among high school males", pp.1967
- 이소라, "한국판 Barratt Impulsiveness Scale-11-Revised의 신뢰도 및 타당도 연구 ; 일반성인집단을 중심으로", 신경정신의학, 51(6), pp.378~386 (2012), 대한신경정신의학회
- Rosenberg M, "Society and the adolescent self-image", pp.16~36 (1965), Princeton University Press
- 이자영, "Rosenberg의 자아존중감 척도: 문항수준 타당도분석", 한국심리학회지: 상담 및 심리치료, 21(1), pp.173~189 (2009), 한국상담심리학회
- Pennebaker JW, "Disclosure of traumas and psychosomatic processes", Soc Sci Med, 26, pp.327~332 (1988)
- Klonsky ED, "Assessing the functions of non-suicidal selfinjury : psychometric properties of the Inventory of Statements About Self-injury(ISAS)", J Psychopathol Behav Assess, 31, pp.215~219 (2009)
- Glenn CR, "One-year test-retest reliability of the Inventory of Statements About Self-injury(ISAS)", Assessment, 18, pp.375~378 (2011)
- A study on mental health improvement policy for children and adolescents : general report, "Choi I", National Youth Policy Institute, 3~10 (2011)
- Muthén L, "Mplus User’s Guide" (2017), Muthén & Muthén
- Akaike H, "Selected papers of hirotugu akaike", pp.371~386 (1987), Springer
- Schwarz G, "Estimating the dimension of a model", Ann Statist, 6, pp.461~464 (1978)
- Sclove SL, "Application of model-selection criteria to some problems in multivariate analysis", Psychometrika, 52, pp.333~343 (1987)
- Lo Y, "Testing the number of components in a normal mixture", Biometrika, 88, pp.767~778 (2001)
- Ramaswamy V, "An empirical pooling approach for estimating marketing mix elasticities with PIMS data", Mark Sci, 12, pp.103~124 (1993)
- Andover MS, "Childhood physical and sexual abuse in depressed patients with single and multiple suicide attempts", Suicide Life Threat Behav, 37, pp.467~474 (2007)
- Horesh N, "Self-report vs. computerized measures of impulsivity as a correlate of suicidal behavior", Crisis, 22, pp.27~31 (2001)
- Bagge CL, "Nearterm predictors of the intensity of suicidal ideation : an examination of the 24 h prior to a recent suicide attempt", J Affect Disord, 165, pp.53~58 (2014)
- Bagge CL, "Correlates of proximal premeditation among recently hospitalized suicide attempters", J Affect Disord, 150, pp.559~564 (2013)
- Zalsman G, "Suicide prevention strategies revisited : 10-year systematic review", Lancet Psychiatry, 3, pp.646~659 (2016)
- MacCallum RC, "On the practice of dichotomization of quantitative variables", Psychol Methods, 7, pp.19~40 (2002)
- Ryff CD, "The structure of psychological well-being revisited", J Pers Soc Psychol, 69, pp.719~727 (1995)
- Taber KS, "The use of Cronbach’s alpha when developing and reporting research instruments in science education", Res Sci Educ, 48, pp.1273~1296 (2018)