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Personal and Family Correlates of Suicidal Ideation Among Chinese Adolescents in Hong Kong

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Abstract

Based on the family ecological model, personal (hopelessness, social problem solving, emotional competence) and family (parent-adolescent communication, family functioning) quality of life measures related to adolescent suicidal ideation were examined in 5,557 Secondary 1 to Secondary 4 students in Hong Kong. Results showed that suicidal ideation was positively related to adolescent hopelessness but negatively related to emotional competence, social problem solving, father–adolescent communication, mother–adolescent communication and family functioning. Multiple regression analyses showed that hopelessness was the most important predictor of adolescent suicidal ideation, followed by mother–adolescent communication, family functioning, social problem solving, father–adolescent communication, and emotional competence. Path analyses with and without direct effects showed that hopelessness mediated the effect of personal and family correlates on adolescent suicidal ideation. Theoretical and practice implications of the findings are discussed.

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References

  • Adams, D. M. (1998). Child abuse trauma, family functioning and adolescent depression, hopelessness and suicidal behavior. Dissertation Abstracts International: Section B: The Sciences and Engineering, 58, 5635.

    Google Scholar 

  • Arffa, S. (1983). Cognition and suicide: A methodological review. Suicide and Life-Threatening Behavior, 13, 109–122.

    Google Scholar 

  • Beavers, W. R., Hampson, R. B., & Hulgus, Y. F. (1990). Manual: Beavers Systems Model of Family Assessment. Dallas: Southwest Family Institute.

    Google Scholar 

  • Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861–865.

    Article  Google Scholar 

  • Belsky, J., Lerner, R. M., & Spanier, G. B. (1984). The child in the family. Reading: Addison-Wesley.

    Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Carris, M. J., Sheeber, L., & Howe, S. (1998). Family rigidity, adolescent problem-solving deficits, and suicidal ideation: a mediational model. Journal of Adolescence, 21, 459–472.

    Article  Google Scholar 

  • Chan, D. W. (2003). Dimensions of emotional intelligence and their relationships with social coping among gifted adolescents in Hong Kong. Journal of Youth and Adolescence, 32, 409–418.

    Article  Google Scholar 

  • Cheung, Y. B., Law, C. K., Chan, B., Liu, K. Y., & Yip, S. F. (2006). Suicidal ideation and suicidal attempts in a population-based study of Chinese people: Risk attributable to hopelessness, depression, and social factors. Journal of Affective Disorders, 90, 193–199.

    Article  Google Scholar 

  • Ciarrochi, J., Deane, P., & Anderson, S. (2002). Emotional intelligence moderates the relationship between stress and mental health. Personality and Individual Differences, 32, 197–209.

    Article  Google Scholar 

  • Ciarrochi, J., Scott, G., Deane, P., & Heaven, C. L. (2003). Relations between social and emotional competence and mental health: a construct validation study. Personality and Individual Differences, 35, 1947–1963.

    Article  Google Scholar 

  • Cukrowicz, K. C., Wingate, L. R., Driscoll, K. A., & Joiner, T. E. (2004). A standard of care for the assessment of suicide risk and associated treatment: The Florida State University psychology clinic as an example. Journal of Contemporary Psychotherapy, 34, 87–100.

    Article  Google Scholar 

  • Dixon, W. A., Heppner, P. P., & Rudd, M. D. (1994). Problem-solving appraisals, hopelessness, and suicide ideation: Evidence for a mediational model. Journal of Counseling Psychology, 38, 51–56.

    Article  Google Scholar 

  • D’Zurilla, T. J., Chang, C., Nottingham, J., & Faccini, L. (1998). Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients. Journal of Clinical Psychology, 54, 1091–1107.

    Article  Google Scholar 

  • D’Zurilla, T. J., Nezu, A. M., & Maydeu-Olivares, A. (1996). Manual for the Social Problem–Solving Inventory-Revised (SPSI-R). North Tonawanda, NY: Multi-Health System, Inc.

    Google Scholar 

  • Ellis, A., & Bernard, M. E. (2006). Rational emotive behavioral approaches to childhood disorders: Theory, practice and research. New York: Springer.

    Book  Google Scholar 

  • Epstein, N. B., Bishop, D., Ryan, C., Miller, I., & Keitner, G. (1993). The McMaster Model: View of healthy family functioning. In F. Walsh (Ed.), Normal family processes (pp. 138–160). New York: Guilford Press.

    Google Scholar 

  • Esposito, C. L., & Clum, G. A. (2003). The relative contribution of diagnostic and psychosocial factors in the prediction of adolescent suicidal ideation. Journal of Clinical Child and Adolescent, 32, 386.

    Article  Google Scholar 

  • Everall, R. D., Bostik, K. E., & Paulson, B. L. (2006). Being in the safety zone: Emotional experiences of suicidal adolescents and emerging adults. Journal of Adolescent Research, 21, 370–392.

    Article  Google Scholar 

  • Felce, D., & Perry, J. (1995). Quality of life: Its definition and measurement. Research in Developmental Disabilities, 16, 51–74.

    Article  Google Scholar 

  • Fotti, A., Katz, Y., Afifi, O., & Cox, J. (2006). The associations between peer and parental relationships and suicidal behaviors in early adolescents. Canadian Journal of Psychiatry, 51, 698–703.

    Google Scholar 

  • Fremouw, W., Callahan, T., & Kashden, J. (1993). Adolescent suicidal risk: Psychological problem solving and environmental factors. Suicide and Life-Threatening Behaviors, 23, 46–54.

    Google Scholar 

  • Hallfors, D., Brodish, H., Khatapoush, S., Sanchez, V., Cho, H., & Steckler, A. (2006). Feasibility of screening adolescents for suicide risk in “real-world” high school settings. American Journal of Public Health, 96, 282–287.

    Article  Google Scholar 

  • Kalafat, J. (1997). Prevention of youth suicide. In R. P. Weissberg, T. P. Gullotta, R. L. Hampton, B. A. Ryan, & G. R. Adams (Eds.), Enhancing children’s wellness (pp. 175–213). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Kant, G. L., D’Zurilla, T. Z., & Maydeau-Olivares, A. (1997). Social problem solving as a mediator of stress-related depression and anxiety in middle-aged and elderly community residents. Cognitive Therapy & Research, 21, 73–96.

    Article  Google Scholar 

  • Kingsbury, S., Hawton, K., Steinhardt, K., & James, A. (1999). Do adolescents who take overdoses have specific psychological characteristics? A comparative study with psychiatric and community controls. Journal of the American Academy of Child and Adolescents Psychiatry., 38, 1125–1131.

    Article  Google Scholar 

  • Landman-Peeters, K. M. C., Hartman, C. A., van de Pompe, G., den Boer, J. A., Minderaa, R. B., & Ormel, J. (2005). Gender differences in the relation between social support, problem in parent-offspring communication, and depression and anxiety. Social Science Medicine, 60, 2549–2559.

    Article  Google Scholar 

  • Lee, T. Y., Wong, P., Chow, W. Y., & McBride-Chang, C. (2006). Predictors of suicide ideation and depression in Hong Kong adolescents: Perceptions of academic and family climates. Suicide and life-threatening behavior, 36, 82–97.

    Article  Google Scholar 

  • Levy, S. R., Jurkovic, G. L., & Spirito, A. (1995). A multisystems analysis of adolescent suicide attempters. Journal of Abnormal Child Psychology, 23, 221–234.

    Article  Google Scholar 

  • Lynch, F., Mills, C., Daly, I., & Fitzpatick, C. (2006). Challenging times: Prevalence of psychiatric disorders and suicidal behavior in Irish adolescents. Journal of Adolescence, 29, 555–573.

    Article  Google Scholar 

  • MacLeod, K., Tata, P., Tyrer, P., Schmidt, U., Davidson, K., & Thompson, S. (2005). Hopelessness and positive and negative future thinking in parasuicide. The British Journal of Clinical Psychology, 44, 495–504.

    Article  Google Scholar 

  • Miner, M. H., & Coleman, E. (2001). Advances in sex offender treatment and challenges for the future. Journal of Psychology & Human Sexuality, 13, 5–24.

    Article  Google Scholar 

  • Miros, N. J. (2000). Depression, anger, and coping skills as predictors of suicidal ideation in young adults: Examination of the diathesis-stress-hopelessness theory. Dissertation Abstracts International: Section B: The Sciences and Engineering, 61, 3286.

    Google Scholar 

  • Mitchell, M. G., & Rosenthal, D. M. (1992). Suicidal adolescents: Family dynamics and the effects of lethality and hopelessness. Journal of Youth and Adolescence, 21, 23–33.

    Article  Google Scholar 

  • Olson, D. H., Russell, C. S., & Sprenkle, D. H. (1989). Circumplex Model: Systemic assessment and treatment of families. New York: Haworth Press.

    Google Scholar 

  • Pinto, A., & Whisman, M. A. (1996). Negative affect and cognitive biases in suicidal and nonsuicidal hospitalized adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 158–165.

    Article  Google Scholar 

  • Resch, F., Parzer, P., & Brunner, R. (2008). Self-mutilation and suicidal behavior in children and adolescents: Prevalence and psychosocial correlates: Results of the BELLA study. European Child and Adolescent Psychiatry, 17, 92–98.

    Article  Google Scholar 

  • Richards, J. M., & Gross, J. J. (1999). The cognitive consequences of emotion suppression. Personality and Social Psychology Bulletin, 25, 1033–1044.

    Article  Google Scholar 

  • Rucklidge, J. (2006). Psychosocial functioning of adolescents with and without paediatric bipolar disorder. Journal of Affective Disorders, 91, 181–188.

    Article  Google Scholar 

  • Rudd, M. (2000). The suicidal mode: A cognitive-behavioral mode of suicidality. Suicide and Life Threatening Behavior, 30, 18–33.

    Google Scholar 

  • Rudd, M. D., Rajab, M. H., & Dahm, P. F. (1994). Problem-solving appraisal in suicide ideators and attempters. American Journal of Orthopsychiatry, 64, 136–149.

    Article  Google Scholar 

  • Rutter, P. A., & Behrendt, A. E. (2004). Adolescent Suicide Risk: Four Psychosocial Factors. Adolescence, 39, 295.

    Google Scholar 

  • Schutte, S., Malouff, M., Hall, L., Haggerty, D., Cooper, J., Goldern, C., et al. (1998). Development and validation of a measure of emotional intelligence. Personality and Individual Differences, 25, 167–177.

    Article  Google Scholar 

  • Shek, D. T. L. (1993). Measurement of pessimism in Chinese adolescents: The Chinese hopelessness scale. Social Behavior and Personality, 21, 107–120.

    Article  Google Scholar 

  • Shek, D. T. L. (1999). Parenting characteristics and adolescent psychological well-being: A longitudinal study in a Chinese context. Genetic, Social and General Psychology Monographs, 125, 27–44.

    Google Scholar 

  • Shek, D. T. L. (2000). Assessment of family functioning in Chinese adolescents. In N. N. Singh (Ed.), International perspectives on child and adolescent mental health. Holland: Elsevier.

    Google Scholar 

  • Shek, D. T. L. (2001). Chinese adolescents and their parents’ views on a happy family: Implications for family therapy. Family Therapy, 28, 73–104.

    Google Scholar 

  • Shek, D. T. L. (2002). Assessment of family functioning in Chinese adolescents: The Chinese version of the Family Assessment Device. Research on Social Work Practice, 12, 502–524.

    Article  Google Scholar 

  • Shek, D. T. L. (2006). Chinese family research: Puzzles, progress, paradigms, and policy implications. Journal of Family Issues, 27, 275–284.

    Article  Google Scholar 

  • Shek, D. T. L. (2008). Economic disadvantage, perceived family life quality, and emotional well-being in Chinese adolescents: A longitudinal study. Social Indicators Research, 85, 169–189.

    Article  Google Scholar 

  • Shek, D. T. L., & Lee, T. Y. (2005). Hopelessness in Chinese adolescents in Hong Kong. In J. Merrick & G. Zalsman (Eds.), Suicidal behavior in adolescence: An international perspective (pp. 105–118). Israel: Freund Publishing House Ltd.

    Google Scholar 

  • Shek, D. T. L., Lee, B. M., & Lee, T. Y. (2006). Frequency, satisfaction and quality dimensions of perceived parent–adolescent communication among Chinese adolescents in Hong Kong. International Journal of Adolescent Mental Health, 18, 259–270.

    Google Scholar 

  • Siu, M. H., & Shek, T. L. (2005a). Psychometric properties of the Chinese Family Assessment Instrument in Chinese adolescent in Hong Kong. Adolescence, 40, 817–830.

    Google Scholar 

  • Siu, M. H., & Shek, T. L. (2005b). The Chinese version of the Social Problem-Solving Inventory: Some initial results on reliability and validity. Journal of Clinical Psychology, 61, 347–360.

    Article  Google Scholar 

  • Smith, M., Alloy, B., & Abramson, Y. (2006). Cognitive vulnerability to depression, rumination, hopelessness, and suicidal ideation: Multiple pathways to self-injurious thinking. Suicide and Life-threatening behavior, 36, 443–454.

    Article  Google Scholar 

  • Spirito, A., Overholser, J., & Stark, L. J. (1989). Common problems and coping strategies. 2: Findings with adolescent suicide attempts. Journal of Abnormal Child Psychology, 17, 213–221.

    Article  Google Scholar 

  • Stewart, S. M., Kennard, B. D., Lee, P. W. H., Mayes, T., Hughes, C., & Emslie, G. (2005). Hopelessness and suicidal ideation among adolescents in two cultures. Journal of Child Psychology and Psychiatry, 46, 364.

    Article  Google Scholar 

  • Thompson, A., Mazza, J., Herting, R., Randell, P., & Eggert, L. (2005). The mediating roles of anxiety, depression, and hopelessness on adolescent suicidal behaviors. Suicide and Life-threatening Behavior, 35, 14–34.

    Article  Google Scholar 

  • Tobin, J. J. (2000). Adolescent suicide attempters in the year following hospitalization: Does the parent–child relationship predict symptom relapse and recurrent suicidality? Dissertation Abstracts International: Section B: The Sciences and Engineering, 61, 2225.

    Google Scholar 

  • Tse, W. L., & Bagley, C. (2002). Suicidal behavior, bereavement and death education in Chinese adolescents. London: Ashgate Publishing Company.

  • Wallander, J. L., Schmitt, M., & Koot, H. M. (2001). Quality of life measurement in children and adolescents: Issues, instruments and applications. Journal of Clinical Psychology, 57, 571–585.

    Article  Google Scholar 

  • Walsh, F. (Ed.). (1993). Normal family processes (2nd ed. ed.). New York: Guilford Press.

    Google Scholar 

  • Weishaar, M. E., & Beck, A. T. (1992). Hopelessness and suicide. International Review of Psychiatry, 4, 177–184.

    Article  Google Scholar 

  • Wong, P. S., Stewart, S. M., Ho, S. Y., & Lam, T. H. (2007). Risk factors associated with suicide attempts and other self-injury among Hong Kong adolescents. Suicide and Life-threatening Behavior, 37, 453–466.

    Article  Google Scholar 

  • Yang, B., & Clum, G. A. (1996). Effects of early negative life experiences on cognitive functioning and risk for suicide. Clinical Psychology Review, 16, 177–185.

    Article  Google Scholar 

  • Yang, B., & Clum, G. A. (2000). Childhood stress leads to later suicidality via its effect on cognitive functioning. Suicide and Life-Threatening Behavior, 30, 183–198.

    Google Scholar 

  • Yip, S. F., Fu, K. W., Yang, C. T., Ip, Y. T., Chan, L. W., Chen, Y. H., Lee, T. S., Law, Y. W., & Hawton, K., et al. (2006). The effects of a celebrity suicide on suicide rates in Hong Kong. Journal of Affective Disorders, 93, 245–252.

    Article  Google Scholar 

  • Zonj, H. J., & Lude, P. (2002). Regulation of emotion and psychological symptoms in people with spinal cord injury. Swiss Journal of Psychology Schweizerische Zeitschrift fuer Psychologie Revue Suisse de Psychologie, 61, 203–210.

    Google Scholar 

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The preparation for this paper was financially supported by Wofoo Foundation Limited.

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Correspondence to Sylvia Y. C. Lai Kwok.

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Lai Kwok, S.Y.C., Shek, D.T.L. Personal and Family Correlates of Suicidal Ideation Among Chinese Adolescents in Hong Kong. Soc Indic Res 95, 407–419 (2010). https://doi.org/10.1007/s11205-009-9528-4

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