Skip to main content
Research Trends

Risk Factors and Mediators of Suicidal Ideation Among Korean Adolescents

Published Online:https://doi.org/10.1027/0227-5910/a000438

Abstract.Background: A significant number of Korean adolescents have suicidal ideations and it is more prevalent among adolescents than any other age group in Korea. Aims: This study was conducted to attain a better understanding of the contributing factors to suicidal ideation among Korean adolescents. Method: We recruited 569 high school students in Grades 10 and 11 in Pyeongtaek, Korea. The Beck Scale for Suicidal Ideation was used to measure suicidal ideation as the outcome variable. The Interpersonal Needs Questionnaire, the Beck Hopelessness Scale, the School Related Stress Scale, the Olweus Bully/Victim Questionnaire, and the Youth Risk Behavior Surveillance questions were used to measure thwarted belongingness and perceived burdensomeness, hopelessness, school-related stress, bullying, and previous suicidal behaviors, respectively. Data analyses included descriptive statistics and structural equation modeling. Results: The findings suggest that perceived burdensomeness, hopelessness, school-related stress, and previous suicidal behaviors have significant direct effects on suicidal ideation. Hopelessness fully mediated the relation between thwarted belongingness and suicidal ideation, and partially mediated between perceived burdensomeness, school-related stress, and suicidal ideation. Conclusion: These findings provide more specific directions for a multidimensional suicide prevention program in order to be successful in reducing suicide rates among Korean adolescents.

References

  • Ahn, S. W. (1998). 학교폭력의 실태와 대책 [A study on school violence and measures]. 청소년행동연구 [Studies on Adolescent Behaviors], 3, 19–36. First citation in articleGoogle Scholar

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. First citation in articleCrossref MedlineGoogle Scholar

  • Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology, 47, 343–352. 10.1037/0022-006X.47.2.343 First citation in articleCrossref MedlineGoogle Scholar

  • Bonanno, R. A., & Hymel, S. (2010). Beyond hurt feelings: Investigating why some victims of bullying are at greater risk for suicidal ideation. Merrill-Palmer Quarterly, 56(3), 420–440. 10.1353/mpq.0.0051 First citation in articleCrossrefGoogle Scholar

  • Brunstein Klomek, A., Sourander, A., & Gould, M. (2010). The association of suicide and bullying in childhood to young adulthood: A review of cross-sectional and longitudinal research findings. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 55(5), 282–288. First citation in articleMedlineGoogle Scholar

  • Conason, A. H., Oquendo, M. A., & Sher, L. (2005a). Psychotherapy in the treatment of alcohol and substance abusing adolescents with suicidal behavior. International Journal of Adolescent Medicine and Health, 18, 9–13. First citation in articleGoogle Scholar

  • Conason, A. H., Oquendo, M. A., & Sher, L. (2005b). Psychotherapy of alcohol adolescents with suicidal behavior. In J. MerrickG. ZalsmanEds., Suicidal behavior in adolescents: An international perspective (pp. 325–330). London, UK: Freund Publishing House. First citation in articleGoogle Scholar

  • Chung, S. K. (2011). 음주시작연령 및 음주문제가 청소년의 자살생각과 시도에 미치는 영향 [Influence of early onset of dinking and problem drinking on suicide ideation and attempt among Korean adolescents]. Journal of Korean Alcohol Science, 12(1), 15–27. First citation in articleGoogle Scholar

  • Fisher, H., Moffitt, T., Houts, R., Belsky, D., Arseneault, L., & Caspi, A. (2012). Bullying victimisation and risk of self harm in early adolescence: Longitudinal cohort study. British Medical Journal (Clinical Research Ed.), 344, e2683. 10.1136/bmj.e2683 First citation in articleCrossref MedlineGoogle Scholar

  • Goldston, D., Daniel, S., Reboussin, B., Reboussin, D., Frazier, P., & Harris, A. (2001). Cognitive risk factors and suicide attempts among formerly hospitalized adolescents: A prospective naturalistic study. Journal of the American Academy of Child and Adolescent Psychiatry, 40(1), 91–99. 10.1097/00004583-200101000-00021 First citation in articleCrossref MedlineGoogle Scholar

  • Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. American Academy of Child and Adolescent Psychiatry, 42, 386–405. 10.1097/01.CHI.0000046821.95464.CF First citation in articleCrossref MedlineGoogle Scholar

  • Hong, N. M. (2011). 부모학대와 또래괴롭힘이 청소년 자살생각에 미치는 영향 대인관계내재화와 절망감의 매개경로를 중심으로 [The effects of parental abuse and peer victimization on adolescent's suicidal ideation: The mediating pathway of interpersonal needs and hopelessness] (Master's thesis). Retrieved from RISS. First citation in articleGoogle Scholar

  • Jang, J. H. (2010). 청소년의 스트레스 절망감 사회적 지지와 자살생각과의 관계 [Relationship between suicidal ideation and stress, despair, and social support in adolescence] (Master's thesis). Retrieved from RISS. First citation in articleGoogle Scholar

  • Jo, M. H. (2010). 대인관계 심리학적 모형을 통해서 본 한국군의 자살 [Evaluation of Interpersonal Psychological Model of Suicide in Korean Army] (Master's thesis). Retrieved from RISS. First citation in articleGoogle Scholar

  • Johnston, L. D., Bachman, J. G., & O'Malley, P. M. (2009). Monitoring the future questionnaire responses from the nation's high school seniors. Retrieved from http://www.monitoringthefuture.org/ First citation in articleGoogle Scholar

  • Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press. First citation in articleGoogle Scholar

  • Joiner, T. E., Brown, J. S., & Wingate, L. R. (2005). The psychology and neurobiology of suicidal behavior. Annual Review of Psychology, 56, 287–314. 10.1146/annurev.psych.56.091103.070320 First citation in articleCrossref MedlineGoogle Scholar

  • Joiner, T. E., & Rudd, M. D. (2000). Intensity and duration of suicidal crisis vary as a function of previous suicide attempts and negative life events. Journal of Consulting and Clinical Psychology, 68(5), 909–916. First citation in articleCrossref MedlineGoogle Scholar

  • Kim, K. H., Oh, B. D., & Lee, K. S. (2013). 청소년 자살예방 정책 연구 [A study of adolescents' suicide prevention policy]. National Youth Policy Institute. Retrieved from http://dbpia.co.kr First citation in articleGoogle Scholar

  • Kim, S., Shim, J., Noh, H., Hwang, H., & Park, H. (2013). The relationship between smoking status and suicidal behavior in Korean adults: The 4th Korea National Health and Nutrition Examination Survey (2007-2009). Korean Journal of Family Medicine, 34(3), 178–189. 10.4082/kjfm.2013.34.3.178 First citation in articleCrossref MedlineGoogle Scholar

  • Korea CDC. (2013). 󈇉차 년 청소년건강행태온라인조사 통계 [9th (2013) Adolescent health status online survey]. Retrieved from http://www.cdc.go.kr/ First citation in articleGoogle Scholar

  • Korean Statistical Information Service. (2010). 15-19살 사망자 가운데 자살 비율 년 [The suicide rates among the people died between 15-19 years old: 2000–2010]. Retrieved from http://kosis.kr First citation in articleGoogle Scholar

  • Lee, C. (2007). An ecological prediction model of bullying behaviors among South Korean middle school students (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses. First citation in articleGoogle Scholar

  • Lee, M., & Larson, R. (2000). The Korean "examination hell": Long hours of studying, distress, and depression. Journal of Youth and Adolescence, 29(2), 249–271. 10.1023/A:1005160717081 First citation in articleCrossrefGoogle Scholar

  • Lee, S. W., & Jang, Y. E. (2011). 학업스트레스가 청소년의 자살생각에 미치는 영향 가족응집성의 조절효과 [A study on the effect of adolescents' academic stress to suicidal ideation: Moderating effect of family cohesion]. 청소년학연구 [Research on Youth Studies], 18(11), 111–136. First citation in articleGoogle Scholar

  • Nam, M. S. (2011). 청소년 자살예방 교육 프로그램이 생명존중의식 자살태도 자살위험성에 미치는 효과 [The effects of suicide preventive program for adolescent on their life-esteem, attitude toward suicide and suicidal risk] (Master's thesis). Retrieved from RISS. First citation in articleGoogle Scholar

  • National Law Information Center. (2012). 자살예방 및 생명존중문화 조성을 위한 법률 [The Suicide Prevention Law]. Retrieved from http://law.go.kr First citation in articleGoogle Scholar

  • Nunnally, J. C. (1978). Psychometric theory. New York, NY: McGraw Hill. First citation in articleGoogle Scholar

  • Park, S. H. (2006). 아동의 학교학업 스트레스 및 과외학업 스트레스와 무력감간의 관계 [A study on the relationship between academic stress and children's helplessness] (Master's thesis). Retrieved from RISS. First citation in articleGoogle Scholar

  • Reid, W. H. (2009). Prognosis after suicide attempt: Standard of care and the consequences of not meeting it. Journal of Psychiatric Practice, 15(2), 141–144. 10.1097/01.pra.0000348367.42042.06 First citation in articleCrossref MedlineGoogle Scholar

  • Reinecke, M. A., DuBois, D. L., & Schultz, T. M. (2001). Social problem solving, mood, and suicidality among inpatient adolescents. Cognitive Therapy & Research, 25(6), 743–756. 10.1023/A:1012971423547 First citation in articleCrossrefGoogle Scholar

  • Roeger, L., Allison, S., Korossy-Horwood, R., Eckert, K., & Goldney, R. (2010). Is a history of school bullying victimization associated with adult suicidal ideation?: A South Australian population-based observational study. The Journal of Nervous and Mental Disease, 198(10), 728–733. 10.1097/NMD.0b013e3181f4aece First citation in articleCrossref MedlineGoogle Scholar

  • Schumacker, R. E., & Lomax, R. G. (2004). A beginner's guide to structural equation modeling. Mahwah, NJ: Lawrence Erlbaum Associates. First citation in articleCrossrefGoogle Scholar

  • Shin, M. S., Park, K. B., Oh, K. J., & Kim, J. S. (1990). 고등학생의 자살성향에 관한 연구 우울 절망 자살간의 구조적 관계에 대한 분석 [The structural relation among depression, hopelessness, and suicidal ideation: A study of suicidal ideation among high school students]. The Korean Journal of Clinical Psychology, 9(1), 1–19. First citation in articleGoogle Scholar

  • Statistics Korea. (2010). 청소년 세 사망원인 [The leading causes of death among adolescents (15–24 years old)]. Retrieved from http://kostat.go.kr/ First citation in articleGoogle Scholar

  • Statistics Korea. (2011a). 사망원인통계 [The leading causes of death]. Retrieved from http://kostat.go.kr/ First citation in articleGoogle Scholar

  • Statistics Korea. (2011b). Youth statistics; 2011. Retrieved from http://kostat.go.kr/ First citation in articleGoogle Scholar

  • Statistics Korea. (2012a). 청소년 건강행태 온라인조사 [Adolescents health status online survey]. Retrieved from http://kostat.go.kr/ First citation in articleGoogle Scholar

  • Statistics Korea. (2012b). 아동 청소년 인권 실태조사 [Children and adolescents human rights survey]. Retrieved from http://kostat.go.kr/ First citation in articleGoogle Scholar

  • Stewart, S. M., Eaddy, M., Horton, S., Hughes, J., & Kennard, B. (2015). The validity of the interpersonal theory of suicide in adolescence: A review. Journal of Clinical Child and Adolescent Psychology, 53, 1–13. 10.1080/15374416.2015.1020542 First citation in articleCrossrefGoogle Scholar

  • Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2(3), 247–274. 10.1080/02699938808410927 First citation in articleCrossrefGoogle Scholar

  • US Department of Health and Human Services. (2002). The national household survey on drug use abuse report: Substance use and the risk of suicide among youths. Retrieved from http://www.oas.samhsa.gov/2k2/suicide/suicide.pdf First citation in articleGoogle Scholar

  • Van Orden, K. A., Cukrowicz, K., Witte, T., & Joiner, T. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological Assessment, 24(1), 197–215. 10.1037/a0025358 First citation in articleCrossref MedlineGoogle Scholar

  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. 10.1037/a0018697 First citation in articleCrossref MedlineGoogle Scholar

  • Yoo, A. J., & Min, H. Y. (1998). 학령기 아동의 일상적 생활 스트레스 척도 개발 [Development of a Daily Hassles Scale for school age children]. Korean Journal of Child Studies, 19(2), 77–96. First citation in articleGoogle Scholar

  • Yoon, S. H. (2010). 자아존중감이 청소년 자살생각에 미치는 영향 [Effects of self-efficacy on suicidal ideation among adolescents] (Master's thesis). Retrieved from RISS. First citation in articleGoogle Scholar