Suicidality in Chinese adolescents in Hong Kong: the role of family and cultural influences

Soc Psychiatry Psychiatr Epidemiol. 2009 Apr;44(4):278-84. doi: 10.1007/s00127-008-0434-x. Epub 2008 Oct 4.

Abstract

Background: Adolescent suicidal ideation has found to predict suicidal behaviors and psychopathology in adulthood. Previous studies focused solely on the medical and environmental risk factors, which were insufficient to give a holistic picture of adolescent suicidality.

Objectives: To assess the role of affective and cognitive attributes in the identification and prevention of adolescent suicidal ideation.

Method: A community sample of 511 participants (age 15-19 years) were asked to indicate their suicidality in the 12 months and in their lifetime. Generalized estimating equation regression models were used to examine the effect of psychosocial and socio-environmental correlates in relation to adolescent suicidal ideation.

Results: The data show that perceived responsibilities for family was the only protective factor, while a coping mechanism by behavioral disengagement, severity of depressive symptoms, a history of deliberate self-harm, chronic physical illness or pain, media reporting of suicide news, and low household income were the risk factors for adolescent suicidal ideation.

Conclusions: The results suggest that a multilayer effort for preventing adolescent suicide is needed by providing support for children in deprived families; enhancing life skills in the teens; strengthening family relationship; improving mental and health services; and promoting responsible media reporting on suicide.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Culture*
  • Family Relations*
  • Female
  • Hong Kong / epidemiology
  • Humans
  • Interviews as Topic
  • Male
  • Suicide / ethnology
  • Suicide / trends*
  • Surveys and Questionnaires
  • Young Adult