Recent statistics and risk factors of suicide in children and adolescents

Jeon, Hong Jin; Bae, Joomi; Woo, Jong Min

doi:10.5124/jkma.2013.56.2.93

Cited by 19 publications

(12 citation statements)

References 14 publications

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“…Moreover, the 16-item ICG without the items about perception distortion (Item 14, 'Hearing the voice of the person who died' and Item 15 'Seeing the person who died') had a higher internal consistency compared to the ICG-19 items. These differences were likely due to 1) the different ages of participants between the original version (the recently widowed elderly) and the Korean version, 2) cultural differences in Korea, especially among adolescents, in tendency to give socially acceptable answer because Item 14 and Item 15 contain the clear psychopathology such as auditory and visual hallucinations, and 3) differences in the level of intimacy between the original version (partner) and the Korean version (grandparents) ( 2 22 23 ). For the death of the spouse, there might be more reminders of the traumatic grief in the house because they had more chance to live together than for the grandparents in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Suicide is the second leading cause of death among adolescents worldwide and the first cause of death among Korean adolescents. The number of suicides in Korea, especially among high school students and female students, is rapidly increasing when compared with western countries ( 23 ). There had been 250 high school students' deaths or missing after ship sinking accidents in Korea in 2014.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Korean Version of Inventory of Complicated Grief Scale: Psychometric Properties in Korean Adolescents

Han

Lee

Moon³

et al. 2016

J Korean Med Sci

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We aimed to validate the Inventory of Complicated Grief (ICG)-Korean version among 1,138 Korean adolescents, representing a response rate of 57% of 1,997 students. Participants completed a set of questionnaires including demographic variables (age, sex, years of education, experience of grief), the ICG, the Children's Depression Inventory (CDI) and the Lifetime Incidence of Traumatic Events-Child (LITE-C). Exploratory factor analysis was performed to determine whether the ICG items indicated complicated grief in Korean adolescents. The internal consistency of the ICG-Korean version was Cronbach's α=0.87. The test-retest reliability for a randomly selected sample of 314 participants in 2 weeks was r=0.75 (P<0.001). Concurrent validity was assessed using a correlation between the ICG total scores and the CDI total scores (r=0.75, P<0.001). The criterion-related validity based on the comparison of ICG total scores between adolescents without complicated grief (1.2±3.7) and adolescent with complicated grief (3.2±6.6) groups was relatively high (t=5.71, P<0.001). The data acquired from the 1,138 students was acceptable for a factor analysis (Kaiser-Meyer-Olkin Measure of Sampling Adequacy=0.911; Bartlett's Test of Sphericity, χ2=13,144.7, P<0.001). After omission of 3 items, the value of Cronbach's α increased from 0.87 for the 19-item ICG-Korean version to 0.93 for the 16-item ICG-Korean version. These results suggest that the ICG is a useful tool in assessing for complicated grief in Korean adolescents. However, the 16-item version of the ICG appeared to be more valid compared to the 19-item version of the ICG. We suggest that the 16-item version of the ICG be used to screen for complicated grief in Korean adolescents.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Korean Version of Inventory of Complicated Grief Scale: Psychometric Properties in Korean Adolescents

Han

Lee

Moon³

et al. 2016

J Korean Med Sci

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“…When we consider that only about one-eighth teenagers visit to the hospital after self-inflicted injury, suicide-related behaviors are largely hidden at the community level ( 5 17 18 ). Risk factors for suicide in adolescents can be categorized into three classes: sociodemographic, mental health, and individual negative life events and family difficulties ( 2 4 5 19 20 21 22 23 ). However, risk factors for suicide and suicidal behavior in Korean adolescents remain to be determined.…”

Section: Discussionmentioning

confidence: 99%

“…Suicide is a leading cause of death among Korean adolescents ( 1 ). According to the National Evidence-based Healthcare Collaborating Agency, the proportion by suicide among all cause of death increased from 2000 to 2009, from 13.56% to 28.24% between the ages of 15 and 19 yr in Korea ( 2 ). Because a previous suicide attempt is a risk factor for a later successful suicide attempt, appropriate management of such patients is extremely important ( 3 4 5 ).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Discharged Against Medical Advice among Adolescents Self-inflicted Injury and Attempted Suicide in the Korean Emergency Department

et al. 2015

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Suicide is a leading cause of death among Korean adolescents. Many suicide attempting adolescents often are discharged against medical advice in the emergency department. The aim of the present study was to determine the risk factors for discharge against medical advice (DAMA) after self-inflicted injury or attempted suicide in the emergency department. We extracted data on adolescents (10-19 yr old) from the national emergency department information system; we used data from 2007 and 2011. A total of 6,394 adolescents visited EDs after self-inflicted injury or attempted suicide. Among these patients, the median age was 17 yr (Interquatile range, 15-18 yr), 83.2% were between 15-19 yr of age, and 63.3% were female. Poisoning was the most common method of attempted suicide, while hanging and fall were the most common methods of fatality. The rate of DAMA from the ED was 22.8%. Independent risk factors for DAMA included female gender (odds ratio [OR], 1.49), older age adolescents (OR, 1.96), residence in a metropolitan/large city area (OR, 1.49), and discharge at night (OR, 1.38). These risk factors should be considered in establishing management and counseling plans for patients discharged against medical advice by community services and EDs.Graphical Abstract

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“…Studies on suicide among Korean youths have reported that social demographic factors [ 12 , 18 ], mental health factors such as depression, anxiety disorders, ADHD, alcohol and drug abuse [ 18 , 19 , 20 ], and family-related factors [ 18 , 19 , 21 ] were related with suicide. However, recently, stress on academic performance [ 22 ] and bullying [ 23 ] have become more serious in urban areas than in rural areas in Korea.…”

Section: Introductionmentioning

confidence: 99%

Trend of Suicide Rates According to Urbanity among Adolescents by Gender and Suicide Method in Korea, 1997–2012

Choi

Kim

2015

IJERPH

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This study aims to quantifiably evaluate the trend of the suicide rate among Korean adolescents from 1997 to 2012 according to urbanity. We used national death certificates and registration population data by administrative district for 15–19 years-old adolescents. The annual percent change (APC) and average annual percent change (AAPC) were estimated by the Joinpoint Regression Program. The suicide rate in the rural areas was higher than that in the urban areas in both genders (males (/100,000), 12.2 vs. 8.5; females (/100,000), 10.2 vs. 7.4 in 2012). However, the trend significantly increased only in the urban area (AAPC [95% CI]: males 2.6 [0.7, 4.6], females 3.3 [1.4, 5.2]). In urban areas, the suicide rate by jumping significantly increased in both genders (AAPC [95% CI]: males, 6.7 [4.3, 9.1]; females, 4.5 [3.0, 6.1]). In rural areas, the rate by self-poisoning significantly decreased by 7.9% per year for males (95% CI: −12.5, −3.0) and the rate by hanging significantly increased by 10.1% per year for females (95% CI: 2.6, 18.2). The trend and methods of suicide differ according to urbanity; therefore, a suicide prevention policy based on urbanity needs to be established for adolescents in Korea.

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Recent statistics and risk factors of suicide in children and adolescents

Cited by 19 publications

References 14 publications

Korean Version of Inventory of Complicated Grief Scale: Psychometric Properties in Korean Adolescents

Korean Version of Inventory of Complicated Grief Scale: Psychometric Properties in Korean Adolescents

Risk Factors of Discharged Against Medical Advice among Adolescents Self-inflicted Injury and Attempted Suicide in the Korean Emergency Department

Trend of Suicide Rates According to Urbanity among Adolescents by Gender and Suicide Method in Korea, 1997–2012

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