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Abstract
Purpose
In South Korea, suicide mortality has rapidly increased, so it has become a major public health concern. Multicultural adolescents are regarded as a high-risk group due to their situation. In this study, we compared the prevalence and risk factors of suicide ideation between Korean and multicultural adolescents.
Methods
Data from the eleventh Korean Youth Risk Behavior Web-based Survey (2015), collected by the Korean Centers for Disease Control and Prevention, were statistically analyzed using the descriptive statistics and multivariate logistic regression. The total participants were 63,376 in numbers. They were composed of 62,649 (98.9%) Korean and 727 (1.1%) multicultural adolescents.
Results
I found that the prevalence of suicide ideation was significantly higher among the multicultural adolescents (15.8%) compared with those of Korean (11.3%). The risk factors of suicide ideation in the Korean group were co-residence without family, poor perceived health status, depressive mood, high stress level, poor perceived happiness level, and experience of violence. Conversely, the risk factors of the multicultural group were smoking, depressive mood, and experience of violence.
References
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Table 1.
Demographic Characteristics and Prevalence of Suicide Ideation of Participants (N=63,376)
| Variables | Categories | Korean adolescents | Multicultural adolescents | x2 or t (p) |
|---|---|---|---|---|
| M±SD, n (%) | M±SD, n (%) | |||
| Age (year) | 15.07±0.02 | 14.85±0.06 | 2.77 (.006) | |
| Gender | Male | 32,339 (52.0) | 376 (54.2) | 1.24 (.280) |
| Female | 30,310 (48.0) | 351 (45.8) | ||
| Area of residence | Rural | 4,864 (5.9) | 172 (15.1) | 95.47 (＜.001) |
| Large city | 27,941 (43.8) | 232 (35.1) | ||
| Small/Medium city | 29,844 (50.2) | 323 (49.8) | ||
| Economic status | Low | 9,398 (15.0) | 206 (28.1) | 92.42 (＜.001) |
| Medium | 29,805 (47.4) | 352 (46.4) | ||
| High | 23,446 (37.6) | 169 (25.5) | ||
| Co-residence status | Lives with family | 60,116 (96.4) | 640 (86.6) | 165.75 (＜.001) |
| Lives without family | 2,533 (3.6) | 87 (13.4) | ||
| Academic performance | Low | 20,815 (33.4) | 315 (43.3) | 26.84 (＜.001) |
| Medium | 17,709 (28.3) | 177 (24.1) | ||
| High | 24,125 (38.3) | 235 (32.6) | ||
| Perceived health | Bad | 3,477 (5.6) | 52 (7.0) | 10.09 (.003) |
| Moderate | 13,256 (21.3) | 183 (25.6) | ||
| Good | 45,916 (73.1) | 492 (67.4) | ||
| Present drinking† | No | 14,806 (59.8) | 145 (57.6) | 0.46 (.493) |
| Yes | 9,784 (40.2) | 110 (42.4) | ||
| Present smoking† | No | 5,832 (56.9) | 70 (44.9) | 8.18 (.004) |
| Yes | 4,358 (43.1) | 76 (55.1) | ||
| Happiness perception | Unhappy | 4,770 (7.8) | 77 (10.9) | 9.70 (.005) |
| Moderate | 16,248 (26.3) | 192 (27.6) | ||
| Happy | 41,631 (65.9) | 458 (61.5) | ||
| Mental stress | Not feel | 13,175 (20.7) | 146 (18.8) | 11.47 (.002) |
| Moderate | 27,667 (44.3) | 285 (39.6) | ||
| Much feel | 21,807 (35.1) | 296 (41.6) | ||
| Depression | No | 48,287 (76.9) | 532 (72.1) | 7.74 (.003) |
| Yes | 1,4362 (23.1) | 195 (27.9) | ||
| Experience of violence | No | 61,542 (98.1) | 675 (91.8) | 126.06 (＜.001) |
| Yes | 1,197 (1.9) | 52 (8.2) | ||
| Suicide ideation | No | 55,654 (88.7) | 622 (84.2) | 12.06 (.001) |
| Yes | 6,995 (11.3) | 105 (15.8) | ||
| Total | 62,649 (98.9) | 727 (1.1) |
Table 2.
Association between Variables and Suicide Ideation (Yes) by Family Origin
Table 3.
Determinants of Suicide Ideation by Family Origin
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