Using a Resilience Protective Model to Explore the Factors Associated with Suicide Ideation among High School Adolescents in Taiwan

• Main Authors: Hui-Wen Huang, 黃慧文
• Other Authors: Ruey-Hsia Wang
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/7u2eh7

博士 === 高雄醫學大學 === 護理學系博士班 === 105 === The resilience protective model indicated that protective factors moderate the association between risk factors and negative outcome. However, few studies have examined the association between factors and suicide ideation among adolescents by resilience protective model. The purposes of this study were to (1) examine the status of adolescent demographic data, risk factors (depressive symptom, life stress, and emotion-focus coping) and protective factors (self-esteem and problem-focus coping); (2) examine the association between risk factors and suicide ideation among adolescents; (3) examine the association between protective factors and suicide ideation among adolescents; and (4) examine the protective factors as moderators between risk factors and suicide ideation. This was a cross–sectional, correlated and descriptive research design. The participants of this study were grade 9-11 grade students in high schools. This study was conducted from September 2016 to October 2016 in four high schools in the southern area of Taiwan. Simple random sampling was used to select 390 participants, who were asked to complete a self-reported questionnaire. The questions included depressive symptoms, life stress, emotion-focus coping, self-esteem, problem-focus coping, suicide ideation and demographic data. The reliability and validity of the questionnaire has been evaluated for internal consistency, test-retest reliability, content validity and construct validity. The software SPSS 20.0 was employed to perform data analyses. Data analysis was to be performed by using descriptive analysis, independent t-test, Pearson’s correlation, and hierarchical regression. Univariate analysis indicated that sex, mother’s occupation, depressive symptoms, life stress, self-esteem and problem-focus coping were significantly associated with suicide ideation. Hierarchical multiple regression indicated that depressive symptoms and emotion-focus coping were positively associated with suicide ideation. This study also found that the relationship between depressive symptoms and suicide ideation was significantly moderated by self-esteem. The relationship between emotion-focus coping and suicide ideation was significantly moderated by problem-focus coping. Healthcare providers and school personnel should consider school-based programs to improve self-esteem and to teach adolescents under stress to use problem-focus coping in order to reduce suicide ideation in those adolescents with depression and emotion-focus coping.