The Prevalence and Related Factors of Adolescent Suicide in HuNei, Taiwan

Autor: Ming-Shun Chung, 鍾明勳
Rok vydání: 2008
Druh dokumentu: 學位論文 ; thesis
Popis: 96
Objectives: The aim of this study is to estimate the prevalence of suicidal risk among school children aged 10-15. We also find the associated factors for adolescent suicidal risk. At the same time, a screening tool for adolescent suicidal risk is developed. Methods: This is a school-based, cross-sectional study with two stages of diagnosis. All of the students in the 5th to 9th grade filled the questionnaires in the first stage and half of the students were interviewed by psychiatrists for psychiatric diagnosis and assessing suicidal risk in the second stage .According to the diagnosis in the second stage and the self-reported data, simple screening questionnaires was developed and the validity was estimated. The prevalence of adolescent suicidal risk was estimated with the validity of the questionnaires. The associated factors were found by analying the data collected in the second stage. Results: There were 1106 students jointing in the first screening stage and 607 students interviewed in the second stage. The prevalence of the student with suicidal risk was 18.0% .The associated factors were female, higher grade and sleeping disturbance. However, sleeping disturbance became non-significant after adjusted for depressive disorder and adjustment disorder. The simple screening questionnaire including in recent one week “I want to cry frequently”,” I have bad mood”, “I have poor sleep”, “I feel irritable”and “I can not think positively, even have some idea of death” was developed in this study. Any three of the five was positive with a sensitivity of 70.4%, a specificity of 66.8%, a positive predictive value of 31.5% and a negative predictive value of 91.3%. Conclusions: We found the prevalence of the students aged 10-15 was quite high and it needed more attention. It needed large professional efforts to make a diagnosis for derpessive disorders and adjustment disorder. In this study, we developed a simple screening questionnaire to find the risky group for early intervention.
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