Predictive validity of the Chinese version of the Adult Suicidal Ideation Questionnaire: Psychometric properties and its short version (original) (raw)
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Health and Quality of Life Outcomes, 2014
Background: This study aims to validate the Chinese version of the Reynolds' Suicidal Ideation Questionnaire (SIQ) in a Chinese society and explore a convenient short version. Methods: A sample of 711 cases was derived from two territory-wide surveys of Hong Kong adolescents aged between 15 and 19 years old. Results: The SIQ and the Suicidal Ideation Questionnaire-Junior (SIQ-JR) demonstrated good reliability and concurrent validity among Hong Kong adolescents. However, the factor structure for both SIQ and SIQ-JR appeared to be unclear. A four-item short form of the SIQ-JR, namely, SIQ-JR-4, was proposed. Conclusion: The SIQ-JR-4 is an ideal substitute of the SIQ/SIQ-JR for future quick assessment of suicidal ideation in Chinese young adolescents.
Understanding suicidality and correlates among Chinese secondary school students in Hong Kong
Health Promotion International, 2009
Suicide has become a leading cause of mortality and morbidity for adolescents in Hong Kong. This study investigated the factors associated with suicidal ideation and attempt among the secondary school students in Hong Kong by studying a representative sample of 3383 students with a self-administered questionnaire and analysed by multiple logistic regressions analysis. Youth risk behaviours, such as heavy smoking, episodic heavy alcohol drinking, early sexual experience, and feeling hopeless, were found to be associated with both suicidal thoughts and attempts, with 'misuse of drugs' as discriminating factor that solely related to attempt and 'involvement in physical fight' solely related to suicidal thoughts. Addition of suicidal ideation is a significant explanatory variable of suicidal attempt over and above health risk behaviours. Stratified analysis of upper and lower secondary students would give better understanding of significance of various risk factor for different age groups. The disturbing prevalence of suicidal behaviour and its coexistence with other high-risk behaviour in secondary school students have implications for teachers, youth workers and public health practitioners to develop and evaluate programmes for suicide prevention.
2010
Rudd's cognitive-behavioral theory of suicidality, the relationships between hopelessness (cognitive component), social problem solving (cognitive-behavioral component), emotional competence (emotive component), and adolescent suicidal ideation were examined. Based on the responses of 5,557 Secondary 1 to Secondary 4 students from 42 secondary schools in Hong Kong, results showed that suicidal ideation was positively related to adolescent hopelessness, but negatively related to emotional competence and social problem solving. While standard regression analyses showed that all the above variables were significant predictors of suicidal ideation, hierarchical regression analyses showed that hopelessness was the most important predictor of suicidal ideation, followed by social problem solving and emotional competence. Further regression analyses found that all four subscales of emotional competence, i.e., empathy, social skills, self-management of emotions, and utilization of emotions, were important predictors of male adolescent suicidal ideation. However, the subscale of social skills was not a significant predictor of female adolescent suicidal ideation. Standard regression analysis also revealed that all three subscales of social problem solving, i.e., negative problem orientation, rational problem solving, and impulsiveness/carelessness style, were important predictors of suicidal ideation. Theoretical and practice implications of the findings are discussed.
Suicidality in Chinese adolescents in Hong Kong: the role of family and cultural influences
Social Psychiatry and Psychiatric Epidemiology, 2009
j 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.
Suicidality and correlates among rural adolescents of China
Journal of Adolescent Health, 2005
Despite high rates of suicide in rural youths of China, little is known about the epidemiological characteristics of suicidal behaviors among this group of population. This study examined the prevalence and correlates of suicidality among Chinese adolescents. Methods: An epidemiological survey was conducted in a sample of 1,362 adolescents from 5 high schools in a prefecture of Shandong, China. We obtained data using a structured questionnaire asking about suicidal behaviors, life stress, locus of control, depression, aggression, and individual and family characteristics. Data were analyzed using logistic regression models. Results: Overall, 19% of the sample reported having suicidal ideation, and 7% reported having made a suicide attempt during the past 6 months. The prevalence rates of suicidal behaviors significantly increased over age. Female adolescents were more likely to report suicidal ideation than males, and older females (ages 16-18) were more likely to report suicide attempts than older males. Multivariate logistic regression models showed that female gender, older age, boarding in school, life stress, depression, and external locus of control were significantly associated with increased risk for suicidal ideation, while older age, life stress, external locus of control, poor academic performance, depression, and aggression were related to suicide attempts. Conclusions: Suicidal behaviors are common problems in rural adolescents of China. Female adolescents are particularly prone to report suicidal ideation and suicide attempts as they age. Multiple psychosocial factors are associated with suicidal behaviors, and psychopathology and life stress may play major roles in suicidal behaviors among rural adolescents of China.
Determinants of Suicidal Ideation in Taiwanese Urban Adolescents
Journal of the Formosan Medical Association, 2008
Youth suicide is one of the most serious mental health, social and economic problems, and it continues to be an important public health problem in Taiwan. During the past 10 years, suicide has ranked as the second or third leading cause of death among youths aged 15-24 years in Taiwan. 1 Similarly, suicide is the third leading cause of death among youths aged 10-24 years in the US. 2 Although the prevalence of suicide is quite low among children aged 10-14 years, a dramatic increase has been noticed with a 120% increase in the US between 1980 and 1992. 3 The prevalence of suicidal ideation in community-based adolescents is not rare. Kann et al 4 found that about 24.1% and 19% of youth had experienced suicidal ideation and had made specific plans to attempt suicide respectively during the 12 months preceding the investigation.
Personal and Family Correlates of Suicidal Ideation Among Chinese Adolescents in Hong Kong
Social Indicators Research, 2010
Based on the family ecological model, personal (hopelessness, social problem solving, emotional competence) and family (parent-adolescent communication, family functioning) quality of life measures related to adolescent suicidal ideation were examined in 5,557 Secondary 1 to Secondary 4 students in Hong Kong. Results showed that suicidal ideation was positively related to adolescent hopelessness but negatively related to emotional competence, social problem solving, father-adolescent communication, mother-adolescent communication and family functioning. Multiple regression analyses showed that hopelessness was the most important predictor of adolescent suicidal ideation, followed by mother-adolescent communication, family functioning, social problem solving, father-adolescent communication, and emotional competence. Path analyses with and without direct effects showed that hopelessness mediated the effect of personal and family correlates on adolescent suicidal ideation.
Suicidality Among High School Students in Hong Kong, SAR
Suicide and Life-threatening Behavior, 2004
Suicide is the leading cause of death in Hong Kong SAR for the youth aged 15-24. This study examined the prevalence of suicidality among secondary school students in Hong Kong using a representative, territory-wide sample of 2,586 students. Suicidal behaviors can be conceptualized as a spectrum of self-destructive behaviors. Cumulative logit model analysis indicated that a range of factors, such as unhappy family life, were associated with increasing levels of suicidality. Use of illicit drugs, inhalants, and tobacco differentiated attempters from ideators. The implications of the research findings are discussed.
Suicidality among Chinese college students: A cross-sectional study across seven provinces
PLOS ONE, 2020
Background Although the suicide rate in China has decreased over the past 20 years, there have been reports that the younger age group has been experiencing an increased incidence of completed suicide. Given that undergraduate groups are at higher risks of suicidality, it is important to monitor and screen for risk factors for suicidal ideation and behaviors to ensure their well-being. Objective To examine the risk and protective factors contributing to suicidality among undergraduate college students in seven provinces in China. Methods We conducted a cross-sectional study involving 13,387 college students from seven universities in Ningxia, Shandong, Shanghai, Jilin, Qinghai, Shaanxi, and Xinjiang. Data were collected using self-report questionnaires. Results Higher scores in the psychological strain, depression, anxiety, stress, and psychache (psychological risk factors for suicidality) and lower scores in self-esteem and purpose in life (psychological protective factors against suicidality) were associated with increased suicidality among undergraduate students in China. Demographic factors which were associated with higher risks of suicidality were female gender, younger age, bad academic results,
Suicide Ideation In Chinese Adolescents
Social Psychiatry and Psychiatric …, 2002
Although there is some disagreement about actual rates ofsuicide in China as a whole,the rate is widely believed to be around 30/100,000 per year [1]. This represents three times the global average and,with a population of around 1.3 billion, it means that China accounts for ...