Influence of stressors and possible pathways of onset of seventh graders’ suicidal ideation in urban and rural areas in Taiwan

BMC Public Health

Hsing-Yi Chang⁴  Baai-Shyun Hurng²  Dai-Chan Lin³  Chi-Chen Wu⁴  Lee-Lan Yen⁴  Tony Szu-Hsien Lee⁵  Yi-Chen Chiang¹ 

[1] Department of Family and Community Medicine, Chung Shan Medical University Hospital, Tai-Chung, Taiwan;Health Promotion Administration, Ministry of Health and Welfare, Taichung, Taiwan;School of Public Health, Chung Shan Medical University, Tai-Chung, Taiwan;Institute of Population Health Sciences, National Health Research Institutes, No.35, Keyan Rd., Zhunan Township, Miaoli County 350, Taiwan;Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan

关键词: Rural;    Urban;    Stressor;    Adolescent;    Suicidal ideation;    Taiwan;   

Others  :  1161391
DOI  :  10.1186/1471-2458-13-1233

 received in 2013-05-28, accepted in 2013-12-18,  发布年份 2013

【 摘 要 】

Background

Suicide is the second leading cause of death among young people in Taiwan. However, few studies have investigated children’s suicidal ideation, and longitudinal studies are particularly rare. The purposes of this study were: (1) to describe the proportion of students with suicidal ideation in one month and incidence of suicidal ideation in the 7th graders (the first year of junior high school) living in urban and rural areas; (2) to realize the influence of perceived stressors on the onset of 7th graders’ suicidal ideation; and (3) to explore possible pathways through which trigger factors and perceived stressors lead to suicidal ideation.

Methods

A total of 1,589 students were followed from grade 4 to grade 7. Logistic regression was then used to investigate the influence of perceived stressors on the onset of suicidal ideation in grade 7. Structural equation modeling was used to analyze possible pathways through which trigger factors led to increased pressure from certain stressors which in turn resulted in suicidal ideation.

Results

The proportion of students with suicidal ideation in one month was 2 to 3 times higher in both areas compared to that in elementary school. However, the incidence in the rural area showed a large increase from 10.2% and 9.5% in grades 5 and 6 to 15.5% in grade 7. Urban–rural difference was observed. Important stressors and pathways of suicidal ideation differ between urban and rural areas.

Conclusions

This study showed that the influential stressors in urban and rural areas might be different. Thus, interventions focused on coping skills for regional specific stressors and trigger factors could be beneficial in the transition time.

【 授权许可】

   
2013 Chiang et al.; licensee BioMed Central Ltd.

【 图 表 】

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