Predictors of Suicidal Thoughts and Attempts among School-Going Thai Adolescents: A Sex-Specific Structural Equation Modelling Analysis.

IF 2.3 3区医学 Q2 PSYCHIATRY Child Psychiatry & Human Development Pub Date : 2024-11-23 DOI:10.1007/s10578-024-01790-3

Omid Dadras

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Abstract

Adolescent suicide is a growing public health concern in Thailand. Identifying predictors of suicidal behaviors is essential for targeted prevention strategies. Using Structural Equation Modeling, this study explores the predictors of suicidal thoughts and attempts among a sample of 5657 Thai adolescents in grades 7-12, typically representing the age group 13-17 years, with nearly equal proportions of males (47%) and females (53%) participants. Data from the Thailand Global School-based Student Health Survey (GSHS) 2021 were analyzed. Explanatory Factor Analysis (EFA) identified key constructs, followed by SEM stratified by sex to examine relationships between constructs and suicidal behaviors. Reliability and validity were assessed using Cronbach's α and SEM fit indices. EFA identified five constructs: current substance use, history of violence, experiences of bullying, parental awareness, and poor mental health. SEM revealed poor mental health as a significant predictor for both sexes. Substance use, experiences of bullying, and a history of violence predicted suicidal behaviors in females. Parental vigilance was only a protective factor for males. The findings underscore the importance of gender-specific interventions and comprehensive mental health support to address the unique vulnerabilities of Thai adolescents, reducing suicidal thoughts and attempts.

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泰国在校青少年自杀想法和自杀未遂的预测因素：针对不同性别的结构方程模型分析》。

在泰国，青少年自杀是一个日益严重的公共卫生问题。确定自杀行为的预测因素对于制定有针对性的预防策略至关重要。本研究采用结构方程模型，在 5657 名泰国 7-12 年级青少年样本中探讨了自杀想法和自杀企图的预测因素，这些青少年通常代表 13-17 岁年龄组，其中男性（47%）和女性（53%）所占比例几乎相等。我们对泰国 2021 年全球校本学生健康调查（GSHS）的数据进行了分析。通过解释性因子分析（EFA）确定了关键构念，然后通过按性别分层的 SEM 研究构念与自杀行为之间的关系。使用 Cronbach's α 和 SEM 拟合指数评估了信度和效度。EFA 确定了五个构念：当前药物使用、暴力史、欺凌经历、父母意识和不良心理健康。SEM 显示，心理健康状况不佳对男女学生都有显著的预测作用。药物使用、欺凌经历和暴力史预测了女性的自杀行为。父母的警觉性仅是男性的保护因素。研究结果表明，针对不同性别的干预措施和全面的心理健康支持对解决泰国青少年独特的脆弱性、减少自杀念头和自杀企图非常重要。

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来源期刊

Child Psychiatry & Human Development Multiple-

CiteScore

0.50

自引率

3.40%

发文量

174

期刊介绍： Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.