175857 Risk factors for early emergence of children's suicide ideation: Results from the CABLE study

Monday, October 27, 2008: 3:24 PM

Yi-Chen Chiang, PhD , School of Public Health, Chung Shan Medical University, Taichung, Taiwan
Lee-Lan Yen, ScD , Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan
Hsing-Yi Chang , Center for Health Policy Research and Development, National Health Research Institutes, Miaoli County, Taiwan
The purpose of this study was to investigate risk factors related to early emergence of suicide ideation among school children over a five-year period. Data derived from the CABLE study (Child and Adolescent Behaviors in Long-term Evolution); a longitudinal study carried out from 2001 (when the study sample were in grade 4) to 2005 (when the study sample were in grade 8). The sample size for this study included the 1,532 school children who had been followed for five years and had completed the questions on suicide ideation each year. Data was analyzed using survival analysis including Kaplan-Meier survival curves, the log-rank test, and extended Cox proportional hazards models. Based on the extended Cox model, risk factors associated with the early emergence of suicide ideation were living in an urban area, having higher or more depressive emotions or social loneliness, having a more emotionally labile personality, heavy or worsening substance abuse, mother with a higher education level, having a lower or worsening level of family interaction, and having a greater likelihood of being punished by parents. It was found that the initiation of suicide ideation among children was related to multiple factors. Preventive strategies and support systems are important means of dealing with this issue. It is important that parents learn and use appropriate parenting styles and that school teachers are trained to recognize and assist children with social isolation, depressive emotions, or substance abuse. Providing children with a supportive environment is an essential part of promoting youth mental health.

Learning Objectives:
Identify the risk factors for early emergence of children’s suicide ideation.

Keywords: Adolescents, Suicide

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the first author. I got my PhD degree last summer.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.