Citation

Kim J, Hong SH, Hong HJ. J. Korean Acad. Child Adolesc. Psychiatry 2020; 31(4): 177-184.

Copyright

(Copyright © 2020, Korean Academy of Child and Adolescent Psychiatry)

DOI

10.5765/jkacap.200028

PMID

33110354 PMCID

Abstract

OBJECTIVES: This study aims to examine the effect of adolescent suicide survivors' experience on suicide death risk, and the effect of referral to mental health services (hereafter referral) in this regard.

Methods: This study used the data of 878 suicide-deceased and suicide-attempted adolescents aged 8-19 years, managed by the Suicide and School Mental Health Institute from 2016 to 2018.

Results: Regression analysis for main effects showed that although suicide experience had no direct effect on suicide death, non-referral status was associated with a greater risk of death by suicide. While the "non-suicide survivor with non-referral" and "suicide survivor with non-referral" groups showed 1.87 [adjusted odds ratio=1.87, 95% confidence interval (CI)=1.21-2.89] and 4.59 (adjusted odds ratio= 4.59, 95% CI=2.02-10.42) times higher odds of suicide death, respectively, the "suicide survivor with referral" group showed no difference compared to the "non-suicide survivor with referral" group.

Conclusion: From these findings, there is a need to strengthen referral to mental health services and apply complicated grief treatment to improve the mental health of adolescent suicide survivors.

Language: en

Keywords

Adolescent; Suicide, Attempted; Bereavement; Referral and consultation; Suicide, Completed