@article{ref1,
title="Suicidality in Chinese adolescents in Hong Kong: the role of family and cultural influences",
journal="Social psychiatry and psychiatric epidemiology",
year="2009",
author="Chan, Wincy S. C. and Law, Chi-Kin and Liu, Ka-Yuet and Wong, Paul W. C. and Law, Yik-wa and Yip, Paul S. F.",
volume="44",
number="4",
pages="278-284",
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. <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-008-0434-x",
url="http://dx.doi.org/10.1007/s00127-008-0434-x"
}