Temperament, parenting, mental disorders, life stressors and help-seeking behavior of Asian adolescent suicide attempters: A case control study

PurposeThe need to elucidate risk factors for adolescent suicide is urgent, as suicide consistently ranks among the top causes of death globally. Understanding suicide risk factors could inform more effective interventions. Previous studies have identified certain risk factors associated with suicid...

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Main Authors: John Chee Meng Wong, Christel Lynne Chang, Liang Shen, Nyein Nyein, Adrian Seng Wei Loh, Natalie Huijing Yap, Leoniek Mirjam Kroneman, Lei Feng, Chay Hoon Tan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.999089/full
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author John Chee Meng Wong
John Chee Meng Wong
Christel Lynne Chang
Liang Shen
Nyein Nyein
Adrian Seng Wei Loh
Natalie Huijing Yap
Leoniek Mirjam Kroneman
Lei Feng
Lei Feng
Lei Feng
Chay Hoon Tan
Chay Hoon Tan
author_facet John Chee Meng Wong
John Chee Meng Wong
Christel Lynne Chang
Liang Shen
Nyein Nyein
Adrian Seng Wei Loh
Natalie Huijing Yap
Leoniek Mirjam Kroneman
Lei Feng
Lei Feng
Lei Feng
Chay Hoon Tan
Chay Hoon Tan
author_sort John Chee Meng Wong
collection DOAJ
description PurposeThe need to elucidate risk factors for adolescent suicide is urgent, as suicide consistently ranks among the top causes of death globally. Understanding suicide risk factors could inform more effective interventions. Previous studies have identified certain risk factors associated with suicide, but there is a paucity of research among adolescent and multi-ethnic Asian populations.Materials and methodsThis case-control study sampled 13-to-19-year-old Asian adolescents who had attempted suicide (N = 60) and controls (N = 58) matched by age, ethnicity and gender at group-level (73.7% female). Life stressors, temperament, parenting style, mental health conditions and help-seeking behavior were examined.ResultsAll domains of life stress apart from emerging adult responsibility were higher among cases than controls, especially home life, peer pressure and romantic relationships. Suicide attempters tended to avoid new situations, be less adaptable to changes, have a negative outlook and irregular sleep-wake cycle. Additionally, they perceived their parents to be significantly more aggressive, neglecting, rejecting and cold, while parents’ perceptions of their own parenting were only significantly different in the domain of parental neglect. Cases were more likely to exhibit disorders of disruptive behavior, eating, mood, anxiety, symptoms of schizophrenia and experience of disturbing events. Significant differences were also found for 10 out of 12 Axis II disorders, particularly borderline, depressive, and avoidant personality disorder traits. No significant case-control differences were found regarding overall rates of help-seeking.ConclusionFindings from this study may help in suicide prevention efforts through more tailored interventions.
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spelling doaj.art-d11c5b419c0b4988920ea55e9545bbff2022-12-22T04:27:11ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-09-011310.3389/fpsyt.2022.999089999089Temperament, parenting, mental disorders, life stressors and help-seeking behavior of Asian adolescent suicide attempters: A case control studyJohn Chee Meng Wong0John Chee Meng Wong1Christel Lynne Chang2Liang Shen3Nyein Nyein4Adrian Seng Wei Loh5Natalie Huijing Yap6Leoniek Mirjam Kroneman7Lei Feng8Lei Feng9Lei Feng10Chay Hoon Tan11Chay Hoon Tan12Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Psychological Medicine, National University Health System, Singapore, SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeBiostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Psychological Medicine, National University Health System, Singapore, SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeHealthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeCentre for Healthy Longevity, National University Health System, Singapore, SingaporeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporePurposeThe need to elucidate risk factors for adolescent suicide is urgent, as suicide consistently ranks among the top causes of death globally. Understanding suicide risk factors could inform more effective interventions. Previous studies have identified certain risk factors associated with suicide, but there is a paucity of research among adolescent and multi-ethnic Asian populations.Materials and methodsThis case-control study sampled 13-to-19-year-old Asian adolescents who had attempted suicide (N = 60) and controls (N = 58) matched by age, ethnicity and gender at group-level (73.7% female). Life stressors, temperament, parenting style, mental health conditions and help-seeking behavior were examined.ResultsAll domains of life stress apart from emerging adult responsibility were higher among cases than controls, especially home life, peer pressure and romantic relationships. Suicide attempters tended to avoid new situations, be less adaptable to changes, have a negative outlook and irregular sleep-wake cycle. Additionally, they perceived their parents to be significantly more aggressive, neglecting, rejecting and cold, while parents’ perceptions of their own parenting were only significantly different in the domain of parental neglect. Cases were more likely to exhibit disorders of disruptive behavior, eating, mood, anxiety, symptoms of schizophrenia and experience of disturbing events. Significant differences were also found for 10 out of 12 Axis II disorders, particularly borderline, depressive, and avoidant personality disorder traits. No significant case-control differences were found regarding overall rates of help-seeking.ConclusionFindings from this study may help in suicide prevention efforts through more tailored interventions.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.999089/fulladolescentrisk factor (RF)suicide attempt (SA)temperamentparentingmental disorder (disease)
spellingShingle John Chee Meng Wong
John Chee Meng Wong
Christel Lynne Chang
Liang Shen
Nyein Nyein
Adrian Seng Wei Loh
Natalie Huijing Yap
Leoniek Mirjam Kroneman
Lei Feng
Lei Feng
Lei Feng
Chay Hoon Tan
Chay Hoon Tan
Temperament, parenting, mental disorders, life stressors and help-seeking behavior of Asian adolescent suicide attempters: A case control study
Frontiers in Psychiatry
adolescent
risk factor (RF)
suicide attempt (SA)
temperament
parenting
mental disorder (disease)
title Temperament, parenting, mental disorders, life stressors and help-seeking behavior of Asian adolescent suicide attempters: A case control study
title_full Temperament, parenting, mental disorders, life stressors and help-seeking behavior of Asian adolescent suicide attempters: A case control study
title_fullStr Temperament, parenting, mental disorders, life stressors and help-seeking behavior of Asian adolescent suicide attempters: A case control study
title_full_unstemmed Temperament, parenting, mental disorders, life stressors and help-seeking behavior of Asian adolescent suicide attempters: A case control study
title_short Temperament, parenting, mental disorders, life stressors and help-seeking behavior of Asian adolescent suicide attempters: A case control study
title_sort temperament parenting mental disorders life stressors and help seeking behavior of asian adolescent suicide attempters a case control study
topic adolescent
risk factor (RF)
suicide attempt (SA)
temperament
parenting
mental disorder (disease)
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.999089/full
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