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- Title
Thai Adolescent Suicide Risk Behaviors: Testing a Model of Negative Life Events, Rumination, Emotional Distress, Resilience and Social Support.
- Authors
Thanoi, Wareerat; Phancharoenworakul, Kobkul; Thompson, Elaine A.; Panitrat, Rungnapa; Nityasuddhi, Dechavudh
- Abstract
This study investigated, by way of a predictive model, the simultaneous influence of perceived negative life events, rumination, resilience and social support on emotional distress, and the mediating effects of emotional distress on suicide risk behaviors among Thai adolescents. Cognitive Theory and Response Style Theory of Depression served as the conceptual framework. A multi-stage, random sampling technique was used to select 1,417 adolescents attending 12 high schools in Bangkok, Thailand. Data were collected by a set of self-report questionnaires including the: Personal Profile; Thoughts, Feelings and Experiences Questionnaire; Rumination Response Scale; State-Trait Resilience Inventory; Multidimensional Scale of Perceived Social Support; and, Negative Events Scale. The results of LISREL structural equation modeling revealed the model fit the data well (Chi-Square = 225.48; df = 194; p = 0.0602; GFI = 0.982; AGFI = 0.967; RMSEA = 0.013). The variance accounted for 41.9 % of the adolescents' suicide risk behaviors. This model showed that negative life events and rumination had significant indirect effects on suicide risk behaviors through emotional distress. Importantly, resilience and social support could reduce the influencing effects of all variables, because they mediated the effects of rumination and negative life events on emotional distress, which could lead to a decrease in suicide risk behaviors. The findings illustrate the knowledge and understanding of means that could be manipulated by nursing interventions, in order to decrease suicide risk behaviors among adolescents, as well as promote optimal mental health in this vulnerable population.
- Subjects
BANGKOK (Thailand); THAILAND; SUICIDE; ADOLESCENCE; LIFE change events; PSYCHOLOGICAL distress; SOCIAL support; STATISTICAL sampling; STRUCTURAL equation modeling
- Publication
Pacific Rim International Journal of Nursing Research, 2010, Vol 14, Issue 3, p187
- ISSN
1906-8107
- Publication type
Article