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J Korean Acad Psychiatr Ment Health Nurs > Volume 18(4); 2009 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2009;18(4):418-430.
DOI: https://doi.org/10.12934/jkpmhn.2009.18.4.418    Published online December 31, 2009.
A Structural Model of Impulsive Suicidal Ideation in Adolescents
Jung Nam Sohn
Associate Professor, Department of Nursing, Hanseo University
청소년의 충동적 자살생각에 대한 모형 구축
손정남
한서대학교 간호학과 부교수
Correspondence:  Jung Nam Sohn, Tel: 82-41-660-1072, Fax: 82-41-660-1087, 
Email: jnsohn@hanseo.ac.kr
Received: 9 September 2009   • Revised: 9 October 2009   • Accepted: 2 December 2009
Abstract
Purpose
This study was designed to construct a structural model of impulsive suicidal ideation in adolescents.
Methods
The subjects consisted of 601 adolescents. Data was collected by questionnaires from July 1 st, 2008 to July 24th, 2008. Data analysis was done with SPSSA/VIN 10.0 for descriptive statistics and a PC-LISREL 8.53 program for Covariance structural analysis.
Results
According to the modified model, depression was found to have the most significant direct effect on suicidal ideation. Hopelessness, use of alcohol, and anger expression were also found to have a significant direct effect on suicidal ideation. Life stress, hopelessness, social support, abuse experience, anger expression, and impulsiveness were found to have a significant indirect effect on suicidal ideation. The variables of this modified model explained 48% of the variance in suicidal ideation.
Conclusion
These results suggest that adolescents' suicidal ideation can be decreased by managing depression, hopelessness, life stress, drinking, and impulsiveness and increasing social support and anger management. Based on the outcomes of this study, it is necessary to develop educational contents for a gatekeeper and prevention program for suicide.
Key Words: Structural model; Impulsive behavior; Suicide; Adolescent


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