Korean J Fam Med 2017; 38(4): 213-219  https://doi.org/10.4082/kjfm.2017.38.4.213
The Mediating Role of Parental Support in the Relationship between Life Stress and Suicidal Ideation among Middle School Students
Bong-Hee Kang, Jae-Heon Kang, Hyun-Ah Park, Young-Gyu Cho, Yang-Im Hur, Won Yong Sim, Gyeong-Ran Byeon, Kyoungwoo Kim*
Department of Family Medicine, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
Kyoungwoo Kim Tel: +82-2-2270-0097, Fax: +82-2-272-0908, E-mail: kwkimfm@gmail.com
Received: April 15, 2016; Revised: July 26, 2016; Accepted: August 9, 2016; Published online: July 20, 2017.
© Korean Academy of Family Medicine. All rights reserved.

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Abstract
Background: Youth suicide is increasingly being recognized as a major social problem in South Korea. In this study, we aimed to explore the effects of parental support on the relationship between life stress and suicidal ideation among middle-school students.
Methods: This study analyzed data from a cross-sectional study on mental health conducted by the South Korea National Youth Policy Institute between May and July of 2013. Questionnaire responses from 3,007 middle-school students regarding stress factors, thoughts of suicide during the past year, and parental support were analyzed in terms of 3 subscale elements: emotional, academic, and financial support.
Results: Among the participants, 234 male students (7.8%) and 476 female students (15.8%) reported experiencing suicidal ideation in the past year. Life stress significantly influenced suicidal ideation (P<0.001), and parental support and all of the subscale elements had a significant influence on decreasing suicidal ideation. As shown in model 1, life stress increased suicidal ideation (adjusted odds ratio [aOR], 1.318; P<0.001), and, in model 2, the effect of life stress on suicidal ideation decreased with parental support (aOR, 1.238; P<0.001).
Conclusion: Parental support was independently related to a decrease in suicidal ideation, and life stress was independently related to an increase in suicidal ideation. Parental support buffered the relationship between life stress and suicidal ideation.
Keywords: Stress, Psychological; Parent-Child Relations; Suicidal Ideation; Social Support; Adolescent


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