Abstract
Depression, depression stigma, and attitude toward psychiatric help are associated factors of suicide in adolescents. As parents are the main decision-makers of receiving professional help for their children’s depression and suicide, parental factors influencing their children’s suicide should be examined. Moreover, parents’ help-seeking attitude for their own mental health problems could affect their children’s mental health problems. Therefore, this study examined the serial mediation of adolescents’ depression, depression stigma, and attitude toward psychiatric help in the relationship between parental attitude toward psychiatric help and the suicidal ideation of their children, using data of 103 parent–child pairs. A cross-sectional study was conducted by employing a self-administered survey. A serial mediation analysis was performed using Amos 25.0. Parental attitude toward psychiatric help directly and indirectly influenced children’s suicidal ideation. Children’s depression stigma, attitude toward psychiatric help, and depression mediated the relationship of parental attitude toward psychiatric help and their children’s suicidal ideation. When parents have a more positive attitude toward psychiatric help, their children’s suicidal ideation become more decreased. Enhancing only parental attitude toward psychiatric help may make a positive change on their children’s suicidal ideation. The study findings imply that when developing and applying youth suicide prevention programs, how parents affect their children’s suicidal ideation should be considered as well as adolescents’ depression stigma, attitude toward psychiatric help, and depression. Given the results of this study, healthcare providers may better evaluate the effectiveness of their intervention programs for preventing adolescents’ suicide.
Highlights
Adolescent suicide has been a serious problem for decades globally [1]
We explored the significant mediating effect of depression stigma, attitude toward psychiatric help, and depression in children in the relationship between parental attitude toward psychiatric help and their children’s suicidal ideation
The present study suggests that parental attitude toward psychiatric help positively contributes to the mechanism of alleviating children’s suicidal ideation
Summary
Adolescent suicide has been a serious problem for decades globally [1]. The highest suicide rate was shown globally among the 35 wealthy Organizations for Economic Cooperation and Development (OECD) countries in 2015: 25.8 per 100,000 [2]. Since 2014, the first leading cause of mortality among adolescents in South Korea has been suicide. In 2016, the major causes of deaths in adolescents were suicide (7.8%), transport accidents (3.8%), and cancer (3.1%) [3]. Adolescent suicide is a serious threat to family, friends, neighbors, and community members, as well as their own personal life [4]. Various interventions and research are necessary to prevent adolescents’
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