Understanding suicidality and correlates among Chinese secondary school students in Hong Kong

Suicide has become a leading cause of mortality and morbidity for adolescents in Hong Kong. This study investigated the factors associated with suicidal ideation and attempt among the secondary school students in Hong Kong by studying a representative sample of 3383 students with a self-administered...

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Bibliographic Details
Published in:Health promotion international 2009-06, Vol.24 (2), p.156-165
Main Authors: Lee, A., Wong, S.Y.S., Tsang, K.K., Ho, G.S.M., Wong, C.W., Cheng, F.
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Behavior - psychology
Alcohol Drinking - epidemiology
Child
Chinese people
Chinese Secondary school students
Female
Health Behavior
Hong Kong
Humans
Logistic Models
Male
Morbidity-Mortality
ORIGINAL PAPERS
risk factors
Risk-Taking
Secondary schools
Sexual Behavior
Smoking - epidemiology
Students - psychology
Suicidal behaviour
Suicidal ideation
Suicide - psychology
suicide attempt
Suicide, Attempted - psychology
Surveys and Questionnaires
Teachers
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Summary:Suicide has become a leading cause of mortality and morbidity for adolescents in Hong Kong. This study investigated the factors associated with suicidal ideation and attempt among the secondary school students in Hong Kong by studying a representative sample of 3383 students with a self-administered questionnaire and analysed by multiple logistic regressions analysis. Youth risk behaviours, such as heavy smoking, episodic heavy alcohol drinking, early sexual experience, and feeling hopeless, were found to be associated with both suicidal thoughts and attempts, with ‘misuse of drugs’ as discriminating factor that solely related to attempt and ‘involvement in physical fight’ solely related to suicidal thoughts. Addition of suicidal ideation is a significant explanatory variable of suicidal attempt over and above health risk behaviours. Stratified analysis of upper and lower secondary students would give better understanding of significance of various risk factor for different age groups. The disturbing prevalence of suicidal behaviour and its coexistence with other high-risk behaviour in secondary school students have implications for teachers, youth workers and public health practitioners to develop and evaluate programmes for suicide prevention.
ISSN:0957-4824
1460-2245
DOI:10.1093/heapro/dap011