Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2015 Oct;45(5):752-760. Korean.
    Published online Oct 30, 2015.
    https://doi.org/10.4040/jkan.2015.45.5.752
    © 2015 Korean Society of Nursing Science
    Original Article

    Effect of Adolescents' Abuse Experience on Suicidal Ideation: Focused on Moderated Mediation Effect of Self-esteem on Depression and Anxiety

    Ji Young Kim,1 and Kyunghee Lee2
      • 1Department of Nursing, Changwon Moonsung University, Changwon, Korea.
      • 2College of Nursing, Keimyung University, Daegu, Korea.
    • Address reprint requests to: Lee, Kyunghee. College of Nursing, Keimyung University, 1095 Dalgubeoldae-ro, Dalseo-gu, Daegu 42601, Korea. Tel: +82-53-580-3927, Fax: +82-53-580-3916, Email: khl645@kmu.ac.kr
    Received October 06, 2014; Revised October 14, 2014; Accepted July 07, 2015.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

    Abstract

    Purpose

    The purpose of this study was to examine the moderating mediation effect of self-esteem on the relations among adolescents' abuse experiences, depression and anxiety, and suicidal ideation.

    Methods

    The participants were selected using secondary data from a population in the 2012 Korea Welfare Panel Survey (KOWEPS). Data were analyzed using SPSS 15.0 and SPSS Macro, and bootstrapping and hierarchical regression analysis were performed to analyze multilevel models.

    Results

    First, analysis of the mediating effect of the adolescents' abuse showed that there was significant mediating influence between suicidal ideation and depression and anxiety. Second, hierarchical regression analysis showed that self-esteem had significant mediation effect on depression and anxiety in adolescents' suicidal ideation. Third, SPSS Macro showed that self-esteem also significantly moderated the mediating effect of adolescents' abuse experiences on suicidal ideation through depression and anxiety.

    Conclusion

    The study results suggest that in future research on adolescent's abuse experience, the risk of suicide in depression and anxiety scores should be selected through evaluation of each individual's self-esteem scale. Coping strategies with immediate early intervention should be suggested.

    Keywords
    Abuse; Suicidal ideation; Depression; Anxiety; Self-esteem

    Figures

    Figure 1
    Conceptual framework of this study.

    Tables

    Table 1
    Results of Mediation Analysis (Baron & Kenny method) (N =460)

    Table 2
    Results of Hierarchical Regression Analysis (N =460)

    Table 3
    Moderated Mediation Effect Analysis (N =460)

    Table 4
    Region of Significance of Moderated Mediation Effect (N =460)

    Notes

    This manuscript is based on a part of the first author's doctoral dissertation from Keimyung University

    References

      1. Lee JH. Current conditions and development plan of child abuse prevention efforts in Korea. Korean J Clin Soc Work 2007;4(1):213–235.
      1. Kang MC, Cho HJ, Lee JS. A latent profile analysis of depression, anxiety, shame, and suicidal ideation. Korean J Couns Psychother 2013;25(4):873–896.
      1. Afifi TO, Enns MW, Cox BJ, Asmundson-Gordon JG, Stein MB, Sareen J. Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences. Am J Public Health 2008;98(5):946–952. [doi: 10.2105/ajph.2007.120253]
      1. Joiner TE Jr, Sachs-Ericsson NJ, Wingate LR, Brown JS, Anestis MD, Selby EA. Childhood physical and sexual abuse and lifetime number of suicide attempts: A persistent and theoretically important relationship. Behav Res Ther 2007;45(3):539–547. [doi: 10.1016/j.brat.2006.04.007]
      1. Kim JR, Kim HS. The influence of family violence and school violence on suicidal impulses in adolescents. Health Soc Welf Rev 2014;34(2):310–333.
      1. Kim JY, Chung YK, Lee JS. The moderating effect of social supportive relationship in the contribution of adolescents' experience of domestic child abuse to suicidal ideation. Korean J Soc Welf Res 2009;21:119–144.
      1. Prinstein MJ, Nock MK, Simon V, Aikins JW, Cheah-Charissa SL, Spirito A. Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. J Consult Clin Psychol 2008;76(1):92–103. [doi: 10.1037/0022-006x.76.1.92]
      1. Hwang ES, Seong YH. The mediating effects of self-conscious affect and the impact of childhood abuses on depression and anxiety. Korean J Play Ther 2006;9(2):73–89.
      1. Kim SJ, Chung IJ. A longitudinal study of persistent and recency effects of child maltreatment on depression anxiety and aggression. J Korean Soc Child Welf 2013;43:1–28.
      1. Rodriguez CM. Parental discipline and abuse potential affects on child depression, anxiety, and attributions. J Marriage Fam 2003;65(4):809–817. [doi: 10.1111/j.1741-3737.2003.00809.x]
      1. Moon DK, Kim YH. A meta-regression analysis on related triggering variables of adolescents' suicidal ideation. Korean J Couns 2011;12(3):945–964.
      1. Barr SC, Hanson R, Begle AM, Kilpatrick DG, Saunders B, Resnick H, et al. Examining the moderating role of family cohesion on the relationship between witnessed community violence and delinquency in a national sample of adolescents. J Interpers Violence 2012;27(2):239–262. [doi: 10.1177/0886260511416477]
      1. Koo CS, Kim DH. The effect of adolescent' peer victimization experience on suicide ideation: Moderating effect of self-esteem. Korean J Youth Stud 2013;20(8):225–256.
      1. Lee KH, Kim JY. Moderating effects of self-esteem on the relationship between traumatic experiences and suicidal thought in adolescence. Tourism Res 2013;38(2):79–101.
      1. Lee SH, Chun JS. The influence of stress on suicidal ideation among male and female adolescents: Focusing on the moderating effects of self-esteem. Ewha J Soc Sci 2012;28:173–202.
      1. Lieberman Z, Solomon Z, Ginzburg K. Suicidal ideation among young adults: Effects of perceived social support, self-esteem, and adjustment. J Loss Trauma 2005;10(2):163–181. [doi: 10.1080/15325020590908867]
      1. Park BK. In: An exploratory study of eco-system factors on adolescents' suicidal ideation [dissertation]. Cheongju: Chungbuk National University; 2006.
      1. Preacher KJ, Rucker DD, Hayes AF. Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behav Res 2007;42(1):185–227. [doi: 10.1080/00273170701341316]
      1. Cohen J. In: Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
      1. Straus MA, Hamby SL, Finkelhor D, Moore DW, Runyan D. Identification of child maltreatment with the parent-child conflict tactics scales: Development and psychometric data for a national sample of American parents. Child Abuse Negl 1998;22(4):249–270. [doi: 10.1016/S0145-2134(97)00174-9]
      1. Oh KJ, Lee HR, Hong KE, Ha EH. In: Manual for K-CBCL: Korean child behavior checklist. Seoul: Chung-Ang Aptitiude Publisher; 2001.
      1. Rosenberg M. In: Conceiving the self. New York, NY: Basic Books; 1979.
      1. Park HS. In: The school resilience of Korean adolescents in poverty [dissertation]. Seoul: Seoul National University; 1998.
      1. Reynolds WM. In: Suicidal ideation questionnaire: Professional manual. Odessa, FL: Psychological Assessment Resources; 1988.
      1. Shin MS. In: An empirical study of the mechanism of suicide: Validation of the scale for escape from the self [dissertation]. Seoul: Yonsei University; 1992.
      1. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51(6):1173–1182. [doi: 10.1037/0022-3514.51.6.1173]
      1. Preacher KJ, Hayes AF. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput 2004;36(4):717–731. [doi: 10.3758/BF03206553]
      1. Preacher KJ, Curran PJ, Bauer DJ. Computational tools for probing interactions in multiple linear regression, multilevel modeling, and latent curve analysis. J Educ Behav Stat 2006;31(4):437–448. [doi: 10.3102/10769986031004437]
      1. Aiken LS, West SG. In: Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage Publications; 1991.
      1. Ahn DH. Child neglect: Revisited. J Korean Counc Child Rights 2000;4(1):7–26.
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    MeSH Terms
    Anxiety*
    Self Concept*
    Suicidal Ideation*
    Adaptation, Physiological
    Adolescent
    Depression/etiology*
    Female
    Humans
    Male
    Regression Analysis
    Risk Factors
    Surveys and Questionnaires
    Metrics
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