Ji Young Kim; Kyunghee Lee

doi:10.4040/jkan.2015.45.5.752

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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, Kyunghee Lee; Journal of Korean Academy of Nursing 2015;45(5):752-760.
DOI: https://doi.org/10.4040/jkan.2015.45.5.752
Published online: October 30, 2015

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, khl645@kmu.ac.kr

• Received: October 6, 2014 • Revised: October 14, 2014 • Accepted: July 7, 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.

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Abstract
NOTES
REFERENCES

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

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

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Figure 1

Conceptual framework of this study.

Table 1

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

Ab=Abuse; D&A=Depression and anxiety; SI=Suicidal ideation.

Table 2

Results of Hierarchical Regression Analysis (N =460)

^*p <.001; ^†p <.01.

Table 3

Moderated Mediation Effect Analysis (N =460)

Table 4

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

Mediation effect=Mediation effect of self-esteem on depression and anxiety; SE=Standard error.

Figure & Data

REFERENCES

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

J Korean Acad Nurs. 2015;45(5):752-760. Published online October 30, 2015

DOI: https://doi.org/10.4040/jkan.2015.45.5.752

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

Figure 1 Conceptual framework of this study.

Figure 1

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

Table 1

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

Ab=Abuse; D&A=Depression and anxiety; SI=Suicidal ideation.

Table 2

Results of Hierarchical Regression Analysis (N =460)

^*p <.001; ^†p <.01.

Table 3

Moderated Mediation Effect Analysis (N =460)

Table 4

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

Mediation effect=Mediation effect of self-esteem on depression and anxiety; SE=Standard error.

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

Ab=Abuse; D&A=Depression and anxiety; SI=Suicidal ideation.

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

^*p <.001; ^†p <.01.

Table 3 Moderated Mediation Effect Analysis (N =460)

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

Mediation effect=Mediation effect of self-esteem on depression and anxiety; SE=Standard error.