Predictors of Suicidal Thoughts and Attempts among School-Going Thai Adolescents: A Sex-Specific Structural Equation Modelling Analysis.

Adolescent suicide is a growing public health concern in Thailand. Identifying predictors of suicidal behaviors is essential for targeted prevention strategies. Using Structural Equation Modeling, this study explores the predictors of suicidal thoughts and attempts among a sample of 5657 Thai adoles...

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Publicado en:Child Psychiatry & Human Development Vol. 57; no. 4; pp. 1249 - 1260
Autor principal: Dadras, Omid
Formato: Artículo
Publicado: Springer Nature Aug2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
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      pub: Springer Nature
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        195896181
        10.1007/s10578-024-01790-3
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        atl: Predictors of Suicidal Thoughts and Attempts among School-Going Thai Adolescents: A Sex-Specific Structural Equation Modelling Analysis.
      aug:
        au: Dadras, Omid
        affil:
          https://ror.org/03zga2b32 Department of Global Public Health and Primary Care, University of Bergen, Årstadveien 17, 5009, Bergen, Norway
          https://ror.org/05vghhr25 Research Center for Child Psychiatry, University of Turku, Turku, Finland
      su:
        Thailand
        Mental health
        Teenage suicide
        Disease risk factors
        Bullying
        Substance abuse
        Structural equation modeling
        Thai people
        Gender mainstreaming
      sug:
        subj:
          Mental health
          Teenage suicide
          Disease risk factors
          Bullying
          Substance abuse
          Thailand
          Offices of Mental Health Practitioners (except Physicians)
          Structural equation modeling
          Thai people
          Gender mainstreaming
      keyword:
        Adolescents
        Medical and Health Sciences Public Health and Health Services
        Predictors
        Suicidal behaviors
        Adolescents
        Medical and Health Sciences Public Health and Health Services
        Predictors
        Suicidal behaviors
      ab: Adolescent suicide is a growing public health concern in Thailand. Identifying predictors of suicidal behaviors is essential for targeted prevention strategies. Using Structural Equation Modeling, this study explores the predictors of suicidal thoughts and attempts among a sample of 5657 Thai adolescents in grades 7–12, typically representing the age group 13–17 years, with nearly equal proportions of males (47%) and females (53%) participants. Data from the Thailand Global School-based Student Health Survey (GSHS) 2021 were analyzed. Explanatory Factor Analysis (EFA) identified key constructs, followed by SEM stratified by sex to examine relationships between constructs and suicidal behaviors. Reliability and validity were assessed using Cronbach's α and SEM fit indices. EFA identified five constructs: current substance use, history of violence, experiences of bullying, parental awareness, and poor mental health. SEM revealed poor mental health as a significant predictor for both sexes. Substance use, experiences of bullying, and a history of violence predicted suicidal behaviors in females. Parental vigilance was only a protective factor for males. The findings underscore the importance of gender-specific interventions and comprehensive mental health support to address the unique vulnerabilities of Thai adolescents, reducing suicidal thoughts and attempts.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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