2026-11-092026-11-09https://scholars.csmu.edu.tw/handle/123456789/38774The aim of present study is to compare and understand the psycho-socio-cultural profiles among adolescents with suicide ideation, attempt, and gesture. Through a multiple stage sampling process, junior and senior high school students (n=1500) are randomly selected from three counties in central Taiwan and screened for suicidality. After obtaining the inform consents of the students, all eligible students are asked to complete a self-administered questionnaire containing sociodemographic variables, depressive symptoms, personality traits, life events, family functioning, and parental bonding. There are items concerning to suicide ideation, attempt, and gesture in the questionnaire as well. According to results of suicide subscales, all subjects are divided into four groups in terms of suicide gesture, suicide attempt but not gesture, suicide ideation, and non suicide. All students with suicide behaviors (including gesture and non-gesture suicide) are interviewed by well-trained researchers to further evaluate suicide and psychopathology status. Those with suicide ideation and those without suicidality are also selected randomly by a proportion of 1/3 and 1/20, respectively, into the interview. Therefore, each group comprises around 40 students. After weighting, subjects in the four groups are compared with their psychopathology status, personality traits, life events, family functioning, parental bonding, and ethnics to clarify their specific psycho-socio-cultural profiles. Results of this study could, on the one hand, understand the multidimensionality of adolescent suicide and provide a wider perspective on classification. On the other hand, they may clarify different risk factors and etiologies for suicidality categories, which are helpful on both clinical intervention and public health prevention.本研究目的在於比較不同自殺分類的青少年，了解其心理、社會、文化因子的側寫。 研究以台灣中部地區三縣市(台中、彰化、南投)之國中、高中、高職學生為樣本，透過 多階段抽樣(multiple stage sampling)的方式，自公立學校當中，隨機抽取1500 位學生進 行自殺意念及自殺行為的篩選。在得到學生的同意之後，所有進行篩選的學生，均由 研究人員在班級課程中發給受試者一份包括基本人口學資料、憂鬱症狀、人格特質、 生活事件、家庭功能及雙親教養的自填式問卷，該問卷中亦包括了評估自殺意念、自 殺企圖、及作態性自殺的量表。根據自殺量表的結果，研究人員先初步將受試者區分 為四組，分別為：作態性自殺組、非作態性自殺組、自殺意念組、及非自殺組。所有 具自殺行為(包括作態性自殺及非作態性自殺)的學生，均接受面對面的訪談；而具有 自殺意念的學生，則隨機抽取三分之一進行訪談；未曾出現自殺行為以及自殺意念者， 亦隨機抽取二十分之一納入訪談做為控制組。各組各約40 人。訪談由受過訓練之研究 人員進行，主要對於自殺的內涵以及相關精神疾患進行進一步詳細的評估。不同自殺 組別的受試者，在調整了權值之後，將比較精神疾病狀態、人格特質、生活事件、家 庭功能、雙親教養及種族的差異，以釐清不同自殺概念其心理社會文化因子之側寫。 本研究的結果除了將可進一步了解青少年自殺的不同面向，對疾病的分類有更深入的 觀點之外，亦可釐清自殺之相關危險因子以及致病機轉，作為臨床治療以及公共衛生 預防上重要的參考。Project