Yi-Chen Chiang, Tony Szu-Hsien Lee, Lee-Lan Yen, Chi-Chen Wu, Dai-Chan Lin, Baai-Shyun Hurng, Hsing-Yi Chang
Influence of stressors and possible pathways of onset of seventh graders' suicidal ideation in urban and rural areas in Taiwan
BMC public health
social determinants health play vital role population health awareness household social factors impact health help health professionals provide effective strategies health promotion especially children adolescents showing signs psychosocial dysfunction objective study explore association parents perceptions psychosocial behaviour children functionality household cohort study analysed data coordinated health care complex kids programme sample included 293 parents children aged 417 years chronic conditions urban lowincome families psychosocial behaviour child measured using pediatric symptom checklist psc17 included subscales internal external attention symptoms household functionality measured using confusion hubbub order scale responses assessments scored standard manner significant association parents perceptions psychosocial behaviour children functionality home environment mean confusion hubbub order scale scores home environment improved baseline first reassessment period two assessments ranged 4 8 months additionally positive psc17 screening results children decreased 11 first reassessment odds positive psc17 screening result also decreased first reassessment receiving interventions association psychosocial dysfunction household functionality indicates importance familycentred care taking home environment consideration administering health services lowincome children chronic conditions study brings attention hidden factors influence child mental health must addressed improve care delivery child health outcomes