A 6-year Longitudinal Study of Self-harm and Suicidal Behaviors among Chinese Adolescents in Hong Kong.

STUDY OBJECTIVE: To examine the trajectories of self-harm and suicidal behaviors among Chinese adolescents in Hong Kong and to investigate the related predictors, including gender, family nonintactness, economic disadvantage, positive youth development, and family functioning. DESIGN: We used quantitative data from a large sample of adolescent participants. Participants initially joined this study when they were in grade 7 (wave 1), and they were followed from grade 8 (wave 2) to grade 12 (wave 6). SETTING, PARTICIPANTS, AND INTERVENTIONS: The participants consisted of 2023 grade 12 students from 28 secondary schools in Hong Kong. A multistage cluster random sampling method was adopted. MAIN OUTCOME MEASURES: Self-harm and suicidal behaviors. RESULTS: The trajectories of self-harm and suicidal behaviors in general declined from grade 7 to grade 12. Regarding the effect of gender, whereas adolescent girls showed a higher prevalence for self-harm and suicidal behaviors at baseline and other waves, adolescent boys showed a pronounced decline in self-harm rates. Adolescents from nonintact families were more likely to self-harm or engage in suicidal behaviors at wave 6. Economic disadvantage at wave 4 predicted higher suicidal behavior among adolescents but not self-harm at wave 6. Regarding positive youth development, several protective factors that include cognitive-behavioral competencies, prosocial attributes, general positive youth development qualities, and positive identity could help reduce self-harm and suicidal behaviors at different time points. Regarding the role of family functioning, more family conflicts predicted higher suicidality in adolescence (self-harm and suicidal behaviors), and family communication affected self-harming behaviors at wave 6. CONCLUSION: The trajectories of self-harm and suicidal behaviors decline from early to late adolescence among Chinese adolescents. Positive youth development and constructive family functioning are critical to help reduce suicidal behaviors. Regarding increased risk, more attention should be paid to adolescent girls and adolescents from nonintact and economic disadvantaged families.

Psychometric properties of the existence subscale of the purpose in life questionnaire for Chinese adolescents in Hong Kong.

The current study aims to test the psychometric properties of the Existence Subscale of the Purpose in Life Questionnaire (EPIL) for early adolescence. The Purpose in Life Questionnaire (PIL), originally created by Craumbaugh and Maholick, is a 20-item scale measuring different dimensions of life purposes. The current study selected seven items representative of the existence dimension to form another scale, the EPIL. The analysis was based on 2842 early adolescents, ranging from 11 to 14 years old. Principal axis factoring found one factor, with 60% variance being explained. Cronbach's alpha for the EPIL was 0.89, which was high. The factor structure was stable across genders. Criterion-related validity was determined when the scale was used to differentiate volunteers and nonvolunteers. Construct validity was found when the scale was associated with life satisfaction. The results give support to the fact that the EPIL could be used alone to measure the psychological well-being of early adolescents and the appropriateness of the EPIL in adolescent research.

Process evaluation of a positive youth development program in Hong Kong based on different cohorts.

There are only a few process evaluation studies on positive youth development programs, particularly in the Chinese context. This study aims to examine the quality of implementation of a positive youth development program (the Project P.A.T.H.S.: Positive Adolescent Training through Holistic Social Programmes) and investigate the relationships among program adherence, process factors, implementation quality, and perceived program success. Process evaluation of 97 classroom-based teaching units was conducted in 62 schools from 2005 to 2009. Findings based on different cohorts generally showed that there were high overall program adherence and implementation quality. Program adherence and implementation process were highly correlated with quality and success of the program. Multiple regression analyses further showed that both implementation process and program adherence are significant predictors of program quality and success. Theoretical and practical implications of the findings are discussed.

Recognition for positive behavior as a critical youth development construct: conceptual bases and implications on youth service development.

Recognition for positive behavior is an appropriate response of the social environment to elicit desirable external behavior among the youth. Such positive responses, rendered from various social systems, include tangible and intangible reinforcements. The following theories are used to explain the importance of recognizing positive behavior: operational conditioning, observational learning, self-determination, and humanistic perspective. In the current work, culturally and socially desirable behaviors are discussed in detail with reference to Chinese adolescents. Positive behavior recognition is especially important to adolescent development because it promotes identity formation as well as cultivates moral reasoning and social perspective thinking from various social systems. The significance of recognizing positive behavior is illustrated through the support, tutorage, invitation, and subsidy provided by Hong Kong's social systems in recognition of adolescent volunteerism. The practical implications of positive behavior recognition on youth development programs are also discussed in this work.

Teaching money literacy in a positive youth development program: the project P.A.T.H.S. in Hong Kong.

In view of the high impact of materialistic orientation among children and adolescents, financial educational programs are provided as preventive measures. Without a clear framework, it is impossible to evaluate these programs. The goals of this paper are threefold. Firstly, the phenomena related to adolescent materialistic orientation and its associated problems in Hong Kong are examined. Secondly, the concept of financial education as a preventive measure is reviewed. Both board and narrow definitions of money literacy are examined. A framework on money literacy for children and adolescents as a founding stone for financial education is proposed. The framework finds its support from a typology proposed by the authors and results from an integration of research findings on dimensions of the concepts of money and success. Finally, curriculum units for Grades 7 to 9 students in a positive youth development program (the Project P.A.T.H.S.) are developed using the framework.

Using positive youth development constructs to design a drug education curriculum for junior secondary students in Hong Kong.

This paper outlines the design of a new curriculum for positive youth development (P.A.T.H.S. II) in Hong Kong. The paper discusses the conceptual base for designing a drug-education curriculum for junior-secondary students using four positive youth development constructs--cognitive competence, emotional competence, beliefs in the future, and self-efficacy. The program design is premised on the belief that adolescents do have developmental assets; therefore, the curriculum is designed to develop their psychosocial competencies. The goal of the curriculum is to develop the selfhood of these youths and ultimately achieve the goal of successful adolescent development.

Using positive youth development constructs to design a money management curriculum for junior secondary school students in Hong Kong.

This paper aims to discuss the relationships between the selected positive youth development constructs and the enhancement of Hong Kong junior secondary school students' money management skills, values, and attitudes. Various issues of money management of adolescents are reviewed. These issues include the need for money management programs for adolescents, the content and coverage of an appropriate money management program, and its relationships with the selected positive youth development constructs. The curriculum units for secondary 3 students are taken as examples to illustrate the design of the program. It is believed that promoting cognitive competence, self-efficacy, and spirituality could be an effective way to enhance students' money management skills, values, and attitudes, thus preparing them better for facing the finance-related issues in life.

Importance of emotional competence in designing an antidrug education curriculum for junior secondary school students in Hong Kong.

Adolescent substance abuse is a serious problem in Hong Kong. Antidrug education campaigns should aim at enhancing students' understanding of the effects of illegal drugs to themselves. Moreover, life skill training is important in helping adolescents face life's challenges without attempting to do drugs. A major component of life skill training is the promotion of emotional competence. The present study outlines the importance of emotional competence and adolescent development. For an antidrug education campaign to be effective, adolescents should be able to identify their emotions and understand their own emotion regulation mechanism. Likewise, they should be made aware of the consequences of their emotions and emotion-driven behaviors. Finally, the use of an inspirational story with a strong message against substance abuse to trigger emotions is recommended for designing an antidrug education curriculum. All these components are integrated in the newly developed curriculum of the P.A.T.H.S. Project in Hong Kong.

Secondary 1 Training Program of the Project P.A.T.H.S. in Hong Kong: an evaluation based on program participants.

A total of 1744 participants comprising 44 groups participated in a 3-day Secondary 1 Training Program of Project P.A.T.H.S. in Hong Kong. At the end of the training program, the participants were invited to respond to a subjective outcome evaluation. Results showed that the assessment tools are internally consistent. Descriptive statistics revealed that evaluations of the respondents are positive in terms of the training program content, interaction, trainers' performance, self-performance, administrative arrangement, and overall satisfaction. Overall satisfaction was predicted by training content, trainers' performance, self-performance, and interaction. Training content and trainers' performance explain half of the total variance. The present findings reiterate other studies regarding the effectiveness of the training program of Project P.A.T.H.S. in promoting the participants' knowledge, attitude, and skills in delivering the program.

Family influence on volunteering intention and behavior among Chinese adolescents in Hong Kong.

Based on the responses of 5,946 adolescents (mean age = 14.77), the relationships among family influence, adolescents' volunteering intention, and volunteering behavior in a Chinese context were examined. A 9-item Chinese Family Influence on Adolescent Volunteerism Scale (C-FIAV) was used to measure nine kinds of influence of the family (such as family support) which could be subsumed under two underlying domains (positive family influence and extrinsic family influence). Results showed that family support, family belief, and family modeling were positively associated with both intention and behavior. Family reward and coercion were negatively associated with both intention and behavior. Family belief in volunteerism was the most critical factor. Grade and gender differences were found only in the associations between family influence and volunteering intention. Path models showed that positive and extrinsic family influence had an effect on volunteering behavior directly or via the mediation of volunteering intention. Implications and limitations are discussed.

Beliefs about volunteerism, volunteering intention, volunteering behavior, and purpose in life among Chinese adolescents in Hong Kong.

The relationships among beliefs about volunteerism, volunteering intention, volunteering behavior, and purpose in life were examined in this study. A total of 5,946 participants completed a series of scales, including the Revised Personal Functions of Volunteerism Scale, Volunteering Intention Scale, and Purpose in Life Scale. The results showed that participants whose purpose in life had different levels also had varied prosocial beliefs about volunteerism, volunteering intention, and volunteering behavior. Purpose in life was associated more strongly with prosocial value function than with other types of beliefs (except understanding function). When different beliefs are grouped, the correlation between purpose in life and other-serving beliefs was higher than that between purpose in life and self-serving beliefs. Purpose in life was also associated with volunteering intention and behavior. Path analyses showed that purpose in life predicted volunteering behavior via beliefs and intention. While other-serving beliefs predicted volunteering behavior directly, self-serving beliefs did not have such direct effect.

Adolescent volunteerism in Hong Kong after 1997: a critical review.

Adolescent volunteerism is an integral part of positive youth development. Since the reunification of Hong Kong to the PRC in 1997, the Government of the Hong Kong Special Administrative Region has been promoting adolescent volunteerism actively. In this review, both government agencies heavily involved in the volunteerism movement and non-governmental organizations providing volunteer services are discussed. The profiles and characteristics of adolescent volunteerism in the local contexts are also examined. The present review identified several problems in adolescent volunteerism in Hong Kong, including service overlap and neglect, truncated service provision among agencies and poor coordination, inflexible resource allocation, lack of long-term planning and lack of evidence-based practice for adolescent volunteerism.