대학 신입생의 학문적.사회적 통합성과 자기회의가 자살생각에 미치는 영향 -음주의 조절효과를 중심으로-

The Influence of Learning?Social Integration and Self-doubt on the Suicidal Ideation of University Freshmen - Focusing on Moderating Effect of Drinking -

  • 투고 : 2011.11.21
  • 심사 : 2011.12.28
  • 발행 : 2011.12.31

초록

Objectives: The aim of this study was to explore the influence of learning social integration and self-doubt on the suicidal ideation, and to test the mediating effect of self-doubt and the moderating effect of drinking on suicidal ideation. Methods: A cross-sectional survey was administered to a convenience sample of 1,000 freshmen in a university in S city. A total of 803 questionnaires were included in the statistical analysis. To analysed the data, Pearson correlation and structural equation modeling were performed. Results: In this study, self-doubt had a mediating effects in the path way from learning social integration to suicidal ideation. Drinking had a moderating effect between self-doubt and suicidal ideation. Conclusions: The results suggest that the low level of learning social integration increases the level of self-doubt and leads to suicidal ideation. Drinking was a significant moderator of suicidal ideation. Therefore, interventions on various strategies to enhance academic performance and social interaction skill, and to help to stop or not to initiate drinking habit are needed in the early part of the freshman year.

키워드

참고문헌

  1. Asarnow, J., Carson, G., & Gutgodhrie, D. (1987). Coping strategies, self perceptions, hopelessness, and perceived family environments in depressed and suicidal children. Journal of Consulting and Clinical Psychological, 55, 361-366.
  2. Bagge, C. L., & Sher, K. L. (2008). Adolescent alcohol involvement and suicide attempts: Toward the development of a conceptual framework. Clinical Psychology Review, 28, 1283-1296. https://doi.org/10.1016/j.cpr.2008.06.002
  3. Beck, A. T., Brown, G., Berchick, R. K., Stewart, B. L., & Steer, R. A. (1990). Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. American Journal of Psychiatry, 147, 190-195.
  4. Beck, A. T., Kovacs, M., & Weissmen, A. (1975). Hopelessness and suicidal behavior; An overview. Journal of American Medical Association, 234, 561-571.
  5. Boenisch, S., Bramesfeld, A., Mergl, R, Havers, I., Althaus, D., Lehfeld, H., ... Hegerl, U. (2010). The role of alcohol use disorder and alcohol consumption in suicide attempts: A secondary analysis of 1921 suicide attempts. European Psychiatry, 25, 414-420.
  6. Bolton, C., Gooding, P., Kapur, N., Barrowclough, C., & Terrier, N. (2007). Developing psychological perspectives of suicidal behavior and risk in people with a diagnosis of schizophrenia. Clinical Psychology Review, 27, 511-536. https://doi.org/10.1016/j.cpr.2006.12.001
  7. Bonner, R. L., & Rich, A. R. (1987). Toward a perspective model of suicidal ideation and behavior. Suicide and Life-threatening Behavior, 17, 50-63.
  8. Borges, G., Benjet, C., Medina-Mora, M., Orozco, R., & Nock, M. (2008). Suicide ideation, plan, and attempt in the Mexican adolescent mental health survey. Journal of the American Academy of Child and Adolescent Psychiatry, 47(1), 41-52. https://doi.org/10.1097/chi.0b013e31815896ad
  9. Bossarte, R. M., & Swahn, M. H. (2011). The associations between early alcohol use and suicide attempts among adolescents with a history of major depression. Addictive Behaviors, 36, 532-535. https://doi.org/10.1016/j.addbeh.2010.12.031
  10. Brent, D. A., Perper, J. A., & Allman, C. J. (1987). Alcohol, firearms, and suicide among youth. Journal of the American Medical Association, 257, 3369-3372. https://doi.org/10.1001/jama.1987.03390240075026
  11. Carson, R. C., Butcher, J. N., & Coleman, J. C. (1988). Abnormal Psychology and Modern Life(8th ed.). New York: Harper Collins.
  12. Choi, E. J. (2000). Analysis of drinking problem and preventive measures for university students. Health, Welfare Policy Forum, 44, 75-83.
  13. Choi, S. J., Bai, D. S., & Chang, M. S. (2010). Relationships between the parent attachment, dysfunctional beliefs, depression and suicide ideation. The Korean Journal of Counseling, 11(2), 571-582.
  14. Choi, W. Y., Kim, C. K., & Lee, S. Y. (2005). Effectiveness of a cognitive-behavioral group counseling program for college students with depression and suicide thought. The Korea Journal of Counseling, 6(1), 75-91.
  15. Chung, S. (2011). Influence of early onset of drinking and problem drinking on suicide ideation and attempt among koran adolescents: Analysis of 2009 korean youth risk behavior survey. Journal of Korean Alcohol Science, 12(1), 15-27.
  16. Crumley, F. E. (1979). Substance abuse and adolescent suicidal behavior. Journal of the American Medical Association, 263, 3051-3056.
  17. DeLongis, A., Folkman, S., & Lazarus, R. S. (1988). The impact of daily stress on health and mood: Psychological and social resources as mediators. Journal of personality and social Psychology, 51(3), 486-495.
  18. Ellis, T. E., & Ratlift, K. G. (1986). Cognitive characteristics of suicidal and non-suicidal psychiatric inpatients. Cognitive Therapy and Research, 10(6), 625-634. https://doi.org/10.1007/BF01173750
  19. Ha, J. H., & An, S. H. (2008). The verification of a structural relationship model of suicidal ideation to stress, coping styles, perfectionism, depression, and impulsivity. The Korean Journal of Counseling and Psychotherapy, 20(4), 1149-1171.
  20. Jang, M. H., & Kim, Y. H. (2005). The relationship of stress, depression and suicidal ideation in the elderly. Journal Korean Academic Psychiatry Mental Health Nursing, 14(1), 33-42.
  21. Kandel, D., Ravies, V., & Davies, M. (1991). Suicidal ideation in Adolescence : Depression, substance abuse and other risk factors. Journal of Youth and Adolescence, 20, 289-310. https://doi.org/10.1007/BF01537613
  22. Kim, H, S. (2008). The structural relationships of stress, hopelessness, and depression to suicidal ideation in the elderly and the adolescents. The Graduate School of Dankook University. Doctoral Dissertation.
  23. Kim, J. J. (2009). An analysis of variables related to university student's suicidal ideation. Mental Health & Social Work, 32, 413-437.
  24. Kim, J. S., Han, K. H., Lim, J. Y., Lee, J. H., & Min, B. B. (2005). Minnesota Multi-phasic Personality Inventory-2 Manual. Seoul: Maumsarang Co., Ltd.
  25. Kim, S., & Park, J. A. (2004). Adult styles of coping with stress and drinking problems. Bulletin of Dongnam Health College, 22(2), 85-96.
  26. Kim, S. Y. (2010). The report of students retention test in sahmyook university. Unpublished.
  27. Kim, S. H., & Son, C. N. (2010). The effects of K-MBSR-Based cognitive therapy on depression, suicidal ideation, and impulsivity in college students. The Journal of Clinical Psychology, 29(189), 1-204.
  28. Kuo, W. H., Gallo, J. J., & Eaton, W. W. (2004). Hopelessness, depression, substance disorder and suicidality: A 13-year community-based study. Social Psychiatry Epidemical, 39, 497-501.
  29. Lee, J. S. (2004). The Influences of melancholia and self-identity of youths on the contemplated suicide of youths. The Graduate school of Myong Ji University. Master Dissertation.
  30. Lim, S. T., Ju, D. B., & Lee, K. J. (2010). The longitudinal changes and interpretation of suicidal ideation, stress, and studying pressure. The Journal of Vocational Education Research, 29(1), 23-43.
  31. Mackenzie, S., Wiegel, J., & Mundt, M. (2011). Depression and suicide ideation among students accessing campus health care. American Journal of Orthopsychiatry, 81(1), 101-107. https://doi.org/10.1111/j.1939-0025.2010.01077.x
  32. Ministry of Health and Welfare. (2008). A Comprehensive Plan to Prevent the Suicidal Ideation(2009-2013). Seoul: Author.
  33. Mosciki, E. K. (1995). Epidemiology of suicide. International Psychogeriatrics, 7, 137-148. https://doi.org/10.1017/S1041610295001931
  34. Pan, S. H. (2007). Suicide in the Korean young adulthood: Special features and dialectical behavioral treatment"s intervention. University and Christian Mission, 13, 235-358.
  35. Ray, M. A., Kumaraiah, V., & Bhide, A. V. (2001). Cognitive-behavioral intervention in deliberate self-harm. Acta Psychiatrica Scandinavica, 104, 340-345. https://doi.org/10.1034/j.1600-0447.2001.00075.x
  36. Reich, D. A., & Arkin, R. M. (2006). Self-doubt, attributions, and the perceived implicit theories of others. Self and Identity, 5, 89-109. https://doi.org/10.1080/15298860500441965
  37. Sherer, M. (1985). Depression and suicidal ideation in college students. Psychological Report, 57, 1061-1062. https://doi.org/10.2466/pr0.1985.57.3f.1061
  38. Sohn, J. N. (2007). Discriminating power of suicidal ideation by life stress, coping strategy, and depression in college students. Journal Korean Academic Psychiatry Mental Health Nursing, 16(3), 267-275.
  39. Wilson, K. G., Stelzer, J., Bergman, J. N., Kral, M. J., Iany, A. M., & Elliot, C. A. (1995). Problem solving, stress, and coping in adolescent suicide attempts. Suicide and Life-Treating Behavior, 25, 241-252.
  40. Yeo, H. H., & Baek, Y. M. (2010). The effect of borderline personality traits, maladaptive perfectionism, and depression on suicide-related behaviors. The Korean Journal of Clinical Psychology, 29(4), 1047-1066.
  41. Yoon, H. S., Hwang, Y. M., Kim, D. B., & Jang, S. H. (2011). The effects self-differentiation stress coping methods and mental health on life adjustment in university. The Journal of Korean Educational Forum, 10(2), 1-25.
  42. Yoon, M. S., & Cho, H. C. (2011). A longitudinal effects analysis of adolescent drinking on the suicidal ideation. Journal of Adolescent Welfare, 13(3), 43-66.