DOI QR코드

DOI QR Code

농촌 주민의 자살생각 예측요인 -도시 주민의 자살생각 예측요인과의 비교를 중심으로-

Predictors of Suicide Ideation in Rural Residents: Based on Comparison Predictors of Suicide Ideation in Urban Residents

  • 김윤정 (한서대학교 노인복지학과) ;
  • 강현정 (한서대학교 다문화교육복지연구소)
  • 투고 : 2012.08.10
  • 심사 : 2012.09.12
  • 발행 : 2012.09.30

초록

The purpose of this study was to identify the predictors of suicidal ideation of rural residents. This study was based on predictors of suicidal ideation of urban residents. The participants were adolescents, adults, and seniors sampled from 10 provinces all over the country, from May to Aug, 2010. The data for the study were analysed as decision tree analysis. The major results of the study were as follows. First, a main predictor of suicidal ideation for rural residents was high depression. Unlike rural residents, urban residents reporting high depression and influence of mass media showed high suicidal ideation. Second, interaction of depression and family solidarity was important predictor of suicide ideation both rural and urban residents, but a condition that effects the situation differed between rural and urban residents. Rural residents reporting high depression and high family solidarity showed high suicidal ideation, urban residents reporting low depression and high family solidarity showed low suicidal ideation. Stress was also operate differently. Rural residents reporting moderate depression, low family solidarity and high stress showed high suicidal ideation, but stress of urban resident was not a important predictors of suicidal ideation. And rural residents reporting low depression and low stress showed the lowest level of suicidal ideation, urban residents reporting low family solidarity and low depression showed the lowest level of suicidal ideation.

키워드

참고문헌

  1. 강모성, 전영주, & 손태홍. (2008). 기혼 중년남성의 직무 및 가족 스트레스와 자살구상. 한국가족관계학회지, 13(1), 105-134.
  2. 강상경. (2010) 우울이 자살을 예측하는가?:우울과 자살태도 관계의 성별.연령 차이. 사회복지연구, 41(2), 67-100.
  3. 강은정. (2005). 연령계층별 자살생각과 관련된 요인. 보건복지포럼, 107, 81-86.
  4. 김문두, 홍성철, & 이상이. (2003). 사회계층이 자살사망 위험도에 미치는 영향. 보건과 사회과학, 14, 249-271.
  5. 김병철. (2010). 자살보도가 잠재적 자살자에게 미치는 영향. 커뮤니케이션학연구, 18(1), 41-63.
  6. 김승용. (2004). 한국 노인 자살률 변동과 사회구조적 요인에 관한 연구. 사회복지정책, 19, 181-205.
  7. 김윤정. (2011). 생태체계적 관점에서 본 생애주기별 자살생각의 위험요인과 보호요인. 한국지역사회생활과학회지, 22(3), 429-444. https://doi.org/10.7856/kjcls.2011.22.3.429
  8. 김윤정, & 강현정. (2011). 성인기 자살생각과 관련 변인에 관한 연구. 한국가족관계학회지, 16(3), 45-61.
  9. 김정진, & 윤명숙. (2009). 농촌 청소년의 자살생각에 영향을 미치는 요인. 사회과학연구, 24(4), 77-102.
  10. 김현순, & 김병석. (2008). 자살생각과 그 관련변인들 강의 구조적 관계모형검증. 한국심리학회지;상담 및 심리치료, 20(2), 201-219.
  11. 김형수. (2002). 한국노인의 자살생각과 관련요인 연구. 한국노년학, 22(1), 159-172.
  12. 김효정, & 정미애. (2010) 대학생의 가족기능과 자기효능감이 자살생각에 미치는 영향. 한국간호교육학회지, 16(1), 43-50. https://doi.org/10.5977/JKASNE.2010.16.1.043
  13. 노용환. (2006). 자살의 경제학적 분석. 경제학연구. 54(3), 177-200.
  14. 박병금. (2006). 청소년의 자살생각에 관한 생태체계요인 탐색. 충북대학교 박사학위논문.
  15. 박병금. (2007). 청소년의 가족환경요인과 자살생각- 자아존중감과 우울에 매개효과를 중심으로. 생활과학연구논총, 11(1), 1-17.
  16. 박현숙⋅구현영. (2009). 청소년의 스트레스와 자살사고와의 관계에서 부모-자녀간 의사소통의 완충효과. 정신간호학회지, 18(1), 87-94.
  17. 송성호.김창렬.이태용.권인선. (2011). 고등학생의 자살생각에 영향을 미치는 관련요인. 농촌의학 지방보건학회지, 36(1), 1-12.
  18. 송영달.손지아.박순미. (2010). 독거노인의 자살생각에 영향을 미치는 생태체계적 요인 분석. 한국노년학, 30(2), 643-660.
  19. 심영희. (1986). 한국사회의 자살:사회학적 관점에서 본 이론과 실태. 한양대학교 정신건강연구소, 4, 49-71.
  20. 양순미.임춘식. (2006). 농촌노인들의 자살생각에 미치는 우울의 효과. 노인복지연구, 32, 377-396.
  21. 유정균. (2008). 노인자살률의 지역별 편차. 한국인구학, 31(2), 21-44.
  22. 윤명숙.김가득. (2008). 자살자 자녀를 둔 농촌지역 어머니의 경험. 한국가족복지학, 29, 115-148.
  23. 윤호순. (2010). 노인자살생각에 영향을 미치는 요인에 관한 연구. 충남대학교.석사학위 논문.
  24. 이은석.이선장. (2009). 농촌지역 노인의 스트레스, 우울 및 자살생각에 있어서 신체적 여가활동의 완충효과. 한국스포츠사회학회지, 22(2), 35-54.
  25. 이은진⋅배숙경⋅엄태영. (2010). 독거노인 자살시도에 대한 우울과 여가활동 참여의 영향에 관한 연구. 한국노년학, 30(2), 615-628.
  26. 이정윤.허재홍. (2003). 아동의 자살 생각에 영향을 미치는 가족 위험요인. 청소년상담연구, 11(2), 85-95.
  27. 이창식⋅정미나⋅김윤정. (2012). 중고등학생의 학교급에 따른 자살생각의 예측요인. 한국청소년연구, 23(1), 31-55.
  28. 전영평. (2010). 농촌지역 고등학생들의 자살에 미친 요인에 대한 연구; 충청남도 계룡시, 논산시 중심으로. 고려대학교 석사학위논문.
  29. 최정민. (2010) 노인 스트레스와 자살생각에 관한 연구: 탄력성의 조절효과를 중심으로. 한국사회복지조사연구, 24, 233-253.
  30. 최종후.한상태.강현철.김은석.김미경.이성건. (2003). 데이터마이닝 예측 및 활용. SPSS 아카데미.
  31. 최형임. (2006). 노인의 자살생각에 영향을 주는 변인 고찰. 사회복지개발연구, 12(3), 273-298.
  32. 통계청 DB. (2011). 2010년 사망원인 통계 결과. www. kosis.go.kr.
  33. 허명회. (2007). SPSS 분류분석. SPSS KOREA.
  34. Argent N, Rolley F. (2000). Financial exclusion in Rural and Remote New South Wales, Australia: a Geography of Bank Branch Rationalisation, 1981-1998. Australian Geographical Studies, 38, 182-203. https://doi.org/10.1111/1467-8470.00110
  35. Beck, A. T. & R. A. Steer. (1989). Clinical Predictors of eventual suicide: 5-to 10 year prospective study of suicide attempters. Journal of Affective Disorders, 17, 203-209. https://doi.org/10.1016/0165-0327(89)90001-3
  36. Beck, A. T. & Weissman, A. (1974). The Measurement of pessimism: the hopeless scale. Journal of consulting and Clinical Psychology, 42(6), 861-865. https://doi.org/10.1037/h0037562
  37. Caldwell, T.,M.& Jorm, A., F. & Dear, K. (2004). Suicide and mental health in rural, remote and metropolitan areas in Australia., The Medical Journal of Australia, 181(7), 10-13.
  38. Castells, Manuel. (2000) The Rise of the Network Society: (2nd edition) Oxford: Blackwell Publishing.
  39. D' Zurilla, T, J.,& & Nezu, A. M. (1990). Development and preliminary evaluation of the Social Problem-Solving Inventory. Psychological Assesment, 2, 156-163. https://doi.org/10.1037/1040-3590.2.2.156
  40. Garrison, C.Z., Addy, C.L., Jackson, K.L., McKeown, R.E., & Waller, J.L. (1991). The CES-D as a screen for depression and other psychiatric disorders in adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 30, 636-641. https://doi.org/10.1097/00004583-199107000-00017
  41. Gerald, C. D., John, M. N., Ann, & M. Kring. (2004). Abnormal Psychology, 9/Edition, 이봉건 역, 이상심리학. 서울 :시그마프레스, 2005. 237-239.
  42. Harlow. L. L, Newcomb. M.,D. & Bentler P.M. (1986). Depression, self-derogation, substance use, and suicide ideation: Lack of purpose in life as a mediational factor. Journal of Clinical Psychology, 42(1), 5-21. https://doi.org/10.1002/1097-4679(198601)42:1<5::AID-JCLP2270420102>3.0.CO;2-9
  43. Hirish, J. K. (2006). A Review of the Literature on Rural Suicide. The Journal of Crisis Intervention and Suicide Prevention. 27(4), 189-199. 10.1027/0227-5910.27.4.189
  44. Judd, F., Cooper, A., Fraser, C., & Davis, J.(2006). Rural suicide-people or place effects?. Australian and New Zealand Journal of Psychiatry, 40(3), 208-216.
  45. Kalichman, S. C., Heckman, T., Kochman, A. Sikkema, K., & Bergholte, J. (2000). Depression and Thoughts of Suicide Among Middle-Aged and Older Persons Living With HIV-AIDS. Psychiatric Services, 51(7), 2012. 7. 8. http://ps.psychiatryonline.org /data /Journals/PSS /3547/903.pdf
  46. Leenaars, A. A. (1996). Suicide: A multidimensional malaise. Suicide & Life-Threatening Behavior, 26, 221- 236.
  47. Levin. K.,A. & Leyland, A.,H. (2005). Urban-Rural Inequalities in Ischemic Heart Disease in Scotland. 1981-1999. Am J Public Health. 2006 January; 96(1): 145-151. https://doi.org/10.2105/AJPH.2004.051193
  48. McCall, P.L.(1991). Adolescent and Elderly White Male Suicide Trends. Journal of Gerontology, 46(1), 43-51. https://doi.org/10.1093/geronj/46.1.S43
  49. Nock, M. K., Borges, G, Bromet E. (2008). Cross-national prevalence and risk factor suicide mortality: a global cross-sectional analysis in an epidemiological transition perspective. Public Health, 118, 346-348
  50. Olson, DH, Portner, J., & Lavee, Y. (1985). FACES-IlL St. Paul: University of Minnesota. epartment of Family Social Science. Quay, HC (Ed.).
  51. Pfeffer, C. R., Klerman, G. L., Hurt, S. W., Lesser, M., Peskin, J. R., & Siefker, C. A. (1991). Suicidal children grow up: Demographic and clinical risk factors for adolescent suicide attempts. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 609-616. https://doi.org/10.1097/00004583-199107000-00013
  52. Pfeffer. C Y.& Klerman,G. L.& Hurt. S.W., Lesser.M & Peskin, J.R. & Siefker,C.A. (1991) Suicidal Children Grow Up: Demographic and Clinical Risk Factors for Adolescent Suicide Attempts. Journal of the American Academy of Child & Adolescent Psychiatry, 30(4), 609-616. https://doi.org/10.1097/00004583-199107000-00013
  53. Phillips MR, Li X, Zhang Y. Suicide rates in China, 1995-99. Lancet, 359(9309): 835-840.
  54. Pirkis, J., & Blood, R. W. (2001a). Suicide and the media: Part 1: Reportage in nonfictional media. Crisis, 22, 146-154. https://doi.org/10.1027//0227-5910.22.4.146
  55. Range, L. M., & Antonelli, K. B. (1990). A factor analysis of six commonly used instruments associated with suicide using college students. Journal of Personality Assessment, 55, 804-811. https://doi.org/10.1207/s15327752jpa5503&4_37
  56. Rosenberg, M. (1965). Society and adolescent self-image. Princeton, NJ: Princeton University.
  57. Rost K, Smith GR, Taylor JL. (1993). Rural-urban differences in stigma and the use of care for depressive disorders. Journal of Rural Health, 9, 57-62. https://doi.org/10.1111/j.1748-0361.1993.tb00495.x
  58. Sassen, Saskia (2001) Global City, (2nd Edition). Princeton University Press.
  59. SPRC, Education Development center & STIPDA. (2008). Preventing youth suicide in rural America: Recommendation to state. 2012. 6. 13. http: //www.sprc.org/ sites/sprc.org/ files/ library /ruralyouth.pdf.
  60. WHO. (2009). Suicides from Mortality database. 2012. 8.1. www.who.int/healthinfo/morttables.
  61. Wilson, K. G., Stelzer, J., Bergman, J. N., Kral, M. J., Inayatullah, M., & Elliott, C. A. (1995). Problem Solving, Stress, and Coping in Adolescent Suicide Attempts. Suicide and Life-Threatening Behavior, 25(2), 241-252.
  62. Wrigley S, Jackson H, Judd F, Komiti A. (2005). The role of stigma and attitudes towards help seeking from a GP for mental health problems in a rural town. Australian and New Zealand Journal of Psychiatry, 39(6), 514-521. https://doi.org/10.1080/j.1440-1614.2005.01612.x