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The Influencing Factors on GateKeeper Behavior of Adolescents for Suicide Prevention

청소년의 자살예방을 위한 게이트키퍼 행동 영향요인

  • Oh, Kyongok (College of Nursing, Chungnam National University) ;
  • Gang, Moonhee (College of Nursing, Chungnam National University)
  • Received : 2017.09.15
  • Accepted : 2017.11.20
  • Published : 2017.11.28

Abstract

The purpose of the study was to identify the factors on Gatekeeper behavior of adolescents for suicide prevention. The participants were five high school students from D metropolitan city. The collected data were analysed using t-test, ANOVA, Multiple regression with SPSS 21.0 program. In the results of the study, Gatekeeper behavior showed significant difference by gender(t=2.85, p=.005), type of school(t=-2.81, p=.006), experience of significant others' suicide(t=-2.09, p=.038). Gatekeeper behavior had a positive relationship with the perception toward suicide prevention(r=.23, p=.006) and the knowledge about suicide prevention(r=.42, p<.001). In regression analysis, significant influencing factors on Gatekeeper behavior were the perception toward suicide prevention (${\beta}=.20$, p=.006) and the knowledge about suicide prevention(${\beta}=.35$, p<.001), and these variables showed 24.3% of variance. Therefore, it need to develop the intervention for improving positive perception and active knowledge about suicide prevention in adolescents. In addition, future study to identify various predictable variables is needed.

본 연구의 목적은 청소년 자살예방을 위한 게이트키퍼 행동 영향요인을 파악하는 것이다. 본 연구의 대상자는 D 광역시 소재 5개 고등학교에 재학 중인 남녀 학생이다. 수집된 자료의 분석은 SPSS 21.0 program을 이용하여 서술통계, t-test, ANOVA, Multiple regression을 수행하였다. 본 연구결과, 대상자의 게이트키퍼 행동은 성별(t=2.85, p=.005), 학교유형(t=-2.81, p=.006), 가족이나 친구의 자살경험 여부(t=-2.09, p=.038)에 따라 통계적으로 유의한 차이가 있었다. 또한 자살예방에 대한 인식(r=.23, p=.006) 및 지식(r=.42, p<.001)과 유의한 상관관계가 나타났다. 회귀분석결과, 자살예방에 대한 인식(${\beta}=.20$, p=.006)과 지식(${\beta}=.35$, p<.001)이 게이트키퍼 행동에 유의한 영향요인으로 나타났으며, 이들 변수는 게이트키퍼 행동에 대해 총 24.3%를 설명하였다. 따라서 본 연구결과를 토대로 청소년을 대상으로 자살예방에 대한 긍정적 인식과 지식 향상을 제공할 수 있는 중재 개발을 제언한다. 또한 추후 청소년의 자살예방을 위한 게이트키퍼 행동을 예측할 수 있는 다양한 변수를 확인할 수 있는 연구가 필요하다.

Keywords

References

  1. Statistics Korea, 2017, http://kostat.go.kr/wnsearch/search.jsp.
  2. Seoul Metropolitan Officie of Education, 2017, http://buseo.sen.go.kr/web/services/bbs/bbsView.action?bbsBean.bbsCd=94&bbsBean.bbsSeq=6388&ctgCd=209.
  3. World Health Organization, 2015, WHO Mortality Database. OECD Family Database, www.oecd.org/els/family/database.htm.
  4. S. W. Lim, K. S. Oh, "Suicide prevention by education", Journal of Korean Medical Association, Vol.55, No.4, 2012. doi.org/10.5124/ jkma.2012.55.4.349.
  5. E. S. Yakunina, J. R. Rogers, C. A. Waehler, J. L. Werth, "College students' intentions to seek help for suicidal ideation: Accounting for the help-negation effect". Suicide and Life-threatening Behavior, Vol. 40, pp. 438-450, 2010. https://doi.org/10.1521/suli.2010.40.5.438
  6. J. Kalafat "School approaches to youth suicide prevention", American Behavioral Scientist. Vol. 46, pp.1211-1223, 2003. https://doi.org/10.1177/0002764202250665
  7. C. Walrath, L.Garraza, H. Reid, D. B. Goldston, R. McKeon, "Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality", American Journal of Public Health, Vol. 105, pp. 986-993, 2015. https://doi.org/10.2105/AJPH.2014.302496
  8. World Health Organization, "Preventing suicide: a resource for counsellors", Geneva: World Health Organization, 2006.
  9. World Health Organization, "Preventing suicide: a resource for police, firefighters, and other first line responders", Geneva: World Health Organization, 2009.
  10. Quinnett, P. QPR Institute. 1999. Retrieved February 9, 2007 from http://wwwqprinstitute.com/.
  11. M. Isaac, B. Elias, L. Y. Katz, S-L. Belik, F. P. Deane, M. W. Enns, J. Sareen, The Swampy Cree Suicide Prevention Team, "Gatekeeper Training as a Preventative Intervention for Suicide: A systematic review", Canadian Journal of Psychiatry, Vol. 54, No.4, pp.260-268, 2009. https://doi.org/10.1177/070674370905400407
  12. J. N. Shon, "The effects of the peer suicide prevention gatekeeper program for middle school students", Journal of Korean Academy Psychiatric Mental Health Nursing, Vol.20, No.1, pp. 111-119, 2011. https://doi.org/10.12934/jkpmhn.2011.20.1.111
  13. K. S. Ko, J. S. Lee, C. H. Park, "A study on the educational smasrt contents of adolescents' gatekeeper program", Journal of the Korea Convergence Society, Vol.8, No.6, pp.181-197, 2017. https://doi.org/10.15207/JKCS.2017.8.1.181
  14. H. S. Kim, G. R. Park, H. O. Jung, "Effects of a peer Gatekeeper training program on existential spiritual well-being, interpersonal relationship with friends, and suicide probability for middle school students", Journal of Korean Academy Society Nursing Education, Vol.20, No.3, pp. 372-381, 2014, doi.org/10.5977/jkasne.2014.20.3.372.
  15. E. J. Shin, S. H. Kim, "Effects of a peer gatekeeper training program on self-esteem, interpersonal relationships with friends, and suicide probability for high school students", Journal of Korean Academy of Psychiatric Mental Health Nursing. Vol. 22, No. 3, pp.241-251, 2013. doi.org/10.12934/jkpmhn.2013.22.3.241.
  16. M. K. Song, "The effects of a life-respect education program on middles school students' fear of death, suicide risk, and values on life-respect. Unpublished doctoral dissertation, Keimyung University, Deagu, 2012.
  17. N. R. Hwang, H. S. Hong, "Knowledge about suicide, preparation to perform activities and self-evaluation of suicide prevention of army officers", Journal of Military Nursing Research, Vol.31 No.2, pp.42-53, 2013.
  18. R. F. W. Diekstra, & A.J.F.M. Kerkhof, "Attitudes toward suicide: development of a suicide attitude questionnaire (SUIATT)", Current Issues of Suicidology, pp. 462-476, 1988.
  19. S-J. Lee, S-M. Moon, J-M. Lee, K-J. Yon, "The moderating effects of permissive attitude toward suicide and experience of suicide loss on the relaionship between depression and suicidality", Korean Journal of Counseling, Vol. 16, No. 4, pp. 23-43.
  20. P. A. Wyman, C. H. Brown, J. Inman, W. Cross, K. Schmeelk-Cone, J. Guo, J. B. Pena, "Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff", Journal of Consultation Clinical Psychology, Vol. 76, No.1, pp.104-115, 2008. doi: 10.1037/0022-006X.76.1.104.
  21. W. F. Cross, D. Seaburn, D. Gibbs, K. Schmeelk-Cone, A. M. White, E. D. Caine, "Does practice make perfect? A randomized control trial of behavioral rehearsal on suicide prevention gatekeeper skills", Journal of Primary Prevention, Vol.32, pp.195-211, 2011. https://doi.org/10.1007/s10935-011-0250-z
  22. D. P .Keller, L. J. Schut, R. W. Puddy, L. Williams, R. L. Stephens, R. McKeon, "Tennessee lives count: Statewide gatekeeper training for youth suicide prevention", Professional Psychology: Research and Practice, Vol. 40, pp. 126-133, 2009. https://doi.org/10.1037/a0014889
  23. M. D. Cusimano, M. Sameem, "The effectiveness of middle and high school-based suicide prevention programmes for adolescents: a systematic review.", Journal of International Society for Child and Adolescent Injury Prevention, Vol. 17, No.1, pp.43-49, 2011. doi: 10.1136/ip.2009.025502.
  24. S. T. W. Kuhlman, S. E. Walch, K. N. Bauer, A. D. Glenn, "Intention to enact and enactment of Gatekeeper behaviors for suicide prevention: an application of the theory of planned behavior", Prevention Science, Vol. 18, No. 6, pp. 704-715, 2017. https://doi.org/10.1007/s11121-017-0786-0