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정신건강의학과 입원 환자의 좌절된 소속감, 인식된 짐스러움 및 자살사고와의 관계: 우울의 매개효과

Relationship among Failed Belongingness, Perceived Burdensomeness, and Suicidal Ideation of Psychiatric Inpatients: Mediation Effect of Depression

  • 강희양 (을지대학교 병원 정신건강의학과) ;
  • 장은진 (침례신학대학교 상담심리학과)
  • Kang, Hee Yang (Eulji University Hospital, Dept. of Psychiatry) ;
  • Chang, Eun Jin (Korea Baptist Theological University, Dept. of Counseling Psychology)
  • 투고 : 2018.01.04
  • 심사 : 2018.02.20
  • 발행 : 2018.02.28

초록

본 연구는 정신건강의학과 입원 환자를 대상으로 하여 자살사고에 미치는 대인관계의 영향과 우울의 매개효과를 알아보았다. 대상은 정신건강의학과에 입원한 환자 109명으로, 대인관계는 인식된 짐스러움과 좌절된 소속감으로 구분하였다. 연구 결과, 대인관계 척도의 하위요인 중 인식된 짐스러움은 자살사고와 우울에 직접적인 영향을 주었고, 우울을 매개로 하여 자살사고에 간접적인 영향을 주었다. 반면 대인관계 척도의 하위 요인 중 좌절된 소속감은 우울에 직접적으로 영향을 주었으나 자살사고에는 유의한 영향을 주지 않았다. 이러한 결과와 관련하여 정신건강의학과 입원 환자의 자살사고 개입을 할 때 대인관계와 관련된 변인을 다룰 수 있는 자살개입 방법이 효과적일 것에 대해 논의하였다.

This study focuses on the influence of interpersonal relationship in suicidal ideation and mediation effect of depression in the case of psychiatric inpatients. The subject group was consisted of 109 psychiatric inpatients. Interpersonal relationship was classified into 'perceived burdensomeness' and 'failed belongingness' Findings were as follows: Perceived burdensomeness directly influence depression and through depression also indirectly influences suicidal ideation. In contrast, failed belongingness, though directly influencing depression, do not influence suicidal ideation. In accordance with these findings, this study argues that when intervening in the suicidal ideation of psychiatric inpatients, methods that could influence the factors related to interpersonal relationship would be effective.

키워드

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