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장애인의 폭력 및 차별경험과 자살생각에 관한 융합연구

A Convergence Study on Violence, Discrimination and Suicidal Ideation among Person with Disabilities

  • 김석환 (서영대학교 보건의료행정과) ;
  • 이현주 (숭실대학교 사회복지학과) ;
  • 김지현 (고려대학교 보건학협동과정)
  • Kim, Seokhwan (Department of Health-care administration, Seoyeoung University) ;
  • Lee, Hyunjoo (Department of Social Welfare, Soongsil University) ;
  • Kim, Ji hyun (Department of Public Health, Korea University)
  • 투고 : 2018.07.11
  • 심사 : 2018.10.20
  • 발행 : 2018.10.28

초록

본 연구의 목적은 장애인에 대한 차별과 폭력경험이 자살생각에 어떠한 관련성이 있는지를 파악하고자 하였다. 연구 자료는 2014 장애인실태조사를 이용하였으며, 6,332명을 최종분석대상자로 하였다. 자살생각은 최근 1년 동안 실제로 자살시도를 해 본적이 있는지 여부로 정의되었다. 참조군은 자살생각 없음이며, 로지스틱회귀분석을 실시하였다. 연구결과 자살생각을 가진 장애인은 18.5%(n=1,171)였다. 장애인이라는 이유로 언어폭력과 정신적 폭력을 당한 경험이 있는 경우에서 자살생각 위험이 높게 나타났다. 성희롱, 성추행, 성폭력을 경험한 시기가 청소년기인 경우에서 자살생각 위험이 16.7배(CI=4.22-66.18), 가해자가 모르는 사람인 경우 5.85배(CI=2.34-14.6), 대처방법이 무시하거나 참는 경우 4.08배((CI=2.05-8.12) 자살생각 위험이 높았다. 결혼 시 차별경험을 받은 경우 1.60배(CI=1.24-2.08), 장애로 인한 차별을 항상 느끼는 경우 2.73배(CI=4.22-66.18) 자살생각 위험이 높았다. 차별경험과 폭력경험으로 인한 자살생각은 자살로 발전할 수 있으므로 정신적 안녕을 위해 가족 및 사회의 관심과 배려 및 지역사회 차원의 예방프로그램이 함께 지원되어야 할 것이다.

The purpose of this study is to investigate the relevance of discrimination and violence experienced by persons with disabilities to suicidal ideation of persons with disabilities. The study data used the 2014 national survey of the disabled persons and 6,332 people were included in the analysis. Suicidal ideation was defined as whether or not suicide was actually attempted in the last year. The reference group was a group without suicidal ideation and logistic regression analysis of violence discrimination and experience was performed. The study found that 18.5%(n=1.171) of people with disabilities had suicidal ideation. The risk of suicidal ideation was higher when there was language violence and mental violence because of being disabled. When adolescents experienced sexual harassment, sexual abuse, and sexual violence, the risk of suicide was 16.7(CI=4.22-66.18) times higher. The risk of suicidal ideation was 5.8(CI=2.34-14.6) times higher for those who did not know the violent offenders and 4.08(CI=2.05-8.12) times higher for coping strategies that ignored or tolerated violence. The risk of suicidal ideation was 1.60(CI=1.24-2.08) times higher in the case of discrimination experienced at the time of marriage and it was 2.73(CI=4.22-66.18) times higher when they had always felt the discrimination due to disability. The suicidal ideation that comes from experiences of violent experience and discrimination can appear as actual suicide. Therefore, it is necessary to support the suicide prevention program at the community level, along with the care and consideration of the family and society of the disabled for the well-being of the disabled.

키워드

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