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대학신입생의 자살위험성에 영향을 미치는 융합적 요인

Convergence Factors Affecting Suicide Risk of University Freshmen

  • 투고 : 2019.08.19
  • 심사 : 2019.11.20
  • 발행 : 2019.11.28

초록

본 연구는 대학신입생의 ADHD, 우울, 불안 및 자살위험성 파악과 자살위험성 관련 융합적 요인들의 상관관계를 알아보고 대학신입생의 자살위험성에 영향을 미치는 요인을 파악하고자 수행된 연구이다. 연구결과 대상자의 자살위험성과 ADHD, 우울 및 불안간의 상관관계는 모두 통계적으로 유의한 것으로 확인되었다. 자살위험성과 ADHD(r=-.411)의 상관관계는 중간정도의 음의 상관관계, 우울(r=-.594) 과 불안(r=-.563)은 각각 높은 음의 상관관계가 확인되었다. 로지스틱 회귀분석 결과, 대학신입생의 자살위험성에 유의한 영향요인은 ADHD, 우울, 불안으로 각 변수들의 abnormal 군에서 ADHD(OR=3.17; 95% CI 1.36-7.38), 우울(OR=10.80; 95% CI 4.32-27.02), 불안(OR=3.39; 95% CI 1.55-7.41)이 영향요인으로 확인되었다. 이처럼 대학신입생의 자살위험군은 ADHD, 우울, 불안과 높은 관련성을 가지고 있으므로, 추후 대학신입생의 개인상담 및 정기적인 심리검사 실시하여 자살 고위험군에게 관리프로그램을 실시함으로써 학생들의 심리적 안정과 학교생활 적응에 도움이 될 것이다.

The purpose of this study was to investigate the correlations between ADHD, depression, anxiety, suicide risk and suicide risk of university freshmen, and to investigate factors affecting suicide risk of university freshmen. As a result, the correlation between suicide risk and ADHD, depression, and anxiety were statistically significant. The correlation between suicide risk and ADHD (r=-.411) was moderately negative, while depression (r=-.594) and anxiety (r=-.563) were high negative correlations. According to the logistic regression analysis, the significant factors affecting suicide risk of college freshmen were ADHD, depression, and anxiety. In the abnormal group of variables, ADHD (OR=3.17; 95% CI 1.36-7.38), depression (OR=10.80; 95% CI 4.32-27.02) and anxiety (OR=3.39; 95% CI 1.55-7.41) were identified as influencing factors. As such, suicide risk groups of college freshmen are highly associated with ADHD, depression, and anxiety. Therefore, personal counseling and regular psychological tests of college freshmen will be provided to the high-risk suicide program to help students' psychological stability and adjustment to school life.

키워드

참고문헌

  1. Korean Statistical Information Service. (2016). Annual Report on the Cause of Death Statistics. http://kosis.kr/publication/publicationThema.do
  2. G. S. Kang. (2019, May). Literature Review for Mental Health of University Students. The Korean Entertainment Industry Association Conference symposium (pp. 87-90). Seoul : The Korean Entertainment Industry Association
  3. J. J. Kim. (2009). An Analysis of Variables Related to University Student's Suicidal Ideation -Regarding Effect of Suicidal Attempt Experience, Mental Health, Psychosocial Problems-Mental Health & Social Work, 32, 413-437.
  4. S. Y, Ahn, J. H. Kim & B. Y. Choi. (2015). Meta-Analysis on Variables Related to Suicidal Ideation among College Students. The Korean Journal of School Psychology, 12(3), 385-405. DOI : 10.16983/kjsp.2015.12.3.385
  5. G. E. Gomez & E. A. Gomez. (1991). Depression in the elderly. J Psych Nur, 31(5). 28-33.
  6. Y. H. Park. (2017). Effects of Depression, Self-Esteem, and Social Support on Suicidal Ideation in College Students. Child Health Nursing Research, 23(1), 111-116. DOI : 10.4094/chnr.2017.23.1.111
  7. E. M. Ji & Y. C. Cho. (2014). The association of self-esteem and social support with depressive symptoms in college students. Journal of the Korea Academia-Industrial cooperation Society, 15(5), 2996-3006. DOI : 10.5762/KAIS.2014.15.5.2996
  8. M. J. Hwang & Y. E. Jang. (2017). The Effect of Job-Seeking Stress of University Student's on Suicidal Ideation : Mediating Effect of Mental Health. The Journal of Social Science. 24(1), 113-136. https://doi.org/10.46415/jss.2017.03.24.1.113
  9. K. J. Kim & N. W. Chung. (2019). Relationship among life stress, depression, and suicidal ideation of university students : moderated mediating effect of self-compassion. The Korean Journal of Health Psychology, 24(1), 249-271. DOI : 10.17315/kjhp.2019.24.1.012
  10. Y. R. Cho. (2007). Assessing Emotion Dysregulation: Psychometric Properties of the Korean Version of the Difficulties in Emotion Regulation Scale. Korean Journal of Clinical Psychology, 26(4), 1015-1038. DOI : 10.15842/kjcp.2007.26.4.012012
  11. S. M. Ham & M. H. Hyun. (2018). The Mediating Effects of Emotional Dysregulation on the Relationship Between Attention-Deficit/ Hyperactivity Disorder Traits and Disordered Eating Behaviors. The Korean Journal of Health Psychology, 23(2), 505-523. DOI : 10.17315/kjhp.2018.23.2.011
  12. M. L. Park. (2017. 09. 11). MEDICAL Observer. 70% of adult ADHD patients with comorbidity experience. Monews [Online]. http://www.monews.co.kr/news/articleView.html?idxno=105415
  13. H. L. RO & E. J. Shin. (2015). Relationship between prevalenc of attention deficit hyperactivity disorder symptoms and depression of college students. Journal of the Korea Academia-Industrial cooperation Society, 16(3), 1937-1945. DOI : 10.5762/KAIS.2015.16.3.1937
  14. H. S. Kweon & S. G. Lee. (2017). The Relationship between ADHD trait and Adjustment on Campus among College Students. Korean Journal of Counseling. 18(2), 297-313. DOI: 10.15703/kjc.18.2.201704.297
  15. S. G. Lee. (2015). Relationship between Symptoms of Attention Deficit/Hyperactivity Disorder and Psychological Maladjustment, Self-Esteem, Life-Satisfaction and Academic Achievement among College Students. The Korean Society of Educational Therapy, 7, 193-208.
  16. S. H. Choi & H. Y. Lee. (2014). Influence on College Students' Depression of Anxiety, Unemployment Stress, and Self-esteem- Moderating Effect of Resilience-, Journal of The Korea Contenrs Association. 14(10), 619-627. DOI: 10.5392/JKCA.2014.14.10.619
  17. M. J. Park. J. H. Choi, E. Y. Lee & M. Y. Park. (2014). Effects of College Life Characteristics on Depression, Anxiety, and Somatic Symptoms among Freshmen. Journal of The Korea Contenrs Association. 14(1), 346-355. DOI: 10.5392/JKCA.2014.14.01.346
  18. S. G. Yoo & S. H. Jang,(2019). The Relationships among Smart Phone Addiction, Anxiety, Self-differentiation and Life Adjustment in University Students. Journal of the Korean society for Wellness 14(1), 171-184. DOI: 10.21097/ksw.2019.02.14.1.171
  19. National Assembly Education Hope Forum, Korean Council for University Education, National University Student Counseling Center. (2018. 5). College students' anxiety, are you all right? [Electronic materials] : Support for Mental Health Crisis for Undergraduate Students: Continuous Planning of Universities (11-16). SEOUL: Korean Council for University Education
  20. D. Harwood & R. Jacoby. (2000). Suicidal behavior among the elderly. In K, Howton & K, van Heeringen (Eds.), The International Handbook of Suicide and Attempted Suicide, 275-291. Chichester: Wiley.
  21. W. M. Reynolds. (1988). SIQ, Suicidal ideation questionnaire: Professional manual. Odessa, FL; Psychological Assessment Resources.
  22. K. R. Murphy & R. A. Barkely. (1995). Preliminary Normativee Data on DSM-IV Criteria for Adults. ADHD Report, 3, 7-6.
  23. E. J. Kim. (2003). The Validation of Korean Adult ADHD Scale (K-AADHDS). Korean Journal of Clinical Psychology, 22(4), 897-911. DOI: 10.15842/kjcp.2009.28.4.009009
  24. D. E. Nease & J. M. Malouin. (2003). Depression Screening: A Practical Strategy. The Journal of Family Practice, 52(2), 118-26.
  25. R. L. Spitzer, K. Kroenke, J. B. Williams & B. Lowe. (2006). A brief Measure for Assessing Generalized Anxiety Disorder: the GAD-7. Archives of Internal Medicine, 166(10), 1092-1097. DOI: 10.1001/archinte.166.10.1092
  26. J. G. Seo & S. P. Park. (2015). Validation of the Generalized Anxiety Disorder-7(GAD-7) and GAD-2 in patients with migraine. The journal of headache and pain, 16(1), 97. DOI: 10.1186/s10194-015-0583-8
  27. S. J. Alexander & A. G. Harrison. (2011). Cognitive Responses to Stress, Depression, and Anxiety and their Relationship to ADHD Symptoms in First Year Psychology Students. Journal of Attention Disorders, 17(1), 29-37. DOI: 10.1177/1087054711413071
  28. C. M. Park, J. S. Lim, Y. M. Choi, J. H. Choi & S. H. Jo. (2017). Effects of Depression and Stress Coping Strategies on Suicide Incidents in Psychiatric Patients and Health Controls. Journal of Korean Neuropsychiatric Association, 56(2), 68-77. DOI: 10.4306/jknpa.2017.56.2.68
  29. N. Y. Kim et al. (2015). Suicidal Idea, ADHD, Depression, Anxiety, Self-esteem and Impulsiveness with Soldiers. The Korean Psychological Association. 8, 268-268. DOI: 10.4172/2378-5756.1000314
  30. E. J. Kim & G. W. Choi.(2012).The Relationships among Job-Seeking Anxiety, Depression and Suicidal Ideation of University students. The Korean Contents Association, 5, 351-352. UCI: G704-SER000009889.2012.19.2.002