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Effects of Variables Related to Suicide Attempt on the Types of Youth Suicide Attempt

청소년 자살시도 관련 변인이 자살시도 유형에 미치는 영향

  • Lee, Seung Jin (Graduate School of Education., Sehan University) ;
  • Yu, Nan Sook (Dept. of Home Economics Education, Korea University)
  • 이승진 (세한대학교 대학원 교육학과) ;
  • 유난숙 (고려대학교 가정교육과)
  • Received : 2020.11.30
  • Accepted : 2020.12.31
  • Published : 2020.12.31

Abstract

The purpose of the study were to analyze the patterns of adolescent suicide attempts, and to explore the effects of personal psychology (subjective depression, subjective stress), health status (BMI, subjective health perception), and subjective academic performance on the types of youth suicide attempts. For this research, data of 'The 15th Korea Youth Risk Behavior Survey' were analyzed employing a hierarchical logistic regression analysis. The findings are as follows. First, out of 1,731 youth suicide attempts 156 (9%) were impulsive and 1,575 (91%) were planned. Girls(67.3%) attempted suicide more than boys (32.5%), and middle school students (62%) attempted suicide more than high school students (38%). Second, the variables that significantly affect suicide attempt types were subjective depression, subjective stress, and subjective health perception, after controlling for gender, grade level, school type, and SES. The rate of planned suicide attempts was higher among those who experienced depression than among those who did not. In the case of subjective stress, adolescents who felt stressed were likely to commit planned suicide attempts. Those who attempted impulsive suicide showed 1.32 times higher subjective health perception scores than those who attempted planned suicide, indicating adolescents who perceived they were not healthy were more likely to attempt planned suicide. BMI and subjective academic performance did not have a significant effect on the types of youth suicide attempts. These findings suggested the necessity of systematic intervention in Home Economics classes or extra-curricular programs, to prevent potential youth suicide attempts.

본 연구 목적은 청소년 자살시도자의 양상을 분석하고, 개인심리(주관적 우울감, 주관적 스트레스), 건강상태(주관적 건강인식, BMI), 주관적 학업성적이 청소년 자살시도 유형(계획적 자살시도자와 충동적 자살시도자)에 미치는 영향력을 알아보았다. 이를 위해 제 15차(2019년) 청소건강행태조사 원시자료를 사용하여 위계적 로지스틱 회귀분석을 하였다. 연구결과는 다음과 같다. 첫째, 청소년 자살시도자의 양상을 살펴본 결과, 청소년 자살시도자 1,731명중 계획적 자살시도자가 1,575명(91%)으로 충동적 자살시도자 156명(9%)에 비해 월등히 높게 나타났다. 성별을 살펴보면, 여성(67.3%)이 남성(32.5%)에 비해 자살시도가 높게 나타났고, 학교유형별로 보면 중학생(62%)이 고등학생(38%)에 비해 높은 자살시도율을 보였다. 둘째, 자살시도 유형에 유의미한 영향을 미치는 변수들은 '주관적 우울감', '주관적 스트레스', '주관적 건강인식'이었다. 우울감을 경험한 청소년의 경우 그렇지 않은 학생들에 비해 계획적 자살시도를 실행할 비율이 높게 나타났다. 스트레스를 많이 느끼는 청소년의 경우에도 계획적 자살시도자가 높은 것으로 나타났다. 주관적 건강인식의 경우 충동적 자살시도자가 계획적 자살시도자와 비교하여 1.32배 건강하다고 생각하는 것으로 나타나 건강하다고 생각하지 않은 청소년의 경우 계획적 자살시도가 높은 것으로 나타났다. 반면에 BMI, 주관적 학업성적의 경우 청소년들의 자살시도에 유의미한 영향을 미치지는 않았다. 이러한 연구결과를 기초로 가정과수업이나 창의적 체험활동에서 잠재적 청소년 자살시도 예방을 위한 방안을 제안하였다.

Keywords

Acknowledgement

이 논문은 2020년도 세한대학교 교내연구비 지원으로 작성된 것임

References

  1. Bae, J. Y. (2004). Case study about elderly suicide. Korean Journal of Gerontological Social Welfare, 23, 65-82.
  2. Bae, J. M., & Kim, E. Y. (2011). A qualitative study on the experience of adolescents for friend's suicidal completion. The Korea Journal of Youth Counseling, 19(2), 189-208. https://doi.org/10.35151/kyci.2011.19.2.010
  3. Cho, Y. S., & Lee, K. L. (2010). Effects of adolescent's alienation, depression, family environment and school maladjustment on suicidal ideation. Family and Environment Research, 48(8), 27-37.
  4. Choi, J., Ryou, B., Kim, K., Choi, Y., & Hahm, H. C. (2020). Latent subtypes and characteristics of suicidality in South Korean youth. Korean Journal of Social Welfare Studies, 51(2), 57-96. https://doi.org/10.16999/KASWS.2020.51.2.57
  5. Choi, Y. (2011). Self-awareness, life style, and suicide-related factors of adolescents: Based on the 5th Korea Youth Risk Behavior Web-based Survey (2009). Unpublished master's thesis, Inje University, Gangwon, Korea.
  6. Chun, Y. J., & Lee, S. H. (2000). Analysis of variables related to adolescent's suicidal ideation. Korean Journal of Youth Studies, 7(1), 221-246.
  7. Chung, H. K., Ahn, O. H., & Kim, K. H. (2003). Prediction factors affecting youth's suicide implications. Korean Journal of Youth Studies, 10(2), 107-126.
  8. Kang, J. H., Lee, K.-M., & Lee, H. K. (2015). A study on overcoming of the suicidal idea. Health and Social Welfare Review, 35(3), 103-134. https://doi.org/10.15709/hswr.2015.35.3.103
  9. Kim, D.-S. (2008). Gender differences in body image and suicidal ideation among Korean adolescents. Unpublished doctorate dissertation, Seoul National University, Seoul, Korea.
  10. Kim, H.-S. (2002). Correlation between personality, family dynamic environment and suicidal attempt among Korean adolescents population. Journal of Korean Academy of Nursing, 32(2), 231-242. https://doi.org/10.4040/jkan.2002.32.2.231
  11. Kim, J. (2015). A study on factors affecting youth's attempt to suicide: Mediation effect of social support. Children's Light, 110, 119-156.
  12. Kim, J., & Kim K. (2018). Analysis on influence of triggering variables related the suicidal ideation, suicidal plan, and suicidal attempt: Focused on participants in 6th KoWePS. The Journal of the Korea Contents Association, 18(2), 344-360. https://doi.org/10.5392/JKCA.2018.18.02.344
  13. Kim, K. D. (2012). Experiences of parents as suicide survivors. Korean Journal of Social Welfare, 64(4), 5-29.
  14. Kim, M. K., & Cho, K. W. (2019). Factors affecting health risk behaviors, suicidal ideation, suicidal plans and suicidal attempts in adolescents. Korean Journal of Health Education Promotion, 36(3), 61-71. https://doi.org/10.14367/kjhep.2019.36.3.61
  15. Kim, Y.-B., & Lee, J. S. (2003). An analysis of suicide concepts. Journal of Korean Psychiatric and Mental Health Nursing Academic Society, 12(4), 394-401.
  16. Korea Law Information Center (2020). Act to prevent suicide and foster a culture of respect for life. Retrieved from https://www.law.go.kr/LSW/LsiJoLinkP.do?docType=&lsNm=%EC%9E%90%EC%82%B4%EC%98%88%EB%B0%A9+%EB%B0%8F+%EC%83%9D%EB%AA%85%EC%A1%B4%EC%A4%91%EB%AC%B8%ED%99%94+%EC%A1%B0%EC%84%B1%EC%9D%84+%EC%9C%84%ED%95%9C+%EB%B2%95%EB%A5%A0&joNo=&languageType=KO¶s=1#J11:0.
  17. Lee, H. K., & Chang, C. G. (2012). The relations of health-related quality of life, mental health, and suicidal ideation among Korean elderly, Korean Public Health Research, 38(1), 69-79. https://doi.org/10.22900/KPHR.2012.38.1.007
  18. Lee, J.-S. (2013). A Study on the relationships between impulsivity, aspects of social support, and suicidal ideation among middle school students: Focus on the moderating effect of social support. Journal of Future Oriented Youth Society, 10(3), 1-22.
  19. Lee, J. H. (2014). Association between victimization and depression, suicidal ideation among adolescence from multicultural families: Analyses of 2012 Korean youth risk behavior survey. Unpublished master's thesis, The Catholic University of Korea, Seoul, Korea.
  20. Lee, J. M. (2012). A comparative study of factors influencing on middle school, high school, and university student's suicidal ideation. Unpublished master's thesis, Seoul Women's University, Seoul, Korea.
  21. Lee, T.-Y., Shin, J.-H., Yu, M.-S., & Kim, K.-H. (2011). A study on suicidal behavior factors. Korea Academy Industrial Cooperation Society, 12(6), 2636-2643. https://doi.org/10.5762/KAIS.2011.12.6.2636
  22. Lee, Y.-J., Lee, S.-J., & Kim, C.-G. (2012). Korean adolescents' weight control behaviors by BMI(Body Mass Index) and body shape perception: Korea youth risk behavior web-based survey from 2010. Journal of Digital Convergence, 10(3), 227-232. https://doi.org/10.14400/JDPM.2012.10.3.227
  23. Ministry of Education (2015). 2015 Revised technology-home economics curriculum. Sejong: Author.
  24. Ministry of Health and Welfare & Korea Suicide Prevention Center (2020). 2020 suicide prevention white book. Sejong: Author.
  25. Oh, S. G. (2006). The Relations among adolescent's suicidal attitudes, suicidal risk, and needs of life-esteem education participation. Unpublished doctorate dissertation, Korea University, Seoul, Korea.
  26. Park, B.-K. (2006). Adolescents' psycho-social characteristics and suicidal ideation. Journal of School Social Work, 10, 41-76.
  27. Park, J. H., & Kim, S. H. (2011). Development of the adolescent brain and behavioral and cognitive characteristics. Journal of the Korean Society of Biological Therapies in Psychiatry, 17(1), 11-20.
  28. Park, J. S., & Moon, J. W. (2010). Factors affecting suicidal ideation of the middle and high school students in Korea. Health and Social Studies, 27, 105-130.
  29. Park, S.-Y., Yang, S., & Park, S.-Y. (2018). Path analysis of suicidal attempts among adolescents with suicidal thoughts: Comparison between middle and high school students. Journal of the Korean Society for Wellness, 13(3), 1-15. https://doi.org/10.21097/ksw.2018.08.13.3.1
  30. Shin, B.-K., & Lee, S.-J. (2016). Factors influencing the length of time that it took for elderly to do suicidal ideation, suicidal plan and suicidal attempt after retirement in Korea. Social Welfare Policy, 43(2), 1-33.
  31. Shin, E. J., & Kim, H. S. (2013). Effects of a peer gatekeeper training program on self-esteem, interpersonal relationships with friends, and suicide probability for high school students. Journal of Korean Psychiatric and Mental Health Nursing Academic Society, 22(3), 241-251. https://doi.org/10.12934/jkpmhn.2013.22.3.241
  32. Shin, H. J., Chung, I.-J., Lee, S.-A., Lee, H. Y., & Park, J. Y. (2014). Factors affecting depression, suicidal ideation, suicide plans and suicide attempts in adolescence. Journal of School Social Work, 27, 25-50.
  33. Son, S. (2019). A study on the factors influencing the suicide ideation of juveniles: Using the 14th Korea youth risk behavior web-based survey, 2018. Unpublished master's thesis, Kongju National University, Chungnam, Korea.
  34. Song, J.-Y. (2020). The effects of health behaviors and cognitive stress on suicidal thoughts in multicultural and non-multicultural adolescents: Focusing on mediating effect of depressive symptom. Unpublished master's thesis, Yonsei University, Seoul, Korea.
  35. Yeom, I. (2018). The relationships between co-occurrence of health risk behaviors, suicidal ideation, and suicide attempts among adolescents: Based on the Korea youth risk behavior web-based survey from 2014, 2016, 2017. Unpublished master's thesis, Yonsei University, Seoul, Korea.