DOI QR코드

DOI QR Code

Factors that Help and Hinder South Korean Teachers' Bereavement Following Student Suicide: A Concept-Mapping Approach

학생 자살 후 교사의 애도 경험에 관한 개념도 연구: 어려움 및 도움 요인

  • Received : 2021.03.12
  • Accepted : 2021.04.28
  • Published : 2021.04.30

Abstract

This study aimed to identify the factors that helped and hindered secondary school teachers who experienced student suicide using the concept-mapping approach. Seven South Korean middle and high school teachers were interviewed from which 113 core statements were elicited. The participants sorted these core statements into categories by meaning. Multidimensional scaling and hierarchical cluster analysis were conducted to identify the underlying structure of the teachers' experiences. Four hindering factor clusters emerged: (1) regret over failing to prevent the suicide, (2) an apathetic atmosphere in the school, (3) a sense of helplessness related to suicide survivors, and (4) approach-avoidance conflicts related to suicide survivors. Six helpful factor clusters emerged: (1) cooperation and care offered between suicide survivors, (2) focusing on the present, busy life, (3) spiritual activity, (4) social support, (5) overcoming grief through altruistic behaviors, and (6) sympathy for the deceased. Two dimensions were found for both the hindering and helpful factors. The hindering factor dimensions were external system-internal experiences and related to suicide survivors-related to suicide decedents. The helpful factor dimensions were distancing from the loss-approaching the loss and professional activities-personal activities. The present study empirically explored and described the underlying structure of teachers' bereavement experiences after student suicides.

본 연구는 학생의 자살 이후, 중·고등학교 교사들이 상실에 대처하는 과정에서 어떤 어려움과 도움 요소를 경험하는지 개념도 방법을 활용하여 확인하였다. 이를 위해 학생의 자살을 경험한 중·고등학교 교사 7명을 대상으로 개별 면접을 시행하였고, 진술 내용을 기초로 총 113개의 핵심 문장을 추출하였다. 이 문장들은 참여자들에 의해 비슷한 의미를 가진 것끼리 분류되었으며, 이를 바탕으로 다차원척도분석과 군집분석을 실시하였다. 분석 결과, 교사들의 애도 과정에서의 어려움 요인은 '자살사별자 관련 및 자살 학생 관련' 축과 '외부시스템 및 내적 경험' 축의 2차원으로 구조화되었으며, 총 4개의 군집으로 분류되었다. 각각의 군집은 '자살을 예방하지 못한 후회,' '자살 사건에 대한 학교의 무관심,' '자살사별자 관련 무력감,' '자살사별자 관련 접근-회피 갈등'으로 명명되었다. 교사들의 적응과정에서 도움 요인은 '직업적 활동 및 개인적 활동' 축과 '상실 경험 분리 및 상실 경험 밀착' 축의 2차원으로 구조화되었고, 총 6개의 군집으로 나타났다. 각각의 군집은 '자살사별자 간 협조와 보살핌,' '바쁜 일상과 현재에 집중,' '영성 활동,' '사회적 지지,' '이타적 행동을 통한 애도,' '고인에 대한 연민'으로 명명되었다. 본 연구는 그동안 관심을 받지 못했던 교사 집단의 학생 상실 경험을 조명하고, 이들이 애도 과정에서 경험하는 어려움 요인과 도움 요인의 개념적 구조를 당사자의 관점에서 생생하게 규명하였다는 데 의의가 있다.

Keywords

References

  1. 강혜윤, 이정윤 (2020). 미묘한 성차별(Gender Microaggression)에 대한 개념도 연구: 20대 여성을 중심으로. 여성연구, 106(3), 63-92.
  2. 경향신문[웹사이트] (2012, 1, 3). 10대가 아프다. 대구 자살 여중생 담임교사의 심경 고백. http://news.khan.co.kr/kh_news/khan_art_view.html?artid=201201030305015&code=940202
  3. 교육과학기술부[웹사이트] (2011). 학생자살 위기관리 프로토콜. http://nl.go.kr/app/nl/search/common/download.jsp?file_id=FILE-00010311689
  4. 김병찬 (2003). 중학교 교사들의 교직문화에 대한 질적 사례 연구. 교육행정학연구, 21(1), 1-27.
  5. 김지연, 한나리, 이동귀 (2009). 초심상담자와 상담전문가가 겪는 어려움과 극복방안에 대한 개념도 연구. 상담학연구, 10(2), 769-792.
  6. 김현수 (2018). 개념도 및 언어네트워크 분석을 통한 효과적인 생활지도의 내용과 방법. 이화여자대학교 일반대학원 박사학위 논문.
  7. 노형진, 유자양 (2016). (SPSS 및 EXCEL을 활용한) 다변량분석 이론과 실제. 서울: 지필미디어.
  8. 대구광역시서부교육지원청[웹사이트] (2014). 대구광역시서부교육지원청 Wee센터 자살위기개입매뉴얼. http://schoolsafe.kr/board_file_view.do?id=1421
  9. 명소연, 이동훈, 정보영, 강은진 (2018). 자살사건 외상대응과정에 대한 사례연구: A 고등학교 교사경험을 중심으로. 한국심리학회지: 상담 및 심리치료, 30(1), 23-54. https://doi.org/10.21193/KJSPP.2016.30.1.002
  10. 민경화, 최윤정 (2007). 상담학 연구에서 개념도(Concept Mapping) 방법의 적용. 상담학연구, 8(4), 1291-1307. https://doi.org/10.15703/KJC.8.4.200712.1291
  11. 박광배 (2000). 다차원척도법. 서울: 교육과학사
  12. 박미정, 박경란 (2015). 중증장애학생의 죽음에 대한 특수교사의 상실 경험. 특수교육 저널: 이론과 실천, 16(4), 265-286.
  13. 오희정, 김갑성 (2017). 사회는 교사에게 어떤 역할을 기대하는가?: 2007~2016 년 신문 자료 내용분석을 통한 교사 역할기대 경향 연구. 한국교원교육연구, 34(3), 139-166.
  14. 윤성근, 양은주 (2015). 내담자의 자살에 대한 정신건강 전문가의 정서적 경험과 보호요인: 개념도 연구법을 활용하여. 한국심리학회지: 상담 및 심리치료, 27(3), 519-541.
  15. 이범응, 허 숙 (2015). 교사와 교직생활. 서울: 지식과 감성.
  16. 이승연 (2007). 학교장면에서의 자살 사후중재. 상담학연구, 8(1), 161-180. https://doi.org/10.15703/KJC.8.1.200703.161
  17. 정신영, 이동귀, 박현주 (2012). 자살시도 병사의 위험요인과 보호요인에 관한 개념도 연구. 상담학연구, 13(1), 113-133.
  18. 정형수, 이지영, 김소연, 양은주 (2014). 한국 성인의 사별에 의한 복합비애경험 개념도 연구. 한국심리학회지: 일반, 33(1), 81-107.
  19. 중앙자살예방센터[웹사이트] (2020). 2020 자살통계 자료집. http://www.spckorea.or.kr/sub.php?id=issue&mode=view&menukey=10&idx=37&page=1&menukey=10
  20. 최명민, 김가득, 김도윤 (2016). 자살로 사별한 노년기 배우자의 상실경험: 농촌지역 노인을 중심으로. 정신건강과 사회복지, 44(1), 76-105.
  21. 최윤정, 김계현 (2007). 고학력 기혼여성의 진로단절 위기 경험에 대한 개념도(Concept Map) 연구-진로지속 여성과 중단 여성간의 비교. 상담학연구, 8(3), 1031-1045.
  22. 한국자살예방협회[웹사이트] (2012). 교사용 학생자살 위기대응 매뉴얼. http://www.gne.go.kr/upload_data/board_data/workroom/139824908568373.pdf
  23. 한국청소년상담복지개발원[웹사이트] (2010). 청소년 자살 사후개입 매뉴얼 개발: 학교 장면에서의 개입을 중심으로. https://www.kyci.or.kr/userSite/sub04_4.asp
  24. Abrutyn, S., & Mueller, A. S. (2014). Are suicidal behaviors contagious in adolescence? Using longitudinal data to examine suicide suggestion. American Sociological Review, 79, 211-227. https://doi.org/10.1177/0003122413519445
  25. Andriessen, K. (2009). Can postvention be prevention?. Crisis, 30(1), 43-47. https://doi.org/10.1027/0227-5910.30.1.43
  26. Andriessen, K., Krysinska, K., & Grad, O. T. (Eds.). (2017). Postvention in action: The international handbook of suicide bereavement support. Gottingen: Hogrefe Verlag.
  27. Ballou, M. B., & Brown, L. S. (Eds.). (2002). Rethinking mental health and disorder: Feminist perspectives. NY: Guilford Press.
  28. Bonanno, G. A., Papa, A., Lalande, K., Zhang, N., & Noll, J. G. (2005). Grief processing and deliberate grief avoidance: a prospective comparison of bereaved spouses and parents in the United States and the People's Republic of China. Journal of Consulting and Clinical Psychology, 73(1), 86-98. https://doi.org/10.1037/0022-006X.73.1.86
  29. Causer, H., Muse, K., Smith, J., & Bradley, E. (2019). What is the experience of practitioners in health, education or social care roles following a death by suicide? A qualitative research synthesis. International Journal of Environmental Research and Public Health, 16(18), 3293-3316. https://doi.org/10.3390/ijerph16183293
  30. Cerel, J., McIntosh, J. L., Neimeyer, R. A., Maple, M., & Marshall, D. (2014). The continuum of "survivorship": Definitional issues in the aftermath of suicide. Suicide and Life Threatening Behavior, 44(6), 591-600. https://doi.org/10.1111/sltb.12093
  31. Christianson, C. L., & Everall, R. D. (2008). Constructing bridges of support: School counsellors' experiences of student suicide. Canadian Journal of Counselling and Psychotherapy, 42(3), 209-221.
  32. Cohen, J. A., & Mannarino, A. P. (2011). Supporting children with traumatic grief: What educators need to know. School Psychology International, 32(2), 117-131. https://doi.org/10.1177/0143034311400827
  33. Currier, J. M., Mallot, J., Martinez, T. E., Sandy, C., & Neimeyer, R. A. (2013). Bereavement, religion, and posttraumatic growth: A matched control group investigation. Psychology of Religion and Spirituality, 5(2), 69-77. https://doi.org/10.1037/a0027708
  34. Dunne, E. J., McIntosh, J. L., & Dunne-Maxim, K. (Eds.). (1987). Suicide and its aftermath: Understanding and counseling the survivors. New York, NY: WW Norton.
  35. Dyregrov, K. (2011). What do we know about needs for help after suicide in different parts of the world? A phenomenological perspective. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 32(6), 310-318. https://doi.org/10.1027/0227-5910/a000098
  36. Fine, C. (2011). No time to say goodbye: Surviving the suicide of a loved one. New York, NY: Harmony.
  37. Finlayson, M., & Simmonds, J. (2019). workplace responses and psychologists' needs following cli ent suicide. Omega: Journal of Death and Dying, 79, 18-33. https://doi.org/10.1177/0030222817709693
  38. Giorgi, A. (1985). Sketch of a psychological phenomenological method. In A. Giorgi (Ed.), Phenomenology and psychological research (pp. 12- 28). Pittsburgh, PA: Duquesene University Press.
  39. Goodyear, R. K., Tracey, T. J., Claiborn, C. D., Lichtenberg, J. W., & Wampold, B. E. (2005). Ideographic concept mapping in counseling psychology research: Conceptual overview, methodology, and an illustration. Journal of Counseling Psychology, 52(2), 236. https://doi.org/10.1037/0022-0167.52.2.236
  40. Gulfi, A., Castelli Dransart, D. A., Heeb, J. L., & Gutjahr, E. (2010). The impact of patient suicide on the professional reactions and practices of mental health caregivers and social workers. Crisis, 31(4), 202-210. https://doi.org/10.1027/0027-5910/a000027
  41. Hannon, M. D., Mohabir, R. K., Cleveland, R. E., & Hunt, B. (2019). School counselors, multiple student deaths, and grief: A narrative inquiry. Journal of Counseling & Development, 97(1), 43-52. https://doi.org/10.1002/jcad.12234
  42. Hart, S. R. (2012). Student suicide: Suicide postvention. In S. E. Brock & S. R. Jimerson (Eds.), Best practices in school crisis prevention and intervention (2nd ed., pp. 525-548). Bethesda, MD: National Association of School Psychologists.
  43. Hart, L., & Garza, Y. (2013). Teachers perceptions of effects of a student's death: A phenomenological study. OMEGA-Journal of Death and Dying, 66(4), 301-311. https://doi.org/10.2190/OM.66.4.b
  44. Hjelmeland, H., & Knizek, B. L. (2010). Why we need qualitative research in suicidology. Suicide and Life-Threatening Behavior, 40(1), 74-80. https://doi.org/10.1521/suli.2010.40.1.74
  45. Jordan, J. R., & McIntosh, J. L. (Eds.). (2011). Grief after suicide: Understanding the consequences and caring for the survivors. New York, NY: Routledge.
  46. Juth, V., Smyth, J. M., Carey, M. P., & Lepore, S. J. (2015). Social constraints are associated with negative psychological and physical adjustment in bereavement. Applied Psychology: Health and Well-Being, 7(2), 129-148. https://doi.org/10.1111/aphw.12041
  47. Kane, M., & Trochim, W. M. K. (2007). Concept mapping for planning and evaluation Thousand Oaks, CA: Sage Publications.
  48. Kim, J. E. (2019). Korean teachers' bereavement experience following student suicide: A phenomenological study. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 40(4), 287-293. https://doi.org/10.1027/0227-5910/a000578
  49. Kolves, K., Ross, V., Hawgood, J., Spence, S. H., & De Leo, D. (2017). The impact of a student's suicide: Teachers' perspectives. Journal of Affective Disorders, 207, 276-281. https://doi.org/10.1016/j.jad.2016.09.058
  50. Kristensen, P., Weisaeth, L., & Heir, T. (2012). Bereavement and mental health after sudden and violent losses: A review. Psychiatry, 75(1), 76-97. https://doi.org/10.1521/psyc.2012.75.1.76
  51. Kruskal, J. B. (1964). Multidimensional scaling by optimizing goodness of fit to a nonmetric hypothesis. Psychometrika, 29(1), 1-27. https://doi.org/10.1007/BF02289565
  52. Kubler-Ross, E. (1969). On Death and Dying. New York: The Macmillan Company.
  53. Lamb, F., & Dunne-Maxim, K. (1987). Postvention in schools: Policy and process. In E. Dunne, J. McIntosh, & K. Dunne-Maxim (Eds.), Suicide and its aftermath: Understanding and counseling the survivors (pp. 245-260). New York, NY: WW Norton.
  54. Lepore, S. J., Silver, R. C., Wortman, C. B., & Wayment, H. A. (1996). Social constraints, intrusive thoughts, and depressive symptoms among bereaved mothers. Journal of Personality and Social Psychology, 70(2), 27-2821. https://doi.org/10.1037/0022-3514.70.2.271
  55. Levkovich, I., & Duvshan, R. (2020). "I Keep it Together at Work but Fall Apart at Home": The Experience of Israeli Homeroom Teachers Coping With the Death of a Student in their Class. OMEGA-Journal of Death and Dying, 0030222819899501.
  56. Mancini, A. D., & Bonanno, G. A. (2006). Resilience in the face of potential trauma: Clinical practices and illustrations. Journal of Clinical Psychology, 62(8), 971-985. https://doi.org/10.1002/jclp.20283
  57. Mangurian, C., Harre, E., Reliford, A., Booty, A., & Cournos, F. (2009). Improving support of residents after a patient suicide: a residency case study. Academic Psychiatry, 33(4), 278-281. https://doi.org/10.1176/appi.ap.33.4.278
  58. Maple, M., Wayland, S., Sanford, R., Spillane, A., & Coker, S. (2020). Carers' Motivations for, and Experiences of, Participating in Suicide Research. International journal of environmental research and public health, 17(5), 1733-1748. https://doi.org/10.3390/ijerph17051733
  59. Maples, M. F., Packman, J., Abney, P., Daugherty, R. F., Casey, J. A., & Pirtle, L. (2005). Suicide by teenagers in middle school: A postvention team approach. Journal of Counseling & Development, 83(4), 397-405. https://doi.org/10.1002/j.1556-6678.2005.tb00361.x
  60. McManus, E., & Paul, S. (2019). Addressing the bereavement needs of children in school: An evaluation of bereavement training for school communities. Improving Schools, 22(1), 72-85. https://doi.org/10.1177/1365480219825540
  61. Miller, D. N., & Mazza, J. J. (2018). Schoolbased suicide prevention, intervention, and postvention. In A. Leschied, D. Saklofske, G. Flett (Eds.), Handbook of School-Based Mental Health Promotion (pp. 261-277). New York, NY: Springer International Publishing.
  62. Oexle, N., & Sheehan, L. (2019). Perceived social support and mental health after suicide loss. Crisis. 41(1), 65-69. https://doi.org/10.1027/0227-5910/a000594
  63. Parrish, M., & Tunkle, J. (2005). Clinical challenges following an adolescent's death by suicide: Bereavement issues faced by family, friends, schools, and clinicians. Clinical Social Work Journal, 33(1), 81-102. https://doi.org/10.1007/s10615-005-2621-5
  64. Paul, S. M. (2015). Advancing education and support around death, dying, and bereavement: Hospices, schools, and health promoting palliative care. (Doctoral Dissertation). The University of Edinburgh, Edinburgh, Scotland.
  65. Pitman, A., De Souza, T., Khrisna Putri, A., Stevenson, F., King, M., Osborn, D., & Morant, N. (2018). Support needs and experiences of people bereaved by suicide: qualitative findings from a cross-sectional British study of bereaved young adults. International Journal of Environmental Research and Public Health, 15(4), 666-687. https://doi.org/10.3390/ijerph15040666
  66. Rodgers, R. F., & DuBois, R. H. (2018). Grief reactions: A sociocultural approach. In E. Bui (Ed.), Clinical handbook of bereavement and grief reactions (pp. 1-18). Boston, MA: Humana Press.
  67. Rytterstrom, P., Ovox, S. M., Wardig, R., & Hultsjo, S. (2020). Impact of suicide on health professionals in psychiatric care mental healthcare professionals' perceptions of suicide during ongoing psychiatric care and its impacts on their continued care work. International Journal of Mental Health Nursing, 29(5), 982-991. https://doi.org/10.1111/inm.12738
  68. Shields, C., Russo, K., & Kananagh, M. (2019). Angels of courage: The Experiences of mothers who have been bereaved by suicide. OMEGA-Journal of Death and Dying, 80(2), 175-201. https://doi.org/10.1177/0030222817725180
  69. Sisask, M., Varnik, P., Varnik, A., Apter, A., Balazs, J., Balint, M., ... & Wasserman, D. (2014). Teacher satisfaction with school and psychological well-being affects their readiness to help children with mental health problems. Health Education Journal, 73(4), 382-393. https://doi.org/10.1177/0017896913485742
  70. Spiegelman, J. S., & Werth, J. L., Jr. (2005). Don't forget about me: The experiences of therapists-in-training after a client has attempted or died by suicide. In K. M. Weiner (Ed.), Therapeutic and legal issues for therapists who have survived a client suicide: Breaking the silence (pp. 35-57). New York, NY: Haworth Press.
  71. Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197-224. https://doi.org/10.1080/074811899201046
  72. Stroebe, M., & Schut, H. (2010). The dual process model of coping with bereavement: A decade on. OMEGA-Journal of Death and Dying, 61(4), 273-289. https://doi.org/10.2190/OM.61.4.b
  73. Stroebe, W., Stroebe, M., Abakoumkin, G., & Schut, H. (1996). The role of loneliness and social support in adjustment to loss: a test of attachment versus stress theory. Journal of Personality and Social Psychology, 70(6), 1241-1249. https://doi.org/10.1037/0022-3514.70.6.1241
  74. Sturrock, K., & Rocha, J. (2000). A multidimensional scaling stress evaluation table. Field Methods, 12, 49-60. https://doi.org/10.1177/1525822X0001200104
  75. Suicide Prevention Resource Center[web site] (2018). After a suicide: A toolkit for schools. https://www.sprc.org/sites/default/files/resource-program/AfteraSuicideToolkitforSchools.pdf
  76. Trochim, W. (1993, November). The reliability of concept mapping. In annual conference of the American Evaluation Association (Vol. 6).
  77. Westefeld, J. S., Jenks Kettmann, J. D., Lovmo, C., & Hey, C. (2007). High school suicide: Knowledge and opinions of teachers. Journal of Loss and Trauma, 12(1), 33-44. https://doi.org/10.1080/15325020600757839
  78. Worden, J. W. (2018). Grief counseling and grief therapy: A handbook for the mental health practitioner. New York, NY: Springer Publishing Company.
  79. Wurst, F. M., Kunz, I., Skipper, G., Wolfersdorf, M., Beine, K. H., Vogel, R., Muller, S., Petitjean, S., & Thon, N. (2013). How therapists react to patient's suicide: findings and consequences for health care professionals' wellbeing. General Hospital Psychiatry, 35(5), 565-570. https://doi.org/10.1016/j.genhosppsych.2013.05.003