• 한국노년학
• /
• v.37 no.1
• /
• pp.173-200
• /
• 2017

This study is designed to verify the actual effect on the prevention of the elderly suicide of the integrated crisis intervention service which has been widely provided across all local communities in Gyeonggi-province focusing on the integrated crisis intervention model developed for the prevention of elderly suicide. The integrated crisis intervention model for the local communities and its manual were developed for the prevention of elderly suicide by integrating the crisis intervention theory which contains local community's integrated system approach and the stress vulnerability theory. For the analysis of the effect, the geriatric depression and suicidal ideation scale was adopted and the data was collected as follows; The data was collected from 258 people in the first preliminary test. Then, it was collected from the secondary test of 184 people after the integrated crisis intervention service was performed for 6 months. The third collection of data was made from 124 people after 2 or 3 years later using the backward tracing method. As for the analysis, the researcher used the R Statistics computing to conduct the test equating, and the vertical scaling between measuring points. Then, the researcher conducted descriptive statistics analysis and univariate analysis of variance, and performed multi-level modeling analysis using Bayesian estimation. As a result of the study, it was found out that the integrated crisis intervention model which has been developed for the elderly suicide prevention has a statistically significant effect on the reduction of elderly suicide in terms of elderly depression and suicide ideation in the follow-up measurement after the implementation of crisis intervention rather than in the first preliminary scores. The integrated crisis intervention model for the prevention of elderly suicide was found to be effective to the extent of 0.56 for the reduction of depression and 0.39 for the reduction of suicidal ideation. However, it was found out in the backward tracing test conducted 2-3 years after the first crisis intervention that the improved values returned to its original state, thus showing that the effect of the intervention is not maintained for long. Multilevel analysis was conducted to find out the factors such as the service type(professional counseling, medication, peer counseling), characteristics of the client (sex, age), the characteristics of the counselor(age, career, major) and the interaction between the characteristics of the counselor and intervention which affect depression and suicidal ideation. It was found that only medication can significantly reduce suicidal ideation and that if the counselor's major is counseling, it significantly further reduces suicidal ideation by interacting with professional counseling. Furthermore, as the characteristics of the suicide prevention experts are found to regulate the intervention effect on elderly suicide prevention in applying integrated crisis intervention model, the primary consideration should be given to the counseling ability of these experts.

• Korean Public Health Research
• /
• v.44 no.4
• /
• pp.1-13
• /
• 2018

Purpose : The purpose of this study was to explore the subjective experiences of problem drinkers participating in the early intervention program for moderate alcohol drinking. Methods : A qualitative descriptive study design was used. Data were collected through individual interviews with thirteen problem drinkers and analyzed using qualitative content analysis. Results : The experiences of the problem drinkers participating in the early intervention program were derived from four themes and nine sub-themes in terms of awareness, alcohol expectancies, perceived self-efficacy and behavioral change. They participated in programs offered in the workplace, and there were differences in motivation level among individuals, but generally accepted the necessity of the program. Participants who had trust with the program provider were more likely to change drinking behavior. Conclusion : Problem drinkers who participated in the early intervention program showed that it is a useful approach to change the problem drinking behavior by promoting awareness of alcohol-related knowledge, motivation for change through acquiring enough information and acquisition of self-efficacy as a behavior skill. These findings can be used as basic information for implementing and adapting early intervention for prevention of alcoholism in primary health care setting including workplace.

• The Journal of the Korea Contents Association
• /
• v.18 no.11
• /
• pp.550-561
• /
• 2018

The aim of this study was to investigate the short term effects of early intervention on alcohol knowledge, alcohol expectancies, drinking refusal self-efficacy for alcoholism prevention in adults and to examine its applicability in the field. This study was a non-equivalent control group pre-post quasi-experimental design. The participants were currently working, and were 12-25 points on result of the Alcohol Use Disorders Identification Test(AUDIT). The participants were a total of 25 men: 13 in the intervention group and 12 in the control group. The intervention group participated in early intervention program once a week for 4 weeks and the control group received only a booklet of alcohol related information. A chi-square test, t-test, Mann-Whitney U test were analyzed by using IBM SPSS Statistics 20.0. The intervention group had significantly higher the alcohol knowledge(t=1.258, p= .002), the negative alcohol expectancies(t=-1.346, p= .042), and the drinking refusal self-efficacy(t=2.817, p= .010) than the control group. In the future, it is need to apply the criteria of problem drinkers considering cultural characteristics, recruitment of participants, and motivational enhancement intervention using motivational interviewing. Especially, web-based alcohol related information providing program will help raise awareness of problem drinking. Early intervention program needs to be applied in community settings where problem drinkers are easily accessible.

• Korean Journal of Social Welfare
• /
• v.65 no.1
• /
• pp.127-146
• /
• 2013

The elderly suicide has become a social problem, and the need for academic and practice-based knowledge for preventing elderly suicide has been addressed. Unlike previous literature focusing on identifying risk factors, this study aimed to address protective ones which help to overcome suicidal behavior among older adults. The purpose of this qualitative study was to understand how older adults get over being suicidal and get back to life, and to identify what helps them during the process. Both in-depth interviews with 35 elderly with suicide attempts and field notes were analyzed through thematic analysis. The older adults described a pathway to rediscovering a 'will to live' that was related to a 'mind's incline' and included two kinds of protective factors. Based on the findings, it addresses the implication for the elderly suicide prevention utilizing protective factors.

• Journal of Legislation Research
• /
• no.44
• /
• pp.689-723
• /
• 2013

Suicide is Korea's first leading cause of death in their twenties and thirties. at a rate of 31.2 per 100,000 in 2010. The Korea suicide rate is over twice higher than OECD's average rate. Because of this reality the suicide prevention act(full title, the Act on Prevention of Suicide and Creation of Culture that Respects Life) was enacted in 2011. In 2008, the Korean government planned the suicide prevention programs to decrease the incidence of suicide to approximately 20 per 100,000 by the end of 2013. Despite the plan the suicide rate in Korea has increased to over 30 per 100,000 since 2009 and the plan was proved to be failed. Consequently, the government was unable to lower the suicide rate in last decade. It has shown that the reduction of suicide rate is a difficult and complex problem. This study shows that the root cause of suicide is based on social and legal exclusion and proposes that suicide prevention measures should be aimed at social cohesion and legal protection.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.2
• /
• pp.978-986
• /
• 2015

The Korean government has administered the 'AMPQ-II' to all middle school students to prevent psychological problems and make immediate interventions when necessary. On the other hand, there has been a paucity of studies of the effectiveness of this governmental policy, or the factors influencing the effectiveness of the intervention. Using the data from 48 counselees from two middle schools, the present study examined the effectiveness of the intervention programs, and whether the counselor's characteristics and the number of counseling sessions might matter in the effect. The results suggested that most students reported improvements after the interventions. The intervention effect was less pronounced when the counselors had governmental certification. The number of counseling sessions was not a significant factor for predicting the effectiveness of the interventions. Interpretations of the present study should be made cautiously because of the small sample size. The present results, however, suggest that efforts to improve the quality of the counseling teachers are necessary. In addition, increasing the number of counseling sessions is not necessarily effective.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.32 no.5
• /
• pp.458-463
• /
• 2006

The osteoradionecrosis of the mandible can be a serious complication of radiotherapy for malignancies of the head and neck. The cause and pathogenesis of osteoradionecrosis are unclear and anecdotal. There are various treatment-, patient- and tumor-related risk factors on development of osteoradionecrosis. The treatment of osteoradionecrosis relies on conservative measures (antibiotics, debridement, irrigation and HBO) and surgical measures (sequestrectomy, marginal resection and segmental resection with or without reconstruction). But the indications are not defined. We present the two cases of patients who were not controlled by conservative treatment but good-resulted by surgical treatment.

• Korean Journal of Social Welfare
• /
• v.57 no.2
• /
• pp.321-350
• /
• 2005

This study developed a relapse prevention program for substance abusing women and evaluated its effectiveness. The major contents of the program include to enhance cognitive and behavioral coping skills, to identify and expand supportive social networks, and to deal with women-related issues. The program was operated 3 times with 24 female clients in a probation office in Seoul from August 2003 to October 2004. The program changed the participants' attitudes toward substance use and improved their drug-refusal skills. This study mentions that the findings may be useful for practitioners as well as researchers because this study was first one that dealt with a women-only group in Korea. Finally, this study suggests that more studies be conducted in order to provide better understandings on substance abusing women and more effective interventions skills.

• Proceedings of the Korea Contents Association Conference
• /
• 2019.05a
• /
• pp.273-274
• /
• 2019

최근에는 혁신적인 디지털 기술을 이용한 다양한 응용 프로그램이 의료계에 소개되고 있다. 중독 과학 분야 또한 기술 혁신을 통해 중독 예방 관리 및 치료를 할 수 있는 방법을 적극적으로 모색하고 있다. 중독 회복에 있어 일상적인 환경에서의 적절한 치료개입과 장기적 관리에 대한 중요성은 널리 알려졌으나 낙인, 노출, 비용에 대한 우려로 정신의료서비스의 이용률이 저조했다. 따라서 중독 치료를 통해 전인적 성장을 돕는 자가 관리 체계가 있다면 유용할 것이다. 본 연구는 Davies(2015)의 라이프스타일 균형 모델(LBM)을 바탕으로 영국에서 개발된 웹기반 SUD 회복 프로그램인 Breaking Free Online(BFO)을 소개하고 향후 국내에서 적용 가능한 SUD의 치료적 개입 방향성을 제공하고자 한다.

• Proceedings of the Korea Contents Association Conference
• /
• 2012.05a
• /
• pp.389-390
• /
• 2012

대학생이 학업중단에 이르는 과정은 여러 가지 요인에 의해 영향을 받는다. 이에 관한 연구는 초기에 학업중단을 예방할 수 있게 해주며, 각 단계에서의 다양한 개입의 방향과 전략을 제시해 줄 수 있다. 따라서, 본 논문에서는 학업을 포기하는 전문대학생의 실태와 현황, 학업중단의 문제를 요인 분석하기 위하여, K대학의 중도탈락에 관한 실제 데이터를 대상으로 요인분석을 실시하고, 그 개선안을 제시하데 그 목적이 있다.