• Title/Summary/Keyword: 자살시도 경험

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Clinical Characteristics of NSSI and Predictors of Suicide Attempts in Clinically Depressed Korean Adolescents (일 대학병원에 방문한 우울한 청소년에서 비자살성 자해행동의 임상적 특성과 자살 시도 예측요인)

  • Kim, Gyung-Mee
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.69-76
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    • 2019
  • Objectives : The purpose of this study was to examine the prevalence and clinical characteristics of nonsuicidal self-injury (NSSI), and its association with suicide attempts among clinically depressed adolescents in Korea. Methods : In total, 113 depressed adolescents aged 12-18 years in South Korea were enrolled in this study. We assessed sociodemographic and clinical characteristics including suicidality and non-suicidal self-injury (NSSI) using various self-reported scales and semi-structured interview for diagnosis of psychiatric disorders. Demographic and clinical characteristics of the subjects were compared between NSSI and non-NSSI groups. We examined significant predictors of suicide attempts using logistic regression analysis. Results : Among 113 depressed participants, 48 (42.1%) adolescents were classified into the NSSI group. In the NSSI group, there were significantly more females, showed higher depression, higher state-anxiety, and more suicide ideation. The most predictive factors of suicide attempts were history of NSSI, observed suicide/NSSI behaviors of their family or friends, and total state anxiety score. Conclusions : NSSI is more common problem among clinically depressed adolescents and history of NSSI is a significant predictor of present suicide attempts. To include the assessment of NSSI for clinically depressed adolescent may be crucial for intervention programs for high risk adolescents of suicide in Korea.

Factors Affecting Suicidal Ideation by Medical Institutions Users - Focusing on elderly people with chronic diseases (일 의료기관 이용자의 자살생각 영향요인 - 만성질환 노인을 중심으로)

  • Lim, Gyeong-Tae
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.644-654
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    • 2019
  • The purpose of this study was to investigate the effects of depression, self-esteem and daily life ability on suicidal ideation in elderly people with chronic illness. The subjects were 170 outpatients and inpatients in a general hospital in D city. After conducting questionnaires for data collection, t-test, ANOVA and multiple regression analysis were performed and analyzed using SPSS 12.0 / win program. The results showed that suicidal ideation was influenced by gender, health status, chronic disease diagnosis, and experience of suicide attempt, with a positive correlation with depression and a negative correlation with daily life ability. The suicide attempt experience, depression, self-esteem and daily living ability showed 50.8% explanatory power against suicidal ideation. In order to reduce suicidal ideation, it is necessary to reduce suicidal ideation of elderly people with chronic diseases by managing an intervention program that reduces depression and improves daily life ability.

Sleep and Suicidal Risk Factors in Korean High School Students (고등학생 청소년들의 수면과 자살위험요인)

  • Jeong, Ja-Hyun;Jang, Yong-E;Lee, Hae-Woo;Shim, Hyun-Bo;Choi, Jin-Sook
    • Sleep Medicine and Psychophysiology
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    • v.20 no.1
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    • pp.22-30
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    • 2013
  • Objectives: Sleep problems has been consistently reported as a suicidal risk factor in adults and, recently, also in adolescents. In this study, dividing study subjects by the previous suicidal behaviors (suicidal vs non-suicidal), we compared the group differences of suicidal risk factors, and examined the possibility of sleep as a suicidal risk factor. Methods: Study subjects were 561 (271 boys and 290 girls) from a community sample of high school students. Suicidal Risk Behavior Checklist, Center for Epidemiological Study-Depression (CES-D), Symptom Checklist-90-Revision (SCL-90-R) Anxiety and Aggression subscale, Pittsburg Sleep Quality Index (PSQI) were done. Results: Forty six students (8.1%) reported previous actual self-harm behavior as a suicidal attempt, 181 students (32.4%) reported having suicidal thought only. Three hundred thirty four students (59.5%) reported no previous suicidal behavior (thought and attempt, both). Suicidal behavior group showed higher score on risk behaviors such as school violence, substance use and internet addiction. CES-D, SCL-90-R, PSQI showed significant group difference. Logistic regression analysis showed suicidal risk were significantly associated with depression, stress in suicidal risk factors and sleep latency, daytime dysfunction in PSQI. Analysis of variance (ANOVA) shows the most prolonged sleep latency and increased index of all PSQI components except sleep efficiency in suicidal attempt group. Conclusions: Sleep Problems had a strong association with the suicidal risk behavior in adolescents. Sleep problems, especially, prolonged sleep latency, daytime dysfunction might be important markers for suicidal behavior. Screening for sleep problems in adolescents are encouraged for the parents, school teachers, and related medical physicians.

Factors Related to Mental Health of Juveniles - Using the Korea Youth Risk Behavior Web-Based Survey 2019 - (청소년의 정신건강 관련 요인 연구 - 2019년 청소년건강행태온라인조사 자료를 이용하여 -)

  • Kim, Kyeong-Na
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.475-481
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    • 2020
  • This study investigated the mental health factors of juveniles according to socio-demographic characteristics and mental health related characteristics using the Korea Youth Risk Behavior Web-Based Survey 2019 Data. The study subjects were total 57,303 students (middle school: 29,384, high school: 27,919). The data was analyzed with descriptive statistics, frequency analysis, χ2-tests and regression analysis using SPSS ver. 18.0. The findings revealed that socio-demographic characteristics (gender, residential area, residential type, economic status, school achievement) and mental health related characteristics (subjective assessment, stress cognition, overcoming fatigue through sleeping, experiencing sadness and despair, suicidal ideation, suicidal planning, suicidal attempts, experience of hospital care for violence, experience of smoking, drinking, sexual relations and/or habitual drug use, internet use except for study) were factors that influenced factors related to the mental health of juveniles (p<0.05). The mental health of juveniles was closely related with health behaviors. This study could be used as a tool for the development and establishment of juveniles' health promotion and prevention strategies in the future.

A Convergence Study on Violence, Discrimination and Suicidal Ideation among Person with Disabilities (장애인의 폭력 및 차별경험과 자살생각에 관한 융합연구)

  • Kim, Seokhwan;Lee, Hyunjoo;Kim, Ji hyun
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.347-353
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    • 2018
  • 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.

A Study on the Characteristics of Adult Suicide and Suicidal Type (성인 자살의 특성과 자살유형에 관한 연구)

  • Hyo-Chang Kim
    • Korean Journal of Culture and Social Issue
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    • v.12 no.1
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    • pp.15-33
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    • 2006
  • There are less studies on the adult suicide even though it's steep increase and negative effect on person itself, family and society. The purpose of the present study was to investigate factors that influence on the adult suicide and to categorize it. Using a case-study approach, a total of 61 cases were analyzed. Specifically, on the basis of the stress-vulnerability model, I scrutinized vulnerability factors(classified personal, family-environment, and social-environment factors) and precipitating events(classified personal, interpersonal events) influencing on the adult suicide. As the results of this study, adult suicide classified into 3 types, that is, 'risk type suicide', 'event-response type suicide', 'complex type'. And then I discussed the characteristics of the suicidal types and the method for reduction of adult suicide.

Associated Factors of Suicidal Ideation in Community Residents with Suicidal Attempt Experiences (자살시도 경험이 있는 지역주민의 자살사고에 관한 연구)

  • Kim, Mi-Young;Jun, Seong-Sook;Kim, Kyung Hee
    • Research in Community and Public Health Nursing
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    • v.24 no.2
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    • pp.135-142
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    • 2013
  • Purpose: The purpose of this study is to explore influencing factors which contribute to the suicidal ideation in community residents who have ever experienced suicidal attempts. Methods: The subjects of this study were a total of 165 local residents with some experiences of suicidal attempts in B City and K Province. The data were collected from May 1st to October 30th, 2012 and self-report questionnaires including Suicidal Ideation Inventory, Self-Esteem Inventory, Depression, Family and Social Support Inventory were used as a measurement tool. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. Results: The average score of suicidal ideation in the local residents with experiences of suicidal attempts was $12.7{\pm}6.25$. Predicted factors on suicidal ideation in the local residents with experiences of suicide attempts included self-esteem, depression and physical illness, and the suicidal ideation has a variance explanation power of 54%. Conclusion: The development and application of intervention programs, which can help to increase self-esteem levels and decrease depression levels among community residents with experiences of suicidal attempts, are first needed. Furthermore, nursing services of customized self-management for people with physical disabilities are needed on the basis of their own physical problems.

An Empirical Analysis of Effects of Depression on Suicidal Ideation of Korean Adults: Emphasis on 2008~2012 KNHANES Dataset (국내성인에 있어서 우울증이 자살생각에 미치는 영향에 관한 실증연구: 국민건강영양조사 2008~2012 자료를 중심으로)

  • Jeon, Hyeon Gyu;Sim, Jae Mun;Lee, Kun Chang
    • The Journal of the Korea Contents Association
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    • v.15 no.7
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    • pp.264-281
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    • 2015
  • Suicidal ideation has received much attention from both practitioners and researchers as Korean society becomes aging and individualistic. However, previous researches on the suicide ideation have focused on young generations instead of adults who seem to be more suffered from economic pressure and all kinds of exterior environments causing depression. Besides, there were research voids in the suicidal ideation area where depression was never taken into consideration. In this sense, we attempted to launch empirical studies on analyzing explanatory factors relevant to suicidal ideation in all the age groups by using KNHANES dataset from 2008~2012 years. Especially, we further analyzed KNHANES dataset to know how much depression affects suicidal ideation. Empirical results showed that depression is in a significant relationship with the suicidal ideation in all the demographic dimensions such as age, education, living area, etc.

The Influence of Mental Health Characteristics upon Drinking and Smoking in Adolescents of Capital Area and Non-capital Area (수도권과 비수도권 청소년들의 정신건강 특성이 음주, 흡연에 미치는 영향)

  • Kim, Hwan-Hui
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.5
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    • pp.175-188
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    • 2021
  • The purpose of this study was to grasp the influence of mental health upon the lifelong drinking experience in adolescents of non-capital area and capital area through using the 2019 Youth Health Behavior Survey Data. The research subjects included total 57,303 adolescents who participated in the survey among 60,100 adolescents at totally 800 schools with 400 middle schools and 400 high schools. Out of these, 29,384 middle school students and 27,919 high school students were selected. As a result of the research, the mental health that has significant influence upon the lifelong drinking and smoking experience in case of non-capital area appeared to be significant in the perceived subjective health (p<.01), cognitive stress(p<.001), relief from fatigue(p<.001), sadness & despair experience(p<.001), suicide ideation(p<.001), suicide plan(p<.01), and suicide attempt(p<.001). In case of capital area, the mental health of having a significant impact on the lifelong drinking and smoking experience was indicated to be significant in cognitive stress(p<.01), relief from fatigue(p<.001), sadness & despair experience(p<.001), suicide ideation(p<.001), and suicide attempt(p<.001). Based on this outcome, adolescents' drinking problem has influence upon mental health characteristic. Hence, an effort is needed for developing the intervention & education program aiming at the more effective youth drinking prevention through establishing direction and revaluing education program in consideration of mental health factors by region in adolescents of capital area and non-capital area.

Feminist Phenomenology on the Life Experiences of Young Korean Women with Attempted Suicide (자살을 시도한 젊은 여성들의 삶의 경험에 관한 페미니스트 현상학)

  • Yi, Myung-Sun;Hwang, Soon-Chan
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.123-134
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    • 2011
  • Purpose: The purpose of the study was to understand and describe the experiences of young Korean women with attempted suicide. Methods: The data were collected by individual interviews from four women who attempted suicide during 2008-2009. A total of 25 hours interviews were audio-recorded and transcribed verbatim. The data were analyzed using feminist phenomenology to reflect and respect the participants' view and experience as much as possible. Results: Five theme clusters and ten themes emerged from the analysis. Five theme clusters include "anger resulting from others-oriented life," "guilt resulting from selfish life," "confusion resulting from unbalanced life between self and others," "attempted suicide resulting from the chaos of life as a whole," and "peace resulting from balanced life between self and others." While these theme clusters represent the phases of life experience, ten themes indicate specific problems or strategies raised during these phases in the context of male-oriented Korean patriarchal society. Conclusion: The results of the study provide insights by deeply understanding of life of young women who attempted suicide in the Korean sociocultural context with the ideology of the subjection of women.