• Title/Summary/Keyword: 자살에 대한 생각

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The Identification and Analysis of Selected Health Behaviors as Reported by Korean Adolescents in Seoul (한국 청소년들의 건강위험행동 실태파악 및 분석)

  • Choi, Eun-Jin;Olsen, K.;Nicholson, Mary E.;Birch, David A.;Nicely, Robert F.
    • Korean Journal of Health Education and Promotion
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    • v.10 no.2
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    • pp.86-99
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    • 1993
  • 본 연구의 목적은 한국청소년들의 건강행동실태를 파악하기 위한 것이다. 본 연구의 의의는 미국에서 행해지고 있는 청소년의 건강유지 및 증진과 아울러 성인병이나 조기사망에 대한 역학적인 접근방식을 한국청소년을 대상으로 하여 응용하는 데 있다. 이 연구에 사용된 연구도구는 미국의 Centers for Disease Control에서 청소년의 건강행동을 역학적으로 연구하기 위해 개발한 Youth Risk Behavior Survey를 한국 사회환경의 요구도에 맞게 수정한 것이다. 본 연구는 한국인 청소년들의 건강행동을 조사하기 위한 타당성있는 연구도구를 개발하기 위해 4개의 단계로 구성되어 있다. 두번의 focus group discussion과 pilot test, 그리고 실제조사로 이루어져 있다. 서울지역의 중.고등학생을 대표할 표본추출은 cluster sampling을 사용하였다. Cluster는 본 연구에서 구분한 서울의 지리적인 구역들, 즉 북부, 남부, 그리고 산업지역을 포함했고, 남자학교, 여자학교, 남녀공학학교를 포함했다. 총38개 중.고교 학생 4,747명이 조사되었다. 약 52.4%의 응답자가 심각하게 자살을 생각해본 적이 있다고 답했다. 그리고 23.6%가 설문조사전 30일 중에 담배를 피운 적이 있다고 응답했으며 49.7%는 설문조사전 30일중에 술을 마신 적이 있다고 답했다. 약 29%가 설문조사전 30일 중에 싸움에 가담한 적이 있다고 응답했다. 본 연구에서 조사된 건강관련행동 (건강위험행동 포함)들은 성, 연령, 성적, 사회경제적 위치, 학교 종류, 그리고 서울의 지리적인 구역에 따라 다양하게 나타났다. 남학생이 여학생보다 더 간강위험행동을 나타내었다. 건강위험행동은 나이가 증가함에 따라 증가했다. 사회경제적 위치가 낮다고 응답한 학생들과 학급에서 성적이 하위라고 응답한 학생들의 경우 건강위험행동은 더 많이 나타났다.

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Convergent Effect of Psychological Health and Physical Health on Health-related Quality of Life in Korean Echo Generation: Using Korea Health Panel Data 2013 (에코세대의 정신건강 및 신체건강이 건강관련 삶의 질에 미치는 융복합적 영향: 2013년도 한국의료패널 자료를 이용하여)

  • Choi, So-Eun;Park, Min-Jeong
    • Journal of Digital Convergence
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    • v.15 no.6
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    • pp.283-295
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    • 2017
  • The purpose of this study was to identify the effect of psychological health and physical health on health-related quality of life(HRQoL) in Korean Echo Generation by using Korea Health Panel Data 2013. The Korea Health Panel Data 2013 were collected from February to October 2013 and 2,261 respondents were analyzed. The data were analyzed by Independent t-test, ANOVA and multiple regression using SPSS WIN 24.0 program. he mean score of HRQoL was 0.98. The effect of unmet medical needs, psychological & physical stress, unmet basic needs, anxiety about the future, depression, suicidal ideation, smoking, sleeping time, hearing problem, eating problem, restriction of activity, and self-rated health status) were significant on HRQoL. Health care providers should consider the effect of psychological and physical health when they design program for the improvement of HRQoL for Korean echo generation in community.

Combined Influence of Smoking Frequency and Intensity on Suicidal Ideation and Attempts in Korean High School Students (고등학생 청소년의 자살생각과 시도에 대한 흡연빈도와 강도의 수준별 결합효과)

  • Ra, Jin Suk;Cho, Yoon Hee;Kim, Hye Sun
    • Journal of the Korean Society of School Health
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    • v.28 no.3
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    • pp.168-176
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    • 2015
  • Purpose: The purpose of this study was to investigate the combined influence of the frequency and the intensity of smoking on suicidal ideation and attempts in Korean high school students. Methods: This cross sectional study used secondary data from the 2014 Adolescent Health Behavior Online Survey. A total of 35,094 high school students were included in the study. The study set up two categories for the frequency of smoking - intermittent and daily - and another two for the intensity of smoking - heavy and light. Complex samples logistic regression was used to analyze the combined influence of smoking frequency and intensity on suicidal ideation and attempts. Results: Regardless of frequency and intensity, smoking was more likely to increase suicidal ideation and attempts than non-smoking. Among smokers, intermittent heavy smokers (suicidal ideation: Adjusted Odds Ratio [AOR]: 1.406, 95% Confidence Interval [CI]: 1.015~2.161, p=.012; suicidal attempts: AOR: 2.977, 95% CI: 1.814~4.886, p<.001) or daily heavy smokers (suicidal ideation: AOR: 1.274, 95% CI: 1.017~1.596, p=.035; suicidal attempts: AOR: 1.717, 95% CI: 1.250~2.359, p=.001) had significantly higher odds of suicidal ideation and attempts than intermittent light smokers. Conclusion: Based on the results, smoking prevention and cessation are essential to preventing suicides in adolescents. Especially, smoking intervention programs are needed to reduce smoking intensity in smokers.

Sugar-sweetened beverage consumption and influencing factors in Korean adolescents: based on the 2017 Korea Youth Risk Behavior Web-based Survey (한국 청소년의 가당음료 섭취실태 및 영향요인 : 2017년 청소년건강행태온라인조사 이용)

  • Kim, Ayoung;Kim, Jinhee;Kye, Seunghee
    • Journal of Nutrition and Health
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    • v.51 no.5
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    • pp.465-479
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    • 2018
  • Purpose: This study examined the frequency of sugar-sweetened beverage consumption in Korean adolescents and the major factors influencing the excessive consumption of sugar-sweetened beverages, such as sociodemographic characteristics, health-related behaviors, psychological characteristics, and dietary habits. Methods: The analysis was performed using the data from the 2017 Korean Youth Risk Behavior Web-based Survey. The subjects included in the analysis were 30,885 middle school students and 31,391 high school students, totaling 62,276. The frequency of sugar-sweetened beverage consumption was calculated by summing the consumption frequencies of soda, high caffeine or energy drinks, and sweet beverages over the last 7 days. The Rao-Scott chi-square test, reflecting information on the sampling design, was used to test the differences in the rate of sugar-sweetened beverage consumption according to each factor. Logistic regression analysis was performed to examine the factors influencing the excessive consumption of sugar-sweetened beverages. Results: The rate of sweetened beverage consumption was higher in boys than in girls, in high school students than in middle school students, in students whose father's education level was lower, in those whose subjective academic performance was lower, and in those who smoked or consumed alcohol. In addition, the rate of sugar-sweetened beverage consumption was higher in those who experienced severe stress, suicidal ideation, sadness, or a sense of despair. The rate of sugar-sweetened beverage consumption was also high in those who skipped breakfast; who frequently consumed fast foods, ramen, or snacks; and who frequently ate meals at convenience stores, supermarkets, or school stores. Conclusion: The rate of sugar-sweetened beverage consumption in Korean adolescents is related to various factors, such as sociodemographic characteristics, health-related behaviors, psychological characteristics, and dietary habits.

Early Pulmonary Irradiation in Paraquat ($Gramoxone^{(R)}$) Poisoning (Paraquat 중독 환자에서 전폐 방사선치료의 효과)

  • Lee, Chang-Geol;Kim, Gwi-Eon;Suh, Chang-Ok
    • Radiation Oncology Journal
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    • v.13 no.4
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    • pp.321-330
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    • 1995
  • Purpose : To evaluate whether the early pulmonary irradiation can prevent or decrease the pulmonary damage and contribute to improve ultimate survival in paraquat lung. Materials and Methods : From Jun. 1987 to Aug. 1993, thirty patients with paraquat poisoning were evaluated. Fourteen of these patients were received pulmonary irradiation(RT). All of the patients were managed with aggressive supportive treatment such as gastric lavage, forced diuresis, antioxidant agents and antifibrosis agents. Ingested amounts of paraquat were estimated into three groups(A : minimal 50cc). Pulmonary irradiation was started within 24 hours after admission(from day 1 to day 11 after ingestion of paraquat). Both whole lungs were irradiated with AP/PA parallel opposing fields using Co-60 teletherapy machine. A total of 10Gy(2Gy/fr. x 5days) was delivered without correction of lung density. Results : In group A, all patients were alive regardless of pulmonary irradiation and in group C, all of the patients were died due to multi-organ failure, especially pulmonary fibrosis regardless of pulmonary irradiation. However, in group B, six of 7 patients($86{\%}$) with no RT were died due to respiratory failure, but 4 of 8 patients with RT were alive and 4 of 5 patients who were received pulmonary irradiation within 4 days after ingestion of paraquat were all alive though radiological pulmonary change. One patient who refused RT after 2Gy died due to pulmonary fibrosis. All 3 patients who were received pulmonary irradiation after 4 days after ingestion were died due to pulmonary fibrosis in spite of recovery from renal and hepatic toxicity Conclusion : It is difficult to find out the effect of pulmonary irradiation on the course of the paraquat lung because the precise plasma and urine paraquat concentration were not available between control and irradiation groups. But early pulmonary irradiation within 4 days after paraquat poisoning with aggresive supportive treatment appears to decrease Pulmonary toxicity and contribute survival in patients with mouthful ingestion of paraquat who are destined to have reversible renal and hepatic damage but irreversible pulmonary toxicity.

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Acute Cytotoxicity Testing of Polyhexamethylene-biguanide (PHMG) and Epigallocatechin-gallate (EGCG) Mixture on the Cultured Human Corneal Epithelial Cell (보존제 PHMB(polyhexamethylene biguanide)-EGCG(epigallocatechin gallate) 혼합물의 각막상피세포 급성독성 평가)

  • Kim, Nam-youl;Lee, Koon-Ja
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.531-541
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    • 2018
  • Purpose : To evaluate the acute cytotoxic effect of polyhexamethylene biguanide (PHMB), epigallocatechin gallate (EGCG) and PHMB/EGCG mixture on the cultured human corneal epithelial cell (HCEpiC). Methods : HCEpiCs were cultured in the media of HCEpiC containing 0.00001~0.005% PHMB, 0.001~5% EGCG and 0.00005% PHMB/0.05% EGCG mixture respectively for 30, 60, 120 and 240 min. Cultured HCEpiCs were fixed and stained with Draq5 and cell viability and apoptosis were evaluated using confocal microscope and ImageXpress $Ultra^{TM}$. Results : Cultured HCEpiC did not show cytotoxic effect at below 0.00005% PHMB and below 0.05% EGCG concentration. In the media containing 0.00005% PHMB/0.05% EGCG, acute cytototoxic effect was not found, whereas damaged HCEpiCS were increased and survival cells were decreased in the media incubated for 240 min. Conclusion : The mixture of 0.00005% PHMB/0.05% EGCG showed non acute cytotoxic effect on the cultured HCEpiCs, however it is needed to investigate its chronic cytotoxic effect.

The Comparative Analysis of Mental Health Literacy in General Population: The Analysis of National Mental Health Literacy and Attitude Survey in 2021 (일반 인구의 정신건강지식 비교 분석: 2021년 정신건강 지식 및 태도조사 분석)

  • Ji, Hyeon A;Kim, Sa Rah;Lee, Mi Sook;Park, Su Hee;Kim, Yang Sik;Lee, Kang Hee;Jun, Jin Yong
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.38-45
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    • 2022
  • Objectives : The purpose of this study is to analyze Mental health literacy in General population. Methods : We analyze the National Mental Health Literacy and Attitude Survey Data in 2021. We investigate 2016 general population and evaluate sociodemographic characteristics, Mental health literacy and stigma. We utilize 4 Case vignette which consist of Major Depressive Disorder, Schizophrenia, Alcohol Use Disorder and Suicidal Ideation. Results : Schizophrenia (27.6%) have the lower disease recognition compare to Major Depressive Disorder (43.8%) and Alcohol Use Disorder (61.7%) (p<0.001). The stigma of Alcohol use disorder (52.8%) is highest and the stigma of Schizophrenia (47.2%) is the second highest (p<0.001). Conclusions : The education and overcoming the stigma in Mental health is needed in Schizophrenia and Alcohol Use Disorder.

Increased Youth Single-person Households and Solitary Deaths realized by College Students (대학생이 인식한 청년 1인 가구 및 청년 고독사 증가 현상)

  • Park, Su-Sun
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.635-640
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    • 2018
  • The study conducted a Focus Group Interview (FGI) on college students to identify single-person households and Solitary Deaths of single-person households recognized by college students. This can be provided as basic data to address problems in single-person households and social problems such as future youth solitary death and will contribute to building a social safety net. This study conducted FGI to analyze data for five fourth graders majoring in social welfare. In the case of involuntary independent living, the high poverty and unemployment rate of single-person households was cited as the cause of economic instability, housing problems and emotional relationship formation. He said that he thinks about young loneliness because he has vague fears about what happens in the media and what can happen to them. As the number of young single-person households will inevitably increase in the coming months and economic difficulties are the biggest problem and the biggest cause of young solitude, institutional support is needed first, especially for housing costs.

Factors Affecting on Suicidal Ideation in Community Dwelling Elders (지역사회 노인의 자살생각에 영향을 미치는 요인)

  • Park, Keum-Sook;Kim, Young-Hee;Lee, Kyoung-Wan;Lyu, Yeoung-Su;Jeong, Heon-Young
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.1
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    • pp.39-48
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    • 2015
  • Objectives: This study was conducted to analyze the hwa-byung, self-perceived health, life-stress, social support, depression, and factors affecting on suicidal ideation in community dwelling elders. Methods: This study was a cross-sectional descriptive study. The subjects were 165 elderly in I city. The data was collected from November $21^{st}$ to December $5^{th}$ of 2014 by using structured questionnaire. T-test, Pearson's correlation coefficients, and stepwise multiple regression were performed by SPSS/PC 17.0. Results: There were more females than males in hwa-byung (t=.-3.068, p=.003). In the visit parent, more than once a month was a significantly higher in social support (t=.3.333, p=.001). Hwa-byung (t=.-2.577, p=.011), life-stress (t=.-3.800, p=.001), depression (t=.-2.776, p=.006), and suicidal ideation (t=.-4.316, p<.001) were shown to be high in the elders with lower level of living. Subjects with health insurance had high self-perceived health (t=-3.800, p=.001) and low hwa-byung (t=-4.102, p<.001), life-stress (t=-4.482, p<.001), depression (t=-5.296, p<.001), and suicidal ideation (t=.-2.152, p=.036), according to the type of insurance. In the correlation, sleeping hours (r=-.180, p=.020), self-perceived health (r=-.364, p,.001), and suicidal ideation had negative correlation; hwa-byung (r=.404, p<.001), life-stress (r=.300, p<.001), social support (r=-.310, p<.001), depression (r=.423, p<.001) and suicidal ideation had positive correlation. Factors affecting the suicidal ideation in community dwelling elders were depression (${\beta}$=.42, p<.001), hwa-byung (${\beta}$=.23, p=.004), social support (${\beta}$=-.18, p=.012), and level of living (${\beta}$=.24, p=.001). Discussion: For the prevention of elderly suicide, it is necessary to care for psychosocial status and solve economic difficulties through social support.

A Study on the factors of longevity, ADL and IADL of the eldery people over 100 years in Gyeongnam province (경남지역 백세인의 장수요인과 일상생활수행능력(ADL) 및 도구적 생활수행능력(IADL)에 대한 연구)

  • Cho, Hyun;Lee, Ji-Hwan;Yoo, Jin-Yeong;Kwon, Young-Chae;Ji, Jae-Hoon;Sim, Eun-Kyung;Lee, Kyeong-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.185-193
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    • 2012
  • This study conducted surveys of 88 eldery people over 100 years in Gyeongnam on April to June, 2011 during 90 days. It was intended to find the factors of longevity, Activity Daily of Living (ADL), and Instrumental Activity Daily of Living (IADL). Major results of this study were as follows: The factors of longevity are getting enough sleep over than seven hours(95.5%), taking in less salty food (69.8%), optimism without even thinking about suicide (86.9%), nonsmoking habit (92%), and moderation in drink (86.4%). The most difficult part of Activity Daily of Living (ADL) is taking a bath, and that of Instrumental Activity Daily of Living (IADL) is taking a bus or subway alone. All items of ADL and IADL, female was higher than the male, but not statistically significant(p<0.05). Therefore, further study is expected to develop the supplementary policy to support the elderly people with declining to carry out physical activities. It is also expected to develop the public welfare programs and policies for the aged, allowing them to take responsibility and to participate as a member of the society.