• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.6
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• pp.603-610
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• 2020

This study examined the mental health-related factors of Korean adolescents, especially focusing on the influence of internet use. This study analyzed the raw data from the 14th Korea Youth Risk Behavior Survey, 2018. The study population was 60,040, with 50.7% male students and 49.3% female students, and 49.7% high school students and 50.3% middle school students. The dependent variables were stress, sadness and despair, suicidal ideation, suicidal plan, and suicidal attempt. The independent variables were gender and age, health behaviors, and time using the internet. Logistic regression analysis was applied to derive the related factors. For all dependent variables, the main contributing variables were gender, grade, economic status, and academic performance. The mental health of adolescents was related to various factors. In particular, the time using the internet was linearly related to the degree of stress, and a higher student group of time using the internet had a more significant effect on sadness, despair, suicidal thoughts, and suicidal plans. In conclusion, the time using the internet has harmful effects on the mental health of Korean adolescents.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.144-152
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• 2021

Objectives : The purpose of this study is to identify differences between suicide attempters who used zolpidem and others who used different methods in emergency department. Methods : This study classified 2,734 suicide attempters, who went to emergency department from 2009 to 2018, into zolpidem user group, another drug user group and non-drug user group. For these three groups, chisquare test and logistic regression analysis were conducted regarding sociodemographic feature and clinical feature related with suicide. Results : In the result of logistic regression analysis of a variable, which showed meaningful difference between suicide attempter group who used zolpidem and the other group who did not use the drug, the occurrence of zolpidem-using suicide attempers was related with the case where anxiolytics/hypnotics was used or the case where lethality and intention was low. In the drug intoxication group which showed similar feature, there was also a relevance between anxiolytics/hypnotics and the occurrence of zolpidem-using suicide attempts. Conclusions : This study identified significant difference of sociodemographic and clinical feature in suicide attempter group who used zolpidem and the other group. This result can contribute to plan further medicinal treatment in using zolpidem.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.2
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• pp.176-183
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• 2021

Objectives : The purpose of this study was to find out how demographic factors, suicide attempt patterns, psychiatric history and management of suicide attempters affect the completion of emergency department (ED) based case management program. Methods : Among the patients who attempted suicide and visited the emergency department of Chung-Ang University Hospital from June 1, 2018 to May 31, 2021, 661 patients who agreed to case management were studied. After being discharged from the emergency department, subjects were registered for an eight-week follow-up service program. Hierarchical logistic regression analysis was conducted with demographic factors, suicide attempt patterns, psychiatric history and management as independent variables, and completion of case management program as dependent variables. Results : Suicide attempt pattern had the most significant influence on the completion of case management program, followed by demographic factors, psychiatric history and management. Those who completed the case management program were significantly more likely to have suicide plans in the future, more authentic in suicide attempts, and had higher proportion of past suicide attempts than those who did not complete the program. Conclusions : To ensure that the subjects complete the follow-up project program and get connected to community services, an individualized approach with consideration of suicide attempt patterns, demographic factors, and psychiatric history is needed.

• 한국노년학
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• v.31 no.3
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• pp.653-672
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• 2011

The present study empirically confirmed Korean elder's four major pains consisted of poverty, disease, role loss, loneliness and investigated the mediating role of depression between the four major pains and the elder's suicidal thought. To investigate the cause and effect of factors, we conveniently collected 309 samples from 16 Gyungrodangs evenly located in Jeonju and 291 samples, survived the data cleaning such as missing values, outliers, normality and covariance conditions, were analyzed by frequency, factor analysis, reliability, confirmatory factor analysis and structural model analysis. Followed were the selected contributions of the present study. First, the constructs of four major pains such as poverty, disease, role loss, loneliness were predictors of suicidal thought mediated by depression. Second, the elder's poverty, that was the heaviest factor of the four major pain constructs, was a predictor of role loss leading to loneliness. Third, four major pains were predictors of the elder's depression. Note that poverty were not direct but indirect predictor of depression. The present study confirmed the concept of four major pains. Also those who practice in the area of the elderly care should consider the four major pains as well as depression while intervening in the elderly's suicidal thought.

• Anxiety and mood
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• v.6 no.1
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• pp.45-54
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• 2010

Objective : This study aimed to investigate and compare the prevalence of depression and suicidality among the elderly in a rural city according to their residence type. Methods : Participants were 311 elderly people (109 male and 202 female) in Icheon City, whom trained researchers interviewed and examined Geriatric Depression Scale, Social Support Scale, Instrumental Activities of Daily Living, Activities of Daily Living, Quality of Life Scale, and Mini International Neuropsychiatric Interview (MINI), module C. Using these data, we analyzed participants' risk factors associated with depression and suicidality. Results : The prevalence of depression was 28.0%. The prevalence in the elderly living alone and those admitted to residential facilities was significantly higher than that among the elderly living with family. Suicidality frequency was 19.6%. The suicidality frequency among the elderly living alone and those admitted to facilities was significantly higher than that among the elderly living with family. The risk factors for depression were age, admission to a facility, and low economic status. The suicidality risk factors were living alone, admission to a facility, poor social support, and a history of headache. Conclusion : These results showed the prevalence of depression and frequency of suicidality among the elderly in such a city was quite high. The results of this study remind psychiatrists of the importance of early detection and therapeutic intervention for the elderly with a high risk of depression and suicidality.

• Journal of Music and Human Behavior
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• v.3 no.2
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• pp.45-58
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• 2006

Recently many treatment strategies have been developed to prevent suicidal ideation as it is increasing. Various community facilities and university centers are carrying out research to develop efficient treatment programs. This study examined how music can be used therapeutically for a case who is going through severe suicidal ideation. Various music therapy techniques are utilized including song psychotherapy, music and imagery and role play instrumental improvisation. A woman with severe depression for seven one-hour session. Both quantitative and qualitative data were collected to examine the changes in the suicidal ideation. As results, there were lots of changes in the client's attitude towards life through exploring inner world. Much of stability and sense of security were gained and emotional hardship was resolved in the process of therapy. The client was able to structure future plans productively as the suicidal ideation was reduced. In the process of role play instrumental improvisation, music allowed her to express issues regarding relationships with others, attitudes and in other areas as well. Music was used "as therapy" and solved many repressed emotions related to the trauma including psychological inhibition, tension, helplessness, lack of energy. Further music was able to bring the "false" ego with "true ego". The study implies that various psychotherapeutic interventions can alleviate depression and reduce suicidal ideation.

• Research in Community and Public Health Nursing
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• v.28 no.4
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• pp.504-512
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• 2017

Purpose: This study aims to investigate the effects of atopic dermatitis on suicidal ideation, plans and attempts in young adult. Methods: Data are from the Sixth Korean National Health and Nutrition Examination Survey (KNHANES VI, 2013, 2015) in a sample of 2,983 respondents aged 19 to 39 years. Data were analyzed using Frequency, Percentage, $x^2$ test, Complex sample multivariate binary logistic regression analysis with SPSS version 18.0 software. Results: Firstly, factors affecting suicidal ideation are gender, education level, smoking, self-reported health status, asthma, depression and stress perception. Factors affecting suicidal plan are education level, self-reported health status, asthma and depression. Lastly, factors affecting suicidal attempt are gender, education level, smoking, self-reported health status, depression and stress perception. Compared to non-atopic group, the prevalence of suicidal ideation and plan of atopic group increased from odds ratio 2.14 to 2.48 and 1.90 to 2.50, respectively. Odds ratio for suicidal attempt was odds ratio 2.69 (10% error level). Conclusion: The results show that atopic dermatitis in young adult affects suicidal ideation, plans and attempts. Therefore, it is necessary to identify atopic patients who have suicidal thoughts and plans and develop an intervention program to prevent and manage suicide in young adult.

• Anxiety and mood
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• v.3 no.1
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• pp.46-51
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• 2007

Objectives : By comparing the prevalence rates of suicide-related behaviors (suicide ideation, plan and attempt) between depressive disorder and anxiety disorder patients, we tried to find the characteristics of suicide-related behaviors in these patients. Methods : Four hundred-three patients participated in the study and the prevalence rates of suicide-related behaviors were investigated using Korean version of Mini International Neuropsychiatric Interview plus. Pearson Chi-Square test was used to find the association between depressive or anxiety disorders and suiciderelated behaviors. Results : Statistically significant differences were found between depressive disorder group and anxiety disorder group in terms of suicide ideation ($X^2$=6.173, df=1, p=0.013) and suicide attempt ($X^2$=8.008, df=1, p=0.005). We also found that patients in depressive disorder group were more likely to have suicide ideation (Odds Ratio=2.049, 95% Confidence Interval=1.155-3.635), and attempt suicide (Odds Ratio=4.970, 95% Confidence Interval=1.466-16.845) than patients in anxiety disorder group. Conclusion : These findings suggest that suicide ideation and suicide attempt rates are higher in depressive disorders than in anxiety disorders.

• Convergence Security Journal
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• v.15 no.6_2
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• pp.107-119
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• 2015

The key objective of terrorism is to create favorable conditions for certain political, ideological, or religious interests through deliberate social chaos and the spread of fear. Accordingly, terrorist groups rally the means and methods capable of spreading fear among the public through shocking violence. Consequently, as terrorism manifests the progress in modern civilization and the structure of international community, its concepts, means, and methods evolve organically with the progress. The characteristics of the modern terrorism include that it has evolved as a means of war against countries by non-state militant groups, and suicide terrorism is spreading like epidemic as it fits the strategies of Islamic extremist and terrorist organizations as a part of international politics based on terrorism. The humanity's efforts to eliminate the threat of terrorism led to decades of implementing premature policies of military force, but they were found ineffective and resulted in the spread of extreme threat of suicide terrorism. For prevention of suicide terrorism, the efforts must be made to dismantle the basis of suicide attacks through addressing religious alienation and antipathy against a civilization using the notions similar to treatment of pathology considering psychological motives of suicide terrorists.

• 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.