• Title/Summary/Keyword: 자살 방법

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Psychosocial Characteristics and Factors Associated with Referral to Psychiatric Care in the Suicide Attempters Visiting Emergency Center (응급실에 내원한 자살 시도자들의 정신사회학적 특성과 정신건강의학과 진료 의뢰 관련 요인)

  • Kwon, Jung-Woo;Ko, Young-Hoon;Han, Chang-Su;Lee, Moon-Soo;Yoon, Ho-Kyung;Lee, Hongjae
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.106-113
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    • 2013
  • Objectives: The purpose of this study was to examine the characteristics and the psychosocial factors associated to the referral to psychiatric care in the suicide attempters visiting emergency center. Methods: We conducted a systematic chart review of 377 suicidal attempters visiting emergency center of the Korea University Ansan Hospital between January 2008 and December 2011. We gathered a data contain 20 items including psychosocial characteristics and factors related to suicide and factors related to psychiatric treatment. Multivariate logistic regression models were fitted to data to estimate the unique effects of sex, drunken status, companion, suicidal methods, place of suicide and current use of psychiatric medication on the referral to psychiatric care. Results: The female gender(OR=1.63, 95% CI=0.99-2.69), suicidal attempts at home(OR=3.40, 95% I= 1.21-9.56) and drunken state at visit(OR=2.34, 95% CI=1.10-5.01) are the factors that predict the risk of the non-referral of the patients to psychiatric intervention. Place of suicidal attempt was the most important factor do play a role in determining whether referral to psychiatric care will take place or not. Current use of psychiatric medication showed a trend toward significance(p=0.08, OR=1.67, 95% CI=0.95-2.95). Conclusions: These results suggest that when deciding whether to adapt or to refuse the referral to psychiatric care, the factors such as suicidal intent, lethality of suicide methods, familiar factors and alcohol may contribute onto the referral to psychiatric care. Additional research is required to investigate an association of these factors with referral to psychiatric care.

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Elderly's Suicide Differentials and Their Factors: Focusing on 16 Metropolises and Provinces in Korea (우리나라 노인자살률의 지역적 편차와 요인에 관한 연구 - 16개 광역시·도를 중심으로)

  • Kim, Hyoung-Soo;Kim, Sin-Hayng
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.215-224
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    • 2014
  • It is hardly surprising for the current elder generation to choose extreme measure, that is to commit suicide, because of various social or health problems caused by financial difficulties and diseases, for neither individuals nor the nation had not prepared for their later lives. Therefore, the number of elder suicide is rapidly increasing, so that it is becoming a big social issue. Research in various fields related to elderly suicide has been done due to recent huge interest, but most of them focused on microscopic factors and it is likely that most are in national level or individual level, so research about elderly suicide by regional areas is insufficient. Due to the nature of Korean administration system which is operated by each local government, study on elderly suicide by regional areas is acutely required. The purpose of this study is to draw policy suggestions of preventing suicide by analyzing current state of suicide rates in terms of sex(male elder vs female elder) and age(young old vs old old) in each 16 regions for 9years(from 2003 to 2011) and then analyzing interrelationships between the suicide rates and socio-economic factors.

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.

Suicide among the Elderly in Korea: A Meta-Analysis (노인의 자살생각에 영향을 미치는 요인군에 대한 메타분석)

  • Lee, Jung-eun;Lyu, Jiyoung
    • 한국노년학
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    • v.37 no.3
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    • pp.601-616
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    • 2017
  • Elderly suicide is a major public health issue in South Korea. The aim of this study was to systematically examine the current knowledge about suicidal ideation among Korean older adults with specific focus on risk and preventive factors. In order to achieve this aim, a meta-analysis was conducted using Korean academic peer-reviewed journals published since 2001. A total of 97 articles were selected that met the research criteria (e.g., original study findings and key words of suicidal ideation, suicidal thought, and suicide). Three domains were identified and used for further analysis: individual, family, and society. Results showed that among individual factors, depression and burden or stress increased the risk of suicidal ideation, while better mental health reduced the risk of suicidal ideation. Among family factors, living alone was a risk factor for suicidal ideation, while family cohesion was a preventive factor for suicidal ideation. Among social factors, elderly discrimination, social isolation, and negative relationships were significant risk factors, while social support, social environment, and social activities were significant preventive factors affecting suicidal ideation. The results suggest several practical implications for developing suicide prevention programs and counseling approaches to address suicidal ideation. For example, depression and stress can be reduced by MBSR (Mindfulness-Based Stress Reduction) program where meditation is used as a coping strategy. In addition, counseling programs specifically focused on improving family and social relations should be implemented. Government should continuously support for these programs to prevent suicide among older Koreans.

A Study on the impact of the Adolescent Resilience on Suicidal Ideation, and the Suicide Prevention -Based on External Protective Factors (청소년 탄력성이 자살충동에 미치는 영향과 자살예방에 관한 연구-외적보호요인을 중심으로)

  • Kim, Gil-Young;Cho, Sung-Je
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2131-2139
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    • 2013
  • This study clearly identify the correlation between adolescents resiliency and suicidal ideation and more effective to strengthen the external protective factors for adolescents suicide prevention alternatives presented. Research subjects were 243 boy and girl first year students in a high school located in Kyunggi Province; Questionnaires were distributed for one week from March 5, 2013. Frequency analysis, correlation analysis, multiple regression analysis, t-test, one-way ANOVA, etc. were executed. All empirical tests were verified with 5% of significance level. From the result of analysis, suicidal ideation has a negative correlation with the adolescent resilience, and especially, when interaction in family dimension and the care, expectation level of school and peer dimension become higher, suicidal ideation was reduced. The implications of this study suggest that the material prepared for suicide prevention policy based on the results of a study on the impact of adolescents resiliency to suicidal ideation.

Factors Affecting on Suicidal Ideation in Public Assistance Recipients (공공부조 수급자의 자살생각 영향요인)

  • Lee, Ju Hyun;Kim, Min Ji;Lee, Byeong Hui;Noh, Jin-Won
    • The Journal of the Korea Contents Association
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    • v.15 no.8
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    • pp.366-374
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    • 2015
  • This study investigated what factors would affect suicidal ideation of the people who have received public assistance. For the purpose, the survey results of the 7th year(2012) of Korea Welfare Panel Study, which were conducted by Korea Institute for health and Social Affairs and Social Welfare Research Institute of Seoul National University, were used for analysis. In order to figure out the level of influence on the suicidal ideation, a binary logistic regression analysis using a binary logistic model was used as an analysis method. As a result, it was found that when the subjects are middle school graduates, and if they are married, there are low suicidal ideation. Also, the higher their self-esteem is and the higher their satisfaction with public assistance, the lower there they have suicidal ideation. Furthermore, it was proved that if they have depression, or in middle age, they have high possibility of suicidal ideation. It was proved that satisfaction with public assistance also can have influence on the suicidal ideation of the poor class, not only physical and psychological factors. Therefore, measuring the satisfaction of the recipients with public assistance can be one of the significant factors that affects suicidal ideation.

Associations of physical activity by intensity (moderate vs. vigorous) with depression and suicidal thoughts among middle school students in South Korea (한국 중학생의 신체활동 정도와 우울 및 자살사고 간의 관련성)

  • An, Ji-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.12
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    • pp.7266-7276
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    • 2014
  • This study examined the associations of physical activity by intensity with depression and suicidal thoughts among middle school students in South Korea. This study used data from the Survey of Korean Youth Health Risk Behavior. The samples were middle school students (Total 37,420). Logistic regression analysis were used. For depression, 33% of males and 43% of females felt depressed, whereas 17.8% of males and 27.7% of females experienced suicidal thoughts. In regression, both moderate physical activity and vigorous physical activity were associated significantly with a lower incidence of depression. In suicidal thoughts, moderate physical activity was associated with a lower incidence of suicidal thoughts among female students. In path analysis, vigorous physical activity had a direct and indirect effect on depression and suicidal thoughts. Physical activity is a potential mediator in decreasing depression and suicidal thoughts among middle school students.

Determining the Priorities of Korean Suicide Prevention Policies using Analytic Hierarchy Process(AHP) (AHP기법을 이용한 우리나라 자살예방정책의 우선순위 설정)

  • Kim, Hyo-Jin;Lee, Sue-Hyung;Kang, Eunjeong
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.252-263
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    • 2015
  • Since 2004 suicide in Korea was the number 1 cause of mortality among OECD countries, the suicides and suicide mortality rate is constantly increasing. Using AHP(Analytic Hierarchy Process), we examined the main approaches and detailed policies of suicide prevention to confirm an effective suicide policy. A workshop and survey were conducted on August 23rd and 26th, 2013, with 30 people. There were 20 academics (4 social workers, 7 mental health workers, 5 psychiatrists, 4 clinical psychologists), and 5 policymakers and 5 administrative staff. In additional 5 people from social welfare and 5 from clinical psychology fields were survey from september 9 to 12 by e-mail. The research found 4 priorities. They include, suicide attempt management, building up public infrastructure for suicide prevention, support to bereaved families, and crisis management of high risk groups in society.

Relationship among Failed Belongingness, Perceived Burdensomeness, and Suicidal Ideation of Psychiatric Inpatients: Mediation Effect of Depression (정신건강의학과 입원 환자의 좌절된 소속감, 인식된 짐스러움 및 자살사고와의 관계: 우울의 매개효과)

  • Kang, Hee Yang;Chang, Eun Jin
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.461-469
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    • 2018
  • This study focuses on the influence of interpersonal relationship in suicidal ideation and mediation effect of depression in the case of psychiatric inpatients. The subject group was consisted of 109 psychiatric inpatients. Interpersonal relationship was classified into 'perceived burdensomeness' and 'failed belongingness' Findings were as follows: Perceived burdensomeness directly influence depression and through depression also indirectly influences suicidal ideation. In contrast, failed belongingness, though directly influencing depression, do not influence suicidal ideation. In accordance with these findings, this study argues that when intervening in the suicidal ideation of psychiatric inpatients, methods that could influence the factors related to interpersonal relationship would be effective.

The Influence of Self Perfectionism, Depression and Hopelessness on Suicidal Ideation in University students (일부 대학생의 자기완벽성, 우울, 절망이 자살생각에 미치는 영향)

  • Kang, Jung-Kyu;Jeon, Sang-Nam;Shin, Hakgene
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.527-536
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    • 2013
  • This study examined the effects of university student's self perfectionism, depression and hopelessness on suicidal ideation. The survey purposively collected 240 cases from randomly selected 3 universities in Seoul, Korea. The data collected from May to June of 2011 were analyzed by t-test, anova and hierarchical multiple regression in SPSS. As results of the analysis, first, those in low economic group and those with fewer number of friends showed higher depression, hopelessness and suicidal ideation. Second, those with higher self perfectionism, those with higher depression and hopelessness were appeared to be with higher suicidal ideation. The study suggested not only mentoring program but also programs to decrease psychological pressure, overcome overwhelming expectation and psychological anxiety of students.