• Title/Summary/Keyword: 자살 사고

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The Mediating Effect of Hope between Stress and Suicidal Ideation of Adolescents (청소년의 스트레스와 자살생각에서 희망의 매개효과)

  • Kim, Yun-Jeong;Lee, Chang Seek
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.539-547
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    • 2014
  • This study aimed to investigate the mediating effect of hope between stress and suicidal ideation of adolescents. For the study, 399 adolescents were surveyed at 10 cities of Korea from May to August in 2010. Main results of the study were in the followings. First, it was found out that stress of adolescents was positively correlated with suicidal ideation, hope was negatively correlated with suicidal ideation, and stress influenced more suicidal ideation than hope. Second, suicidal ideation of adolescents tended to be low, stress was in the middle level, and agency and pathways thinking of hope was higher than middle level. Third, it was proved that agency and pathways thinking of hope was mediated between stress and suicidal ideation of adolescents. Lastly, for the female adolescents living in the metropolitan and large cities, only agency thinking of hope was mediated but pathways thinking was not mediated. Policy implications for preventing and decreasing adolescent's suicide were suggested.

A Validation Study of Suicidal Ideation Attributes Scale (SIDAS) Measuring Suicidal Severity (자살사고 속성 척도(Suicidal Ideation Attributes Scale; SIDAS) 타당화 연구)

  • DeokHee Lee;Sung Hyun Kim;DaSong Jung;DongHun Lee
    • Korean Journal of Culture and Social Issue
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    • v.29 no.1
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    • pp.1-23
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    • 2023
  • The purpose of this study was to validate the Suicidal Ideation Attributes Scale(SIDAS) which can measure the severity of suicidal ideation in a sample of 399 Korean adults. For this purpose, an online survey was conducted for two weeks from July 2020 to August 2020. First, there were differences in SIDAS scores among groups divided by gender, residence status, depression and anxiety symptoms, suicidal ideation, suicidal plan, suicidal preparation, and suicidal attempt. Second, correlations between SIDAS, C-SSRS suicidal ideation intensity question(3 items), and the Rosenberg Self-efficacy (RSE) were examined to confirm the validity of SIDAS. As a result, correlations between the SIDAS and suicidal ideation intesity items of C-SSRS were significant in all items, while correlations between the SIDAS and RSE items were negative or insignificant. Third, as a result of the confirmatory factor analysis of SIDAS on all respondents and respondents with suicidal ideation, a single factor structure was appropriate for both groups. Internal consistency of SIDAS was also good. Lastly, as a result of identifying the variables affecting the suicidal plan over the past year, controllability and age were identified as significant predictive variables. SIDAS which was designed to be administered through web, can be appropriately used in Korea. It was confirmed that SIDAS is a reliable and valid suicidal ideation scale which is applicable to adults in Korea.

The Relationship between Insomnia and Suicidal Idea Through Resilience (회복탄력성을 통한 주관적 불면의 심각도와 자살사고와의 관계)

  • Jung, Saim;Ju, Gawon;Lee, Sang Ick;Shin, Chul-Jin;Son, Jung-Woo;Kim, Siekyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.2
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    • pp.193-199
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    • 2017
  • Objectives : Insomnia may be one of the risk factor for suicidal ideation, but little is known about the mechanism by which sleep disturbances confer risk for suicide. The aim of this study was to investigate examine whether insomnia severity would be associated with resilience and suicidal ideation, and whether resilience would mediate the relationship between insomnia and suicidal ideation. Methods : A total of 432 community-dwelling adults(227 male, 205 female,) completed the self-report questionnaire that covered basic socio-demographic data. To assess the psychological variables, the following instruments were applied: Insomnia Severity Index(ISI), Korean Version of the Connor-Davidson Resilience Scale(K-CD-RISC), Beck Hopelessness Scale(BHOP) and Scale for Suicidal Ideation(SSI-Beck). People with an ISI score of 8 or higher were defined as insomnia. Results : Greater insomnia symptom severity was significantly associated with higher level of suicidal ideation and lower level of resilience, adjusting for hopelessness, age, sex, presence of family members living together, and household income. Additional analysis revealed that disturbance of sleep initiation and disturbance of sleep maintenance were significantly associated with suicidal ideation. Mediation analyses revealed that resilience significantly accounted for the relationship between insomnia symptom severity and suicidal ideation. Conclusions : These findings suggest that the evaluation and control of insomnia and resilience may be needed to reduce the risk of suicide.

Effects of Suicidal Attitudes, Perception of Life, and Depression on Adolescents' Suicide (자살 태도, 삶의 인식, 우울이 청소년의 자살에 미치는 영향)

  • Lee, Sang-Eun;Lee, Eun Jin;Ham, Ok Kyung
    • Journal of the Korea Convergence Society
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    • v.12 no.7
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    • pp.305-315
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    • 2021
  • The Korea Convergence Society. The purpose of this study was to examine the effect of suicidal attitude, perception of life, and depression on adolescents' suicide(ideation, plans, attempts). Data on general characteristics, the Attitude Toward Suicide, the Perception about Life, and the Korean version of Center for Epidemiologic Studies Depression Scale-Revised were collected in 889 second-year middle school students in the I area. Two hundreds forty six students (27.67%) indicated they had suicide ideation, 85 had suicide plans (9.56%), and 46 had suicide attempts (5.17%). The proportion of female students was significantly higher than that of male students. The suicide indices (ideation, plans, attempts) increased as one shows lower body image satisfaction, higher depression, lower subjective mental and physical health, and lower leisure satisfaction. Predictors of suicide ideation included suicidal attitude (solution and permissiveness), depression, subjective mental health, and body image satisfaction. Predictors of the suicide plan were permissiveness and solution among suicidal attitude, and depression, subjective mental health, and those of suicide attempts were permissiveness and depression. Conclusion: This study suggests that much effort is required to decrease depression and improve perception of life and suicidal attitude in the suicide prevention education for adolescents.

Factors Affecting Suicidal Ideation in Psychiatric Inpatients (입원정신질환자의 자살사고에 영향을 미치는 요인)

  • Jo, Myoung-Ju;Jun, Won-Hee
    • The Journal of the Korea Contents Association
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    • v.14 no.11
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    • pp.308-317
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    • 2014
  • The purpose of this study was to investigate factors affecting suicidal ideation in psychiatric inpatients. A total of 186 psychiatric inpatients participated in the study. Data were analyzed by frequencies, t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression with SPSS WIN 18.0. Suicidal ideation showed significant differences according to marital status, diagnosis, and previous suicide attempt history. There were significant correlations among depression, self-esteem, spirituality and suicidal ideation. Depression and spirituality were identified as predictors affecting suicidal ideation. The regression model explained 52.4% of suicidal ideation. As a result, intervention program for decreasing depression and improving spirituality is essential to decrease suicidal ideation in psychiatric inpatients.

Psychological Characteristics of Psychiatric outpatients with High Suicide Risk : Using MMPI-2-RF (정신건강의학과 외래 환자 중 자살 고위험 집단의 심리적 특성 : MMPI-2-RF를 이용하여)

  • Nam, Jisoo;Kim, Daeho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.8-19
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    • 2020
  • Objectives : The purpose of this study was to examine whether the MMPI-2-RF serves as a useful tool to differentiate between the subtypes of high risk of suicide among psychiatric outpatients. Methods : Patients were recruited from the department of psychiatry of university hospital. Participants were diagnosed using DSM-5 criteria by board certified psychiatrists. Their medical records were reviewed retrospectively. And participants were put into 4 groups (Suicide ideation, Suicide attempt, Non-suicidal self-injury, and general psychiatric diagnosis as a control group). For statistical comparison, the MANCOVA with gender as a covariate was used. Results : The results indicated that as previous research with non-clinical sample suggested, psychiatric outpatients with high suicide risk also have significantly higher Emotional/Internalizing Dysfunction, Helplessness/Hopelessness, Suicidal/Death Ideation, Demoralization, Cognitive complaints, Cynicism, Dysfunctional negative thoughts than general psychiatric patients group. But group differences within the high suicide risk patients have not been observed. However, suicide attempt group and NSSI group has higher Behavioral/Externalizing Dysfunction, RC4, AGG than general psychiatric patients group. But there was no difference between suicidal idea group and general psychiatric patients group. Conclusions : There was no group difference observed between all three subtypes, which mean the MMPI2-RF may not be the useful diagnostic tool to navigate high suicide risk subtypes. Even though there was no difference observed in the suicide ideation group, suicide attempt group and NSSI group have higher aggression and externalization. So those indexes could serve as a useful marker to investigate riskiness of suicide related symptoms.

ANXIOUS-DEPRESSIVE ATTRIBUTES TO SUICIDAL IDEA OF ADOLESCENTS (청소년의 자살사고와 관련된 우울-불안 성향)

  • Jin, Yong-Tak;Ha, Eun-Hye;Song, Jung-Eun;Park, Eun-Young;Choi, Tae-Kyou;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.95-102
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    • 2003
  • Objectives:This study was aimed at examining the emotional predictors of adolescent suicidal ideas in a community. Methods:The subjects were 1909 middle and high school students(936 males, 973 females) in Koyang-shi. We evaluated all subjects using Center for Epidemiologic Study for Depression(CES-D), Revised Children's Manifest Anxiety Scale(RCMAS), Korean-Youth Self Report(K-YSR), Psychological Self-1 of Offer's Self Image Questionnaire(PS-1 of OSIQ) and Suicide Ideation Questionnaire (SIQ). We compared the PS-1 of OSIQ scores of Anxious-depressive group(above cut-off points of CES-D, RCMAS and K-YSR) to those of control group, and conducted correlation analysis and stepwise multiple regression analysis to all subjects. Results:The number of anxious-depressive group was 126(6.58%) among 1909 subjects with significant gender difference(M:F ratio 1:1.5). Both PS-1 of OSIQ and SIQ scores were significantly higher in Anxious-depressive group than in control group. There were significant correlations among the scales:CES-D, RCMAS, A/D of K-YSR, PS-1 of OSIQ and SIQ. Through stepwise multiple regression analysis, we found that significant predictors of suicidal idea were CES-D, RCMAS and A/D of K-YSR. Conclusion:Anxious-depressive adolescents may be the high-risk group for suicidality and need preventive interventions of suicidality in a community.

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Related Factors of Suicide Ideation in Elderly People with Diabetes Mellitus Living Alone in Rural Area (농촌지역에 거주하는 독거 당뇨병 노인의 자살사고 관련 요인)

  • Gang, Moonhee;Ahn, Yujin
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.79-86
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    • 2022
  • The purpose of this study was to identify suicidal ideation and related factors of elderly people with diabetes mellitus living alone in rural area. A descriptive study design was used. The participants were 466 elderly people, aged 65 years and over, and diagnosed with diabetes mellitus living at O province in South Korea. Collected data were analyzed using descriptive statistics, t-test, χ2-test, and logistic regression analysis with SPSS statistics 26.0 program. The results of the analysis showed that the suicidal ideation rate of the subjects was 27.3%, and the subjects showed significant differences in suicidal ideation as Cognitive function was lower (t=-4.23, p<.001), Depression(t=9.56, p<.001) and Loneliness (t=4.88, p<.001) were higher. Related Factors of suicidal ideation were Cognitive function (OR=0.86, p<.001), Depression (OR=1.18, p<.001) and Loneliness (OR=1.17, p=.001). These variables explained 32.2% of suicidal ideation. Therefore, in order to reduce suicide ideation of the elderly with diabetes mellitus living alone in rural areas, intervention that can improve Cognitive function, Depression, and Loneliness is needed.

The Mediating Effects of Depression on the Relationship between Perceived Problem Solving Ability and Suicidal Ideation in College Students (대학생의 지각된 문제해결능력과 자살사고의 관계: 우울의 매개효과)

  • GyungRan Shin ;ChangHee Hong
    • Korean Journal of Culture and Social Issue
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    • v.19 no.3
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    • pp.389-407
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    • 2013
  • This study investigated the mediating effects of depression on the relationship between perceived problem solving ability and suicidal ideation. 548 college students were examined with PSI(Problem Solving Inventory), BDI(Beck Depression Inventory) and SSI(Scale for Suicidal Ideation). To explore the relationship among these variables, correlation analysis was undertaken. Regression analysis was then applied to test the mediating effects of depression. In the results, perceived problem solving ability, depression and suicidal ideation were correlated positively. Depression operated as a factor to mediate between the perceived problem solving ability and suicidal ideation. This mean that perceived problem solving ability impact indirectly, rather than directly, on suicidal ideation. These results suggest the importance of psychological intervention to improve depression and perceived problem solving ability that affect suicidal ideation.

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DEVELOPMENT OF KOREAN ADOLESCENT FORM OF SUICIDAL IDEATION QUESTIONNAIRE (한국형 청소년 자살사고 설문 개발)

  • Suh, Dong-Soo;Yang, Suk-Hoon;Lee, Kil-Hong;Lee, Young-Sik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.2
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    • pp.168-177
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    • 2004
  • Objectives : This study was done to develop Korean form of Reynolds' SIQ-JR(Suicidal Ideational Questionnaire-Junior). Through this study we evaluated reliability and validity of Korean form SIQ-JR. Methods : Subjects were 1,160 middle and high school students and 114 adolescent psychiatric patients. SIQ-JR and 8 self-reporting scales highly related with suicidal ideation and suicide behaviors were applied to them. Results : In reliability aspect of Korean form of SIQ-JR, internal consistency, test-retest reliability and item-total correlation were statistically significant results. In factor analysis, concerning about other person was extracted as a indepenedent factor. This results reflect our cultural characteristics. There were statistical differences of SIQ-JR scores in groups by sex and age. Clinical group showed significantly(P<0.01) higher scores than general population. Among the 8 suicidal relating scales, depression(r=0.42), aggression(r=0.36), trait anxiety(r=0.35), and anger-in(r=0.31) were highly related with suicidal ideation but impulsivity and hopelessness were not significantly related with suicidal ideation. Conclusion : Korean form of SIQ-JR was useful instrument in reliability and validity. We hope that this instrument widely used in school mental health, community psychiatry and clinical setting for screening tool.

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