• Title/Summary/Keyword: 자살 사고

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The Mediating Effects of Depression on Loneliness and Suicidal Ideation in Elderly Living Alone with Diabetes Mellitus: A Secondary Data Analysis (독거 당뇨병 노인의 외로움이 자살사고에 미치는 영향에 대한 우울의 매개효과 검증: 2차 자료 분석)

  • Moonhee Gang;Yujin Ahn
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.51-58
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    • 2023
  • The purpose of this study is to analyze suicidal ideation of elderly people with diabetes living alone and to investigate the relationship between suicidal ideation, loneliness, and depression. This study was conducted through secondary data analysis using total survey data for the elderly living alone in O province. The subjects of this study were 466 elderly people who were diagnosed with diabetes among the elderly living alone. The data of this study were analyzed using descriptive statistics, t-test, Pearson's correlation coefficients, multi-linear regression analysis, and the three-step mediating effect verification procedure of Baron & Kenny using the SPSS 26.0 program. The average loneliness score and average depression score of the subjects were 4.52±3.30 and 4.88±4.03, respectively, and 27.3% of the subjects said they had a suicidal ideation. The subject's loneliness (β=.20, p=.005) and depression (β=.30, p<.001) was found to be a significant factor in predicting suicide ideation. In addition, depression was found to be partially mediated in the relationship between loneliness and suicidal ideation. Through the results of this study, loneliness and depression were found to be important factors related to suicidal ideation in the elderly with diabetes living alone. In addition, in order to improve suicidal ideation in the elderly with diabetes living alone, intervention to lower the level of loneliness and depression is necessary.

The Moderating Effect of Reasons for Living on the Relationship Between Depression and Suicidal Ideation Among Psychiatric Patients (정신건강의학과 환자의 우울과 자살사고의 관계에서 자살하지 않는 이유의 조절효과)

  • Hyunjee, Bang;Daeho, Kim;Il Bin, Kim;Eunkyung, Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.179-186
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    • 2022
  • Objectives : This study aimed to examine the moderating effects of reasons for living on the relationship between depression and suicidal ideation among psychiatric patients. Methods : Patients were recruited from the department of psychiatry of university hospital. A total of 137 participants completed self-report questionnaires assessing depression (Beck Depression Inventory), suicidal ideation (Ultra-Short Suicidal Ideation Scale) and reasons for living (The Reasons for Living Inventory). Results : Among 4 sub-scales of the reasons for living inventory, survival and coping beliefs, fear of death and social disapproval, and future expectation moderated the relationship between depression and suicidal ideation. Conclusions : The results suggest that the reasons for living can work as a protective factor on the relationship between depression and suicidal ideation among psychiatric patients.

The Effect of Subjective Quality of Life and Self-esteem on Suicide Ideation among the Older Adults: Focused on the Mediating Effect of Depression (노인의 주관적인 삶의 질과 자아존중감이 자살사고에 미치는 영향: 우울을 매개변인으로 하여)

  • Hwang, Mi-Gu;Kim, Eun-Joo
    • 한국노년학
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    • v.28 no.4
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    • pp.865-885
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    • 2008
  • This study addresses a number of issues related to suicide among older persons in Korea. The study investigates various aspects of elderly's suicide ideation, and how this quality of life and self-esteem impacts on their suicide ideation through depression. For the purpose of the study, the survey was conducted and 8,135 elderly 65 years old and over who reside in Gyeonggi-do participated. The result of the study indicated that quality of life, self-esteem and depression of the elderly showed statistically significant suicide ideation of the elderly. Participants were divided into two groups according to their physical health status. That is, to find out how quality of life and self-esteem of the elderly impact on the suicide ideation directly and indirectly through depression among elderly people with physical disease and no disease. The results showed that depression of the elderly people with physical disease was the most highly significant factors in explaining the elderly's suicidal ideation directly a comparison of elderly people with no physical disease. Therefore, depression is a major mental health problem associated with suicide. Finally, these findings of the study can improve the elderly people's quality of life and reduce suicide ideation.

The Influence of Perceived Burdensomeness on Suicidal Ideation of Older Adults: Moderated Mediating Effects of Meaning in Life and Social Participation (인식된 짐스러움이 노인 자살사고에 미치는 영향: 삶의 의미와 사회참여의 조절된 매개효과)

  • Juan Hong;Hoin Kwon
    • Korean Journal of Culture and Social Issue
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    • v.24 no.3
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    • pp.411-428
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    • 2018
  • This study has attempted to identify whether or not the effects of perceived burdensomeness and thwarted belongingness of the elderly on a suicidal ideation is mediated by the meaning in life and, during this process, examined if social participation known as a protective factor against elderly suicide has a moderating effect. For this, a total of 403 elderly men and women residing in Honam area have been selected as the subjects of the study, among whom self-report surveys have been conducted as to perceived burdensomeness, thwarted belongingness, meaning in life (presence of meaning/search for meaning) and social participation. The mediating analysis with the use of the process macro has identified the path where the perceived burdensomeness encourages a suicidal ideation through the presence of the meaning in life. On the other hand, the thwarted belongingness has turned out to be significant only in a direct path to a suicidal ideation. The analysis results of moderated mediating effects, including social participation have found that social participation does mediate the path to a suicidal ideation caused by the perceived burdensomeness through the presence of the meaning in life, verifying its moderated mediating effects.

A Study on Exhibitional Suicide and Its Prevention (현시성 자살과 그 예방에 관한 고찰)

  • Park, Jin-Ho;Kwak, Jyung-Sik
    • Journal of forensic and investigative science
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    • v.1 no.2
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    • pp.20-30
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    • 2006
  • An exhibitional suicide is a case of death that the purpose is to demonstrate one's own real intention for others. This exhibitional suicide has a few characteristics that are different from a suicide: seriousness of suicide intention, a method of suicide attempt, and the place of a suicide. In other words, an exhibitional suicide lacks suicide intention, uses a slower method of death, and attempts a suicide at the place which others can easily find. In this light, this paper ascertains that a fair number in poisoning deaths are an exhibitional suicide on the basis of the result of an autopsy by department of forensic medicine school of medicine, Kyungpook National University. The research also confirms that juveniles and women attempt a suicide as often as adults and men, and a great number of suicides are indeed an exhibitional suicide. In terms of a commercial law, many specialists see an exhibitional suicide as an accidental death. However, if we consider an exhibitional suicide as an accidental death, we cannot verify the authenticity of death in an accident. In addition, if we observe the purpose of insurance and suicide exemption period of insurance company, we rather get to know to distinguish an exhibitional suicide from an accident. According to the research, most of the exhibitional suicide results from little or no-relation with others. Therefore, a little interest from family, friend, and neighbor plays a pivotal role in preventing this suicide. Finally, an effort to build database concerning an exhibitional suicide by a psychological autopsy will help people access a plenty of statistical materials and facilitate further study about an exhibitional suicide.

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The Association between Suicidal Ideation, Anxiety, and Sleep Quality Among College Students in a City (일 도시 대학생들의 자살사고와 불안 및 수면의 질 사이의 연관성)

  • Kim, Shin-Hyeong;Park, Chul-Soo;Kim, Bong-Jo;Lee, Cheol-Soon;Cha, Boseok;Lee, Dongyun;Seo, Ji-Yeong;Choi, Jae-Won;Ahn, In-Young;Lee, So-Jin
    • Sleep Medicine and Psychophysiology
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    • v.24 no.1
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    • pp.55-61
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    • 2017
  • Objectives: Suicide is one of the leading causes of death among young adults. We investigated whether anxiety level and sleep quality were related to suicide ideation among university students. Methods: Questionnaires were distributed to 1094 students at a local college. The scale for suicide Ideation, the Hospital Anxiety-Depression scale, the Pittsburgh Sleep Quality Index, and Morningness-eveningness questionnaires were used. Multiple linear regression analysis was conducted to examine the relationship between these variables and suicide ideation. Results: Among the 292 students who answered the suicide ideation questionnaire, 31 students had a high suicide ideation score and 261 patients had a low suicide ideation score. Demographic variables that showed significant differences between the two groups were gender, exercise, chronotype, sleep quality, depression and anxiety. The results of multiple linear regression analysis showed that suicidal ideation increased as the level of sleep quality decreased. There was no significant relationship between depression and suicidal ideation. Another multiple linear regression analysis was performed to evaluate the relationship between sleep quality sleep related factors. This suggested the quality of sleep decreased as weekend oversleep increased. Conclusion: The results of this study showed that when anxiety was higher and the quality of sleep was lower, the more suicide ideation increased. Therefore, improving sleep quality and reducing anxiety are important strategies for reducing suicidal ideation.

The Effect of Mental Health, Self-efficacy, and Happiness on Suicidal Ideation (일지역주민의 정신건강, 자기효능감, 행복감이 자살생각에 미치는 영향)

  • Lee, Kyoung-Sook;Lee, Kyung-Hee
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.677-685
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    • 2017
  • This study was done to explore the relationship among mental health, self efficacy, happiness, suicidal ideation and related factors. Data collection from May 1, 2015 August 31 were enrolled in U-city. The questionnaire was filled out by 467 citizen in cities of Ulsan. Mental health was negatively correlated with self efficacy and was positively correlated with suicidal ideation. Self efficacy was positively correlated with happiness and negatively correlated with suicidal ideation. Also, happiness was negatively correlated with suicidal ideation of elementary student. Among the general characteristics, factors affecting suicidal ideation was marietal status, preferred mental health, and happiness significantly accounted for 43.3% of the variance for suicidal ideation. The most significant factor influencing suicidal ideation was mental health.

Difference of Somatic Symptoms between Anxiety Disorder and Major Depressive Disorder and Their Domainal Association with Suicidal Idealization, Plan and Attempts (불안 장애와 주요우울장애에서 나타나는 신체 증상과 증상군에 따른 자살 사고, 계획, 행동과의 관계 고찰)

  • Ahn, Jun Seok;Kim, Eun young;Cho, Maeng Je;Hong, Jin Pyo;Hahm, Bong-Jin;Chung, In-Won;Ahn, Joon-Ho;Jeon, Hong Jin;Seong, Su Jeong;Lee, Dong-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.174-183
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    • 2016
  • Objectives : The aim of this study is to evaluate difference of somatic symptoms of anxiety disorder and major depressive disorder and domainal association with suicidal idealization, plan, and attempts. Methods : A total of 359 adults diagnosed with major depressive disorder and anxiety disorder of last one year participated. Participants interviewed with certain sections of Korean version of Composite International Diagnostic interview of CIDI. Sections of interests includes questionnaires regarding somatic symptoms and suicidal idea, plan and attempts of last one year. Results : Chest pain shows more prevalence in major depressive disorder. Symptoms of Headache and loose stool are more prevalent in anxiety disorder. Difficulty in equilibrium and fainting spells are more common somatic complaints of co-diagnosis states of anxiety disorder and major depressive disorder. Comparing 3 domains of pain symptoms, gastrointestinal symptoms and pseudo-neurological symptoms, pain symptom domains, gastrointestinal symptoms domain shows significant statistic difference between diagnosis. Average somatic symptom numbers of each symptom domains increase through suicidal idealization, plan and attempt, accordingly. Conclusions : Our finding shows some of somatic symptoms are more prevalent at certain diagnosis. Since increasing numbers of somatic complaints of each symptom domains goes with the suicidal idealization to suicidal attempts, proper psychiatric evaluation and consultations are crucial for patients with numerous somatic complaints in non-psychiatric clinical settings.

The Convergent Effect of Self-esteem, Depression, and Social support on Suicidal ideation in University Students (대학생의 자아존중감, 우울, 사회적 지지가 자살사고에 미치는 융복합적 영향)

  • Lee, Sun-young;Kim, Yun-young;Lee, Jeong-sook
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.323-331
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    • 2017
  • The purpose of the study was to investigate the effect of self-esteem, depression, and social support on suicidal ideation in university students. A self-reported questionnaire was completed by 220 university students from September to November 2015. The study instruments comprised self-esteem, depression, social support, and suicidal ideation. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression using SPSS/WIN 21.0 program. The result showed that the difference of suicidal ideation by general characteristics was significant in major satisfaction(F=5.222, p=.006). The significant factors influencing suicidal ideation of university students were self-esteem(${\beta}=-0.227$, p=.004), depression(${\beta}=0.211$, p=.006), social support(${\beta}=-0.140$, p=.045), and with the explanation power of 21.9%. To decrease suicidal ideation of university students, it is necessary to develop a program increasing the self-esteem and managing the depression. The interest and social support of them will help the healthy promotion of university students.

Effect of Body Image and Eating Attitude on Depressive Mood and Suicide Ideation in Female Adolescents (여자 청소년의 신체이미지와 식사태도가 우울감과 자살사고에 미치는 영향)

  • Song, Man-Kyu;Ha, Jee-Hyun;Park, Doo-Heum;Ryu, Seung-Ho;Oh, Jung-Hyeon;Yu, Jae-Hak
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.1
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    • pp.40-47
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    • 2010
  • Objectives:Body image is closely related to self-esteem and weight-control related behaviors. In particular, relationship between two factors would be stronger in female adolescents. False recognition on body image and weight can be a risk factor of eating disorder, depression, and suicidal ideation. This study aimed to examine the effects of body image and eating disorders on developing depressive symptoms and suicidal ideation in female adolescents. Methods:Two hundred thirty nine students of a Girls' Commercial High School in Seoul were recruited. Eating Attitude Test for Korean Adolescents, Self-Esteem Scales, Impulsiveness Scale, Beck's Depression Inventory and Beck's Suicidal Ideation Scale were used to measure eating attitude and severity of psychiatric symptoms. Results:Among 239 subjects, the estimated risk group of eating disorders was 10%(n=24). They experienced more depressive symptoms than the control group. The bigger discrepancy in current and ideal body mass index was significantly related with higher depressive mood, suicidal idea, abnormal eating habits and lower self-esteem. Discrepancy between current and idea BMI was the most meaningful predictive factor about depression and suicidal thoughts by linear regression analysis. Conclusion:In spite of normal weight range of enrolled subjects, they experienced significant depressive mood, suicide thoughts and lower self-esteem associated with the discrepancy of their own subjective body image and current body mass index. Hence educational approach regarding normal body image and healthy weight control is needed for their mental health and preventing eating disorder.

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