• Title/Summary/Keyword: 자살 사고

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Clinical Characteristics of NSSI and Predictors of Suicide Attempts in Clinically Depressed Korean Adolescents (일 대학병원에 방문한 우울한 청소년에서 비자살성 자해행동의 임상적 특성과 자살 시도 예측요인)

  • Kim, Gyung-Mee
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.69-76
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    • 2019
  • Objectives : The purpose of this study was to examine the prevalence and clinical characteristics of nonsuicidal self-injury (NSSI), and its association with suicide attempts among clinically depressed adolescents in Korea. Methods : In total, 113 depressed adolescents aged 12-18 years in South Korea were enrolled in this study. We assessed sociodemographic and clinical characteristics including suicidality and non-suicidal self-injury (NSSI) using various self-reported scales and semi-structured interview for diagnosis of psychiatric disorders. Demographic and clinical characteristics of the subjects were compared between NSSI and non-NSSI groups. We examined significant predictors of suicide attempts using logistic regression analysis. Results : Among 113 depressed participants, 48 (42.1%) adolescents were classified into the NSSI group. In the NSSI group, there were significantly more females, showed higher depression, higher state-anxiety, and more suicide ideation. The most predictive factors of suicide attempts were history of NSSI, observed suicide/NSSI behaviors of their family or friends, and total state anxiety score. Conclusions : NSSI is more common problem among clinically depressed adolescents and history of NSSI is a significant predictor of present suicide attempts. To include the assessment of NSSI for clinically depressed adolescent may be crucial for intervention programs for high risk adolescents of suicide in Korea.

Convergence on the related depression, suicidal ideation and nutrient intakes in older adults with osteoarthritis using the 6th Korea National Health and Nutrition Examination Survey(KNHANES VI) (50대 이상의 골관절염 환자의 우울감 및 자살사고와 영양섭취에 관한 융합연구 : 국민건강영양조사 6기 자료 이용하여)

  • Hwang, Hyo-Jeong;Choi, Yean Jung
    • Journal of the Korea Convergence Society
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    • v.10 no.8
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    • pp.27-36
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    • 2019
  • We investigated the relationship between depression, suicide risk, and related nutrient intakes in 50-60 year old Korean osteoarthritis patients. In the $6^{th}$ National Health and Nutrition Examination Survey, 4,112 people who have been diagnosed with osteoarthritis by a doctor were analysed. Anxiety and depression level, pain and discomport level, depressive mood and suicidal ideation were significantly higher in osteoarthritis group compared to the non-osteoarthritis group(p<0.05). Dietary intake of energy, protein, n-3 and n-6 fatty acids, calcium, phosphate, thiamin, riboflavin, and niacin were significantly higher in the normal group compared with all the osteoarthritis, depression and suicidal ideation groups(p<0.05). The presented convergence strategy would be applied for emotional health and health care improvement of osteoarthritis patients.

A study using HGLM on regional difference of the dead due to injuries (손상으로 인한 사망자의 지역별 차이에 대한 HGLM을 이용한 연구)

  • Kim, Kil-Hun;Noh, Maeng-Seok;Ha, Il-Do
    • Journal of the Korean Data and Information Science Society
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    • v.22 no.2
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    • pp.137-148
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    • 2011
  • In this paper, we systematically investigate regional differences of the dead due to injuries in cities, towns and counties about transportation accidents, suicides and fall accidents, which have recently been an important issue of health problems in Korea, The data are from the Annual Report on the Cause of Death Statistics in Korea in 2008. They include the deaths over the age 19 from transportation accidents, suicides and fall accidents with the criterion of the International Statistical Classification of Diseases. Poisson HGLM is applied to estimate the mortality rate under the assumption that the number of deaths follow a Poisson distribution, by considering regions as random effects and by adjusting age, sex and standardized residence tax as fixed effects. Using the results of random effects prediction, the regional differences in cities, counties and towns are marked in disease mapping. The results showed that there were significant regional differences of mortality rates for transportation accidents and suicides, but no significant differences for fall accidents.

Effect of Morale Promotion Program on Morale, Depression and Suicidal Thoughts in Rural Women Elderly (사기증진 프로그램이 농촌 여성 노인의 사기, 우울 및 자살사고에 미치는 효과)

  • Gang, Moonhee;Kim, Myung-Sook;Gwak, Donghyeon
    • Journal of Industrial Convergence
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    • v.20 no.8
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    • pp.119-126
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    • 2022
  • The purpose of this study was to examine the effects of a morale promotion program on morale, depression and suicidal thoughts of women elderly in rural area. A non-equivalent control group pre-post test study design was used. The participants were 62 women from O province (experimental group = 28, control group = 34). The experimental group were participated in a total of eight-session, twice a week for four weeks. The collected data were analyzed with descriptive statistics, χ2-test, independent t-test using SPSS 26.0 program. After a eight-week of intervention, there was a significant difference in morale (t=2.09, p=.040) and depression(t=-2.98, p=.004) between two groups except for suicidal thoughts (t=-0.47, p=.638). Therefore, the study morale promotion program has proven to be effective in improving morale, and reducing depression of participants.

Insomnia in Relation to Suicide and Serotonin in Patients with Major Depressive Disorder (우울증 환자에서 불면과 자살, 세로토닌의 연관성)

  • Park, Young-Min;Kang, Seung-Gul;Lee, Heon-Jeong;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.21 no.1
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    • pp.29-32
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    • 2014
  • Objectives: The aim of current study is to evaluate the relationship between sleep, suicide and serotonin using some scales and loudness dependence of auditory evoked potentials (LDAEP). Methods: Total 65 patients who met the criteria for major depressive disorder were enrolled in current study. The patients were divided into two subgroups according to their insomnia and a history of suicide attempts. The auditory event-related potentials were measured to evaluate LDAEP before beginning antidepressants. Results: The scores of total Beck Depression Inventory (BDI) and BDI item 9 (suicide) were higher in insomnia subgroup than non-insomnia subgroup (respectively, p=0.0033 and p=0.03). However, LDAEP did not differ each other. The subgroup with a history of suicide attempts had a higher score of BDI item 9 than the subgroup without a history of suicide attempts (p=0.00012). There was a tendency for the LDAEP to be higher in the subgroup with a history of suicide attempts ($1.39{\pm}0.94{\mu}V$) than the sub-group without a history of suicide attempts ($1.05{\pm}0.75{\mu}V$), although the difference was not statistically significant (p=0.078). Conclusion: Suicidality was related to insomnia. In addition, there was a tendency for serotonin activity to be lower in the subgroup with a history of suicide attempts. In future, more studies are needed.

Associated Factors of Suicidal Ideation in Community Residents with Suicidal Attempt Experiences (자살시도 경험이 있는 지역주민의 자살사고에 관한 연구)

  • Kim, Mi-Young;Jun, Seong-Sook;Kim, Kyung Hee
    • Research in Community and Public Health Nursing
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    • v.24 no.2
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    • pp.135-142
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    • 2013
  • Purpose: The purpose of this study is to explore influencing factors which contribute to the suicidal ideation in community residents who have ever experienced suicidal attempts. Methods: The subjects of this study were a total of 165 local residents with some experiences of suicidal attempts in B City and K Province. The data were collected from May 1st to October 30th, 2012 and self-report questionnaires including Suicidal Ideation Inventory, Self-Esteem Inventory, Depression, Family and Social Support Inventory were used as a measurement tool. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. Results: The average score of suicidal ideation in the local residents with experiences of suicidal attempts was $12.7{\pm}6.25$. Predicted factors on suicidal ideation in the local residents with experiences of suicide attempts included self-esteem, depression and physical illness, and the suicidal ideation has a variance explanation power of 54%. Conclusion: The development and application of intervention programs, which can help to increase self-esteem levels and decrease depression levels among community residents with experiences of suicidal attempts, are first needed. Furthermore, nursing services of customized self-management for people with physical disabilities are needed on the basis of their own physical problems.

A Study of Attitudes Toward Suicide Report among Individuals with and without Suicidal Thoughts and Suicide Attempts (자살 사고와 자살 시도가 있거나 없는 개인의 자살 보도에 대한 태도 연구)

  • Koh, Kyoung-Nam;Lee, Sang-Uk;Park, Jong-Ik
    • Korean Journal of Biological Psychiatry
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    • v.27 no.1
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    • pp.9-17
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    • 2020
  • Objectives The purpose of this study is to investigate the interest level, perception and attitude of suicide high-risk group toward the media's suicide report, and also to provide the fundamental data in order to strengthen both the standard and the recommendation of media coverage in Korea. Methods We analyzed the data from the 2013 The Korea National Suicide Survey. The study included 1500 participants aged between 19 and 75 years. The participants were selected through the regional multi-layer stratification method using the sampling frame of the 2010 Census. One-on-one face-to-face interviews investigated the interest level, opinions, and attitudes toward suicide reports and collected data on past suicide history and demographic data. The collected data were evaluated using multiple logistic regression analysis. A probability level of p < 0.05 was considered statistically significant. Results The suicide high risk groups with histories of suicidal ideations or attempts showed more interest in suicidal reports [suicidal thought odds ratio (OR) = 1.81, 95% confidence interval (CI) = 1.40-2.34 ; suicidal attempt OR = 3.21, 95% Cl = 1.52-6.78]. However, there was no difference among the groups in thought that suicide reports incite suicide (suicidal thought OR = 1.26, 95% Cl = 0.92-1.73 ; suicidal attempt OR = 0.96, 95% Cl = 0.44-2.09). The suicide high risk groups showed a positive attitude toward suicide reports, but it was not statistically significant (suicidal thought OR = 1.10, 95% Cl = 0.41-2.92 ; suicidal attempt OR = 1.10, 95% Cl = 0.76-1.59). Conclusions We suggest the need of careful attitude of media suicidal reports not to bring about copycat suicides. and also we offer suicide prevention campaign based on media leverage.

Mental health according to allergic diseases and exercise in adolescents (청소년의 알레르기 질환과 운동량에 따른 정신건강)

  • Lim, Mi Ran;Lee, Eun Young
    • Journal of Industrial Convergence
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    • v.19 no.1
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    • pp.109-116
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    • 2021
  • The purpose of this study was to determine the effects of asthma, allergic rhinitis, atopic dermatitis, and high intensity exercise on depressive symptoms and suicidal ideation in adolescents. This is a secondary data analysis study using 15th Korean Children and Youth Panel Survey. Data analysis was performed by chi-square and logistic regression analysis using SPSS 22.0. As a result, there were differences in allergic diseases, high-intensity exercise, smoking experience, and drinking experience in both depressive symptoms and suicidal ideation. After adjusting for smoking experience and alcohol experience, asthma, allergic rhinitis, and atopic dermatitis were influencing factor for depression symptoms(OR:1.16, 95% CI:1.07-1.26; OR:1.16, 95% CI:1.11-1.21; OR:1.17, 95% CI:1.11-1.23) and for suicidal ideation(OR:1.32, 95% CI:1.20-1.47; OR:1.22, 95% CI:1.15-1.29; OR:1.21, 95% CI:1.14-1.29). However, high intensity exercise had decreased depressive symptoms and suicidal ideation(OR:0.90, 95% CI:0.86-0.94; OR:0.85, 95% CI:0.80-0.90). As a result of this study, it was found that allergic diseases and high-intensity exercise had a great effect on mental health in adolescents, and we may use it as basic data for prevention and research related to the mental health of adolescent.

Design and Analysis of Scenario for Falling-Accident Recognize (낙상사고 인식을 위한 시나리오 분석 및 시스템 설계)

  • Yang, Seung-Su;Shim, Jae-Sung;Park, Seok-Cheon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2013.05a
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    • pp.262-264
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    • 2013
  • 본 본문에서는 교통사고와 자살에 이어 사고 발생률이 높은 낙상사고에 대해 영상감지기기를 이용한 신속한 응급처치를 하기 위해 기존의 지능형 영상감지 시스템을 조사 및 분석하고 이를 토대로 낙상사고 시나리오 분석 및 상황코드를 정의하여 낙상사고인식 시스템을 설계하였다.

Factors affecting Non-suicidal self-injury: Ecological Momentary Assessment using a Daily Diary Method study (일상생활에서의 비자살적 자해에 영향을 미치는 요인: 생태순간평가 일기법 연구)

  • Hoin Kwon ;Sunjin Kim
    • Korean Journal of Culture and Social Issue
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    • v.29 no.3
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    • pp.321-340
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    • 2023
  • This study was conducted to understand the emotional and situational context where non-suicidal self-injury occurs in everyday life. Sixty adults(age 19-35) completed daily surveys assessing positive and negative emotions, stressful events, self-injury thoughts, and behaviors for two weeks. Using a total of 663 collected entries, we analyzed specific personal emotions and stressful events related to non-suicidal self-injurious thoughts and behaviors. As a result, high negative emotions, low positive emotions, and total stress event scores were significantly related to self-injury thoughts and behaviors. In the model in which both emotion and stress were inserted as predictors, the low level of positive emotion showed a significant related to non-suicidal self-injurious behavior. These results suggest that negative emotion management and overall positive emotion reinforcement are important in emotion regulation intervention for non-suicidal self-injurious patients. The meaning of this study is that it searched for risk factors of non-suicidal injury in everyday life using a short-term longitudinal method.