• Title/Summary/Keyword: 자살 위험

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Suicide Ideation and the Related Factors among Korean Adults by Gender (한국 성인의 성별 자살생각 관련 요인 분석)

  • Park, Eunok
    • Journal of agricultural medicine and community health
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    • v.39 no.3
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    • pp.161-175
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    • 2014
  • Objectives: This study investigates the prevalence of suicide ideation and its the related factors by gender among Korean adults. Methods: National cross-sectional data from the database of the first and second year of $5^{th}$ Korean National Health and Nutritional Examination Survey (KNHANES V-1, V-2) were used for this study. 13,165 adults (${\geq}20$ years) were included in this analysis. Results: The prevalence of suicide ideation was 9.8% for men, 18.9% for women. Renal failure, depression, melancholy, stress, perceived health status, and smoking were significant risk factors among both men and women for suicide ideation. Divorced, separated or widowed of marital status and severe physical activity were related factors of suicide ideation for men. Low educational attainment, and alcohol dependency were associated factors of suicide ideation for women. Conclusions: There was gender difference of prevalence and risk factors of suicide ideation. These gender differences should be considered for planning and implementing suicide prevention program.

The Relationships Among Highly Caffeinated Beverage Intake and Depressive Symptom, Suicide in Adolescents (청소년의 고카페인 음료 섭취와 우울증상 및 자살의 관계)

  • Ahn, In-Young;Seo, Ji-Yeong;Lee, Dongyun;Lee, So-Jin;Cha, Boseok;Kim, Bong-Jo;Park, Chul-Soo;Choi, Jae-Won;Lee, Cheol-Soon
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.191-199
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    • 2016
  • Objectives : Despite the increased popularity of highly caffeinated beverages, there is little research examining psychiatric adverse effects. The purpose of this study was to investigate the relationships among pattern of highly caffeinated beverage intake and depressive symptom, suicidal ideation, suicidal plan, suicidal attempt in Korean adolescents. Methods : The data was obtained from the 2014 Korean Youth's Risk Behavior Web-based Study by Korea Centers for Disease Control & Prevention. All participants conducted web-based questionnaire survey. Chisquare test and multiple logistic regression analysis were performed to determine the association among highly caffeinated beverage intake pattern, depressive symptom, suicidal ideation, suicidal plan and suicidal attempt adjusting for differences in age, gender, academic achievement, socioeconomic status. Results : A total of 71,638 participants were enrolled in this study. Depressive symptom, suicidal ideation, suicidal plan and suicidal attempt were significantly more frequent in the group with presence of highly caffeinated beverage intake within 1 week than in non-drinker group(p<0.01). Highly caffeinated beverage intake was significantly associated with suicidal attempt(OR=1.99 ; 95% CI, 1.77-2.22). In addition, depressive symptom, suicidal ideation, suicidal plan and suicidal attempt were significantly more common in the group with heavy-drinker who exceed recommended daily intake dose of caffeine than in the group with light-drinker(p<0.01). Heavy drinking of caffeinated beverage was significantly associated with suicidal attempt(OR=4.05 ; 95% CI, 3.02-5.43). Conclusions : We found that highly caffeinated beverage intake was related to more frequent depressive symptom, suicidal ideation, plan, attempt in adolescents. Also, caffeine intake which exceed recommended daily intake dose identified the predictor of suicidal attempt. Our result suggested that clinicians need to be aware of the possible psychiatric adverse effects of highly caffeinated beverage in vulnerable population including young adolescents.

Structural Relationship of School Risk Factors and Suicide Ideation in Adolescence, Based on 'Escape Theory' Model ('도피이론(Escape Theory)' 모형에 기반한 학교위험요인과 청소년 자살생각의 구조적 관계)

  • Park, Jae-Sook
    • Korean Journal of Social Welfare
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    • v.63 no.3
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    • pp.5-27
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    • 2011
  • This study was based on the 'Escape Theory' model suggested by Baumeister(1990). Based on this analysis framework, this study attempted to examine that complicated direct and indirect effect of school risk factors(risk of academic scores, risk of relation with teacher and risk of peer relation) on suicide ideation in adolescence, through negative self-esteem, depression and withdrawal coping. To this end, this study used the data from the '2008 Gyeongsangbuk-Do youth crisis survey' conducted by the Youth service center in province of Gyeongsangbuk-Do. The target number of this study was 2,335 students in the age group of middle school and high school. The result of the Analysis indicate that risk of relation with teacher among school risk factors was only one which affected directly and indirectly on suicide ideation. The other side, risk of academic scores and risk of peer relation had indirect effects, via negative self-esteem, depression and withdrawal coping. In conclusion, this study confirmed that school risk factors had effects on suicide ideation directly or indirectly, they were complicatedly connected, through negative self-esteem, depression and withdrawal coping. Therefore, Prevention program for adolescence' suicide ideation or suicide risk require integrated strategies and tactics.

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A Convergence study of relationship between pregnancy experience and suicidal behavior in female adolescent (여성 청소년의 임신 경험과 자살행동의 관계에 대한 융합연구)

  • Park, Kyongran;Kwon, Min
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.549-559
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    • 2018
  • The purpose of this study was to investigate the risk factors of pregnancy and the relationship between pregnancy experience and suicidal behavior in 284 pregnancy experienced adolescents aged 13-19 years. The suicidal ideation was 57.8%, the suicide plan was 37.7% and the suicide attempt was 37.3% among female adolescents with pregnancy experience. By multivariate logistic regression analysis, female adolescents who experienced pregnancy had 1.44 times more suicidal ideation, 2.39 times more suicide plans, and 2.38 times more suicide attempts than those without suicidal thoughts, plans and attempts. Because of the high correlation between pregnancy experience and suicidal behavior in female adolescents, school and education authorities need systematic education and countermeasures to prevent adolescents' pregnancy and risk of suicide after pregnancy. And above all, convergent support and interest in home, school and community comprehensive area should be supported.

Loneliness as a Risk Factor for Suicidal Ideation and Depressive Mood Among Korean Adolescents in 2020-2021 (한국청소년의 자살생각 및 우울감의 위험요인으로서의 외로움, 2020-2021년)

  • Inmyung Song
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.77-85
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    • 2023
  • Suicide is the leading cause of death among Korean adolescents. There is a growing interest in the role of loneliness as a risk factor for suicide ideation and depressive symptoms. However, little is known in the Korean context. This study analyzed a total of 109,796 respondents from the Korea Youth Health Behavior Survey in 2020 and 2021. Multiple logistic regression models were implemented to test the association between loneliness and either of suicidal ideation and depressive mood. Covariates included demographic characteristics, school enrolled, household income, living arrangement, self-rated health, and the number of times treated for violence. Adjusted odd ratio (OR) and 95% confidence intervals (CI) were computed. 12.0% of adolescents reported to have felt lonely frequently and 3.0% always. 11.8% and 26.0% had suicidal ideation and depressive mood, respectively. The prevalence of suicidal ideation was higher in the always-lonely adolescents (52.6%) than in the frequently-lonely adolescents (35.1%). The always-lonely adolescents were nearly 30 times more likely to have suicidal ideation (OR=30.7; 95% CI, 27.1 - 34.8) and to feel depressed (OR=32.5; 95% CI, 29.2 - 36.4) than adolescents who felt never lonely. In conclusion, Loneliness was a major risk factor for suicidal ideation and depressive mood among Korean adolescents. Monitoring and addressing the condition of loneliness may help reduce suicidal ideation and depressive mood.

Factors of Suicidal Ideation and Behavior : Social Relationships and Family (사회적 관계 내 자살경험과 가족이 자살생각 및 자살행동에 미치는 영향)

  • Lee, Min-Ah;Kim, Seok-Ho;Park, Jae-Hyun;Sim, Eun-Jung
    • Korea journal of population studies
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    • v.33 no.2
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    • pp.61-84
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    • 2010
  • The goals of the study were to examine if and how exposure to suicidal factors in social relationships affects suicidal ideation and behaviors and also analyze how family factors are associated with suicidal ideation and behavior. Data drawn from Korean General Social Survey(KGSS) collected in 2009 were analyzed. The findings show that exposure to the suicidal factors have statistically significant effects on suicidal ideation and behaviors. In the findings, respondents who have experiences of which socially close persons have suicidal ideation or completed suicide are more likely to have suicidal ideation and suicidal plan even in the models for which demographic factors and depressive symptoms are controlled. Also, family factors have significant effects on suicidal ideation and suicidal behaviors. Family stress increases suicidal ideation and behaviors whereas expectation on family support reduces the likelihood of having suicidal ideation and behaviors. This study shows that there might be possibility of behavioral contagion in terms of suicide through social connections and family has both positive and negative aspects on suicidal ideation and behaviors. Our study suggests policy implications for people who were exposure to suicide.

A Study on the Introduction of Psychological Autopsies and the Development of Suicide Prevention Model for Police Officials (경찰공무원의 자살 후 심리부검 도입과 자살 예방모형 개발에 대한 연구)

  • Song, Hye-Jin;Oh, Sei-Youen
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2022.10a
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    • pp.323-324
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    • 2022
  • 매년 20여명 정도의 경찰이 자살에 이르고 있다. 업무량이 많은 타 공무원에 비해서도 높은 수준이다. 경찰의 자살에는 여러가지 원인이 있지만, 특히 조직의 폐쇄성으로 인해 개인문제로 치부하는 경향이 높다. 경찰의 치안환경은 더욱 안 좋아지고, 위험성에 노출될 확률이 과거에 비해 높아졌으며, 잔혹한 범죄를 마주해야 하는 상황이 많아짐에 따라 우울증이나 업무부담 등으로 인해 자살을 하게되는 경우를 볼 수 있다. 따라서 경찰의 자살을 예방하기 위해서는 심리부검을 도입하는 방안을 법적으로 검도하고, 자살유형들을 분석하여 그에 맞는 자살예방모형 개발하여 자살률을 감소시킬 수 있는 방안을 모색해보고자 한다.

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A study on suicidal behavior factors (일부 지역사회 주민의 자살행동 유병률과 관련 요인)

  • Shin, Jong-Hun;Lee, Tae-Yong;You, Mee-Sun;Kim, Kwang-Hwan
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.904-906
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    • 2011
  • 2008년 9월부터 2009년 3월까지 6개월간 일개 도의 7개 시군에 주민등록을 갖고 있는 만 19세 이상의 성인 1,400명을 조사대상으로 설문조사를 실시하였다. 지역사회 주민의 자살행동 평생유병률을 구하고, 자살생각만 하는 집단과 자살생각 및 자살계획을 갖는 집단의 위험요인을 비교하였다. 조사대상자의 자살생각률은 15.9%, 자살계획은 4.3%, 자살시도율은 1.8%이었으며, 자살생각자 중 27.0%가 자살계획을, 자살 계획자 중 42%가 자살시도를 하였다. 전체 독립변수간의 영향을 보정한 상태에서 다변량분석을 한 결과 우울증, 스트레스, 연령, 삶의 질, 사회적 갈등, 직업이 전체 자살생각에 영향을 주며, 자살생각만에는 우울, 스트레스, 삶의 질이 중요한 요인으로 나타났다. 결론적으로 자살행동을 효과적으로 예방 관리하기 위하여 우울증, 스트레스, 연령, 삶의 질, 사회적 갈등, 실직 상태에 놓인 사람들을 우선적으로 관리할 필요성이 있다.

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The Relationship between Suicide Attempts and Serum Lipids in Patients Admitted with Depression (우울감을 주호소로 입원한 환자의 자살 시도와 혈청 지질과의 연관성)

  • Park, Sun Hong;Kim, Seung-Jun;Kim, Ji-Woong;Oh, Hong-Seok;Lee, Sang Min;Jun, Jin Yong;Im, Woo Young
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.164-171
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    • 2018
  • Objectives : Depression is a common mental illness and a major cause of suicide. Although serum lipids have been associated with depression and suicide, there has been much debate. In this study, we investigated the relationship between depression, suicide, and serum lipids in patients admitted with depressed mood. Methods : A total of 134 subjects were divided into 86 non-suicide patients and 48 suicide attempters. The serum lipid levels and sub-scores of the Korean Symptom Checklist-95 (KSCL95) were compared. We also investigated the relationship between serum lipids and sub-scores of KSCL95 and investigated whether serum lipids were risk factors for suicide attempts. Results : There was no difference in serum lipids between the two groups. Among the sub-items of KSCL95, obsession was higher in non-suicide group. Triglyceride showed positive correlations with anxiety, phobic anxiety, agoraphobia, schizophrenia, and self-regulation problem. High triglyceride was a risk factor for suicide attempts. Conclusions : Triglyceride is associated with depression, anxiety, and self - regulation, and high serum triglyceride levels may be a risk factor for suicide attempts.

Prevalence and Related Risk Factors of Suicidal Ideation in Urban Adolescents (일 도시지역 청소년의 자살사고 유병률과 위험인자에 대한 연구)

  • Lee, Tae Ho;Lee, Yu Jin
    • Sleep Medicine and Psychophysiology
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    • v.21 no.2
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    • pp.61-68
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    • 2014
  • Objective: The aim of the present study is to assess the prevalence and related risk factors of suicide ideation among middle and high school students in an urban area. Methods: We surveyed 3,691 middle and high school students (2,159 male, 1,532 female, 11-19 years of age) using a self-report questionnaire that covered basic socio-demographic data, academic achievements, presence of physical or psychiatric illness, sleep duration on weekdays, time spent at private academies on weekdays and weekends, and subjective needs for counseling. The Beck Depression Inventory (BDI) and Reynolds' Suicidal Ideation Questionnaire (SIQ) were included in the survey. Results: The prevalence of students with high suicide ideation ($SIQ{\geq}62$) was 4.6%. In a logistic regression model, female sex (p = 0.002), younger age (p < 0.001), poor academic achievement (p = 0.043) and higher score of BDI (p < 0.001) were associated with a higher SIQ score. In addition, younger age (p = 0.045) and a higher BDI score (p < 0.001) were associated with a higher SIQ score adolescents having high suicide ideation ($SIQ{\geq}62$). Conclusion: Related risk factors of suicide ideation in adolescents were female sex, younger age, poor academic achievement, and a depressive mood. It would be especially helpful to pay more attention to younger adolescents and a depressive mood as a high-risk group. The understanding of these factors will be helpful for providing an effective suicide screening and prevention program for adolescents.