• Title/Summary/Keyword: 자살 위험

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The Effects of Parental Abuse and Peer Victimization on Adolescent's Suicidal Ideation -The Mediating Pathway of Interpersonal Needs and Hopelessness- (청소년 자살생각에 대한 부모학대와 또래괴롭힘의 영향에서 대인관계내재화와 절망감의 매개효과)

  • Hong, Na-Mi
    • Korean Journal of Social Welfare
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    • v.64 no.1
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    • pp.151-175
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    • 2012
  • This paper designed a mediating pathways model on how parental abuse and peer victimization lead to the development of suicidal ideation through the mediating variables of interpersonal needs and a hopelessness. The development is sure to help reduce adolescent suicidal ideation and, in turn, seek for distinct mediating methods to help teens with suicidal ideas. To validate the suggested model, this paper administered a questionnaire to 768 students in their 10th, 11th and 12th grades of high schools in Incheon, and then analyzed the structural equation model before confirming the research hypothesis by adopting the tools of SPSS 17.0 and AMOS 18.0. The result clearly demonstrates that parental abuse is one of the most influential factors in developing suicidal ideation. Peer victimization, however, had no direct bearing on suicide ideation, only indirectly affecting through the mediating variable of interpersonal needs. In addition, peer victimization had indirect effects on suicidal ideation through a sequential intervention of variables from interpersonal needs to a hopelessness. Based on the above results, this research has following implications: First, this paper analyzed the mediating pathways of youth suicidal ideation resulting from parental abuse and peer victimization. The result could possibly help find preventive measures and effective mediating approaches to save the lives of young people at risk of committing suicide. Secondly, this study proved that the interpersonal needs, a relatively new concept hardly introduced in previous studies, is a significant predictive factor for suicide ideation, serving as an intervening variable of developing suicidal ideation among young people who have suffered parental abuse and peer victimization.

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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.

Bayesian Analysis and Mapping of Elderly Korean Suicide Rates (베이지안 모형을 활용한 국내 노인 자살률 질병지도)

  • Lee, Jayoun;Kim, Dal Ho
    • The Korean Journal of Applied Statistics
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    • v.28 no.2
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    • pp.325-334
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    • 2015
  • Elderly suicide rates tend to be high in Korea. Suicide by the elderly is no longer a personal problem; consequently, further research on risk and regional factors is necessary. Disease mapping in epidemiology estimates spatial patterns for disease risk over a geographical region. In this study, we use a simultaneous conditional autoregressive model for spatial correlations between neighboring areas to estimate standard mortality ratios and mapping. The method is illustrated with cause of death data from 2006 and 2010 to analyze regional patterns of elderly suicide in Korea. By considering spatial correlations, the Bayesian spatial models, mean educational attainment and percentage of the elderly who live alone was the significant regional characteristic for elderly suicide. Gibbs sampling and grid method are used for computation.

Relationships of Peripheral Inflammatory Marker With Suicide Attempt History (자살시도력과 말초혈액의 염증 지표 간의 연관성)

  • Su-Hyun Oh;Seung-Jun Kim;Sang-Ho Shin;Hong-Seok Oh;Jae-Chang Lee;Woo-Young Im;Na-Hyun Lee
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.165-172
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    • 2023
  • Objectives : The purpose of this study is to determine whether there is a significant difference in the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio according to the history of suicide attempt in patients with psychiatric diseases. Methods : A medical record review was conducted on patients who had been hospitalized in Konyang University Hospital since 2021-03-01 to 2023-02-28 to collect demographic and clinical characteristics. T-test for continuous variables and Chi-square test for categorical variables were performed to determine demographic differences according to the history of suicide attempt, and the ANCOVA test was performed to compare the average value of peripheral inflammatory marker according to the history of suicide attempt with gender and age as covariates. One-way variance analysis was performed to determine whether the number of suicide attempt causes significant difference of the peripheral inflammatory marker. Results : The final analysis target of this study was 266 patients, 101 had history of suicide attempt, and 165 had no history of suicide attempt. The neutrophil-to-lymphocyte ratio (p<0.001) and platelet-to-lymphocyte ratio (p<0.001) were higher in patients with the history of suicide attempt than patients without the history of suicide attempt, but the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio were not significantly increased depending on the serial increase of number of suicide attempts. Conclusions : This study suggests that peripheral inflammatory markers are meaningful and easily accessible indicators for predicting the risk of suicide attempt in psychiatric patients. We expect that prospective follow-up study will be conducted with more subjects and controlled potential confounding variables.

A Forecast Model on High School Students' Suicidal Ideation: The Investigation Risk Factors and Protective Factors Using Data Mining (고등학생의 자살사고 예측모형 : 데이터마이닝을 적용한 위험요인과 보호요인의 탐색)

  • 이주리
    • Journal of the Korean Home Economics Association
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    • v.47 no.5
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    • pp.67-77
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    • 2009
  • This study examined risk factors and protective factors in high school students’ suicidal ideation. Participants were 2000 adolescents from the KEEP(Korean Education and Employment Panel). Data mining decision tree model revealed that: (1) Irrespective of sex, the most important predictor was father-adolescent relationship. (2) Positive mother-adolescent relationship was predicted as protective factor in condition of negative father-adolescent relationship. (3) Family activities was predicted as risk factor in condition of negative mother-adolescent relationship under the circumstances with negative father-adolescent relationship. (4) Low self-evaluation was predicted as risk factor in condition of serious agony about personality under the circumstances with positive father-adolescent relationship.

A convergence study on the relationships of alcohol consumption patterns to mental distress and self-rated health (성인 음주자의 음주 패턴에 따른 정신건강과 주관적 건강상태에 대한 융합적 연구)

  • Lee, Eun-Sook;Cho, Hye-Chung
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.319-328
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    • 2020
  • The purpose of this study is to assess the relationships of alcohol consumption patterns to mental distress and self-rated health. Data of 19,856 adult drinkers over 19 years of age and older from the Korea National Health and Nutrition Examination Survey were evaluated by multivariate logistic regression analysis. Risks of experiencing perceived high stress, depressive symptoms and suicidal thoughts were higher in alcohol use disorder group in male, whereas the risks were higher in both alcohol use disorder and hazardous drinking groups in female, reflecting higher susceptibility to mental distress. In both male and female, former drinkers presented poor self-rated health compared with low-risk drinkers, although no difference was found in the prevalence of mental distress. Specialized mental health management measures for female drinkers are required, and former drinkers are suggested to be assessed separately from never or low-risk drinkers for their physical and mental health status.

A Study on Policy Improvement for Ensuring the Effectiveness of Suicide Prevention Law (「자살예방 및 생명존중 문화 조성을 위한 법률」의 실효성 확보를 위한 정책적 개선 방안 - 「개인정보보호법」과의 충돌문제 해결을 중심으로 -)

  • Kwon, Do-Hyun;Park, Jong-Ik;Ah, Yong-Min
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.261-285
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    • 2019
  • The essential policy of suicide prevention is to continuously manage and treat suicide attempted people through data base related to suicide retry rate and follow-up study report. In Korea, only few people are allowed to follow-up by the Personal Information Protection Act. As a result, the research participation rate and the service participation rate are rather low, so that the research participants is limited to a part of the suicide attempted people. Therefore, the policy proposals to be improved in the Ministry of Health and Welfare Act were examined comparatively in order to increase the practical utilization of the suicide prevention about Article 14 and Article 20 of the Suicide Prevention Act. As a criterion for policy improvement, measures for non-discrimination of information to be considered in terms of technical and ethical dimensions and non-profit research and medical information for medical purposes were suggested. In addition to the severity of the suicide, the suicide risk was assessed and the criteria for the objective assessment of the follow-up observation were considered in consideration of the severity of the suicide.

Effectiveness Analysis of the Life-Respect Program for Youth Suicide Prevention (청소년 자살예방을 위한 생명존중 프로그램 효과성 분석)

  • Choi, Ji-Won;Hong, Sang-uk
    • Industry Promotion Research
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    • v.7 no.3
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    • pp.43-51
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    • 2022
  • This study Research is physical in times of great social and cultural influence in adolescence. In terms of spirit, growth is accelerated, developmental and situational stress is experienced in the process of finding identity, and crisis management ability is also insufficient for emotional confusion and frustration. Therefore, it has the characteristic of falling into anxiety and depression for no reason or showing strong hostility or aggression against minor stimuli. By understanding the impulsiveness, which is an important determinant of suicide in adolescents, the seriousness of suicide is recognized through the current status and reality of suicide in adolescents, and stress, which is a risk factor for suicide.It is meaningful to analyze the effectiveness of youth suicide prevention by practicing the value of life respect through life respect education programs to reduce depression and improve self-esteem as a protective factor.

Life Stress, Social Support and Suicidal Ideation of North Korean Refugee Women in South Korea (탈북여성의 일상생활 스트레스가 자살생각에 미치는 영향과 사회적 지지의 조절효과)

  • Kim, Jae Yop;Choi, Kwon Ho;Chae, Ji Hoon;Hwang, Hyun Joo
    • Korean Journal of Social Welfare Studies
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    • v.44 no.2
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    • pp.35-58
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    • 2013
  • The purpose of this study is to identify the moderating effect of social support between daily life stress and suicidal ideation of North Korean refugee women in South Korea. We survey with self-report questionnaires for 156 refugee women, conduct descriptive and regression analysis. As results, (1) almost half of the surveyed experience suicidal ideation in a year, (2) daily life stress affects suicidal ideation controlling with depression, PTSD, alcohol use, income, and age, (3) social support which North Korea refugee women perceive buffers the relationship between life stress and suicidal ideation. From these results, implications are suggested. Gender cognitive policies are needed in North Korea refugees in South Korea. Also, community mental health services and sustainable community program for North Korea refugee women are important to prevent their suicidal attempts.

Association between Insulin Resistance and Depression in the General Korean Population : Cross Sectional Findings from the National Health and Nutrition Examination Survey (한국 성인에서 인슐린 저항성과 우울증의 연관성)

  • Lee, Yoon-Ho;Jung, Do-Un;Kim, Sung-Jin;Kang, Je-Wook;Moon, Jung-Joon;Jeon, Dong-Wook;Kim, You-Na;Lee, Chung-Yeal;Park, Sung-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.86-93
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    • 2018
  • Objectives : The purpose of this study was to investigate the association between the insulin resistance and depressive mood, suicidal ideation, psychological stress, and quality of life in general Korean population. Methods : We selected 3,613 subjects from the third year's data of 6th Korean National Health and Nutritional Examination Survey. Insulin resistance was evaluated with Homeostatic Model Assessment of Insulin Resistance. Questionnaires on depressive mood, suicidal ideation and psychological stress were conducted. The quality of life was assessed with the EuroQol-5 dimension index. We used correlation and regression analysis for analysis. Results : The risk of depressive mood and suicidal ideation was significantly higher in the insulin resistance group than in the control group. The risk of psychological stress was significantly higher in the male group with insulin resistance. The EuroQol-5 dimension index showed a negative correlation with insulin resistance. After adjusting for age, sex and body mass index, increased risk of suicidal ideation was identified only. Conclusions : We confirmed that insulin resistance is associated to mental health problems related with depression in Korean adults.