• Title/Summary/Keyword: 자해

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The effects of motivation on the severity of non-suicidal self-injury in a community sample of adults (성인의 비자살적 자해의 심각도에 영향을 미치는 요인: 자해 동기를 중심으로)

  • Kwon, Ho-In;Choi, Sang-Eun;Kim, Cho-Won
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.273-280
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    • 2022
  • The purpose of this study is to investigate factors influencing the severity of non-suicidal self-injury in an adult community sample. Participants with recent and repeated NSSI(N=54) completed self-reported questionnaire assessing frequency, method, and motivation of self-injury and the emotional regulation of cognitive reappraisal. Results indicated that intrapersonal motivations were endorsed more than interpersonal motivations, and were significantly related with NSSI severity. Also earlier onset was significantly related to NSSI severity. These findings support the emotional regulation model of NSSI and highlight the importance of intervention focusing on emotional regulations.

Analysis of Twitter Post with 'Self-Iinjury' and 'Ssuicide' Using Text Mining (텍스트 마이닝기법을 활용한 '자해' 및 '자살' 관련 트위터 게시물 분석)

  • Yuri Lee;Hoin Kwon
    • Korean Journal of Culture and Social Issue
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    • v.29 no.1
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    • pp.147-170
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    • 2023
  • This study explored keywords and key topics by collecting posts related to 'self-Iinjury' and 'suicide' through Twitter. The study subjects were selected as posts containing related hashtags related to self-injury and suicide from October 29, 2019 to November 30, 2020. Text mining based on collected posts resulted in a total of 11 key topics: -6 related to 'self-Iinjury' and 5 related to 'suicide'. The main message in the topic is as follows. First, looking at the main messages contained in the topic, they honestly expressed self-harm and suicide experiences that are difficult to express offline online, and used SNS as a channelpath for requesting help requests. Second, there were common and discriminatory characteristics in posts related to 'self-Iinjury' and 'suicide'. Although topics related to 'self-Iinjury' mainly revealed emotional control and interpersonal functions of self-harm, messages related to 'suicide' showed more clearly messages about suicide prevention addressing and social problems. These results are meaningful in that they can understand the opinions of people who have experienced self-harm and suicide accidents and the public voice on self-harm and suicide-related issues could be better understood, and that this study seeks for effective self-harm and suicide prevention and intervention measures for self-harm and suicide issues.

Exploration of Non-suicidal Self-injury based on Ecological Momentary Assessment(EMA) (생태순간평가(EMA) 일기법을 활용한 비자살적 자해경험 분석)

  • Woo, Jeong;Kwon, Ho-In
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.720-729
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    • 2021
  • The purpose of this study was to measure repeated the process of non-suicidal self-injury individuals change in everyday life through the Ecological Momentary Assessment(EMA) daily diary. The study subjects of were 17 adults aged 19 to 29, accessed a link sent by text message on a cell phone and recorded a diary of the day's affects, interpersonal conflicts, self-injury thoughts, and behaviors once a day for two weeks. Using a total of 238 reported entries, the contextual factors of NSSI were examined, and the effects of affects and interpersonal conflicts on NSSI analyzed through a multi-level model. As a result, the negative affects of that day have a significant relation with within subject NSSI behavior and positive affects have a significant relation between subject NSSI behavior. These findings means that overall individuals with low positive affects have a higher risk of self-injury behavior compared to those with higher levles of positive emotions, and an increase in negative emotions on that day within an individual increases the risk of self-injury behavior on that day. In other words, it implies that it is important to manage negative emotions and strengthen overall positive affects for that day in the intervention of emotion-regulation of experienced self-injury individuals. It is meaningful that this study explored NSSI risk factors experienced in daily life through the short-term longitudinal study.

Intervention of Nonsuicidal Self-Injury in School Counseling (비자살성 자해(NSSI)에 대한 학교상담에서의 개입)

  • Ryu, Shinhye;Bae, Seung Min;Jun, Jin Yong;Im, Woo-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.1-6
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    • 2022
  • Recently, nonsuicidal self-injury (NSSI) has been increasing considerably in school counseling. According to the Youth Counseling and Welfare Development Institute, the number of counseling support for NSSI adolescent in 2018 was more than three times higher than the previous year, and the average time when NSSI behavior first appeared was 12.43 years old. As such, adolesnect NSSI continues to increase in recent years, and the age is also gradually decreasing. Nevertheless, research on the motives and characteristics of NSSI among domestic adolescents is still insufficient. This may be attributed to the difficulty of conducting research because self-injury behavior is secretly performed. However, it is also true that this reality has another limitation in the school field, which urgently requires counseling intervention and prevention of students' mental health problems. In addition, counseling for self-injury in the school scene is the biggest cause of exhaustion for counselors because they are under very great stress to cope with repeated self-harm in the dual role of counselors and teachers in school situations. Therefore, this study examines the causes and characteristics of involuntary self-injury through previous research analysis, and examines various difficulties experienced as a school counselor, as well as the effective intervention method of non suicidal self-injury in school counseling.

The Effects of COVID-19 on the Self-Harm in Children and Adolescents Observed in a University Hospital (대학병원에서 관찰한 코로나19가 소아청소년 자해에 미치는 영향)

  • Oh, Sae-Bom;Kim, Seung-Jun;Kim, Ji-Woong;Oh, Hong-Seok;Im, Woo-Young;Lee, Na-Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.128-135
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    • 2021
  • Objectives : The aim of the present study is to investigate the impact of COVID-19 on the incidence and severity of childhood and adolescent self-harm. Methods : Medical records were retrospectively reviewed for patients under the age of 18 who visited the emergency room of Konyang University Hospital to compare the rate of self-harm attempts and the demographic, clinical, and self-harm-related of self-harm attempters aspects before and after the COVID-19 outbreak. Results : During 11 months after the COVID-19 outbreak, the proportion of the number of children and adolescents patients with self-harm and their episodes increased significantly compared to that during 11 months before the COVID-19 outbreak (𝛘2=14.397, p<0.001; 𝛘2=24.156, p<0.001). Between about the year before and after the outbreak of COVID-19, there was a significant difference in the prior self-harm history and psychiatric history among children and adolescents who visited the emergency room and the ratio of hospitalization to other departments than department of psychiatry (p<0.05; p<0.05; p<0.05). Conclusions : In the COVID-19 situation, the proportion of children and adolescents who visited the emergency room due to self-harm and admission to other departments are increasing. And it has been shown that the incidence of self-harm has significantly increased in children and adolescents with a history of prior self-harm and psychiatric past history. These findings underscore the need for the psychiatric evaluation and intervention of self-harm related high-risk groups among children and adolescents in pandemic situations.

Research Trends on Non-suicidal Self-Injury in Adolescents -Focusing on Domestic Academic Journals- (청소년의 비자살적 자해에 관한 연구동향 -국내학술지 중심-)

  • Jung-Sook Kim;Sang-Ook Hong
    • Industry Promotion Research
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    • v.8 no.2
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    • pp.141-148
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    • 2023
  • The purpose of this study is to analyze NSSI (Non-suicidal Self-Injury) and upcoming papers to review research achievements and endpoints and current problems. Analysis data necessary for the study were collected through the classification procedure as domestic suspension during the mandatory period related to self-harm from 2010 to the present. As a result of analysis according to classification categories (general characteristics, study subjects, research variables, program utilization), first, domestic studies related to non-suicidal self-harm increased steadily through 2019 and 2022 after increasing in 2017 (three articles) showing shape. Second, changes in the characteristics of the research subjects began to appear. If previous studies had mainly focused on adolescents who experienced self-harm, it was expanded to early adulthood (college students), and the subjects of the study diversified to include those who had experienced self-harm cessation, counselors, and parents. Third, various research methods began to appear. Compared to 2017, when quantitative research was active, research was conducted that applied various qualitative research methods (narrative, phenomenology, grounded theory, meta-analysis, case study). Finally, discussion of the research results and suggestions for future research were added.

A CASE OF SEVERELY SELF-INJURED CHILD ASSOCIATED WITH PHYSICAL ILLNESS (신체 질환과 연관된 심한 자해로 입원한 아동 보고 1례)

  • Hong, Kang-E;Jeon, Seong-Ill
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.2
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    • pp.258-266
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    • 1996
  • Self-injurious behaviors are commoly founded in the case of the developmentally impaired, such as mental retardation and autistic disorder. These behaviors are primary serious sources of distress for both child and their parents, another obstacle to overcome within the family and society. The author has a case that a child, had never before shown self-injurious behaviors. He abruptly started to injury his face and heel. The beginnings of these harmful behaviors are associated with symptoms of physical illness, such as fever, chills and general aches. The self-injured wounds were very severe. After the patient was treated with haloperidol and improved his physical conditions, self-injurious behaviors disappeared. The author reports the child's clinical process, characteristics of self-injurious behaviors, and discuss the treatment factors, along with a literature review.

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The Influence of Self-conscious Negative Emotions on the Non-suicidal Self-injury: Focused on the Mediating Effects of Emotion Regulation Strategies (자의식적 부정정서가 비자살적 자해에 미치는 영향: 정서조절전략의 매개효과를 중심으로)

  • Baek, Bo-Gyeom;Kim, Ji-In;Kwon, Ho-In
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.385-395
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    • 2019
  • The purpose of this study was to investigate the mediating pathways of emotional regulators in relation to self-conscious negative emotions, including non-suicidal self-harm, guilt, shame, shyness, and internal hostility, further examining the gender difference in the mechanisms. The study subjects of were 652 college students from three universities in J district. Self-report questionnaires on self-harm, self-conscious negative emotions, and emotional control were administered to them. An analysis performed using model 4 of the process macro indicated that self-conscious negative emotions had a significant correlation with self-harming behavior and that this correlation was mediated by the emotional regulation of brooding. These results suggest that negative self-conscious emotions have a significant influence on self-harming behaviors, and brooding reinforces negative emotions then the risk of self-harming behaviors is amplified.

APPLICATION OF THE MODIFIED-MOUTHGUARD TO PREVENT SELF-INJURIOUS BEHAVIORS IN A CHILD WITH CEREBRAL PALSY : A CASE REPORT (뇌성마비 환아의 자해 방지를 위한 변형된 마우스가드의 적용)

  • Pak, Eun-Kyung;Kim, Kwang-Chul;Choi, Sung-Chul;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.351-356
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    • 2008
  • Cerebral palsy, a range of non-progressive syndromes of posture and motor impairment, is a common cause of disability in childhood. Self-injurious behavior(SIB) is deliberate harm to the body without suicidal intend, often involving repetitive actions that cause tissue damage. One of the most common orofacial self-injurious behavior is chewing tongue, lip or oral mucosa. This kind of SIB in children is not common in normal children. High occurrence rates are observered in cases of syndromatic, mentally retarded children, and children with congenital disease. Various methods such as behavior modification, behavior control by drugs, body restraints, application of dental appliance, surgery and extraction of teeth have been suggested to control those self-injurious behavior. Using mouthguard as one of dental applainaces is the most conservative and appropriate method in terms of reducing oral self-injurious habits and protection of tissue. This case report describes a child with cerebral palsy who presented with self-injurious ulceration of lip and buccal mucosa. A modified mouthguard was effective in preventing self-injurious oral trauma in a child with cerebral palsy.

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THE DENIAL MANAGEMENT OF SELF-INFLICTED ORAL MUTILATION (자해로 인한 구강내 손상의 치과적 조절 : 증례 보고)

  • Lee, Sang-Ik;Kim, Young-Jae;Lee, Sang-Hoon;Kim, Chong-Chul;Hahn, Se-Hyun;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.2
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    • pp.244-250
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    • 2005
  • Self-injurious behavior is defined as deliberated harm to one's own body without suicidal intent. It usually occurs as head banging or hitting, body hitting, skin cutting, or finger biting and includes ocular, genital, and self-inflicted oral mutilation. Self-injurious behavior can occur with mental retardation, coma, psychotic problem, poisoning, or character disorders. In pediatric patients, self-injurious behavior usually is reported to lip, cheek and tongue biting, and many kinds of dental management methods have been introduced to prevent self-injurious behavior patients from self biting. This report presents two self-inflicted oral mutilation patients who were all treated successfully with appliances such as modified activator without wire for retention, modified tongue-rake appliance and mouth guard.

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