• Title/Summary/Keyword: 청소년의 자살생각

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The Influence of Mental Health on Problem Drinking Among Korean Adolescents : Using the 13th(2017) Youth Risk Behavior Web-based Survey Data (한국 청소년의 정신건강 특성이 문제음주에 미치는 영향 : 청소년건강행태온라인조사 자료(2017년) 활용)

  • Lee, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.160-168
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    • 2019
  • This study was conducted in order to suggest directions for nursing intervention and education to prevent problem drinking of adolescents. We examine the influences of mental health characteristics of adolescents on problem drinking. For the research method, this study conducts secondary analysis using raw data from the 13th (2017) Youth Risk Behavior Web-based Survey. A total of 9,597 cases, excluding adolescents without drinking experience, were used for the final analysis. For the data analysis, the SPSS Win 23.0 program was used, and frequency analysis, ${\chi}^2$-test, and logistic regression analysis were conducted. Research results found general characteristics, school, school record, living type, father's education, and economic state were influencing factors on problem drinking. Regarding characteristics of mental health, depression (95% CI:1.578~1.930, p<.001), subjective happiness (95% CI:1.039~1.491, p=.002), suicidal ideation (95% CI:1.110~1.426, p<.001), and sufficiency of sleep (95% CI:1.085~1.399, p=.001) were primary factors affecting adolescents' problem drinking. Therefore, when conducting education for preventing problem drinking or nursing intervention programs targeting adolescents, it is necessary to provide methods offering experts' in-depth consultation with the consideration of characteristics of mental health of participants. Future research should conduct qualitative studies through in-depth interviews for reviewing problem drinking and identifying characteristics of adolescents. This study provides guidelines for nurses working with problem drinking adolescents in clinical settings and communities.

A Case Report on Korean Medicine Psychotherapy in an Adolescent Patient with Major Depressive Disorder Accompanied by Suicidal Ideation and Behavior (자살생각과 자살행동을 동반한 청소년 주요우울장애 환자의 한의정신요법 활용 1례 보고)

  • Esther Jang;Soomin Jo;Kyeong-Ok Kim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.453-461
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    • 2023
  • Objectives: Major depressive disorder is a severe disease that is associated with suicidal ideation and behavior. In this case, Korean medicine psychotherapy and Korean medicine treatment were used to treat an adolescent patient with major depressive disorder. Methods: The Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale were used as psychological evaluation scales. Korean medicine psychotherapy focuses on Giungoroen-therapy and IiGyeungByunQi-therapy and Korean medicine treatment combined with acupuncture, moxa, and herbal medicine. Results: Comparison before and after treatment showed improvement in clinical symptoms, Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale. Conclusions: As a result of applying Korean medicine, psychotherapy and Korean medicine treatment reduces to an adolescent patient with major depressive disorder, depression, suicidal thoughts, and suicidal behavior.

Factors related to Suicidal Planning among Adolescents who had Suicidal Ideation (자살생각을 해 본 청소년의 자살계획 관련요인)

  • Yi, Jee-Seon;Park, Chang-Seung
    • Journal of the Korean Society of School Health
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    • v.35 no.2
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    • pp.57-64
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    • 2022
  • Purpose: Adolescent suicide is an important issue worldwide. Although literature on preventing suicide among adolescents tends to focus on suicidal ideation, suicidal planning is also an important issue as a stage leading to suicidal behavior. This study aims to identify suicidal planning-related factors, including generalized anxiety disorder, among adolescents who had suicidal ideation. Methods: This secondary study used data generated from the 16th(2020) Korea Youth Risk Behavior Web-based Survey, which included 5,979 students who had suicidal ideation. Factors related to suicidal planning were identified by performing a logistic regression analysis of the participants. All analyses were performed using SPSS 27.0. Results: Among adolescents who had suicidal ideation, 23.8% had suicide plans. The suicidal plans were significantly related to school level (middle, OR=1.38, 95% CI=1.22~1.55), whether they were living with family (no, OR=1.36, 95% CI=1.06~1.75), perceived body image (normal, OR=1.23, 95% CI=1.05~1.44; Obese, OR=1.33, 95% CI=1.14~1.54), depression (yes, OR=1.47, 95% CI=1.25~1.72), tobacco use (yes, OR=1.31, 95% CI=1.12~1.54), alcohol use (yes, OR=1.21, 95% CI=1.06~1.38), drug use (yes, OR=1.96, 95% CI=1.44~2.66), and/or generalized anxiety disorder (severe, OR=1.76, 95% CI=1.44~2.14). Conclusion: The findings of the study suggest that in addition to the commonly recognized factors for adolescent suicide, generalized anxiety disorder should also be considered when establishing strategies to prevent suicide planning in adolescents who had suicidal ideation.

Long-term sequelae of trajectories of bullying victimization in youth: Internalizing and externalizing behavioral outcomes (또래 괴롭힘 피해경험 발달유형에 따른 내면화 및 외현화 문제 양상)

  • Park, Hyun-Sun;Kim, Min Jung;Chung, Ick-Joong
    • Korean Journal of Social Welfare Studies
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    • v.45 no.2
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    • pp.5-30
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    • 2014
  • This study sought to identify developmental trajectories of bullying victimization from late elementary school through early high school, and to examine internalizing and externalizing problem outcomes associated with the trajectory group membership. Data from Seoul Panel Study of Children were collected annually over a 7-year period from 5th grade of elementary school through 2nd grade of high school (2005~2011). Latent class growth analysis yield three trajectory classes corresponding to stable low (81.2%), stable high (3.5%), and declining bullying victimization (15.6%). Findings from analysis of covariance indicated that students in both stable high and declining trajectory groups reported significantly higher means in internalizing behavior (withdrawal, depression/anxiety, and suicide ideation), compared to those in the stable low group. For externalizing behavior such as aggression and juvenile status offense, students in the stable high group showed higher means, compared to those in the stable low and declining trajectory groups. Developmental pattern of bullying victimization over multiple development stages and associated internalizing and externalizing outcomes are discussed as are the implications for the bullying prevention.

Effect of the Suicide Prevention Program to the Impulsive Psychology of the Elementary School Student (자살예방 프로그램이 초등학교 충동심리에 미치는 영향)

  • Kang, Soo Jin;Kang, Ho Jung;Cho, Won Cheol;Lee, Tae Shik
    • Journal of Korean Society of Disaster and Security
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    • v.6 no.1
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    • pp.65-72
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    • 2013
  • In this study, the early suicide prevention program was applied to the elementary school students and compared the prior & post effect of the program, and verified the status of psychology change like emotional status, or temptation to take a suicide, and presented the possibility as a suicide prevention program. The period of adolescence is the very unstable period in the process of growth being cognitively immature, emotionally impulsive period. It is the period emotionally unstable and unpredictable possible to select the method of suicide as an extreme method to escape the reality, or impulsive problem solving against small conflict or dispute situation. Many stress of the student such as recent nuclear family, expectation of parents to their children, education problem, socio-environmental elements, individual psychological factor lead students to the extreme activity of suicide in recent days. In this study, the scope of stress experienced in the elementary school as well as idea and degree of temptation regarding suicide by the suicide prevention program were identified, and through prevention program such as meditation training, breath training and through experience of anger control, emotion-expression, self overcome and establish positive self-identity and make understanding Self-control, Self-esteem & preciousness of life based on which the effect to suicide prevention was analyzed. The study was made targeting 51 students of 2 classes of 6th grade of elementary school of Goyang-si and processed 30 minutes every morning focused on through experience & activity of the principle & method of brain science. The data was collected for 20 times before starting morning class by using Suicide Probability Scale(herein SPS-A) designed to predict effectively suicide Probability, suicide risk prediction scale, surveyed by 7 areas such as Positive outlook, Within the family closeness, Impulsivity, Interpersonal hostility, Hopelessness, Hopelessness syndrome, suicide accident. Analytical methods and validation was used the Wilcoxon's signed rank test using SPSS Program. Though the process of program in short period, but there was a effective and positive results in the 7 areas in the average comparison. But in the t-test result, there was a different outcome. It indicated changes in the 3 questionnaires (No.7, No.14, No.19) out of 31 SPS-A questionnaires, and there was a no change to the rest item. It also indicated more changes of the students in the class A than class B. And in case of the class A students, psychological changes were verified in the areas of Hopelessness syndrome, suicide accident among 7 areas after the program was processed. Through this study, it could be verified that different results could be derived depending on the Student tendency, program professional(teacher in charge, processing lecturer). The suicide prevention program presented in this article can be a help in learning and suicide prevention with consistent systematization, activation through emotion and impulse control based on emotional stress relief and positive self-identity recovery, stabilization of brain waves, and let the short period program not to be died out but to be continued connecting from childhood to adolescence capable to make surrounding environment for spiritual, physical healthy growth for which this could be an effective program for suicide prevention of the social problem.

Factors Influencing Subjective Sleep Sufficiency among Korean Adolescent by Gender: Based on 2016 12th Korean Youth Risk Behavior Survey (성별에 따른 청소년의 주관적 수면충족감에 영향을 미치는 요인: 2016년 제 12차 청소년건강행태온라인조사를 기반으로)

  • Chae, Myung-Ock
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.343-355
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    • 2017
  • This study compared the individual, family, environmental factors, and subjective sleep sufficiency according to gender among Korean adolescents and to examine relevance among the individual, family, environmental factors, and subjective sleep sufficiency. The subjects were 65,528 Korean adolescents(male: 33,803, female: 31,725), who were derived from the 12th Korea Youth Risk Behavior Web-based Survey 2016 in South Korea. As a result, the prevalence of the subjective sleep sufficiency in this study was 33.4% male and 19.5% female. The subjective sleep sufficiency was affected by the depression experience, suicidal ideation, school achievement, feeling of stress, feeling of happiness, subjective health status, alcohol experience, smoking experience, substance experience, allergic rhinitis, and atopic dermatitis in individual factors; economic status, educational level of parents and living arrangement in family factors; school grade, school type and emotional support in environmental factors in both males and females. In individual factors, breakfast eating and asthma affected the male's subjective sleep sufficiency and physical activity affected the female's. The mental health of the individual factors was the most influential factor in adolescent's subjective sleep sufficiency. Therefore, nursing intervention to improve Korean adolescent's subjective sleep sufficiency should be applied considering gender differences.

Factors Influencing the Intake of Convenience Foods among Korean Adolescents: Based on the bio-psycho-social model (한국 청소년의 편의식품 섭취 경험의 영향요인 : 생물-심리-사회 모델을 바탕으로)

  • Moon-Hee Kang;Soon-Ok Kim;Yeon-Hee Jeong
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.3
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    • pp.547-559
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    • 2023
  • The purpose of this study was to identify the influencing factors of Korean adolescents' consumption of convenience foods based on a bio-psycho-social model. Data were obtained from the 15th (2019) Korea Youth Risk Behavior Survey, which involved a nationwide representative sample of 57,303 middle- and high-school students. As a result of the study, gender, grade, and atopic dermatitis were biological factors of convenience food intake in adolescents. The psychological factors were perceived stress level, experience of depression, suicidal ideation, subjective sleep sufficiency, perceived health status, physical activity, and current smoking and drinking. And nutrition and meal education, breakfast frequency, subjective academic achievement, subjective economic status, and family living together were sociological factors that affected adolescents' convenience food intake experience. Therefore, it is necessary to provide effective nutrition education programs and provide emotional support to manage healthy eating habits of adolescents. In addition, family members of adolescents should be included in education.

Associated Factors of Depression and Suicidal Behaviors among Korean Adolescents: Web-based Survey of the Korea Youth Risk Behavior in 2015~2017

  • Choi, Hyun-A;Yang, Hyejin
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.292-302
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    • 2021
  • Purpose: Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents. Methods: The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis. Results: The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives' home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52). Conclusion: The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

Relationships between Health Behaviors, Mental Health and Internet Addiction by Gender Differences among Korean Adolescents (성별에 따른 한국 청소년의 건강행태, 정신건강과 인터넷 중독과의 관련성)

  • Park, Min Hee;Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1283-1293
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    • 2013
  • The purpose of this study was to compare the health behaviors, mental health and internet addiction by gender differences among Korean adolescents and to examine relevances between health behaviors, mental health and internet addiction. The subjects were 73,238 Korean adolescents(male: 38,391, female: 34,847) who were recruited through national web-based survey. The data were derived from the Sixth Korea Youth Risk Behavior Web-based Survey 2010 in South Korea. There were significant differences in health behaviors, mental health and internet addiction. by gender differences. Prevalence of internet addiction was male: 3.9%, female: 1.9% in this study. As the result of multiple logistic regression, the risk of internet addiction was increased in the case of smoking experience, substance experience, subjective health status, feeling of stress, depression experience, suicidal ideation, feeling of happiness, and sufficiency of sleeps in both male and female. Therefore, to decrease internet addiction prevalence, it is necessary to detect and manage the influencing risk factors of internet addiction such as health behaviors and mental health. And the health-promotion intervention to improve the internet addiction of adolescents should be planed and provided considering such differences by gender differences.

Understanding of migration experiences and mental health among Korean immigrant youth (한국 이주배경 청소년의 이주경험과 정신건강)

  • Ryou, Bee;Choi, Jungtae;Sohn, Yejin;Kim, Kihyun
    • Journal of the Korean Society of Child Welfare
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    • no.58
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    • pp.231-262
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    • 2017
  • South Korea has long been a culturally homogenous society, yet the increasing number of immigrants has turned the country into a multicultural society. Therefore, many empirical studies have investigated the way immigrants adapt to the Korean society and its associated factors. However, examining the overall process of migration (from family separation to reunification and cultural adaptation to the host society) that immigrant youth usually experience has been understudied. Previous empirical research and theoretical work have identified prominent factors that predict immigrant youth's mental health: experiences of family separation, living with others rather than primary caretakers during the separation, the length of residency in the host society, and family and peer support. In this respect, this exploratory and preliminary study that examined whether the experience of migration process and post-migration are related to Korean immigrant youth's mental health problems (depression, anxiety, and suicidal ideation). The result indicated that longer duration of family separation; living with relatives, siblings; and friends rather than primary caretakers during the separation; receiving less support from family and peer after migration; and a lower degree of cultural adaptation to Korean culture were associated with depression, anxiety, and suicidal ideation. Drawing upon the results, this study discussed implications for policy and practice.