• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.169-176
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• 2020

Exploring the risk factors of adolescent suicide is important for effective suicide prevention. This study explored the clustering of adolescent suicides based on six risk factors: mental disorder, broken family, depression, anxiety, previous suicide attempts, and deviant behaviors. Using 173 student suicide reports obtained from the Ministry of Education, we evaluated the associations between suicide and variables related to mental disorders; dysfunctional family life; depression and anxiety; previous suicide attempts; deviant behaviors such as drinking and smoking; and school life characteristics, including attendance and discipline, problems within the past year, and incidents prior to suicide. In addition, reports of warning signs just before suicide were included in the analysis. The two-stage cluster analysis classified the students into three clusters: the silent type (cluster 1; 48.55%), in which no risk factors were observed; environmental-risk type (cluster 2: 24.28%), which featured a high frequency of broken households, deviant behaviors such as smoking/drinking and running away from home; and depressive type (cluster 3: 27.17%), which featured a high frequency of mental health problems such as depression, anxiety, and suicide attempts. Identifying the sub-types of adolescent suicide may help to inform tailored suicide prevention and intervention strategies in school.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.177-184
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• 2020

Objectives: This study aims to examine the effect of adolescent suicide survivors' experience on suicide death risk, and the effect of referral to mental health services (hereafter referral) in this regard. Methods: This study used the data of 878 suicide-deceased and suicide-attempted adolescents aged 8-19 years, managed by the Suicide and School Mental Health Institute from 2016 to 2018. Results: Regression analysis for main effects showed that although suicide experience had no direct effect on suicide death, non-referral status was associated with a greater risk of death by suicide. While the "non-suicide survivor with non-referral" and "suicide survivor with non-referral" groups showed 1.87 [adjusted odds ratio=1.87, 95% confidence interval (CI)=1.21-2.89] and 4.59 (adjusted odds ratio=4.59, 95% CI=2.02-10.42) times higher odds of suicide death, respectively, the "suicide survivor with referral" group showed no difference compared to the "non-suicide survivor with referral" group. Conclusion: From these findings, there is a need to strengthen referral to mental health services and apply complicated grief treatment to improve the mental health of adolescent suicide survivors.

• Child Health Nursing Research
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• 제14권1호
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• pp.35-43
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• 2008

Purpose: The purpose of this study was to identify the effect of parent-adolescent communication and depression on suicide ideation in the adolescent population. Method: The participants for this study were 391 students from two middle schools, one located in Seoul and one in Kyung-gi do Province. A self-report survey was used for data collection, which was carried out from February 8 to 14, 2006. The collected data were analyzed using SPSS 11.0 Program. Results: The average score for father-adolescent communication was 61.70, and for mother-adolescent communication, 64.04. The average score for depression was 16.01, and for suicide ideation, 8.69. There was a statistically significant positive correlation between suicide ideation and depression. There was a statistically significant reverse correlation between suicide ideation and mother-adolescent communication, and between suicide ideation and father-adolescent communication. Mother-adolescent communication and depression account for 46.4% of variance in suicide ideation of adolescents. Conclusion: According to the results, programs designed to improve parent-adolescent communication and decrease depression should be developed and put into practice to decrease the rate of suicide ideation in adolescents in Korea.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권3호
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• pp.121-127
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• 2014

Recently, local governments and suicide prevention centers have been trying to implement psychological autopsy. This effort has focused on adult suicide so far ; however, there are some difficulties in its application to adolescent suicide. Therefore, in this study, psychological autopsy studies of Korea were reviewed, and a methodology for adolescents' psychological autopsy was suggested. For the effective performance of the psychological autopsy in adolescent suicide, cooperation with each area of the government and implementation of bodies is necessary. In addition, the central system, which disseminates the standardized interview to the community and manages the data nationwide, should be prepared. Also, in order to improve the accuracy of diagnosis and to obtain various types of information, a structured interview should be adopted as the psychological autopsy, as well as considering the use of social media. Investigation of specific risk factors for adolescent suicide through psychological autopsy can enable determination of the intervention point for effective suicide prevention.

• 한국신뢰성학회지:신뢰성응용연구
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• 제15권2호
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• pp.76-83
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• 2015

This study is implemented to find out the risk factors of adolescent suicide due to depression experiences and the factors that have effect on adolescent suicide attempt. Also it tries to figure out that if hospital treatment is enforced after a suicide attempt and the importance of prevention and therapy for adolescent suicide attempt. To analyze, used SPSS 22.0 and raw data made by online survey for adolescent health status is used. The factors effect on suicide attempt of adolescents who have had depression experience and who have not appear differently and hospital treatment is not being done well after attempting suicide. In conclusion, this study tries to show the factors that affect suicide attempts in adolescents, and to propose basis for the measures that can reduce suicide attempts in adolescents.

• 디지털융복합연구
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• 제15권1호
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• pp.321-328
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• 2017

본 연구의 목적은 청소년 자살에 대한 교사의 역할수행 자신감에 영향을 미치는 요인을 파악하기 위함이다. 본 연구는 서술적 조사연구이다. 연구대상은 D시 소재 17개 초 중 고교에 근무하고 있는 남녀 교사 318명이었다. 본 연구에서는 대상자의 일반적 특성, 청소년 자살에 대한 태도, 청소년 자살예방 지침에 대한 지식, 청소년 자살에 대한 교사의 역할수행 자신감에 대한 자가보고식 설문을 통해 자료를 수집하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 서술통계, t-test, Pearson correlation coefficient, 다중회귀분석을 실시하였다. 연구결과, 자살 관련 교육경험이 있는 경우, 청소년 자살에 대한 태도가 부정적일수록, 청소년 자살에 대한 지식수준이 높을수록 청소년 자살에 대한 교사의 역할수행 자신감이 높게 나타났으며, 이들 변수는 교사의 청소년 자살에 대한 역할수행 자신감에 대해 총 22.5%를 설명하였다. 본 연구결과를 통해 확인된 영향요인들은 이용하여 청소년 자살에 대한 교사의 역할수행 자신감을 증진시키기 위한 교육과 효과적인 중재가 개발되어야 할 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권1호
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• pp.3-9
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• 2021

Objectives: It is hard to accumulate research data on adolescents' suicide, because friends and family of the suicide completers might be reluctant to share the experience. To overcome the lack of information on adolescent suicide victims, the authors examined the risk and protective factors for adolescents' suicide from a character in a novel. Methods: Krystal, an adolescent female in the novel The Casual Vacancy by Joanne Rowling, failed to overcome her unfortunate circumstances and committed suicide. The authors analysed Krystal's case based on the guideline for patients with suicidal behaviours to address the complicated situation of her death. Results: Krystal grew up in a poor and dangerous environment. Despite the environmental hardships, she developed ego maturation with affectionate help from Mr Fairbrother, an assistant coach of the Girls' Rowing Team and a parish councillor. The sudden passing away of Mr Fairbrother brought on a crisis of identity for Krystal. In addition, a villainous character raped her and her brother drowned to death, which brought her great sorrow. She felt helpless and committed suicide. Conclusion: In spite of many risk factors for suicide, Krystal was able to keep her life with a few protective factors, a younger brother in the home, and a sense of responsibility for the family. After the loss of her brother, however, she collapsed in a moment. Krystal's suicide might not only be a personal choice but a breakdown of the social protection system for the youth.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권2호
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• pp.88-93
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• 2020

Objectives: Mood disorder is highly comorbid with attention deficit/hyperactivity disorder (ADHD), and comorbid ADHD symptoms are associated with suicide risk. The aim of this study was to examine the association between comorbid ADHD symptoms and the number of suicide attempts among patients with unipolar and bipolar depression. Methods: In this cross-sectional study, 100 patients with either unipolar or bipolar depression constituted the final sample. Pearson's correlation and multiple regression analyses were conducted to examine the association between comorbid ADHD symptoms and suicide risk. Results: Among patients with bipolar depression, the number of suicide attempts was significantly correlated with ADHD symptoms (r=0.324, p<0.01). ADHD symptoms significantly predicted the number of suicide attempts (β=0.249, p<0.05). Conclusion: Our findings underscore the importance of screening and assessing ADHD symptoms in male young adults with depressive disorders.

• 한국아동복지학
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• 제40호
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• pp.255-283
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• 2012

본 연구는 자살시도 청소년과 자살 비시도 청소년의 자살생각에 영향을 미치는 경로를 비교분석하였다. 복수모집단 동시분석 결과, 본 연구에서 설정한 경로모형이 두 집단 모두에게 동일하게 적용될 수 있었으나 경로계수는 집단 간 차이를 보였다. 부모학대와 또래 괴롭힘은 자살 비시도 청소년의 자살생각에만 직접적인 영향을 미치는 변인으로 밝혀졌다. 반면에 짐이 되는 느낌과 절망감의 직접적 영향력은 두 집단 모두 유의미하였으나 좌절된 소속감의 영향력은 유의미하지 않은 것으로 나타났다. 매개효과를 보면, 두 집단 모두 또래 괴롭힘이 짐이 되는 느낌을 매개로 자살생각에 간접적인 영향을 상당히 미치는 것으로 나타났다. 반면에 자살 비시도 집단의 자살생각에만, 부모학대는 짐이 되는 느낌을 매개로, 짐이 되는 느낌과 좌절된 소속감은 절망감을 매개로 간접적인 영향을 미치는 것으로 밝혀졌다. 이러한 연구결과는 자살시도 청소년과 비시도 청소년의 자살생각 예방 및 완화를 위해서는 집단 별로 차별화된 대책이 마련되는 것이 효과적임을 시사해주는 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.193-200
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• 2020

Objectives: Adolescent suicide, a major cause of adolescent death, is affected by various factors, including attitudes toward suicide. This study investigated the association between parenting style and adolescents' attitudes toward suicide and the mediating role of attitude toward suicide between parenting style and suicidal ideation. Methods: We surveyed 1,071 adolescents from eight middle schools in Incheon, Korea. The survey included sociodemographic information, attitudes toward suicide, perception of parenting style, depression severity, and suicidality. Results: Students in the authoritarian parenting group had a more permissive attitude toward suicide compared with the democratic and permissive parenting groups. These students considered that suicide is justified in certain situations and that choosing suicide is an individual's right. They also had a negative attitude toward talking about suicide or intervening in others' suicide. This association remained statistically significant after adjusting for the impact of confounding factors that could affect attitudes toward suicide, except for suicidal processes and preparedness to prevent suicide. In the mediation analysis, we observed that some factors of the attitudes toward suicide mediated between authoritarian parenting attitudes and suicidal ideation, namely, suicide as a right, preventability, suicide as normal/common, preparedness to prevent suicide, and resignation. Conclusion: This study revealed the significant impact of parenting style on children's attitudes toward suicide. Educating parents about the appropriate parenting attitudes-sympathetic and rational-can help prevent youth suicide.