• The Journal of the Korea Contents Association
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• v.16 no.2
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• pp.686-695
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• 2016

In this thesis, girls' suicidal mentality which appears in some adolescent novels was sought. We can conclude like these: first, in the novel, Elegant Lies written by Ryeo-ryung Kim, the girl named Wha-yun leaves out Cheon-ji not to be left out alone by her companies. Wha-yun has succeeded in giving an ugly impression of Cheon-ji to the peer girls around her by exercising relational aggression. As a result, Cheon-ji sees herself as a meaningless being and after recognizing that she can't change the situation, she shows psychology of escape. Second, in the novel, Goodbye, from Kilimanjaro written by Ok-soo Lee, Sung-min Yoon's girlfriend Soo-hee born and grown in Africa lives with trauma from her mother's death. As her step-mother suppressed her not to keep in touch with the pet animals, Soo-hee got depressed and out of energy. Parental oppression and verbal violence can let the girl activates self-punishment and lead to suicide. Third, in the novel, Thursday, in Cyprus written by Chae-ran Park, girls could use suicide as a negotiation agenda. Adolescents could commit suicide even if their trivial requests are rejected. In these situations above we can read anticipation of compensation, retaliation and self-punishment mentality.

• Safety and Health at Work
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• v.8 no.1
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• pp.77-83
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• 2017

Background: In contemporary China, most parents are dual-earner couples and there is only one child in the family. We aimed to examine the associations of parents' work stress with suicidal ideation among the corresponding adolescent. We further hypothesized that low parental support experienced by adolescents may mediate the associations. Methods: Cross-sectional data from school students and their working parents were used, with 907 families from Kunming City, China. Stress at work was measured by the effort-reward imbalance questionnaire. Perceived parental support was assessed by an item on parental empathy and their willingness to communicate with the adolescent. Suicidal ideation was considered positive if students reported thoughts about suicide every month or more frequently during the previous 6 months. Logistic regression was used to examine the associations. Results: We observed that parents' work stress was positively associated with low parental support, which was in turn associated with adolescent suicidal ideation. The odds ratio for parents' work stress and adolescent suicidal ideation was 2.91 (95% confidence interval: 1.53-5.53), and this association was markedly attenuated to 2.24 (95% confidence interval: 1.15-4.36) after additional adjustment for parental support. Notably, mothers' work stress levels exerted stronger effects on children's suicidal ideation than those of fathers. Conclusion: Parents' work stress (particularly mother's work stress) was strongly associated with adolescent's suicidal ideation, and the association was partially mediated by low parental support. These results need to be replicated and extended in prospective investigations within and beyond China, in order to explore potential causal pathways as a basis of preventive action.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.33 no.3
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• pp.73-81
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• 2022

Since dissociative identity disorder (DID) has symptoms similar to schizophrenia, such as auditory hallucinations and delusional thoughts of being controlled, there are difficulties in its differential diagnosis. A 16-year-old adolescent male patient who was previously diagnosed with schizophrenia from a different hospital was admitted to our inpatient psychiatric unit for the evaluation of auditory hallucinations and suicide attempts. Through psychiatric evaluations, it was determined that the patient suffered from identity alternation, dissociation, and amnesia. As for the diagnostic evaluations, the following measures were implemented: a psychiatric interview regarding the diagnostic criteria, mental status examination, laboratory tests, brain imaging studies, electroencephalography, and full psychological test for adolescents, and the self-reported measure of the Adolescent Dissociative Experiences Scale. The patient was diagnosed with DID, and the following treatments were administered: pharmacotherapy, ego state therapy, psychoeducation regarding emotions, trauma-focused psychotherapy including stabilization, and family therapy. Following treatment, in the internal dimensions, the patient was able to recognize the nine alternate identities in charge of his emotions, which established a basis for the potential integration of identities. In the external dimensions, he showed improvements in the aspects of family conflicts and issue of school refusal. This is the first reported case of DID in an adolescent in Korea; it emphasizes the consideration of DID in the differential diagnosis of other mental illnesses such as schizophrenia, bipolar disorder, and posttraumatic stress disorder and expands the treatment opportunities for DID by sharing the procedures of ego state therapy.

• International Journal of Human Ecology
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• v.17 no.1
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• pp.27-37
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• 2016

This study was to understand associated factors with frequent exposure to Internet pornography among Korean adolescents. We used data (N = 45,783) from the 2012 Korea Youth Risk Behavior Web-based Survey to examine demographics, family environmental variables, Internet use time, mental health indicators, sexual behavior, and delinquency among Korean adolescents identified as frequent users of Internet pornography. Multiple logistic regression analysis revealed that frequent users of Internet pornography were more likely to be older males with differences in living arrangements and perceived economic status of the family. They were heavy Internet users with mental health issues, such as a higher likelihood of sadness, suicidal ideation, suicide attempts, high stress, and a lower likelihood of feeling happiness. Their higher probability of exploratory (OR =1.79-4.60), and high-risk sexual behavior (OR = 2.20-7.46), and other delinquencies (OR = 1.74-7.68) requires more attention from public health professionals.

• The Journal of the Korea Contents Association
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• v.13 no.5
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• pp.262-274
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• 2013

This study was performed in order to verify the effect of family resilience in youth suicide. The subject was the third year of high school boys in Gwang-ju, 308 questionnaires were used in the analysis. In order to derive the results of a study, we used the statistical processing technique SPSS, to perform verification of factor analysis and reliability of each variable, AMOS analysis was performed for hypothesis testing. According to the result of the study, belief systems which was sub-variables of family resiliency affect communication, and communication influence on the idea of adolescents suicide. In addition, the belief system has an indirect impact on the communication mediated suicidal thought. Thus, If we emphasize the harmony between family, suicidal thought of adolescent will be reduced. So we proposed the way to increase the belief of the family, and ways to improve communication between parents and children.

• Child Health Nursing Research
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• v.13 no.2
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• pp.212-221
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• 2007

Background: Adolescent risk behaviors are of concern because they are dangerous in themselves and have negative influences on adult health. Objectives: This study explored six health risk behaviors of a sample representing the adolescent population in Jeju. Methods: Frequency and percentage of risk behaviors were calculated. Additionally, the chi-square test was used to explore whether differences in experimentation with risk behaviors exist relative to gender and schooling levels. Results: There were six major findings in this study: (a) a lower rate of lifetime and current cigarette use among female students compared to male students, (b) a substantial portion of heavy drinkers, (c) a higher rate of lifetime drug use among female students than among male students, (d) a higher prevalence of suicide ideation among female students than among male students, (e) substantial percentages of students who did not usually wear seatbelts, motorcycle helmets, or bicycle helmets, and (f) a substantial portion of students who were not involved in vigorous physical activities. Conclusions: Since a substantial portion of adolescents have been involved with diverse risk behaviors, it is urgent to implement effective intervention strategies to reduce the rates of these behaviors.

• Journal of the Korean Society of School Health
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• v.35 no.3
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• pp.92-103
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• 2022

Purpose: The purpose of this study was to prepare basic data for education and policy proposals related to enhancement of happiness by identifying factors affecting the subjective happiness among Korean adolescents by family type. Methods: The study was a secondary analysis using the raw data of the 16th Youth Risk Behavior Web-based Survey (2020). A complex sample multiple logistic regression analysis was conducted to identify factors affecting adolescent happiness by family type. Results: As a result, the factors that commonly affect the subjective happiness of adolescents for all family types were identified as economic status, academic performance, perceived stress, and loneliness. Additional factors that affect the subjective happiness of adolescents of both Korean two-parent and single parent families were sleep and subjective health status. Financial assistance, number of toilets, breakfast, exercise, depression, suicidal ideation, and suicide attempt were also reported for Korean two-parent families. Conclusion: This study provided empirical basic data for enhancing adolescent happiness in consideration of priority targets and family composition characteristics by identifying factors affecting subjective happiness by family type. Adolescent happiness is a factor that should be actively pursued at home, school, and society, and it should be the goal of education for holistic growth of students.

• Mood & Emotion
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• v.10 no.1
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• pp.13-21
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• 2012

Suicide is a complex behavior associated with various neurobiological and psychosocial factors. It is considered that genetic polymorphism combined with environmental stress such as child-adolescent trauma make differences in neurobiological systems, which cause psychiatric disorders or pessimistic personality, impulse-aggressive behaviors, lack of judgment, and finally result in suicidal behavior. Much progress in the neurobiology of suicide has been made over the several decades. There seems to be a hereditary disposition to suicide independent of psychiatric disorder. The changes in neurotransmitters, neurohormones, neurotrophic factors, cytokines, lipid metabolisms related with their genetic polymorphism can contribute to disturbance of signal transductions and neuronal circuits vulnerable to suicide. It is likely that the main factors are dysfunctions of serotonin (5-HT) and hypothalamus-pituitary-adrenal (HPA) axis. Our understanding about the neurobiology of suicide is still limited. However, clinical practice could be assisted by neurobiological findings capable of making the detection of risk populations with higher sensitivity and the development of new treatment interventions. The settlement of biological markers in suicidal behaviors and their relationships is required.

• Journal of Digital Convergence
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• v.12 no.6
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• pp.539-547
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• 2014

This study aimed to investigate the mediating effect of hope between stress and suicidal ideation of adolescents. For the study, 399 adolescents were surveyed at 10 cities of Korea from May to August in 2010. Main results of the study were in the followings. First, it was found out that stress of adolescents was positively correlated with suicidal ideation, hope was negatively correlated with suicidal ideation, and stress influenced more suicidal ideation than hope. Second, suicidal ideation of adolescents tended to be low, stress was in the middle level, and agency and pathways thinking of hope was higher than middle level. Third, it was proved that agency and pathways thinking of hope was mediated between stress and suicidal ideation of adolescents. Lastly, for the female adolescents living in the metropolitan and large cities, only agency thinking of hope was mediated but pathways thinking was not mediated. Policy implications for preventing and decreasing adolescent's suicide were suggested.

• Journal of the Korean society of biological therapies in psychiatry
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• v.24 no.3
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• pp.230-238
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• 2018

Objectives : Among adolescents, the proportion of daily smoking tends to increase with age, and does not return to the previous level. Therefore, we examined the factors associated with smoking frequency in a nationwide sample of Korean adolescents to help prevent the progression of smoking. Methods : Among 127,804 adolescents who participated in the 2016 and 2017 Korean Youth Risk Behavior Web-Based Survey, data from 7,781 adolescents who replied that they currently smoked were analyzed. According to the frequency of cigarette smoking, participants were classified into daily and non-daily smokers. Participants' socio-demographic characteristics, smoking behavior, and psychological problems including perceived stress, depressive mood, and suicidality were assessed. Results : There were 3,627(47.4%) daily smokers and 4,154(52.6%) non-daily smokers. Low parental educational level, and early smoking experience were positively associated with daily smoking. High academic achievement, and high socio-economic status were negatively associated with daily smoking. Daily smoking was positively associated with lower happiness, lower sleep satisfaction, and severe stress during the past 12 months. Factors affecting suicide attempts of smokers were sex, residential type, socioeconomic status, and early smoking experience. Conclusion : The results indicated that socially disadvantaged families, and smoking experience with young age influenced daily smoking among Korean adolescents. Daily smoking was associated with psychological problems including lower happiness, lower sleep satisfaction, and severe stress. Early smoking experience influenced suicidal attempts among Korean adolescent smokers. Early intervention for smoking cessation in this high-risk group may contribute to prevention of these psychiatric complications of smoking.