• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.1
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• pp.31-60
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• 2023

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

• Korean Journal of Culture and Social Issue
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• v.10 no.spc
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• pp.55-68
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• 2004

Recently, rates of depression and suicide of adolescents in industrialized countries, including Korea, were rapidly increasing. Adolescent depression was often associated with anxiety disorder, eating disorder, attention deficits hyperactivity/disruptive behavior disorder. and suicidal attempts. Epidemiological data about depression and suicide of adolescents are reviewed. Psychological theories of depression and suicide are integrated in terms of a control theory interpretation. Issues about 'relationships between depression and anxiety' 'relationships between depression and suicide' 'the reason why rates of depression and suicide are rapidly increasing at adolescence' 'the reason why the different prevalence of depression between female and male is conspicuous at adolescence' and 'Korean culture associated with depression and suicide of adolescents' are discussed in terms of the revised control theory interpretation.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.11
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• pp.5155-5162
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• 2012

The purpose of this study is to define the factor giving effect to Adolescent's suicide thinking by grasping the degree of the middle school student's victimization of violence and mental health and physical symptoms. The subjects of this study were 176 persons in middle school students. As collected data was using SPSS Win 17.0 for Hierarchical multiple regression analysis. The results of this study as follows. school violence, mental health and physical symptoms between the correlation analysis conducted to identify statistically significant results at the level of correlation between variables that were analyzed. school violence impact on suicide thinking. mental health impact on suicide thinking.

• Journal of the Korea Convergence Society
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• v.9 no.11
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• pp.549-559
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• 2018

The purpose of this study was to investigate the risk factors of pregnancy and the relationship between pregnancy experience and suicidal behavior in 284 pregnancy experienced adolescents aged 13-19 years. The suicidal ideation was 57.8%, the suicide plan was 37.7% and the suicide attempt was 37.3% among female adolescents with pregnancy experience. By multivariate logistic regression analysis, female adolescents who experienced pregnancy had 1.44 times more suicidal ideation, 2.39 times more suicide plans, and 2.38 times more suicide attempts than those without suicidal thoughts, plans and attempts. Because of the high correlation between pregnancy experience and suicidal behavior in female adolescents, school and education authorities need systematic education and countermeasures to prevent adolescents' pregnancy and risk of suicide after pregnancy. And above all, convergent support and interest in home, school and community comprehensive area should be supported.

• 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.

• Journal of The Korean Society of Integrative Medicine
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• v.11 no.4
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• pp.17-25
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• 2023

Purpose: This study aimed to examine the effectiveness of a suicide prevention education program called "Life Talk Talk" among middle and high school students in D City. Methods: The educational content of the "Life Talk Talk" program was compiled through nine rounds of consultations and meetings with suicide prevention experts. Prior to the implementation of the program, consent was obtained from all research participants and their guardians. First , a pilot study was conducted with 100 middle and high school students located in D city, following which the present study was conducted from May to July 2023 with 1,400 middle and high school students in D city. The effects of the program were evaluated by assessing the changes in suicidal ideation, help-providing abilities, and suicide prevention knowledge in the data collected both before and after the education. Statistical analysis included frequency analysis and a paired-sample t-test. Results: The final analysis included 1,380 participants. In the general characteristics,, 1,079 people (78 %) answered "yes" to the question about suicide prevention education experience . The study found a significant decrease in suicidal attitudes (t=-8.92, p<.001) and significant improvements in emotional and cognitive attitudes of participants after the "Life Talk Talk" program . Additionally, all five items related to help-providing abilities (t=-23.83, p<.001) and suicide prevention knowledge (p<.001) showed significant improvement from before the program. Conclusion: The significance of this study lies in demonstrating the effectiveness of the "Life Talk Talk" suicide prevention education program in reducing suicidal attitudes as well as improving help-providing abilities and suicide prevention knowledge. Therefore, to enhance the effectiveness of suicide prevention education, it is essential to regularly implement concise and engaging educational programs that capture the attention of adolescents.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.30 no.1
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• pp.26-33
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• 2019

Objectives: Suicide is the most frequent cause of death among Korean adolescents, and adolescents who have experienced trauma have an increased risk of post-traumatic stress disorder (PTSD) symptoms, depression, and suicide attempts. However, resilience and self-esteem are protective factors. We examined the effects of resilience and self-esteem on the relationship among traumatic experiences, PTSD symptoms, depression, and suicidal ideation. Methods: Middle-school students (n=403) completed questionnaires assessing traumatic experiences, PTSD symptoms, depression, suicidal ideation, resilience, and self-esteem. Path analysis was performed to investigate the mediating effects of PTSD symptoms, resilience, self-esteem, and depression on the relationship between trauma exposure and suicidal ideation. Results: Traumatic experience was positively correlated with PTSD symptoms, depression, and suicidal ideation. PTSD symptoms and depression were positively correlated with suicidal ideation. The relationship between traumatic experiences and suicidal ideation was mediated by PTSD symptoms, which had both direct and indirect effects on suicidal ideation; the indirect effect was mediated by resilience, self-esteem, and depression. Conclusion: Korean adolescents who had experienced trauma were more likely to develop PTSD symptoms, increasing their risk of depression and suicidal ideation. However, self-esteem and resilience may help protect against depression and suicidal ideation. Our findings could inform suicide prevention initiatives.

• Journal of the Korea Convergence Society
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• v.12 no.7
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• pp.305-315
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• 2021

The Korea Convergence Society. The purpose of this study was to examine the effect of suicidal attitude, perception of life, and depression on adolescents' suicide(ideation, plans, attempts). Data on general characteristics, the Attitude Toward Suicide, the Perception about Life, and the Korean version of Center for Epidemiologic Studies Depression Scale-Revised were collected in 889 second-year middle school students in the I area. Two hundreds forty six students (27.67%) indicated they had suicide ideation, 85 had suicide plans (9.56%), and 46 had suicide attempts (5.17%). The proportion of female students was significantly higher than that of male students. The suicide indices (ideation, plans, attempts) increased as one shows lower body image satisfaction, higher depression, lower subjective mental and physical health, and lower leisure satisfaction. Predictors of suicide ideation included suicidal attitude (solution and permissiveness), depression, subjective mental health, and body image satisfaction. Predictors of the suicide plan were permissiveness and solution among suicidal attitude, and depression, subjective mental health, and those of suicide attempts were permissiveness and depression. Conclusion: This study suggests that much effort is required to decrease depression and improve perception of life and suicidal attitude in the suicide prevention education for adolescents.

• Women's Health Nursing
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• v.26 no.3
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• pp.213-221
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• 2020

Purpose: This study aimed to examine factors affecting suicidal ideation among female late adolescents from a Korean rural province. Methods: A descriptive cross-sectional design involving self-reported questionnaires was used. The data were collected from female adolescents aged 18 to 22 years, from high schools, universities, churches, and local community centers. The sample consisted of 197 female late adolescents from three rural areas in Korea. The Center for Epidemiological Studies-Depression Scale and the Suicidal Ideation Scale were used to measure depression and suicidal ideation, respectively. Results: Suicidal ideation was correlated with having a specific suicide plan (r=.65, p<.001), depression (r=.39, p<.001), subjective well-being (r=-.46, p<.001), ever experienced violence (r=.15, p=.029), and age (r=-.21, p=.003). Factors affecting suicidal ideation among rural female adolescents were having a specific suicide plan (β=.56, p<.001), subjective well-being (β=-.23, p=.001), and suicide of a close person (β=.12, p=.035). These factors explained 48.0% of the variance in suicidal ideation (F=37.62, p<.001). Conclusion: This study demonstrated that affective factors and personal experiences regarding suicide were critical indicators for suicidal ideation among female late adolescents. These factors should be managed and tailored nursing interventions should be offered to prevent suicide and to enhance the psychiatric health status of female late adolescents.

• Journal of Korean Academy of Nursing
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• v.41 no.5
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• pp.652-662
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• 2011

Purpose: The suicide rate of adolescents in Korea is increasing annually. Therefore, this research was done to identify the suicide attempt rate of middle and high school students and to identify factors that influence suicidal attempts. Methods: The Korea Youth Health Risk Behavior Web-based Survey (2007) was used as data. Discriminant analysis and logistic regression were performed to analyze the data depending on gender to consider the gender difference in assessing the influence of each independent variable on suicidal attempts. Results: Discriminant analysis according on gender showed that 13 factors correlated with suicidal attempts for boys, and 20 factors for girls. The most highly correlated factors were smoking, depression and inhalation experience. For inhalation experience, boys had 2.7 times higher possibility of suicide attempts (95% CI 1.8-3.0) and girls, a 2.4 times higher possibility (95% CI 1.7-3.5). Conclusion: The results of the study indicate a need to classify adolescents for expectation of suicide risk and high danger for suicidal attempts through, and introduce suicide prevention programs for these adolescents. In particular, it is necessary to start intervention with students who smoke, have sexual and inhalation experiences and high levels of depression.