• 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.

• Research in Community and Public Health Nursing
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• v.32 no.4
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• pp.477-484
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• 2021

Purpose: Various intervention strategies are needed to reduce the suicide rate among late adolescents. Therefore, we aimed to investigate the factors that can help overcome suicidal tendencies in late adolescents from the perspective of case managers. Methods: This qualitative study explored the reinforcing factors that can help overcome suicidal behaviors in late adolescents, by conducting focus group interviews with case managers from the local community. Interviews with 10 case managers were recorded and transcribed, and the data were analyzed using the content analysis method. Results: The main theme of this study was "a step in a new direction". Three categories were derived: "inner changes", "another possibility opened up by the interest of significant others", and "connecting with community resources to help overcome". Each category had subcategories that influenced the intention and course of action of behaviors to overcome the suicide crises. Conclusion: Our findings, from the exploration of the experiences of case managers, provide an in-depth understanding of the reinforcing factors for overcoming suicide among late adolescents. They provide useful preliminary data for the development of effective suicide prevention programs for the adolescents.

• Journal of Korean Academy of Nursing
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• v.37 no.6
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• pp.835-843
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• 2007

Purpose: This study examined the fitness of a path model on the relationship among stress, self-esteem, aggression, depression, suicidal ideation, and violent behavior for adolescents. Methods: The subjects consisted of 1,177 adolescents. Data was collected through self-report questionnaires. The data was analyzed by the SPSS and AMOS programs. Results: Stress, self-esteem, aggression, and depression showed a direct effect on suicidal ideation for adolescents, while stress, self-esteem, and aggression showed an indirect effect on suicidal ideation for adolescents. Stress, self-esteem, aggression, and suicidal ideation showed a direct effect on violent behavior for adolescents, while stress, self-esteem, aggression, and depression showed an indirect effect on violent behavior for adolescents. The modified path model of adolescent's suicidal ideation and violent behavior was proven correct. Conclusion: These results suggest that adolescent's suicidal ideation and violent behavior can be decreased by reducing stress, aggression, and depression and increasing self-esteem. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes reducing stress, aggression, and depression and increasing self-esteem in order to decrease adolescents' suicide ideation and violence.

• Human Ecology Research
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• v.54 no.3
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• pp.307-319
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• 2016

This study examined the influences of both peer and parent-child relationships on suicidal ideation in adolescents with a focus on interpersonal relationships in adolescence that can act as risks as well as protective factors for youth suicide. This study analyzed 5,440 middle and high school students drawn from data, the seventh Happy Planet Index of children-adolescent in Korea, and conducted a series of logistic regressions. The results are as follows. First, both direct and indirect involvement in the school violence affects suicidal ideation as a risk factor in peer relationships. However, the quality and quantity of close friends of adolescents do not represent a protective role against suicidal ideation insofar as they are exposed to school violence. Second, adolescents who live apart from one of their parents are vulnerable to suicidal ideation than those who live with two parents. Third, very poor parent-child relationships in adolescence are not necessarily associated with suicidal ideation in adolescents. Fourth, shared time or activities between parents and adolescents in terms of family meal times are more likely to reduce suicidal ideation in adolescents than the emotional characteristics (trustworthiness or a close relationship) of parents and adolescents. The findings provide implications that frequent contact and shared activities in terms of family dining may contribute to the prevention of adolescent suicide.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.5
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• pp.2131-2139
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• 2013

This study clearly identify the correlation between adolescents resiliency and suicidal ideation and more effective to strengthen the external protective factors for adolescents suicide prevention alternatives presented. Research subjects were 243 boy and girl first year students in a high school located in Kyunggi Province; Questionnaires were distributed for one week from March 5, 2013. Frequency analysis, correlation analysis, multiple regression analysis, t-test, one-way ANOVA, etc. were executed. All empirical tests were verified with 5% of significance level. From the result of analysis, suicidal ideation has a negative correlation with the adolescent resilience, and especially, when interaction in family dimension and the care, expectation level of school and peer dimension become higher, suicidal ideation was reduced. The implications of this study suggest that the material prepared for suicide prevention policy based on the results of a study on the impact of adolescents resiliency to suicidal ideation.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.1
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• pp.17-27
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• 2021

Objectives: Deliberate self-poisoning (DSP) is the most common suicide method and can be life-threatening. The purpose of this study was to investigate the factors related to the lethality of DSP and the characteristics of the adolescent group. Methods: A retrospective study was conducted on patients who had visited an academic hospital's regional emergency medical center between 2015 and 2018. The data reviewed through their medical records included sociodemographic factors, clinical variables, and psychiatric treatment. Four groups (Q1-Q4) were categorized by descriptive analysis using the risk-rescue rating scale. Results: A total of 491 patients were enrolled in this study. This study showed that high lethality had statistically significant associations with male sex, older age, admitting suicidal intentions, and the use of herbicides for suicide. Logistic regression analyses showed a significant association between high-lethality and female [odds ratio (OR)=0.50, 95% confidence interval (CI)=0.30-0.81, p=0.01], non-psychiatric drugs (over-the-counter drug: OR=2.49, 95% CI=1.08-5.74, p=0.03; herbicide: OR=8.65, 95% CI=3.91-19.13, p<0.01), and denial of suicide intent (OR=0.28, 95% CI=0.15-0.55, p<0.01). Conclusion: This study showed the clinical factors associated with the high lethality of DSP and suggested that efforts were needed to care for and thoroughly examine patients with DSP.

• Research in Community and Public Health Nursing
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• v.21 no.1
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• pp.71-81
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• 2010

Purpose: This study was to examine the effects of a depression intervention and suicide prevention program in adolescents with high risk of suicide. Methods: This research was designed as a nonequivalent control group pretest-posttest study. The participants were adolescents with high risk of suicide in mental health screening examination. A total of 40 adolescents (experimental group=21, control group=19) were sampled from C-gun, Chungbuk Province. The experimental group participated in the depression intervention and suicide prevention program for eight sessions while the control group did not participate in the program. Data were collected with a self-reporting structured questionnaire from November to December, 2008. SPSS/Win 12.0 was used for data analyses including chi-square test, t-test, and paired t-test. Results: After this program, there was no statistically significant difference in depression (t=1.498, p=.142) between the two groups, but depression decreased in the experimental group. There was a statistically significant difference in suicide ideation (t=2.058, p=.047). Conclusion: To decrease depression and suicide ideation in adolescents with high risk of suicide, it is necessary to offer this program in a more intensive course and for a longer period. Also, family consultation programs and individual case treatment and consultation programs should be offered.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.30 no.3
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• pp.100-108
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• 2019

Objectives: Adolescence involves a number of developmental processes, as well as unique psychological characteristics and behaviors. An increased rate of internet and game addictions, school violence, and suicide may either represent aspects of adolescence or a psychopathological phenomenon. There is an urgent need to develop software programs that can prevent and resolve adolescent behavioral problems. We applied the mentalization theory to interpret and find solutions for problems faced by adolescent characters in literature. Methods: In Joan Rowling's novel "Casual Vacancy," Sukhvinder is a girl with problems representative of those encountered by modern adolescents; she is a victim of bullying and engages in self-mutilation. We targeted her problematic behaviors as representative of a prementalized state. Results: Born into an upper-class English family with Pakistani origins, Sukhvinder, unlike her siblings, fails her parents' expectations. Whenever she faces a psychological crisis, she regresses into the teleological mode (the most primitive pre-mentalization stage) and regains her sense of self by cutting herself. After her friend's suicide, however, she begins to communicate with her parents and moves toward mentalization. Conclusion: By analyzing Sukhvinder's behavior, we assessed patterns of attachment, empathy, and mentalization, and identified corrective approaches for problematic behaviors. We believe that the presented interpretation may serve as a foundation for the development of models for understanding adolescent deviant behaviors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.27 no.4
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• pp.306-312
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• 2016

Objectives: We aimed to compare the smoking behaviors in adolescents from monocultural and multicultural families and to evaluate the associations between their smoking behavior and number of suicide attempts. Methods: The data used in this study was collected from The Tenth Korea Youth Risk Behavior Web-based Survey. The differences in the sociodemographic characteristics between the adolescents in the multicultural and monocultural families were analyzed through the ${\chi}^2$-test, and a logistic regression was conducted to evaluate the relationships between the smoking behavior and number of suicide attempts of the adolescents in multicultural families. The process involved an analysis using a complex sample design. Results: There was significant difference in the weighted rates of the current smoking behavior (13.3% vs. 8.4%, p<0.001), experience of violence (6.8% vs. 2.3%, p<0.001), and number of suicide attempts (5.4% vs. 2.7%, p<0.001) between the adolescents from the multicultural and monocultural families. In both groups, the current smoking behavior was associated with the number of suicide attempts (multicultural families OR=6.5, p=0.005; monocultural families OR=1.5, p<0.001). Conclusion: Our results showed that the percentage of current smokers in the adolescents from multicultural families was higher than that in the monocultural families and that current smoking behavior is related to the number of suicide attempts in both groups, after adjustment for age, sex, socioeconomic status, academic achievement, current smoking behavior, depressive mood and experience of violence.