• Title/Summary/Keyword: Crisis Intervention

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Factors for Completing Case Management of Suicide Attempters: A Coihort Follow-Up Study Based on Data From Case Management of Emergency Room-Based Suicide Attempters (자살시도 환자의 지속적 관리 완수 요인: 응급실 기반 자살시도자 사후관리 사업 자료를 기반으로 한 코호트 추적 연구)

  • Ryou, Jae Hyun;Heo, Yoon Kyung;Kim, Da Seul;Kim, Sun Mi;Han, Doug Hyun;Min, Kyoung Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.176-183
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    • 2021
  • Objectives : The purpose of this study was to find out how demographic factors, suicide attempt patterns, psychiatric history and management of suicide attempters affect the completion of emergency department (ED) based case management program. Methods : Among the patients who attempted suicide and visited the emergency department of Chung-Ang University Hospital from June 1, 2018 to May 31, 2021, 661 patients who agreed to case management were studied. After being discharged from the emergency department, subjects were registered for an eight-week follow-up service program. Hierarchical logistic regression analysis was conducted with demographic factors, suicide attempt patterns, psychiatric history and management as independent variables, and completion of case management program as dependent variables. Results : Suicide attempt pattern had the most significant influence on the completion of case management program, followed by demographic factors, psychiatric history and management. Those who completed the case management program were significantly more likely to have suicide plans in the future, more authentic in suicide attempts, and had higher proportion of past suicide attempts than those who did not complete the program. Conclusions : To ensure that the subjects complete the follow-up project program and get connected to community services, an individualized approach with consideration of suicide attempt patterns, demographic factors, and psychiatric history is needed.

Burden and Needs of the Family Members of the Intensive Care Unit Patients (중환자실 입원환자 가족의 부담감과 요구도)

  • Lee, Ji-Won;Lim, Sun-Young
    • The Journal of the Korea Contents Association
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    • v.14 no.2
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    • pp.421-429
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    • 2014
  • This study set out to investigate the burden and needs of family members of ICU(Intensive Care Unit) patients facing a crisis situation of a family member being hospitalized in ICU and check their connections. Data were collected from May to October 2013. The subjects include 93 main family caregivers of patients hospitalized in ICU at four general hospitals in the B area for three days or longer. Collected data were put to t-test, ANOVA, Scheff$\acute{e}$ test, and Pearson's correlation coefficient analysis with the SPSS WIN 20.0 program. As a result, the family members of ICU patients scored mean 3.56 points(out of five) on burden and mean 3.58 points(out of four) on needs, recording a moderate or higher level in both the areas. There was significant difference(F=3.463, p=.036) in burden according to the general characteristics with the number of days in the hospital. There was significant positive correlation(r=.332, p<.001) between their burden and needs. Those findings indicate that an active nursing intervention to reduce the burden of the families of ICU patients in a crisis situation and check their needs will be able to mitigate the family crisis and further have positive influences on the recovery of ICU patients.

Corona 19 Crisis and Data-State: Korean Data-State and Health Crisis Governance (코로나19 위기와 데이터 국가: 한국의 데이터 국가와 보건위기 거버넌스)

  • Jang, Hoon
    • Korean Journal of Legislative Studies
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    • v.26 no.3
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    • pp.125-159
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    • 2020
  • Amid global pandemic of covid-19, Korean government's response has drawn wide attention among social scientists as well as medical studies. The role of Korean state and civil society has attracted particular attention among others. Yet, this paper criticizes extant studies on Korean case which focus on the extensive intervention of the strong state and subjective attitude of Korean citizens in coping with covid-19. The concept of the strong state lacks social scientific specification and subjective citizens do not match with Korean realities. This article argues that Korean state's capacity in collecting and mobilizing digital data may offer better understanding for the successful responses to the pandemic. First, Korean state is the ultimate coordinator in collecting, analyzing and applying big data about the expansion of covid-19 with its huge network of dataveillance. Also, such role has been largely based upon relevant legal framework and well prepared manuals and cooperation with civic actors and companies. In other words, Korean digital dataveillance had demonstrated its transparency and cooperative governance. Second, such dataveillance capacity has deep roots in the long-term development of Korean state's big data management. Korean state has evolved about thirty years while enhancing digital data network within governments, companies and private sectors. Third, the relationship between Korean state's dataveillance and civil society can be characterized as a state centered push model. This model demonstrates highly effective governmental responses to covid-19 crisis but fall short of building social consensus in balancing individual freedom, human rights and effective containment policies. It means communitarian solidarity among citizens has not been a major factor in Korea's successful response yet.

High school teachers' knowledge and misconception on youth suicide (청소년 자살에 대한 고등학교 교사의 지식과 오해)

  • Seung-yeon Lee
    • Korean Journal of Culture and Social Issue
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    • v.13 no.2
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    • pp.97-117
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    • 2007
  • The goal of this study was to find out how prepared Korean high school teachers are to identify suicidal students and connect them to appropriate resources. This study surveyed 390 high school teachers in terms of their level of knowledge on youth suicide and their misconception on suicide. In addition, this study examined what kind of actions they usually take once they identify suicidal students. Results indicated that high school teachers in Korea did not have sufficient knowledge to identify suicidal students and they did not think they are capable of identifying those students. Although their misconception on youth suicide was not as pervasive as expected, some of the misconception were still problematic in relation to suicide intervention. Furthermore, their intervention strategies for suicidal students were quite limited, focusing on isolated individual efforts. It is critical to develop and implement teacher training programs for youth suicide prevention which address suicide risk factors, warning signs, crisis response, and referral procedures.

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The Great Depression in High School Social Science Textbooks : Critiques and Suggestions (대공황에 대한 고등학교 사회과 교과서 서술의 문제점과 개선방안)

  • Kim, Duol
    • KDI Journal of Economic Policy
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    • v.30 no.1
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    • pp.171-209
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    • 2008
  • The Great Depression is one of the most important economic incidents in the twentieth century. A significant and long-lasting impact of this event is the rise of the government intervention to the economy. Under the catastrophic downturn of the economic condition worldwide, people required their government to play an active role for economic recovery, and this $mentalit{\acute{e}}$ prolonged even after the Second World War. Social science textbooks taught at Korean high schools mostly referred to the Great Depression for explaining the reason of government intervention in economy. However, the mainstream view commonly found in the textbooks provides a misleading theological interpretation. It argues that inherent flaws of the market economy causes over-production/under-consumption, and that this mismatch ends up with economic crisis. The chaotic situation was resolved by substitution of the governments for the market, and the New Deal was introduced as the monumental example ('laissez-faire economy ${\rightarrow}$over-production${\rightarrow}$the Great Depression${\rightarrow}$government intervention${\rightarrow}$economic recovery'). Based on economic historians' researches for past three decades, I argue that this mainstream view commits the fallacy of ex-post justification. Unlike what the mainstream view claims, the Great Depression was neither the result of the 'market failure', nor the recovery from the Great Depression but was due to successful government policies. For substantiating this claim, I suggest three points. First, blaming the weakness or instability of the market economy as the cause of the Great Depression is groundless. Unlike what the textbooks describe, the rise of the U.S. stock price during the 1920s cannot be said as a bubble, and there was no sign of under-consumption during the 1920s. On the contrary, a new consensus emerging from the 1980s among economic historians illustrates that the Great Depression was originated from 'the government failure' rather than from the 'market failure'. Policymakers of European countries tried to return to the gold standard regime before the First World War, but discrepancies between this policy and the reality made the world economy vulnerable. Second, the mainstream view identifies the New Deal as Keynesian interventionism and glorifies it for saving the U.S. economy from the crisis. However, this argument is not true. The New Deal was not Keynesian at all. What the U.S. government actually tried was not macroeconomic stabilization but price and quantity control. In addition, New Deal did not brought about economic recovery that people generally believe. Even after the New Deal, industrial production or employment level remained quite low until the late 1930s. Lastly, studies on individual New Deal policies show that they did not work as they were intended. For example, the National Industrial Recovery Act increased unemployment, and the Agricultural Adjustment Act expelled tenants from their land. Third, the mainstream view characterizes the economic order before the Great Depression as laissez-faire, and it tends to attribute all the vice during the Industrial Revolution era to the uncontrolled market economy. However, historical studies show that various economic and social problems of the Industrial Revolution period such as inequality problems, child labor, or environmental problems cannot be simply ascribed to the problems of the market economy. In conclusion, the remedy for all these problems in high school textbooks is not to use the Great Depression as an example showing the weakness of the market economy. The Great Depression should be introduced simply as a historical momentum that had initiated the growth of government intervention. This reform of high school textbooks is imperative for enhancing the right understanding of economy and history.

A Study on the Effectiveness of Therapy Dog Assisted Program(TDAP) for the Autistic Children (치료견 매개프로그램이 자폐아동의 사회성 향상에 미치는 영향)

  • Shin, Sung-Ja;Kwon, Shin-Young
    • Korean Journal of Social Welfare
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    • v.43
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    • pp.157-192
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    • 2000
  • This Study concerns therapeutic effects of the Therapy Dog Assisted Program (TDAP) on autistic children. Subjects participating in the study are two groups of Korean elementary schoolboys of the same age (twelve years old) : an experimental group and a control1ed group of equal number of children (sex children in total). Thirteen different sessions of TDAP interventions were performed over a three-month period. Evidence from the present study indicates that the children participating in the TDAP program achieved a greater degree of improvement in their social interactions as well as in their individual activities in comparison with the preTDAP counterparts. The present study also demonstrates significant changes in the TDAP group in comparison with those in the non-participating control group. The results from this study supports that the proposition that the Therapy Dog Assisted Program can be applied effectively in treating people experiencing severely damaged social functioning. Such a program may serve as an effective treatment modality in a variety of clinical social work settings. The questions of long-term effects of the TDAP intervention and possible interference with other behavioral side-effects on the part of the intervened subjects need to be addressed in future studies.

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Effects of Video-guided Education for Primary Family-caregivers of Stroke Patients (뇌졸중 환자의 주간호제공자를 위한 비디오재활교육의 효과)

  • Cho, Bok-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.2
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    • pp.237-246
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    • 2011
  • Purpose: Family-caregivers of stroke patients usually go through hardship and life style changes during the protracted course of a family member's rehabilitation. There is need for programs to educate family-caregivers to better manage the medical crisis. In this study an evaluation was done of the degrees of burden and well-being experienced by primary family-caregivers following video-guided education (VGE) on rehabilitation and family lifestyle changes. Method: Fifty-eight primary family-caregivers of stroke patients on a neurological ward were divided into VGE (29) and control (29) groups. VGE was started within 7 days of patient admission. Interventions included VGE, counseling, and demonstration - re-demonstration. The control group received standard education but not VGE. Data were analyzed using Chi-square test, t-test, ANCOVA, and Pearson correlation coefficients with the SAS program. Results: The VGE group had a significantly lower score for total burden (F=7.19, p=.010) and for sub-scale of time-dependent burden (F=8.44, p=.005) than the control group. There was a negative correlation between primary family-caregiver burden and well-being (r=-.7151, p<.001). Conclusion: Results suggest that the rehabilitation program using VGE was an effective nursing intervention to reduce the burden of primary family-caregivers of stroke patients.

Development of the Educational Program for Prevention of Sexual Abuse in Children (어린이 성희롱/성폭력 예방교육 프로그램 개발)

  • 이경혜;이자형;배정이;김일옥
    • Journal of Korean Academy of Nursing
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    • v.33 no.2
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    • pp.189-199
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    • 2003
  • Purpose: The purposes of this study is to develop an educational program to prevent sexual abuse of children and to improve the physical and mental health of children by providing a rape-free environment and safety education. This program will provide parents and children with information on how to prevent sexual abuse in children. Children learn specific methods to avoid being victimized both at home and outside the home through a learning game and simulation, which is based on problem solving. Method: This program was developed based on a literature reviews, surveys and negotiation process. School- aged-children, parents, and teachers were interviewed to reveal their educational needs based on their experiences related to sexual abuse. Result: This program includes useful subjects such as safety education, early detection of sexual abuse, crisis management, resource persons, and phone numbers of available hospital. Counseling is provided by researcher or by a pediatric psychiatrist if needed. Conclusion: This program could be adequately utilized for prevention of sexual abuse of children. It also will provide an intervention strategy for abused children. This educational program was distributed to all of the elementary school through the Ministry of Education and Human Resources Development.

Diagnosis of inherited metabolic disorders based on their diverse clinical features and laboratory tests (유전성 대사질환의 임상증상과 진단)

  • Yoo, Han-Wook
    • Clinical and Experimental Pediatrics
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    • v.49 no.11
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    • pp.1140-1151
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    • 2006
  • Inherited metabolic disorders are individually rare but as a whole, they are nor rare. Since Archibald Garrod introduced a concept of "inborn error of metabolism" or "chemical individuality", more than 500 diseases are currently known, affecting approximately one in 500 newborns cumulatively. They frequently manifest with acute, life-threatening crisis that require immediate specific intervention or they present with insidious diverse symptoms and signs involving multiple visceral organs or tissues as well as central nervous system, hampering a correct diagnosis. In addition, many pediatricians are not familiar with all diagnostic and therapeutic strategies for diverse inherited metabolic disorders. However, the prognosis of affected children are heavily dependent on rapid and effective treatment. In this lecture, practical guidelines for the specific diagnosis based on diverse clinical features of inherited metabolic disorders will be described. Many sophisticated laboratory tests are available for confirmatory diagnosis of each disease, which challenge to general pediatricians with respect to knowledge about biochemical metabolite assay test, enzymatic test and DNA diagnostic tests. Sample collections, indications, methods and interpretation of results in varying laboratory tests will be listed as well.

Elderly Women′s Grief (여성 노인의 슬픔)

  • 김귀분;이경호;오혜경
    • Journal of Korean Academy of Nursing
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    • v.31 no.6
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    • pp.1021-1033
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    • 2001
  • This study sought to find a nursing intervention tool for enhancing elderly women's lives by investigating the causes and the meaning of their grief. Method: This research was derived from a phenomenological tool such as qualitative research design. The data collection took place from December of 2000 until April of 2001 Through systematic interviews and participatory observations of five elderly women attending C welfare center located in downtown Seoul the data was collected. Each interview lasted an hour and a half and was arranged five times. The analysis of this research was conducted using the Giorgi method. Results: \circled1 There was obvious physical and physiological decline caused by aging old; as well as there being spouse health problems, additional physical suffering, signs of senility, and insomnia, \circled2 Further grief was imposed by unpleasant memories of the spouse; infidelity, incapability, and even disregard of her own well-being, \circled3 Then there was pity for children; unfaithful children, uncertain futures of the children, and early death of a child, \circled4 Also, regrettable fate, painful daily acttrities, unreliable factors, bad circumstances, and feelings emptiness were reported, \circled5 Finally, anxiety for the future; ac sense of despair, loneliness, economic hardship, and the fear of imminent death increased grief levels. Conclusion: A variety of programs and social meetings for the elderly to overcome their physiological or psychological crisis should be substantially developed and supported by the government. In order to implement the social welfare for the elderly women, special consideration whether on the governmental level or the personal level, should be devoted to the elderly who live without any financial support or social concern.

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