• Title/Summary/Keyword: HARM

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Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders (섭식장애 환자의 섭식장애 증상, 우울, 강박성이 자해행동에 미치는 영향)

  • Kong, Seong-Sook
    • Journal of Korean Academy of Nursing
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    • v.39 no.4
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    • pp.459-468
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    • 2009
  • Purpose: The purpose of the study was to investigate psychological factors such as eating psychopathology, depression, and obsessive-compulsion that might influence self-harm behavior in patients with eating disorders. Methods: Patients with eating disorders (n=135) who visited "M" clinic for eating disorders participated in the study. Data were collected from March to August 2007 using the Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Self-Harm Inventory (SHI). Results: The participants scored high on self-harm as well as on depression and obsessive-compulsion. On the SHI, a high frequency of self harm behavior such as 'torturing self with self-defeating thoughts', 'abused alcohol', 'hit self', and 'suicide attempt' were found for the participants. There were significant correlations between most eating psychopathology variables, depression, obsessive-compulsion, and self-harm behavior. 'Interoceptive awareness' (eating psychopathology), depression, and 'checking' (obsessive-compulsion) were significant predictors of self-harm behavior. Conclusion: Future interventions for patients with eating disorders should focus on assessing the possibility of self-harm and suicidal attempts, especially in those patients with high levels of eating psychopathology, depression, or obsessive-compulsion. Early intervention for depression and obsessive-compulsion could contribute to preventing self-harm and suicide in patients with eating disorders.

The association between adverse childhood experiences and self-harm among South Korean children and adolescents: a cross-sectional study

  • Scott Seung W. Choi;Jeong-Kyu Sakong;Hyo Ju Woo;Sang-Kyu Lee;Boung Chul Lee;Hyung-Jun Yoon;Jong-Chul Yang;Min Sohn
    • Child Health Nursing Research
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    • v.29 no.4
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    • pp.271-279
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    • 2023
  • Purpose: Adolescent self-harm is a public health problem. Research suggests a link between adverse childhood experiences (ACEs) and self-destructive behaviors. Few studies, however, have examined the effects of ACEs on self-harm among Asian adolescents. This study explored the association between lifetime ACEs and a history of self-harm among Korean children and adolescents in elementary, middle, and high schools. Methods: A cross-sectional, retrospective medical record review was conducted on a dataset of a national psychiatrist advisory service for school counselors who participated in the Wee Doctor Service from January 1 to December 31, 2020. The data were analyzed using multiple logistic regression to predict self-harm. Results: Student cases (n=171) were referred to psychiatrists by school counselors for remote consultation. Multiple logistic regression analyses revealed that the odds of self-harm were higher among high school students (adjusted odds ratio [aOR]=4.97; 95% confidence interval [CI]=1.94-12.76), those with two or more ACEs (aOR=3.27; 95% CI=1.43-7.47), and those with depression (aOR=3.06; 95% CI=1.32-7.10). Conclusion: The study's findings provide compelling evidence that exposure to ACEs can increase vulnerability to self-harm among Korean students. Students with a history of ACEs and depression, as well as high school students, require increased attention during counseling. School counselors can benefit from incorporating screening assessment tools that include questions related to ACEs and depression. Establishing a systematic referral system to connect students with experts can enhance the likelihood of identifying self-harm tendencies and offering the essential support to prevent self-harm.

The Effects of COVID-19 on the Self-Harm in Children and Adolescents Observed in a University Hospital (대학병원에서 관찰한 코로나19가 소아청소년 자해에 미치는 영향)

  • Oh, Sae-Bom;Kim, Seung-Jun;Kim, Ji-Woong;Oh, Hong-Seok;Im, Woo-Young;Lee, Na-Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.128-135
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    • 2021
  • Objectives : The aim of the present study is to investigate the impact of COVID-19 on the incidence and severity of childhood and adolescent self-harm. Methods : Medical records were retrospectively reviewed for patients under the age of 18 who visited the emergency room of Konyang University Hospital to compare the rate of self-harm attempts and the demographic, clinical, and self-harm-related of self-harm attempters aspects before and after the COVID-19 outbreak. Results : During 11 months after the COVID-19 outbreak, the proportion of the number of children and adolescents patients with self-harm and their episodes increased significantly compared to that during 11 months before the COVID-19 outbreak (𝛘2=14.397, p<0.001; 𝛘2=24.156, p<0.001). Between about the year before and after the outbreak of COVID-19, there was a significant difference in the prior self-harm history and psychiatric history among children and adolescents who visited the emergency room and the ratio of hospitalization to other departments than department of psychiatry (p<0.05; p<0.05; p<0.05). Conclusions : In the COVID-19 situation, the proportion of children and adolescents who visited the emergency room due to self-harm and admission to other departments are increasing. And it has been shown that the incidence of self-harm has significantly increased in children and adolescents with a history of prior self-harm and psychiatric past history. These findings underscore the need for the psychiatric evaluation and intervention of self-harm related high-risk groups among children and adolescents in pandemic situations.

Clinical Characteristics of Adolescents Hospitalized Through Emergency Room for Intentional Self-Harm or Suicide Attempts

  • Yoon, Tae Yeon;Lee, Hyun Sook;Son, Jung-Woo;Kim, Sang Mi;Lee, Je Jung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.33 no.3
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    • pp.59-66
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    • 2022
  • Objectives: This study aimed to investigate the clinical characteristics of adolescents hospitalized through the emergency room for intentional self-harm or suicide attempts. Methods: This retrospective study used data from the Korean National Hospital Discharge In-depth Injury Survey conducted between 2006 and 2018 for individuals aged 10-24 years. The clinical characteristics of the patients were analyzed and compared across sex and age groups using the Rao-Scott chi-square tests and multiple logistic regression analysis for complex survey data. Results: The most common psychiatric diagnosis was mood disorder (22.0%), and more female patients were diagnosed with it than male patients (p=0.010). The 19-24 years age group was diagnosed with mood disorder the most compared to other younger groups (p=0.012). Male patients used lethal methods more than female patients (p=0.008), and the 19-24 years age group used more drug poisoning and cutting or piercing (p<0.001) for intentional self-harm or suicide attempts than younger groups. Conclusion: Adolescents hospitalized for intentional self-harm or suicide attempts showed significant differences in clinical characteristics across sex and age groups. These findings suggest that measures for preventing self-harm or suicide attempts need to be differentiated according to the sex and age of adolescents.

Stress and Experience of Doing Harm: Moderating Effects of Human Rights Consciousness (아동청소년의 스트레스와 차별가해경험: 인권의식의 조절효과)

  • Oh, Mi-Ok;Lee, Jin-Hyang
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.494-502
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    • 2018
  • The main objectives of this study are to examine the effects of stress on the experience of doing harm of the children and adolescents and to examine the moderating effect of human rights consciousness on the relationship between the stress and the experience of doing harm. To do this, we analyzed the data obtained from Survey on Human Rights of Children and Adolescents in 2015. The subject is 10,424 from the 4th grade of elementary school to the 3th grade of high school. To investigate the moderating effects of variable, we have conducted a hierarchical regression analysis and confirmed changes in explanatory power. As a result of that, first, it suggests that stress and human rights consciousness have direct effects on the experience of doing harm. This results show that the lower stress and the higher human rights consciousness is, the lower experience of doing harm is. Second, it was found that human rights consciousness is moderating variable on the relationship of between the stress and the experience of doing harm. Based on this results, this study has proposed the implications and limitations of it and suggestions for further study.

STRIDE and HARM Based Cloud Network Vulnerability Detection Scheme (STRIDE 및 HARM 기반 클라우드 네트워크 취약점 탐지 기법)

  • Jo, Jeong-Seok;Kwak, Jin
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.29 no.3
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    • pp.599-612
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    • 2019
  • Cloud networks are used to provide various services. As services are increasingly deployed using cloud networks, there are a number of resources in the cloud that leverage a variety of environments and protocols. However, there is a security intrusion on these resources, and research on cloud network vulnerability detection is required as threats to cloud resources emerge. In this paper, we propose a vulnerability detection scheme using STRIDE and HARM for vulnerability detection of resources utilizing various environments and protocols, and present cloud network vulnerability detection scheme through vulnerability detection scenario composition.

A Study on the Harmonic Analysis and Filter Design on Distribution System using SuperHarm (배전계통에서의 SuperHarm을 이용한 고조파 분석 및 필터 설계에 관한 연구)

  • Lee, Jong-Po;Lee, Byung-Guil;Kim, Chul-Hwan;Chae, Young-Moo
    • Proceedings of the KIEE Conference
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    • 2000.07a
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    • pp.531-533
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    • 2000
  • 배전계통에서 전력전자 설비의 증가는 고조파 왜곡현상과 더불어 그로 인해 발생되는 계통 설비와 운용에 미치는 영향에 대한 관심의 증대를 가져오게 하였다. 그러므로, 최근에 고조파 연구는 전력계통의 분석과 설계에 있어 중요한 관점이 되고 있다. 고조파와 관련된 컴퓨터 시뮬레이션들은 전력계통에서 전압 왜곡현상을 나타내는 방법으로 사용되어져 왔으며, 많은 디지털 컴퓨터 프로그램들이 고조파 분석을 위해서 사용되고 있다. 주파수 스펙트럼 분석에 있어서, SuperHarm을 이용한 컴퓨터 시뮬레이션은 다른 프로그램을 사용하는 것보다 효과적인 방법이다. 본 연구에서는 SuperHarm을 이용한 컴퓨터 시뮬레이션으로 비선형 부하인 가변속 구동장치의 부하 변동에 따른 고조파 전압 분포를 살펴보고, 고조파 저감을 위해 필요한 최적의 고조파 필터를 설계하였다.

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Application and Expansion of the Harm Principle to the Restrictions of Liberty in the COVID-19 Public Health Crisis: Focusing on the Revised Bill of the March 2020 「Infectious Disease Control and Prevention Act」 (코로나19 공중보건 위기 상황에서의 자유권 제한에 대한 '해악의 원리'의 적용과 확장 - 2020년 3월 개정 「감염병의 예방 및 관리에 관한 법률」을 중심으로 -)

  • You, Kihoon;Kim, Dokyun;Kim, Ock-Joo
    • The Korean Society of Law and Medicine
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    • v.21 no.2
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    • pp.105-162
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    • 2020
  • In the pandemic of infectious disease, restrictions of individual liberty have been justified in the name of public health and public interest. In March 2020, the National Assembly of the Republic of Korea passed the revised bill of the 「Infectious Disease Control and Prevention Act.」 The revised bill newly established the legal basis for forced testing and disclosure of the information of confirmed cases, and also raised the penalties for violation of self-isolation and treatment refusal. This paper examines whether and how these individual liberty limiting clauses be justified, and if so on what ethical and philosophical grounds. The authors propose the theories of the philosophy of law related to the justifiability of liberty-limiting measures by the state and conceptualized the dual-aspect of applying the liberty-limiting principle to the infected patient. In COVID-19 pandemic crisis, the infected person became the 'Patient as Victim and Vector (PVV)' that posits itself on the overlapping area of 'harm to self' and 'harm to others.' In order to apply the liberty-limiting principle proposed by Joel Feinberg to a pandemic with uncertainties, it is necessary to extend the harm principle from 'harm' to 'risk'. Under the crisis with many uncertainties like COVID-19 pandemic, this shift from 'harm' to 'risk' justifies the state's preemptive limitation on individual liberty based on the precautionary principle. This, at the same time, raises concerns of overcriminalization, i.e., too much limitation of individual liberty without sufficient grounds. In this article, we aim to propose principles regarding how to balance between the precautionary principle for preemptive restrictions of liberty and the concerns of overcriminalization. Public health crisis such as the COVID-19 pandemic requires a population approach where the 'population' rather than an 'individual' works as a unit of analysis. We propose the second expansion of the harm principle to be applied to 'population' in order to deal with the public interest and public health. The new concept 'risk to population,' derived from the two arguments stated above, should be introduced to explain the public health crisis like COVID-19 pandemic. We theorize 'the extended harm principle' to include the 'risk to population' as a third liberty-limiting principle following 'harm to others' and 'harm to self.' Lastly, we examine whether the restriction of liberty of the revised 「Infectious Disease Control and Prevention Act」 can be justified under the extended harm principle. First, we conclude that forced isolation of the infected patient could be justified in a pandemic situation by satisfying the 'risk to the population.' Secondly, the forced examination of COVID-19 does not violate the extended harm principle either, based on the high infectivity of asymptomatic infected people to others. Thirdly, however, the provision of forced treatment can not be justified, not only under the traditional harm principle but also under the extended harm principle. Therefore it is necessary to include additional clauses in the provision in order to justify the punishment of treatment refusal even in a pandemic.

Harmonic Analysis and Filter Design on Distribution System using SuperHarm (배전계통에서의 SuperHarm을 이용한 고조파.분석 및 필터 설계)

  • 이종포;김철환
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.14 no.5
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    • pp.36-42
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    • 2000
  • The increasing application of power electronic equipment 'especially (ASDs: adjustable speed drives)] on distribution systems has led to a growing concern for harmonic distortion and the resulting impacts on system equipment and operations. Therefore, harmonic studies have become an important aspect of power system analysis and design in recently years. Computer simulations which is related harmonic are used to quantify the distortion in voltage waveforms in a power system. Many digital computer programs are available for harmonic analysis. In frequency spectrum analysis, Simulation using SuperHarm program is superior to simulation using others. Therefore, Computer simulation using SuperHarm program is one of the effective ways to assess the harmonic effects of ASDs. The purpose of this study is to calculate the quantity of harmonic voltage by varying the ASD side load and to design the optimal harmonic filter for the elimination of harmonics.

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The relationships between drinking problems and alcohol's harm to others: Focusing on the moderating effects of alcohol expectancies (문제음주수준이 음주의 간접폐해에 미치는 영향: 음주에 대한 기대의 조절효과를 중심으로)

  • JeKarl, Jung;Kim, Kwang Kee;Lee, Ji-Hyun;Kwag, Kyung Hwa
    • Korean Journal of Health Education and Promotion
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    • v.33 no.3
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    • pp.49-60
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    • 2016
  • Objectives: This study sought to explore the relationships between drinking problems and alcohol's harm to others with the moderating effects of alcohol expectancies on these relationships after controlling for demographic characteristics. Methods: Participants for this study were 1,859 men and women. We performed hierarchical regression analyses with sets of predictors (1) demographic characteristics, (2) drinking problems and alcohol expectancies, and (3) interaction terms between drinking problems and alcohol expectancies. Results: After controlling for demographic characteristics, drinking problems and alcohol expectancies had the significant effects on alcohol's harm to others in both men and women. However, the interactions between drinking problems and negative alcohol expectancy showed the significant impacts on alcohol's harm to others among men. When men had higher levels of negative alcohol expectancy, drinking problems showed stronger effects on alcohol's harm to others. Conclusions: As a result, findings from the study highlight the importance of more sophisticated public policy to prevent and to intervene drinking problems and to support those around drinkers and drinkers themselves.