• Title/Summary/Keyword: Mental health service

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Visual Analysis of Regional Variations in Antidepressant Use and Suicide Rate (항우울제 사용 및 자살률의 지역적 편차에 대한 시각적 분석)

  • Kim, Ho-Jung;Lee, Iyn-Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.4
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    • pp.308-319
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    • 2018
  • Background: Some mental illnesses such as depression are known to be one of the risk factors of suicide and proper antidepressant therapy can reduce suicidal behavior. Objectives: This study aimed to analyze regional variations in antidepressant consumption and adherence, suicide rate, prevalence of suicide related mental disorders, and access to relevant healthcare services. Methods: Cross-sectional analyses were conducted using National Patients Sample data compiled by the Health Insurance Review and Assessment Service between 2014 and 2016. We included patients who had a diagnosis record of suicide related mental disorders during the study period. Cause of death statistics and National health and medical statistics were used to identify suicide rate and distribution of healthcare service. We conducted visual analyses, chi-squared tests, independent t-tests and correlation analyses to demonstrate regional variations. Results: Between 2014 and 2016, the average prevalence of suicide related mental disorders was 5.4 per cent. Suicide rate and prevalence of suicide related mental disorders were higher in Gangwon, Chungcheong, and Jeolla (p < 0.001), and lower in Seoul (p < 0.001) than the national average. Unexpectedly, regional variations in antidepressant consumption were seen in the limited area including Daejeon, Chungnam and Gyeongnam (p < 0.05). The number of mild patient-centered clinics was associated positively with antidepressant consumption (p < 0.01) and associated negatively with suicide rate (p < 0.01). Conclusion: There were some regional variations in prevalence of suicide related mental disorders, antidepressant adherence and suicide rate. The higher level of antidepressant therapy and the lower level of suicide rates were seen in regions with easy access to mild patient-centered clinics.

Characteristics of First Visit Pediatric Patients with Suicidal Ideation and Behavior: An 8-Year Retrospective Chart Review

  • Song, Jungeun;Kweon, Yong-Sil;Hong, Sung Hee;Kim, Joonbeom;Chun, Ka Hye;Bahn, Geon Ho;Yook, Ki-Hwan;Shin, Dongwon;Hong, Hyun Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.4
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    • pp.185-192
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    • 2020
  • Objectives: Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later. Methods: This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6-18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively. Results: There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association. Conclusion: Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.

Relationship of Occupational Category With Risk of Physical and Mental Health Problems

  • Ahn, Jaeouk;Kim, Nam-Soo;Lee, Byung-Kook;Park, Jungsun;Kim, Yangho
    • Safety and Health at Work
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    • v.10 no.4
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    • pp.504-511
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    • 2019
  • Objectives: We evaluated the physical and mental health problems of waged workers in Korea who had different classes of occupation. Methods: We used data from the Korean National Health and Nutrition Examination Survey (2007-2017) to examine 22,788 workers who were waged employees and categorized these workers into 5 occupational classes. Results: "Unskilled manual workers" were more likely to be older, less educated, have lower monthly income, and work fewer hours per week. Among men and relative to "managers and professionals" (reference group), "skilled manual workers" were more likely to have physician-diagnosed osteoarthritis, "clerks" were less likely to report suicidal ideation, and "unskilled manual workers" were more likely to report suicidal ideation. Among women and relative to "managers and professionals" (reference group), "service and sales workers" and "unskilled manual workers" were more likely to report physician-diagnosed osteoarthritis, depressive feelings, and suicidal ideation. However, hypertension, hyperlipidemia, diabetes, and cardiovascular diseases did not differ among the occupational classes for men and women. Conclusion: We identified differences between men and women and among those in different occupational classes regarding employment status, physical health, and mental health. "Unskilled manual workers" of both genders were more likely to be older, less educated, have less monthly income, work fewer hours per week, and have suicidal ideation. Female "service and sales workers" were more likely to have osteoarthritis, depressive feelings, and suicidal ideation.

The Factors Associated Depression and Suicidal Ideation in Adolescents (남녀 청소년의 우울 및 자살 생각과의 관련 요인)

  • Kim, Chae-Bong;Jung, Tae-Young;Hwang, Sung-Wan;Kim, Jae-Haeng
    • The Korean Journal of Health Service Management
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    • v.7 no.2
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    • pp.161-177
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    • 2013
  • This study aims to provide basic evidence for establishing prevention programs of school' mental health by identifying the factors of middle and high school student's depression and suicidal ideation related to stress of peer-relationship. For this purpose, we analyzed the data of 6,924 (who Experienced stress related to peer-relationship) among the 2012 Korean Youth Health Risk Behavior Online Survey(8th). In demographic characteristics, subjective academic achievement affects depression in the case of girls. In health-related characteristics, medical treatment by violence, drinking experience, smoking experience have an effect on depression in the case of boys. Subjective health, drinking experience, smoking experience, drug experience are the factors affecting suicidal ideation both boys and girls. In order to promote mental health of youth, school-based prevention education complementing existing realistic problems needs to be implemented.

Convergence Study about the Relationship among Emotional Dissonance, Depression and Anxiety in Care Service Workers -Focused on the Moderating Effects of Emotional Intelligence- (돌봄 종사자들의 감정부조화와 우울 및 불안 간의 관계에 대한 융합연구 -정서지능의 조절효과를 중심으로-)

  • Lee, Jung-Min;Hong, Min-Hee;Jang, Ki-Won
    • Journal of the Korea Convergence Society
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    • v.12 no.1
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    • pp.341-351
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    • 2021
  • The purpose of this study was to investigate the relationships among emotional dissonance, depression and anxiety, and to examine the moderating effects of emotional intelligence on the relationships between emotional dissonance and both depression and anxiety in care service workers. For this study, a sample of 142 care service workers completed the questionnaires: Emotional Dissonance Scale, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7. This data was analyzed by SPSS 25.0 program. The results of the analysis showed that emotional dissonance and others' emotion appraisal had a significant effect on depression and anxiety. The results also verified the moderating effects of others' emotion appraisal on the relationship between emotional dissonance and depression. Finally, on the basis of the results, we proposed and discussed interventions on emotional labor and mental health issues of care service workers.

Impact of Social Maturity on Physical Health and Mental Health among Sustained Sport-for-All Participants (지속적인 생활스포츠 참여자의 사회적 성숙이 신체적·정신적 건강에 미치는 영향)

  • Moon, Tae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4703-4710
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    • 2012
  • The purpose of this study was to examine the impact of the social maturity of sustained sport-for-all participants on their physical and mental health. The subjects in this study were 190 company employees who were selected by convenience sampling from among the residents in Gangwon Province. The selected office workers continued to participate in sport-for-all programs. After a survey was conduced from November 7 to 25, 2011, the statistical package SPSS WIN 18.0 was employed to analyze the collected data. To find out the general characteristics of the subjects, frequency analysis was made, and the reliability test of the instrument and factor analysis were carried out. Descriptive statistics analysis was made by factor, and multiple regression analysis was utilized to look for connections among their variables. As a result, it's found that the social maturity of the sustained sport-for-all participants made a significant difference to their physical health, and that their social maturity made a significant difference to mental health as well. As sustained sport-for-all participation was found to be correlated to their physical and mental health, office workers should be given a chance to participate in sport-for-all on a long-term basis.

Influencing Factors on Mental Health Help-Seeking Behavior in Korean and Immigrant Married Women (한국 기혼여성과 이민 기혼여성의 정신건강 도움추구행동 영향요인)

  • Gang, Moonhee;Lee, Jihye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.344-353
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    • 2017
  • The purpose of this study was to identify and compare the factors that influence the mental health help-seeking behavior in Korean and immigrant married women. A cross-sectional descriptive study design was used. Participants were 110 Koreans and 91 immigrants in D metropolitan city. Collected data were analyzed using descriptive statistics, ${\chi}^2$-test, t-test, ANOVA, ANCOVA, Pearson correlation coefficient, and multiple regression with SPSS 21.0 program. Mental health help-seeking behavior was significantly correlated with depression, belief toward mental illness, and perceived need for mental health service in Korean women, and with Korean fluency, belief toward mental illness, and social support in immigrant women. In the regression analysis results, the predictors of mental health help-seeking behavior were belief toward mental illness in Korean married women (10.5%), and Korean fluency, nationality, belief toward mental illness, and social support in immigrant women (59.0%). These findings should be considered when developing strategies for enhancing the mental health help-seeking behavior in married women.

Professional Self Concept of Psychiatric Mental Health Nurse Practitioner and General Nurse in Psychiatric Ward (정신병동의 정신보건간호사와 일반간호사의 전문직 자아개념)

  • Park Mi Sun;Yang Soo;Yu Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.95-104
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    • 2002
  • Purpose : This study was conducted to investigate the extent to which the professional self concept between the psychiatric mental health nurse practitioner (PMHNP) and general nurse in psychiatric ward was comparable. The results were expected to provide basic data for developing the construct of professional self concept and making awareness of the importance of the program increasing professional self concept. Method : The subjects of this study were 227 PMHNP and 436 general nurse in psychiatric ward. The instruments used for this study were PSCNI by Arthur (1990), PSI by Heppner and Peterson(1982) and the index of work satisfaction by Slavitt et al.(1978). With the aid of the SAS, t-test. two-way ANOVA and stepwise multiple regression were conducted. Result : 1. The average item score of PSCNI of PMHNP was $2.82\pm0.27$. and that of general nurse was $2.66\pm0.27$. Statistically significant difference between two groups was found(p=0.0000) 2. There was statistically significant difference between two groups in the score of professional practice(p=0.0000), satisfaction(p=0.0024), leadersbip(p=0.0000) , flexibility(p=0.0000) and skill (p=0.0000). 3. Statistically significant differences between the two groups were observed in terms of age(p=0.0003), marital status(p=0.0001). education(p=0.0005), religion(p=-.0144), motive (P=-.0001), length of service as a nurse(p=0.0121), the length of service in psychiatric unit(p=0.0143). However there were no significant interaction effect with group and age, marital state. education, religion, motive, length of service as a nurse, length of service in psychiatric unit. 4. Job satisfaction (JS) and problem solving inventory score(PS) were found to be the highest factor predicting the professional self concept between the PMHNP and general nurse. JS and PS accounted for $43.4\%$ in the professional self concept of PMHNP, whereas PS, JS, age and religion accounted for $53\%$ in the professional self concept of general nurse in psychiatric ward. In conclusion, this study suggested that we need to develop programs and polices to increase the professional self concept of nurse, particularly of psychiatric mental health nurse practitioners.

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Public Attention to Crime of Schizophrenia and Its Correlation with Use of Mental Health Services in Patients with Schizophrenia (조현병 환자의 범죄에 대한 대중의 관심과 조현병 환자의 정신의료서비스 이용과의 상관관계)

  • Park, Hyunwoo;Lee, Yu-Sang;Lee, Sang Yup;Lee, Seungyeoun;Hong, Kyung Sue;Koike, Shinsuke;Kwon, Jun Soo
    • Korean Journal of Schizophrenia Research
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    • v.22 no.2
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    • pp.34-41
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    • 2019
  • Objectives: This study was performed to examine the effects of the public attention to 'crime of schizophrenia' on the use of mental health services in patients with schizophrenia using big data analysis. Methods: Data on the frequency of internet searches for 'crime of schizophrenia' and the patterns of mental health service utilization by patients with schizophrenia spectrum disorders by month were collected from Naver big data and the Health Insurance Review and Assessment Services in Korea, respectively. Their correlations in the same and following month for lagged effect were examined. Results: The number of outpatients correlated negatively with public attention to 'crime of schizophrenia' in the same month. The lagged relationship between public attention and the number of admissions in psychiatric wards was also found. In terms of sex differences, the use of outpatient services among female patients correlated negatively with public attention in the same month while the number of male patients' admissions in both same and following month correlated positively with public attention. Conclusion: These findings suggested that public attention to 'crime of schizophrenia' could negatively affect illness behavior in patients with schizophrenia.

Research about RFID Healthcare System (RFID 건강관리 시스템에 관한 연구)

  • Sung, Hycuk;Kang, Soon-Duk
    • The Journal of Information Technology
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    • v.8 no.2
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    • pp.17-26
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    • 2005
  • RFID(Radio Frequency IDentification) is a method of remotely storing and retrieving data using devices called 'RFID tags'. An RFID tag is a small object, such as an adhesive sticker, that can be attached to or incorporated into a product. RFID tags contain antennas to enable them to receive and respond to radio-frequency queries fro an RFID transceiver. Eventually, RFID SYSTEM is very interesting to watch people live linger than they used to before. Some of reasons for that phenomenon is the improving medical studies. As we live healthier and get to know more about our body, we can extend our lives. This Platform is Physical Health Promotion Service, Home Health Monitoring Service, Mental Health Promotion Service, Home Patient Management Service, Chronic Disease Management Service, Emergency Patient Management Service, Medical Information and Consulting Service of the RFID.

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