• The Journal of the Korea Contents Association
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• v.13 no.3
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• pp.240-250
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• 2013

The early detection of suicidal ideation is essential for the prevention of suicide. This study aimed to develop a brief screening tool that can be easily administered in medical settings. The Suicide Risk Screening Tool was designed for use by physicians to provide a screening process that would be reliable, standardized, quick and feasible to implement. A 2-item screening tool was derived from the Screening for Depression and Thoughts of Suicide in the Norton Sound region of Alaska, USA. The scale was modified to reflect the current situation in Korea including the elimination of the personal identification number, and was labeled the Korean Suicide Risk Screening Tool. Its reliability and applicability for medical setting were examined by explanatory study of 7 clinicians. Its validity was examined among a further 325 patients of four different medical institutions, using the results of interviewer-administered survey included demographic, clinical characteristics, and present mental status as the external criterion. A brief 2-item suicide risk screening tool can be used by mental and non-mental health clinicians to accurately detect suicidality in patients.

• Korean Journal of Health Education and Promotion
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• v.28 no.2
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• pp.109-123
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• 2011

Objectives: The purpose of the present study was to explore the relationships between views on suicide, death, and life and lifetime suicidal attempts in the Korean context. Methods: Multiple logistic regression model was tested using data from Korean General Social Survey of 2009. We utilized the nationally representative survey data obtained via multistage stratified area probability sampling design from 1,599 respondents aged ${\geq}18$ years. Results: The proportion of lifetime suicidal attempts was 12.1% of entire sample in Korea. Some components of views on suicide and death influenced significantly on lifetime suicidal attempts after adjusting for demographic and health-related factors. The positive view on suicide(OR=0.76, 95% CI: 0.62-0.94), the naturalistic view on afterlife(OR=0.37, 95% CI: 0.67-0.99) and death concern(OR=0.67, 95% CI: 0.55-0.83) were risk factors of lifetime suicidal attempts. In contrast, the social responsibility view on suicide(OR=1.17, 95% CI: 1.00-1.37) and the transcendental view on afterlife(OR=1.25, 95% CI: 1.02-1.54) lowered the risk. Conclusions: Practical implications of the findings were discussed exploring policy evidences to screen high risk groups out and to reframe educational programs for suicide prevention. Strategic health messages need to be developed and transmitted for prevention of suicide.

• The Journal of the Korea Contents Association
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• v.20 no.3
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• pp.81-91
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• 2020

This study explored message framing methods for effective campaigns to prevent suicide. In particular, the study reviews the gain message and the loss message. In the effect of campaign message, gender differences and Any differences between the suicide high risk group and low risk group were explored. Subjects were a total of 98 people. A total of 10 messages were presented as loss framing and gain framing, respectively. The attitude towards these messages were then measured. Suicide low risk group showed favorable attitude toward gain framing messages that emphasized the benefits of not committing suicide. Meanwhile suicide high risk group showed a similar effect of gain framing and loss framing. Compared to men, women showed a favorable attitude toward gain framing. also high persuasive effects. In other words, this indicates that a more effective way of expressing messages to prevent suicides is to take a positive approach rather than a negative approach. Implications of the these findings are discussed and directions for future research are advanced.

• Korean Journal of Psychosomatic Medicine
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• v.4 no.1
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• pp.71-78
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• 1996

The objective of this study is to evaluate the relationship of hopelessness and suicidal lethality of suicide attempters. The subjects were 72 persons who attempted suicide and came to the emergency room of Chungbuk National University Hospital from April 1st, 1995 to March 31st, 1996. The hopelessness of suicide attempter was assessed by Beck Hopelessness Scale(BHS), and the suicidal lethality was assessed by Risk-Rescue score. The Risk-Rescue Scores exhibited no significant differences in demographic characteristics (sex, age, education, religion, marital status, socioeconomic class, occupation) and psychiatric diagnoses. But the Risk-Rescue scores were significantly higher in high BHS group(BHS score ${\geq}$ 9) than in low BHS group(BHS score <9) and positive correlation was observed between the BHS and the Risk-Rescue score(Rs=0.77 : p<0.05). These results suggest that level of hopelessness be a major risk factor for suicidal lethality.

• Journal of Korean Academy of Nursing
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• v.45 no.2
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• pp.183-191
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• 2015

Purpose: For the current article an examination was done as to whether engaging in sexual intercourse before or during adolescence has a negative impact on the suicidal behaviors of suicide ideation, suicide attempt, and suicide lethality and whether the impact varies according to the context of sexual intercourse and/or gender. Methods: Adolescents who experienced casual sex and romantic sex were compared to adolescents who retained their virginity. Data was from samples drawn from the three waves (2010~2012) of the Korea Youth Risk Behavior Web-Based Survey. Logistic models were used to adjust for a wide array of confounding variables. Results: Any type of sexual intercourse increases risk of all suicidal behaviors. Sexual intercourse in a romantic relationship exhibits enhanced risk of suicidal behaviors compared to casual sex. Adjusting for experience of sexual violence, however, decreases risk of romantic sex substantially, turning some estimates statistically insignificant. In addition, risks for suicide lethality are greater for girls than boys. Conclusion: Romantic sex put adolescents at higher risk for suicidal behaviors than casual sex owing to prevalent sexual violence in the relationships. Girls suffer more substantively adverse outcomes than boys. These results suggest that adolescents will benefit from comprehensive education on sexuality and sexual behaviors regarding how to form and maintain a romantic relationship that is characterized by personal integrity and mutual respect. It is also important to help victims of sexual violence recover from traumatic events by providing emotional support and effective counseling.

• Child Health Nursing Research
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• v.11 no.1
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• pp.34-42
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• 2005

Purposes: The purposes of this study were ① to identify the rate of suicide attempts, and ② to investigate relevant variables(family dynamic environment, personality factors) and risk factors for attempting suicide among Korean adolescents. Method: Data were collected through a questionnaire survey. Internal consistencies for this questionnaire ranged from 0.63 to 0.88. Nine hundred and twenty two adolescents were surveyed (delinquent : 367, student : 555), using a proportional stratified random sampling method. Statistical methods employed were chi-square, t-test, and logistic regression analysis. Results: ① The rate of suicide attempts was 10.8％ for the total sample, and the delinquents(19.6％) had a higher rate of suicide attempts than the students(5.1％). ② Adolescents attempting suicide had a greater dysfunctional family dynamic environment and more maladaptive personality than those who did not attempt suicide. ③ Risk factors for suicide attempts among Korean adolescents were way of coping, psychosomatic symptoms, and parental child-rearing attitudes, in that order. Conclusions: Suicide and suicidal behaviors are multifaceted events. For suicide prevention, there is a need to make an independent assessment of the variables such as familial problems, personality and dynamic environment of the families of the adolescents.

• Anxiety and mood
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• v.16 no.1
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• pp.1-8
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• 2020

Objective : This study aims to examine the association between exposure to suicide events and suicide ideation by analyzing the levels of suicide ideation among the groups with exposure to suicide death, non-suicide death, and no death in their social relationships. Methods : Data were derived from Wave I of the Longitudinal Study of Suicide Survivors' Mental Health. 1,998 adults nationwide selected using a stratified sampling method based on the Korean Census Data, were categorized into 3 groups with exposure to suicidal death, non-suicidal death, and no death. The levels of depression (Brief CES-D), subjective health status, and suicidal ideation (SSI) were measured. To examine the association between exposure to suicide and the level of suicide ideation, multiple regression analysis was used after controlling the socio-demographic and clinical factors including subjective health status and depression. Results : 32% reported their exposure to suicide. Compared to the other groups, the suicide-exposed group's level of depression and suicide ideation were significantly higher but the subjective health status was lower. Multiple regression model revealed that suicide exposure had a statistically significant association with suicidal ideation at p=0.000 even after controlling the clinical characteristics. Conclusion : HThe findings suggest that exposure to suicide is a risk factor for suicidal ideation. In the clinical field, it is necessary to consider patients' experience in exposure to suicide while treating and intervening in suicide-related cases. At the policy level, a mental health system for suicide prevention should consider this risk factor for those exposed to suicide in their family and social relationships.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.31 no.2
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• pp.88-93
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• 2020

Objectives: Mood disorder is highly comorbid with attention deficit/hyperactivity disorder (ADHD), and comorbid ADHD symptoms are associated with suicide risk. The aim of this study was to examine the association between comorbid ADHD symptoms and the number of suicide attempts among patients with unipolar and bipolar depression. Methods: In this cross-sectional study, 100 patients with either unipolar or bipolar depression constituted the final sample. Pearson's correlation and multiple regression analyses were conducted to examine the association between comorbid ADHD symptoms and suicide risk. Results: Among patients with bipolar depression, the number of suicide attempts was significantly correlated with ADHD symptoms (r=0.324, p<0.01). ADHD symptoms significantly predicted the number of suicide attempts (β=0.249, p<0.05). Conclusion: Our findings underscore the importance of screening and assessing ADHD symptoms in male young adults with depressive disorders.

• Journal of Digital Convergence
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• v.10 no.11
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• pp.525-533
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• 2012

This aim of the present study was to determine the prevalence of suicide-related behavior(suicide ideation, plans and attemps) and its relationship in college students. 384 college students in Daejeon, Chungbuk provice were selected for this study from April 2 to April 21, 2012. Collected data was analyzed by using the SPSS 19.0 pragram. The prevalence of lifetime suicide ideation, plans and attemps were 32.3%, 4.7% and 3.0%. Respondents with mild ~ severe depressive symptoms were 42.2%. Depressive symptom was the consistent and crucial risk factor associated with suicide-related behavior indicates(suicide ideation, plans and attempts) commonly. We consider the suicide ideation and depressive symptom when develop the suicide prevention program. To prevent suicide, institutionalization of suicide screening program for who experience suicide ideation, depression, follow management of pre-suicide attemptor, surrounders of suicide victims, development of manual about strategy toward suicide, operating mental health program, delicate media representation.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.1
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• pp.3-9
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• 2021

Objectives: It is hard to accumulate research data on adolescents' suicide, because friends and family of the suicide completers might be reluctant to share the experience. To overcome the lack of information on adolescent suicide victims, the authors examined the risk and protective factors for adolescents' suicide from a character in a novel. Methods: Krystal, an adolescent female in the novel The Casual Vacancy by Joanne Rowling, failed to overcome her unfortunate circumstances and committed suicide. The authors analysed Krystal's case based on the guideline for patients with suicidal behaviours to address the complicated situation of her death. Results: Krystal grew up in a poor and dangerous environment. Despite the environmental hardships, she developed ego maturation with affectionate help from Mr Fairbrother, an assistant coach of the Girls' Rowing Team and a parish councillor. The sudden passing away of Mr Fairbrother brought on a crisis of identity for Krystal. In addition, a villainous character raped her and her brother drowned to death, which brought her great sorrow. She felt helpless and committed suicide. Conclusion: In spite of many risk factors for suicide, Krystal was able to keep her life with a few protective factors, a younger brother in the home, and a sense of responsibility for the family. After the loss of her brother, however, she collapsed in a moment. Krystal's suicide might not only be a personal choice but a breakdown of the social protection system for the youth.