• Research in Community and Public Health Nursing
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• v.20 no.3
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• pp.343-350
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• 2009

Purpose: The purpose of this study was to examine the effect of a group counseling program on high school students' depression and suicidal ideation. Methods: This research was conducted as a quasi-experimental pretest and posttest control and experimental group methodological comparison study. The subjects were 25 high school students (Exp=12, Cont=13) in U City. The depression and suicide prevention program in this study was based on the Ellis' ABC Model. The experimental group participated in the program through eight sessions, but the control group did not receive treatment. Data were collected from November 4 to November 28, 2008, and analyzed using the SPSS/WIN program by frequency, Mann-Whitney, means, standard deviation and Wilcoxon signed rank test. Results: There was statistically significant difference in depression (z=-2.983, p=.003) between the two groups. Suicidal ideation also decreased significantly(z=-2.847, p=.004) in the experimental group. Conclusions: After the eight sessions of the group counseling program for preventing depression and suicidal ideation, it was found that the program was effective to lower the score of depression and suicidal ideation. The results of this study suggest that a school-based prevention program for adolescents should be developed according to depression and suicidal ideation level.

• Journal of Korean Academy of Nursing
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• v.38 no.4
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• pp.513-521
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• 2008

Purpose: The purpose of this study was to develop an integrated suicide violence prevention program for adolescents. Another purpose was to evaluate the effects of the integrated suicide violence prevention program on self-esteem, parent-child communication, aggression, and suicidal ideation in adolescents. Methods: The study employed a quasi -experimental design. Participants for the study were high school students, 24 in the experimental group and 25 in the control group. Data was analyzed by using the SPSS/WIN. 11.5 program with $X^2$ test, t-test, and 2-way ANOVA. Results: Participants in the integrated suicide violence prevention program reported increased self-esteem scores, which was significantly different from those in the control group. Participants in the integrated suicide violence prevention program reported decreased aggression and suicidal ideation scores, which was significantly different from those in the control group. Conclusion: The integrated suicide violence prevention program was effective in improving self-esteem and decreasing aggression and suicidal ideation for adolescents. Therefore, this approach is recommended as the integrated suicide violence prevention strategy for adolescents.

• The Korean Journal of Health Service Management
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• v.8 no.2
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• pp.149-160
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• 2014

The suicide rate in the elderly is continually increasing. Effective suicide prevention requires that factors affecting suicidal ideation are specifically identified and personalized intervention programs are developed. This study aimed to identify the influencing factors of suicidal ideation in Korean elderly. The data of the 2012 Korean National Health & Nutrition Examination Survey was analyzed by using the SPSS program. Frequency, percentile, Chi-square test, multiple logistic regression were used. The influencing factors of suicidal ideation were education, income, exercise, perceived stress and depression. The Odds Ratio of the depression was 5.68 and the Odds Ratio of the perceived stress was 3.45. This study suggested that elderly suicidal prevention programs should be developed in preventing and reducing stress and depression.

• Korean Journal of Human Ecology
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• v.16 no.3
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• pp.505-522
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• 2007

This study examined the effects of eco-system factors on adolescents' suicidal ideation and whether self-esteem and depression mediate in the process to provide theoretical basis for prevention and treatment for problems of adolescents who have suicidal ideation. 2,088 high school students were asked to complete self-administering questionnaires on eco-system factors and adolescents' suicidal ideation. Data were analyzed with frequencies, t-test, ANOVA with Scheffe ad-hoc test, correlation analysis using SPSS 12.0 program and AMOS 5.0 program. Study results were ; First, adolescents' suicidal ideation showed significant differences according to their gender, socio-economic financial status, family structure, and the type of school they attended. Second, self-esteem and depression were proved to have significant mediating effect. Child abuse victimization, subjective school achievement and influence of media coverage of celebrity suicide were most important variables which influenced adolescents' suicidal ideation. These results reinforce importance of understanding adolescents' suicidal ideation with eco-system perspective. Moreover, prevention programs for adolescents' suicide require differentiated strategies and tactics according to the target group characteristics.

• Korean Journal of Adult Nursing
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• v.28 no.6
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• pp.609-618
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• 2016

Purpose: The purpose of this study was to investigate the combined influence of smoking and alcohol drinking on suicidal ideation and attempts among Korean adults. Methods: This cross sectional study used secondary data from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2011. A total of 13,064 adults were included in the study. Logistic regression was used to analyze the combined influence of smoking and alcohol drinking on suicidal ideation and attempts. Results: Persons who smoke and use alcohol were more likely to report suicidal ideation and attempts than those who did not smoke and reported normal drinking. The group who reported both smoking and harmful drinking/alcohol had significantly higher incidence of suicidal ideation and attempts than the comparison group of non-smoking/normal drinking (Suicidal ideation: Adjusted Odds Ratio [AOR]: 2.13, 95% Confidence Interval [CI]: 1.60~2.83; suicidal attempts: AOR: 3.81, 95% CI: 1.60~9.05). Conclusion: Based on the results of this study, smoking and alcohol drinking were individually important health behaviors for prevention of suicidal ideation and attempts. Especially, suicidal prevention programs might be needed for adults who smoke and drink at the same time to decrease suicidal ideation and attempt.

• The Korean Journal of Health Service Management
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• v.7 no.1
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• pp.155-165
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• 2013

This study aims to identify the significance of adolescent suicidal ideation in a multicultural family, propose suicidal prevention strategies, and provide considerable foundations supporting their secured future. The research results are in the follow. For the results of main factors of relative influence on the suicidal ideation, the relative dangerousness levels were 5.5 times more likely to experience with drugs, 4.5 times more likely to have depressive symptoms, 3.2 times more likely to experience violence at school, and 2.8 times more likely to experience drinking alcohol, 1.4 times more likely to feel unhappiness and 1.3 times more likely to be bad off in economic status, all of which contribute to suicidal ideation. All results turned out to be statistically significant. Therefore, the findings and results of this study indicate that appropriate and practical prevention strategies to address the suicidal behavior of adolescents in a multicultural family need to be carefully considered and designed in a most urgent manner.

• Journal of Korean society of Dental Hygiene
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• v.19 no.5
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• pp.777-789
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• 2019

Objectives: The purpose of this study was to investigate the relationship between oral health factors and suicidal ideation in adolescents in order to provide basic data for adolescent suicide prevention and oral health promotion. Methods: This study used data from the Korea Youth Risk Behavior Web-Based Survey held in 2017, in which a total of 62,276 youth participated. Data were analyzed by SPSS Ver. 22.0. Complex logistic regression analysis was used to analyze oral health factors related to suicidal ideation. Results: The effects of oral health on male students' suicidal ideation were as follows: brushing teeth 2-3 times a day was associated with decreased suicidal ideation (p<0.01), while suicidal ideation was increased in individuals who had experienced scaling within the past year (p<0.001), or, among experiences of oral disease within the last year, had reported prickling and throbbing pain (p<0.001), pain on the tongue and inside the cheeks (p<0.001), or bad breath (p<0.001). The effects of oral health on female students' suicidal ideation were as follows: brushing teeth 2-3 times a day was associated with decreased suicidal ideation (p<0.001), while suicidal ideation was increased in individuals who, among experiences of oral disease within the last year, had reported pain when chewing (p<0.001), pain on the tongue and inside the cheeks (p<0.01), or bad breath (p<0.001). Conclusions: The above results demonstrate that adolescent suicidal ideation and oral health factors are correlated, and it will be necessary to incorporate oral health interventions when planning or developing projects and programs for suicide prevention in adolescents.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.3
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• pp.1606-1614
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• 2014

This study aimed to identify the influencing factors of suicidal ideation, suicidal plan and suicidal attempt. The data of 2012 Youth Health Risk Behavior web-based Survey Collected by the Korea Center Disease Control was analyzed by using the SPSS program. The influencing factors of suicidal ideation, suicidal plan and suicidal attempt by general characteristics were gender, grade, school record, socioeconomic status, living with both parents, and subjective health status. The influencing factors of suicidal ideation, suicidal plan and suicidal attempt by health behaviors and emotional characteristics were smoking, drinking, effort for weight, sleep satisfaction, perceived stress and depression. This study suggested that suicidal prevention programs should be developed in preventing and reducing health risk behaviors and depression.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.23 no.3
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• pp.310-319
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• 2016

Purpose: This study was done to examine whether risk of suicidal ideation in nursing students as related to social support and ego-resilience, and whether subjective wellbeing mediated the relationships. Methods: Structural equation modeling was applied to test the model in which ego-resilience and social support from family, friends, and others were considered as exogenous variables and subjective wellbeing as a mediating variable. The participants were 285 nursing students who completed self-report measures including the Suicidal Ideation Questionnaire, the Multidimensional Scale of Perceived Social Support, the Ego-Resiliency Scale, and the Index of Wellbeing. Results: Results show that higher scores on family support and ego-resilience were positively associated with subjective wellbeing and negatively with suicidal ideation. Subjective wellbeing mediated the relationships between family support and suicidal ideation, and also ego-resilience and suicidal ideation. Among the three social supports, only family social support had both direct and indirect effects on suicidal ideation. Conclusion: Findings suggest that family support is a useful resource in the prevention of suicidal ideation in nursing students and building supportive relationship with family should be considered as the first step in suicide prevention strategies. Also enhancing ego-resilience could play an important role to reduce suicide risk through promoting well-being.

• 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.