• The Journal of Korean Society for School & Community Health Education
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• v.13 no.3
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• pp.113-125
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• 2012

Objectives: This study was aimed to inspect what relation there exists between the elderly's social support, self-esteem and the suicidal thinking, and examined factors influencing their suicidal ideation. Methods: For 207 old persons above 65 residing at Seoul, questionnaire survey was performed for 4 weeks. For response data, t-test and ANOVA, Pearson's Correlation Coefficient and Multiple Regression Analysis were performed using spss 18.0 program. Results: The results of analysis are like followings. 1. As for the social support according to the general characteristics, there was statistically significant difference in sex distinction, religion, living arrangement, educational level, monthly allowance and mode to use spare time. As for self-esteem according to the general characteristics, there was statistically significant difference in sex distinction, religion, living arrangement and monthly allowance. And as for the suicidal ideation, there was statistically significant difference in the marital status. 2. As for the relation between the social support, self-esteem and the suicidal ideation, it showed statistically very significant positive correlation in the social support and self-esteem. And there existed relatively higher positive correlation in family support among sub-factors of the social support and the positive self-recognition among sub-factors of self-esteem. 3. It showed that positive and negative self-recognition as sub-factors of self-esteem, others' support as sub-factor of the social support influence on the suicidal ideation. In other words, as positive self-recognition was lower, as negative self-recognition was higher, as social support of others was lower, they had much more effect on the suicidal ideation of the elderly. And it showed about 36.1% of the explanatory capability. Conclusions: Health care providers should develop school health education for the elderly.

• Research in Community and Public Health Nursing
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• v.31 no.1
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• pp.86-95
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• 2020

Purpose: The aim of this study was to examine the correlation between school-life adjustment and suicidal ideation in adolescents by applying the latent growth curve models to the longitudinal data. Methods: This study analyzed three waves of data from the Korean Children & Youth Panel Survey (2014~2016). A total of 1,534 students were included in the analysis. In the application of the latent growth curve models to the longitudinal survey data, we analyzed the initial status and growth changes for each wave, identified individual differences in the general characteristics, and examined the direct relationship between the two latent constructs. Results: The analysis revealed that variations in the initial status and rate of school-life adjustment were significant with respect to parents' education level, household income and academic satisfaction. Variations in the initial status and growth rate of suicidal ideation were significantly associated with household income and family structure. The relationship between school-life adjustment and suicidal ideation showed a negative correlation in which the starting value of the former increased and that of the latter decreased and vice versa. Conclusion: The results confirmed that school-life adjustment and suicidal ideation varied according to students' general characteristics. In addition, school-life adjustment was negatively correlated with suicidal ideation, thereby highlighting students' ability to adjust as an important factor influencing their suicidal thinking.

• Research in Community and Public Health Nursing
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• v.17 no.1
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• pp.112-124
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• 2006

Purpose: This study was carried out to investigate the relationships among suicidal risk, self-esteem, and spiritual well-being of high school students, and to provide basic data for developing suicide prevention programs. Method: The subjects of this study were 1.176 high school students from six academic high schools and two technical high schools in Daegu City. Data were collected from the 13th to the 25th of September 2004. The research tools were the Suicide Probability Scale developed by Go. Kim and Lee (2000), the Self-Esteem Inventory modified by Choi and Jeon (1993), and the tool of Spiritual Well-Being modified by Yoo (2002). Data were analyzed with SPSS Windows 11.0. Result: Variables that showed statistically significant difference in suicidal risk were school type, whether to have the best friends, the number of close friends, current relationship with close friends, experience of school violation, respect for the teacher, grades, financial condition, parents marital status, father's education level, mother's education level, home atmosphere, conversation with father, conversation with mother, smoking, drinking, experience of counseling for problems, whether to have physical illnesses, experience of thinking about suicide, experience of attempting suicide. Suicidal risk was in a significantly negative correlation with self-esteem and spiritual well-being. Conclusion: The researcher identified many different variables that affect the suicidal risk of high school students. Self-esteem and spiritual well-being were found to be in a significant correlation with suicidal risk. Therefore, the results of this study can be used as basic data and information for suicidal prevention programs.

• Journal of the Korean society of biological therapies in psychiatry
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• v.24 no.3
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• pp.129-141
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• 2018

Suicide is a behavior that is intended to cause death by itself and requires medical treatment, resulting in suicidal attempt or completion. Suicide causes loss of life, damages the body, costs a lot of medical expenses, and causes families to fall into sorrow and suffering therefore this suicide is a huge loss to family and society. There have been attempts to reduce and prevent suicide by understanding the mechanism of suicide. The mechanism of suicide can be thought of as psychological mechanism and biological mechanism. In the past, if we considered the psychological and biological mechanisms separately, the development of neuroscience now connects and integrates these two. Psychological factors affect biological factors and biological temperaments also affect perception or thinking about the situation and increase psychological vulnerability. Distant factors in suicidal behavior-such as childhood adversity and family and genetic predisposition-increase the lifetime risk of suicide. They alter the response to stress and other processes through changes in gene expression and regulation of emotional and behavioral characteristics. Distant factors affect the biological system and consequently changes in these systems can increase the risk of suicide. In other words, the distal factor does not directly induce suicidal behavior but rather acts indirectly through developmental or mediating factors. These mediating factors are impulsive aggressive and anxious trait, and chronic use of substances. The mechanism of this disorder is the abnormality of the serotonin system and the abnormality of the lipid level. Proximal factors are associated with the onset of suicide events and include changes in the major neurotransmitter systems, inflammatory changes, and dysfunction of glial cells in the brain. A series of studies, including a variety of research methods and postmortem and in-vivo imaging studies, show the impairment of the serotonergic neurotransmitter system and hypothalamic-pituitary-adrenal axis stress response system for suicidal behavior. These disorders lead to suicidal behavior due to difficulty in cognitive control of mood, pessimism, reactive aggression, abnormality in problem solving abilities, excessive response to negative social signals, severe emotional distress, and cognitive dysregulation of suicidal ideation.

• Safety and Health at Work
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• v.12 no.1
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• pp.102-107
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• 2021

Background: This study was conducted to identify the association between sleep duration and suicidal ideation among farmers in Korea. Methods: We used Safety for Agricultural Injuries of Farmers cohort data collected from September 2015 to June 2018, which was an agricultural survey on the health and behaviors of adult farmers in Jeju island, Korea. Results: A total of 964 participants were included in the analysis, and 3.7% of them were identified with having suicidal ideation. The frequencies of average daily sleep duration of <6 h (short sleep), 6-8 h (normal sleep), and >8 h (long sleep) were 24.4%, 70%, and 5.6%, respectively. Multivariate analyses revealed that short sleep duration was significantly associated with suicidal ideation compared with normal sleep duration (odds ratio = 2.49, 95% confidence interval = 1.07-5.77). Conclusion: Our findings suggest that short sleep duration in farmers result in higher suicidal ideation. Because individuals who have suicidal ideation often commit suicide, careful monitoring is required to prevent suicide in farmers with short sleep duration.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.3
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• pp.333-344
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• 2009

Purpose: This study was done to identify differences in health habits, perceived stress, depression, and suicidal thinking by gender for elderly people who are living alone and elderly people who are living with others. Method: The study participants were 4,051 people aged 65 years and over who were surveyed in the Third Korea National Health and Nutrition Examination Survey in 2005. The relationship among outcomes and living arrangement by gender in elders was assessed using multiple logistic regression while controlling for sociodemographic characteristics. Results: Older men living alone were less likely to have breakfast and more likely to perceive stress and think of suicide than older men living with family or others. On the other hand, older women who live alone were less likely to perceive stress than older women who live with others. Age, educational level, income, and number of diseases were significantly associated with each individual outcome. Conclusion: This study showed that living alone has a significant impact on physical health habits and psychological health of elderly people, especially for older men. Therefore, living arrangement should be considered in developing a health promotion program for elders as well as age, gender, education, and income.

• Korean Journal of Community Nutrition
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• v.19 no.5
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• pp.479-489
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• 2014

Objectives: This study intended to determine significant factors that influence the health-related quality of life ("HRQoL"; EuroQol 5 Dimension health-related quality of life (EQ_5D) & EuroQol visual analogue scale (EQ_VAS)) of the elderly in Korea. Methods: This study was based on 3,903 subjects aged 65 years or more who participated in the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. The HRQoL was analyzed by various factors (general characteristics, health habits, mental health, chronic diseases, nutrient intakes). SPSS statistics for complex samples (Windows ver. 21.0) was used. Results: The HRQoL was higher in the males, those with higher educational level or higher income level while it was lower in those belong to single households. In particular, the EQ_5D was significantly higher in the group who reported walking practice, moderate physical activity (male), and the group who reported no vigorous physical activity (female). The EQ_VAS was significantly higher in the group who reported walking practice. Both EQ_5D and EQ_VAS were significantly lower in the group with stress, melancholy, suicidal thinking, and osteoarthritis. EQ_5D was significantly lower in the group with < 75% Estimated Energy Requirements (EER) in energy intake, and with < Estimated Average Requirements (EAR) in iron or niacin intake. A stepwise regression analysis revealed that i) higher educational level (male), and good self-rated health status significantly increased the EQ_5D, ii) age, alcohol intake (male), melancholy (female), suicidal thinking, osteoarthritis, and niacin intake deficiency (male) significantly decreased the EQ_5D, iii) higher income level (male) and good self-rated health status significantly increased the EQ_VAS, and iv) age (male), stress, suicidal thinking (female) and osteoarthritis significantly decreased the EQ_VAS. Conclusions: This study suggested that general characteristics, mental health, osteoarthritis, and niacin intake were associated with the HRQoL. Prospective research of long-term control is needed to establish the causal relationship between factors and the HRQoL.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.2
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• pp.92-103
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• 2021

This study was undertaken to examine the effects of social support, as well as avoidance coping, depression and suicidal ideation, of the elderly over 65 years, in G city. This was a descriptive survey study, enrolling 482 subjects from 9 elderly schools in G city, from October 31, 2019 to 1. Data collected were analyzed with t-test, ANOVA, Pearson's correlation coefficients and multiple regression, using the SPSS WIN 24.0 program. The average score of social support was 5.71±1.11, avoidance coping style 12.41±3.45, depression 6.33±2.77, and suicidal ideation 6.17±1.87. Suicidal ideation (r=0.292, p<0.001) positively correlated with avoidance coping, and negatively correlated with gender (r=-0.02, p=0.018), number of family (r=-0.12, p=0.008), social support (r=-0.19, p<0.001), and depression (r=-0.24, p<0.001). Results of regression indicated that gender, social support, avoidance coping style, and depression explained 12.8% of variance in suicidal ideation. Therefore, our results indicate the necessity to develop a support program that improves the social support, and addresses avoidance coping style, depression and suicidal ideation, thereby helping to reduce negative thinking amongst the community of seniors aged over 65 years.

• The Journal of Korean Society for School & Community Health Education
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• v.20 no.2
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• pp.25-36
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• 2019

Purpose: The purpose of this study was to examine the factors affecting of health screening among persons with disabilities. Method: The study examines the factors affecting of health screening using over 20 years of age who participated in the 2017 National survey of the disabled data. Subjects were 6,332 person with disabilities over 20 years of age. Data were analyzed using descriptive statistics, X2-test, multiple logistic regression with the SPSS win 21.0 program. Results: Health screening among persons with disabilities is differentiated with education level, marital status, Subjective House economic status, Health insurance, Economic activity, Type of disability, Grade of disability, Stress recognition, Depressive symptom, Suicidal thinking, Suicidal attempt, and grade of disability. The significant predictors of the health screening were age, Subjective House economic status, Economic activity, and Grade of disability. Conclusion: We should consider age, disability level, and economic level when developing a screening program for people with disabilities. Especially, the development and promotion of the health screening program for persons with disabilities and related education are required.

• The Journal of Korean society of community based occupational therapy
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• v.5 no.2
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• pp.43-55
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• 2015

Objective : This study was a meta-analysis of previous studies to examine the integration of related factors depression University students of Korea, and to determine the relative importance among the relevant factors based on it. Methods : 2000-2014 papers posted on the National Science and Technology Information Center (NDSL), Nurimedia (DBpia), Academic Research Information Service (RISS), Korea Research Information(KISS), provide the text of the Library of Congress were collected using the service. The Key words a 'University Student', 'Depression', 'Depression Factors' was used. Used the Down & Black level, evidence-based checklist was developed by the research (1998) (checklist) had analyzed the selected document metadata to assess the quality. Results : 47-studies selected research groups are divided into five factors(self-esteem, suicidal ideation, positive thinking, stresses, Internet and smartphone addiction). Using meta-analysis, we analyzed the effect sizes, statistical heterogeneity and publication amenities. As a result, the self-esteem of the five factors were not found heterogeneity. Effect size is a self-esteem and suicidal ideation "large effect size", positive thinking and stress "medium effect size", internet and smart phone addiction"small effect size". Conclusion : Self-esteem and suicidal ideation are among the factors associated with depression in University students of Korea was found that the most relevant. It identified the factors associated with depression in college students, and could utilized as basis for the prevention of depression.