• 한국학교ㆍ지역보건교육학회지
• /
• 제13권3호
• /
• pp.113-125
• /
• 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.

• 지역사회간호학회지
• /
• 제31권1호
• /
• pp.86-95
• /
• 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.

• 지역사회간호학회지
• /
• 제17권1호
• /
• pp.112-124
• /
• 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.

• 생물치료정신의학
• /
• 제24권3호
• /
• pp.129-141
• /
• 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
• /
• 제12권1호
• /
• pp.102-107
• /
• 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.

• 기본간호학회지
• /
• 제16권3호
• /
• pp.333-344
• /
• 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.

• 대한지역사회영양학회지
• /
• 제19권5호
• /
• pp.479-489
• /
• 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.

• 한국학교ㆍ지역보건교육학회지
• /
• 제25권2호
• /
• pp.15-26
• /
• 2024

목적: 본 연구의 목적은 청소년들의 전자담배 사용경험과 스트레스, 자살생각, 범불안장애와 같은 정신건강과의 관계를 알아보기 위함이다. 방법: 제19차(2023년) 청소년 건강행태조사를 바탕으로 교차분석과 복합설계 로지스틱 회귀분석을 통해 전자담배사용과 정신 건강과의 관계를 규명하였다. 결과: 남자청소년의 경우 전자담배 평생 사용경험(OR:1.218)과 현재 전자담배 사용경험(OR:1.266), 여자청소년의 경우 전자담배 평생 사용경험(OR:1.587)이 스트레스에 영향을 미치는 요인이었다. 남자청소년의 전자담배 평생 경험(OR:1.866)과 현재 사용(OR:1.651)이 자살생각에 영향을 미쳤으며, 여자청소년의 경우 전자담배 평생 경험(OR:2.375과 전자담배 현재 사용(OR:1.841)이 자살생각에 영향을 미치는 요인으로 나타났다. 또한 남자청소년의 전자담배 평생경험(OR:1.307)과 여자청소년의 전자담배 평생경험(OR:1.616)은 범불안장애에 영향을 미치는 요인으로 나타났다. 결론: 청소년의 전자담배 사용과 정신건강 사이에는 유의한 관계가 있기에 청소년기 초기에 전자담배사용 예방 교육이 필요하다.

• 한국산학기술학회논문지
• /
• 제22권2호
• /
• pp.92-103
• /
• 2021

본 연구는 G시 65세 이상 노인의 사회적 지지와 회피적 대처방식 및 우울이 자살생각에 미치는 영향을 파악하기 위해 시도되었다. 연구방법은 G시 9곳의 노인대학을 이용하는 노인 482명을 대상으로 한 서술적 조사연구로, 2019년 10월 7일부터 2019년 10월 31일까지 자료를 수집하였다. 연구 통계방법은 IBM SPSS 24.0 프로그램을 t-test, ANOVA, 피어슨 상관관계분석, 다중회귀분석을 이용하였다. 그 결과, 연구대상자의 사회적 지지의 평균점수는 5.72±1.11점, 회피적 대처방식의 평균점수는 6.33±3.45점, 우울의 평균점수 6.33±2.77 그리고 자살생각 평균점수는 6.17±1.87점이었다. 대상자들의 자살생각은 회피적 대처방식(r=.29, p<.001)은 통계적으로 유의한 양의 상관관계, 성별(r=-.02, p=.018), 가족수(r=-.12, p=.008) 사회적 지지(r=-.19, p<.001) 그리고 우울(r=-.24, p<.001)은 음의 상관관계 있는 것으로 나타났다. 그리고 연구대상자의 자살생각에 영향을 미치는 요인을 다중회귀분석 한 결과, 성별, 회피적 대처방식 및 우울이 영향을 미치는 요인으로 설명력은 12.8%로 나타났다. 이상의 본 연구 결과를 토대로 성별, 사회적 지지, 회피적 대처방식 및 우울이 영향을 미치는 것을 확인할 수 있었다. 그러므로 지역사회 65세 이상 노인의 사회적 지지를 향상시키고 회피적 대처방식, 우울 및 자살생각의 부정적인 사고를 감소시켜 노인의 자살을 예방할 수 있는 프로그램 개발과 지원이 필요하다.

• 한국학교ㆍ지역보건교육학회지
• /
• 제20권2호
• /
• pp.25-36
• /
• 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.