• 보건교육건강증진학회지
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• 제31권5호
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• pp.147-158
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• 2014

Objectives: This study aims to examine the association of depression, suicidal behaviors with smartphone use behaviors among Korean adolescents. Methods: We analyzed data from 'Youth Health and Life Skills Survey' in 2013. The survey was based on self-reported questionnaires distributed to 915 grade 7th and 8th students at four middle schools in Gangdong-gu, Seoul, Korea in 2013 to evaluate the effects of 'Youth Health and Life Skills' program. Depression and suicidal behaviors were measured in terms of the experience rate, and smartphone use behaviors were measured with average hours of smartphone use a day and overindulged behaviors in smartphone use by using 5-point Likert scales. We examined the association of depression and suicidal behaviors with smartphone use behaviors by using t-test and regression analyses. Results: 21.5% of respondents have ever felt depressed or hopeless to lose interest in school life almost everyday for 2 weeks or longer in the past year. The experience rate of suicidal ideation, suicide plan, and suicidal attempt were 21.1%, 6.1%, and 5.7%, respectively. The mean of average hours of smartphone use a day was 3.9 hours, and the mean score of overindulged behaviors in smartphone use was 2.99. The students who have experienced depression and suicidal behaviors were more likely to have more smartphone using time and higher scores of overindulged behaviors in smartphne use than those who have not. Conclusion: We concluded that for preventing addictive or problematic smartphone use behaviors among adolescents we should consider and develop more positive strategies for the moderate use of smartphone than regulatory measures, which include the implementation of skill-based health education program including life skills at schools and the development of smartphone applications useful for resolving mental stress and promoting mental health.

• 생물정신의학
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• 제13권4호
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• pp.244-251
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• 2006

Depression is a frequent cause of suicide. Although there have been reports that SSRIs might increase suicidal ideations and behaviors, most studies found antidepressants are effective treatments of suicidal ideations and behaviors. Antidepressants have also been shown to have prophylactic effects in preventing suicidal behaviors. Most double-blind studies do not suggest a causal relationship between antidepressant and the increased suicidality. Our review results suggest that the undertreatments of depression are more significant problems with the use of antidepressants in suicidal patients.

• 한국인구학
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• 제33권2호
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• pp.61-84
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• 2010

본 연구의 목적은 가까운 사회적 관계의 자살경험이 자살생각과 행동에 미치는 영향을 실증적으로 분석하고 자살의 위험요인이자 보호요인으로서의 가족효과를 검증하는 데 있다. 이를 위해 전국 18세 이상의 남녀를 대상으로 수집된 2009년 한국종합사회조사(KGSS) 자료를 분석하였다. 분석결과는 사회적 관계 내의 자살경험이 응답자의 자살생각과 행동에 유의미한 영향을 미칠 수 있음을 보여준다. 즉, 가까운 사람 중 자살을 생각하거나 자살한 사람이 있는 응답자의경우 그렇지 않은 응답자에 비해 자살을 생각하거나 계획할 확률이 높았다. 또한 가족요인이 응답자의 자살생각 및 행동에 강한 영향을 미치는 것으로 드러났다. 가족스트레스가 높을수록 자살생각, 자해충동, 자살계획 및 자살시도를 할 확률이 높았으며, 반면 가족지지에 대한 기대가 높을수록 자살생각, 자살계획 및 자살시도의 확률은 감소하였다. 본 결과는 사회적 관계를 통한자살확산의 가능성과 자살에 대한 가족의 이중적 효과를 보여준다. 이는 현재 한국사회의 자살률이 계속적으로 증가하고 있는 상황에서 가족 등 가까운 사회적 관계의 건강성에 주목할 필요가 있다는 것을 의미한다. 더불어 사회적 관계 내 자살을 경험하는 사람들이 자살위험에 노출될 가능성이 높다는 사실은 이러한 취약집단에 대한 정책적 배려가 필요하다는 사실을 말해준다.

• 한국산학기술학회논문지
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• 제15권3호
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• pp.1606-1614
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• 2014

청소년의 자살생각, 자살계획, 자살시도와 관련된 요인을 분석하여, 청소년의 자살예방 프로그램개발에 기초자료로 이용할 목적으로 2012년 청소년건강행태 온라인 조사 원시자료를 이용하여 연구를 실시하였다. 연구결과 자살생각, 자살계획, 자살시도에 영향을 미치는 요인 중 일반적 특성은 성별, 학년, 학업성적, 경제적 상태, 부모 동거 여부, 주관적으로 인지하는 건강상태였다. 건강행태 관련 특성 및 정서적 특성으로 음주, 흡연, 주단위 중증도 운동, 체중 조절 노력, 주관적 수면 충족률, 스트레스, 우울이었다. 특히 음주, 흡연, 스트레스 등 건강위험 행위를 하는 경우 자살행동이 높은 것으로 나타났다. 자살을 예방하기 위해서는 건강위험행위에 대한 예방교육과 프로그램이 필요하며, 우울이 자살행동으로 발전되지 않도록 우울 감소를 위한 적극적인 관심과 예방대책이 필요하다.

• 대한간호학회지
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• 제45권2호
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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.

• 대한불안의학회지
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• 제8권2호
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• pp.141-145
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• 2012

Objective : The purpose of this study was to describe and compare trends in suicidal ideation, suicidal attempt and suicide in Republic of Korea from 2006 to 2011. Such data are needed to guide policies to reduce suicidal behaviors. Methods : Data came from the 2006-2010 Korea National Health and Nutrition Examination Survey, Korea National Statistical Office and 2006-2011 Korean Epidemiologic Catchment Area Study Replication and 2007-2011 National Emergency Department Information System. Results : No change occurred between 2006-2011 in suicidal ideation, suicidal attempt, whereas suicide rate increased annually. Suicidal attempt events was decreased in age over 50. Suicidal attempts by poisoning and hanging have increased, although suicide caused by poisoning of insecticide have decreased. Especially, suicides caused by hanging have gradually increased in both sex. Conclusions : These finding suggest that fatal suicidal methods may influence increased suicidal rate. Instead of traditional suicidal process, investigation of other pathway about suicidal behaviors should be needed.

• 대한간호학회지
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• 제32권2호
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• pp.254-264
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• 2002

This study was conducted to identify and compare the stressors and coping behaviors of high school students who experienced suicidal ideation vs those who do not. Method: The data were collected from 1,441 high school students living in the middle region of Korea. Researchers collected the data using Adolescent Stress Inventory and Adolescent Coping questionnare from February to May of 1999. Data were analyzed using X2, T-test. Result: A significant proportion (31.9%) of subjects had thought about suicide during the past 6 months, 297 girls (35.3%) and 163 boys (27.2%). Major stressors of subjects who experienced suicidal ideation were academic problems, conflicts between family members, and changes in sleeping or eating patterns. Conflicts with family members contributed to have suicidal ideation. There was no significant difference in helpful coping behaviors between the two groups. The group who experienced suicidal ideation had lower scores and fewer coping behaviors. Boys perceived more stressors and had fewer helpful coping behaviors than girls. Conclusion: It is necessary to develope school-based suicide prevention programs. Our findings suggest that the program should focus on problems related to studying and conflicts within the family.

• 한국심리학회지 : 문화 및 사회문제
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• 제29권1호
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• pp.75-99
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• 2023

본 연구는 심리부검을 통해 완결된 자살자의 자살행동과 자살위험요인을 탐색하고 이를 지표로 자살 유형을 살펴보는 데 목적이 있다. 또한 각 유형에 영향을 미치는 영향요인을 이차적으로 살펴보고자 하였다. 본 연구를 위해 128명의 완결된 자살자와 관련 유가족과 지인을 대상으로 심리부검 면담을 실시했고 유형 분석에 필요한 지표변수를 최종 선정하였다. 자살위험요인 지표변수로 정신장애, 자살/자해, 중대한 신체변화, 배우자간 갈등, 직장/학교 내 적응 및 관계문제, 실직/해고, 사업실패, 무직, 심각한 재정적 문제가 선정되었다. 자살행동 지표변수로 자살의지표현, 자살유서, 구조도움요청, 자살시간/장소/방법, 과거 자살/자해 시도, 자살자 최초발견이 선정되었다. 잠재계층분석(Latent Class Analysis)과 3단계 분석 방법(3-step method)을 이용하여 유형을 분석하였고 각 유형에 대한 차이를 규명하고자 외부변수(경제적 변화, 동거, 스트레스 존재/변화, 관계변화, 가족 중 정신장애/알코올문제/신체질병, 학교/직장 만족)를 활용하였다. 분석 결과 자살행동을 기반으로 한 유형 분석에는 5가지 계층(경제문제, 적응문제, 복합문제, 정신과문제, 사건반응), 자살위험요인을 기반으로 한 유형 분석에서는 3가지 계층(주거지-자살시도-가족발견형, 비주거지-비자살시도-지인발견형, 주거지-비자살시도-가족발견형)이 탐색되었다. 자살행동 기반 3가지 유형 간에는 성별, 결혼상태, 동거여부, 관계변화에서 유의미한 차이를 보였고 특히 유형 3(주거지-비자살시도-가족발견형)의 경우 다른 유형에 비해 동거중인 상태로, 기혼자일 가능성이 높고 대인관계 갈등이 두드러졌다. 자살위험요인 기반 5가지 유형 간에는 경제적 변화, 동거, 스트레스, 관계변화, 가족 관련 문제, 학교/직장 만족도에서 차이를 보였는데 특히 유형3(복합문제)은 상대적으로 가족 관련 문제는 없으나 개인적인 스트레스 발생과 악화가 두드러졌다. 향후 해당 유형과 유형별 영향요인에 맞는 자살예방과 위기개입 방안이 필요할 것으로 보인다.

• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.455-463
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• 2022

Objectives: Economic hardship has a serious impact on adolescents' mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents' suicidal behaviors. Methods: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.

• 부모자녀건강학회지
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• 제20권2호
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• pp.49-57
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• 2017

Purpose: This study was to compare the health behaviors and factors influencing on suicidal ideation according to the gender among adolescents with asthma and to examine the relationship between them. Methods: The data was obtained from the 2014 youth's risk behavior web-based study in South Korea. The data were analyzed with the SPSS/Win 21.0 program, using descriptive statistics, $x^2$ test and multiple logistic regression. Results: As the result of multiple logistic regression, the factors of health behaviors and risk related to suicidal ideation were subjective happiness, stress, depression, drug use, treatment experience due to violence in both male and female. In female, physical activity and alcohol drinking were factors related to suicidal ideation. Conclusion: Therefore, we have to develop suicide prevention program, to decrease the suicidal ideation of adolescents considering such differences by gender differences.