• 생물정신의학
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• 제25권4호
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• pp.118-124
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• 2018

Objectives Although impulsivity has long been thought as an important factor influencing suicidal behaviors, it is unknown whether impulsivity increases the risk of dying from suicidal behaviors and what specific component among constructs of impulsivity contributes to the risk of dying among suicide attempters. Methods To elucidate the association between impulsivity and medical lethality of suicide attempt among suicide attempters, we consecutively recruited 46 suicide attempters who visited an emergency room of a general hospital located in a metropolitan area, Seoul, Republic of Korea, due to suicide attempts and consented to participate in this study. Then we assessed medical lethality with the Beck Lethality Scale (LS) and impulsivity with the Korean version of the Barratt Impulsiveness Scale-11-Revised (BIS). Demographic variables were obtained from medical records and structured social work reports for suicide attempters. Results Although total scores of the BIS did not correlate with LS scores, only the scores of self-control, that is one of the Barrett's six theoretical constructs of impulsivity in which the higher score indicates less self-control and more impulsivity, had a significant positive correlation with scores of LS (p = 0.003). The association remained significant after adjusting for variables known to affect suicide lethality such as job status, recent alcohol consumption, diagnosis of depressive disorders, and having a plan for suicide (${\beta}=0.429$, p = 0.009). Conclusions Not impulsivity in general, but poor self-control, in particular, predicts lethal suicidal behaviors among suicide attempters. The degree of self-control should be evaluated when assessing patients with elevated suicide risk, and proper measures should be installed to prevent possible future lethal suicide attempts.

• Child Health Nursing Research
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• 제30권1호
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• pp.67-74
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• 2024

Purpose: This study aimed to identify the general characteristics and health behaviors of students with non-therapeutic substance use. Methods: This secondary data analysis used data from the 17th Korea Youth Risk Behavior Web-based Survey (2021). Analyses of the 54,848 adolescents used descriptive statisics, the Rao-Scott χ² test, and logistic regression. Results: The risk factors for substance use among students were anxiety, loneliness, living separately from family, suicidal ideation, e-cigarette use, and high stress. Conclusion: The findings help identify the risk factors for non-therapeutic drug use among adolescents. Since South Korea does not have a drug prevention program for its adolescent population, an educational plan based on these findings could help prevent adolescent substance abuse.

• 대한간호학회지
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• 제49권6호
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• pp.701-712
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• 2019

Purpose: Despite the high drinking rates and the complexity of drinking behaviors in adolescents, insufficient attention has been paid to their drinking patterns. Therefore, we aimed to identify patterns of adolescent drinking behaviors and factors predicting the distinct subgroups of adolescent drinking behaviors. Methods: We analyzed nationally representative secondary data obtained in 2017. Our final sample included 24,417 Korean adolescents who had consumed at least one glass of alcohol in their lifetime. To investigate patterns of drinking behaviors, we conducted a latent class analysis using nine alcohol-related characteristics, including alcohol consumption levels, solitary drinking, timing of drinking initiation, and negative consequences of drinking. Furthermore, we investigated differences in demographics, mental health status, and characteristics of substance use across the latent classes identified in our study. To do so, we used the PROC LCA with COVARIATES statement in the SAS software. Results: We identified three latent classes of drinking behaviors: current non-drinkers (CND), binge drinkers (BD), and problem drinkers (PD). Compared to the CND class, both BD and PD classes were strongly associated with higher academic year, lower academic performance, higher levels of stress, suicidal ideation, lifetime conventional or electronic cigarette use, and lifetime use of other drugs. Conclusion: Health professionals should develop and implement intervention strategies targeting individual subgroups of drinking behaviors to obtain better outcomes. In particular, health professionals should consider different characteristics across subgroups of adolescent drinking behaviors when developing the interventions, such as poor mental health status and other substance use among binge and problem drinkers.

• 한국학교보건학회지
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• 제29권1호
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• pp.11-21
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• 2016

Purpose: The purposes of this study were to check the obesity of middle and high school students in the nation and identify factors influencing their obesity. Methods: The present study is a secondary analysis research that obtained permission to use the primitive data of 10th (2014) Online Survey on Adolescents' Health Behaviors by the Korea Centers for Disease Control and Prevention and analyzed the primitive data according to the purposes. Results: The findings show that the BMI of middle and high school students in the nation was $20.7kg/m^2$ with the obesity and non-obesity group recording $27.0kg/m^2$ and $19.9kg/m^2$, respectively. Factors influencing the obesity of adolescents include gender, grade, educational background of parent, school grades for the last 12 months, satisfaction with sleep, fast food consumption, ramen consumption, intense and muscle exercise three times a week or more, subjective sense of health, stress, suicidal ideation, and hours of Internet usage per week. Conclusion: For the management of adolescent obesity, there is a need for obesity management programs taking the characteristics of male students into consideration. The possibilities of obesity grow according to the grades, which means that both the teachers and parents should offer more guidance on weight control in upper grades. The adjustment of adolescent obesity requires psychological health management including stress and suicidal ideation as well as diet control and exercise. It is also needed to apply a stepwise obesity management program according to the hours of internet usage and dependence on the internet

• 한국산학기술학회논문지
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• 제19권9호
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• pp.251-260
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• 2018

본 연구의 목적은 자살에 영향을 미칠 수 있는 일반적 특성들과 동시에 체질량지수(Body Mass Index, BMI)를 통제함으로써 체형지수(A Body Shape Index, ABSI)가 자살생각과 자살시도와 어떠한 관련성이 있는지에 대해 알아보는 것이다. 2013년부터 2015년까지 질병관리본부의 제 6기 국민건강영양조사 자료를 이용하였으며, 자살행동에 영향을 미칠 수 있는 변수들에 대한 정보가 없는 자들을 대상에서 제외한 총 13,155명을 대상으로 카이제곱검정과 다변량 로지스틱회귀분석을 실시하였다. 분석 결과는 BMI에서 '비만'에 해당하는 자들이 BMI에서 '표준'에 해당하는 자들보다 자살생각과 자살시도가 높았고, ABSI에서는 Q3에 해당하는 그룹이 Q1에 해당하는 그룹에 비해 자살생각이 높았다. 자살시도는 ABSI에서 Q3에 해당하는 그룹이 Q1 그룹에 비해 3.623배(95% CI 1.027-12.772) 높았으며 유의한 결과를 보였다. 본 연구의 결과는 BMI와 비교하여 ABSI가 높이 나타나면 단순히 자살생각보다는 자살시도라는 더욱 극단적인 선택을 할 수 있음을 의미하는 것으로 우리사회는 ABSI가 높은 자에 대해 사회적인 관심과 적절한 관리를 할 수 있도록 해야 할 것이다.

• 정신신체의학
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• 제18권1호
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• pp.40-47
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• 2010

연구목적 : 자기신체상은 자아존중감과 체중조절행위와 밀접한 연관이 있고 특히 여자 청소년에서는 중요한 관련이 있다고 알려져있다. 이 연구는 체질량지수로 측정한 신체이미지와 식이장애와 연관된 비정상식이행동이 우울증과 자살사고에 미치는 영향을 알아보고자 한다. 방 법 : 서울 한 지역의 고등학교 여학생 239명을 대상으로 체질량지수를 측정하고, 청소년을 위한 식이태도검사(Eating Attitude Test for Korean Adolescents), 자아존중감척도, 충동성척도, 벡 우울척도, 벡 자살사고 척도를 시행하였다. 결 과 : 연구대상에서 식이장애 위험군은 총 10%(24명)이었다. 대조군에 비해 우울증상을 강하게 경험하고 있었고 현재 체질량지수와 이상적 체질량지수의 차이가 클수록 우울감, 자살사고, 비정상적 식이행동의 정도가 커지고 자아존중감은 낮아졌다. 그중에서 체질량지수의 차이가 통계적으로 가장 의미있는 예측인자였다. 결 론 : 연구대상군이 전체적으로 정상체중 범위임에도 불구하고, 현재의 체형과 이상적 체형사이의 괴리가 클수록 우울과 자살사고가 컸다. 여자 청소년의 식이장애 발생과 우울, 자살사고의 예방을 위해 체중조절, 정상식이습관에 대한 교육적 접근이 필요하다는 것을 알 수 있었다.

• 대한간호학회지
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• 제53권5호
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• pp.538-555
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• 2023

Purpose: This qualitative study used interpretative phenomenological analysis and photovoice methods to explore the meaning of non-suicidal self-injury experienced by adolescents. Methods: Participants were adolescents enrolled in middle and high schools in Gyeonggi-do and Jeollabuk-do who were selected through snowball sampling. Six participants had repeatedly engaged in self-injurious behavior for over a year. Data were collected through in-depth interviews and the photovoice method between November 2020 and July 2021. The collected data were analyzed using six steps of interpretative phenomenological analysis. Results: The results yielded 5 main themes and 18 subthemes. The main themes were 'a silent cry to an indifferent world', 'a heartache that one endures with scars', 'an inescapable cycle', 'filling the space in one's heart', and 'healing the wounds'. The study findings revealed that the self-injurious behavior of adolescents began as a consequence of feeling lost and struggling with conflicts at home and school, which helped them relieve tension and pain. Nonetheless, inflicting self-injury only left signs of regret and remorse, which became a trace that the participants wanted to hide. However, the wounds healed after receiving attention and support from others. They were determined to stop engaging in repeated self-injurious behaviors and made efforts to do so. Conclusion: This study can be used as a basis for the development of educational programs to prevent non-suicidal self-injury in adolescents. Additionally, it can inform nursing interventions that focus on building support systems to help adolescents who attempt self-injury.

• 한국보건간호학회지
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• 제25권2호
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• pp.289-301
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• 2011

Purpose: This study was conducted to investigate the level of health behaviors, perceived health status, emotional and cognitive conditions and depression of the elderly residence in homeless shelters, and to identify related factors on their depression. Method: This was a descriptive study using a questionnaire. Geriatric Depression Scale (GDS-15) was used for examining depression, and other questionnaire were adopted and modified from the customized visiting health care service. Result: The 41 subjects displayed mild depression ($5.34{\pm}3.33$). The majority were non-smokers (73.2%) and non-drinkers (85%), and 81.1% of the subjects did light activities with 74.4 % performing regular exercise more than once per week. Perceived health status was above average in 70.7%, and feeling stress (70.7%), suicidal thoughts (12.2%) and abnomal KDSQ-C (29.3%) were shown in emotional and cognitive conditions. Depression had a significant relationship with regular exercise (t=3.61, p=.001), perceived health status (t=3.47, p=.041) and suicidal thoughts (t=2.85, p=.007). Conclusion: It is necessary to increase shelters for the elderly homeless and construct the system for examining not only their physical health but also their psychological problems, and to ensure long- term care recognizing their unique characteristics and needs, and their increasing number.

• 한국치위생학회지
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• 제21권4호
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• pp.349-356
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• 2021

연구목적: 본 연구는 다문화가정 청소년의 정신건강과 구강자각증상과의 관련성을 알아보고자 한다. 연구방법: 청소년건강행태 온라인 조사의 자료를 바탕으로 정신건강은 스트레스, 우울, 자살생각을 조사하였고, 구강자각증상은 외상, 통증, 잇몸출혈을 조사하였다. 일반적 특성에 따른 정신건강, 구강자각증상은 복합표본 교차분석을 시행하였고, 정신 건강과 구강자각증상의 관련성은 복합표본 로지스틱회귀분석을 시행하였다. 연구결과: 스트레스와 우울은 통증과 잇몸출혈이 관련성이 있었고, 자살생각은 외상과 관련이 있었다. 결론: 본 연구결과, 다문화가정 청소년의 정신건강에 따른 구강건강을 위한 구강보건계획 및 방안이 마련되어야 할 것이다.

• 지역사회간호학회지
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• 제26권3호
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• pp.190-198
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• 2015

Purpose: This study aimed to compare health risk behaviors among adolescents according to whether or not the parents were born in South Korea. Methods: From the database of the ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers classify adolescents into four groups: those whose parents were both native Korean, those whose mother only was a native Korean, those whose father only was a native Korean, and those whose parents were both foreign-born. Data were analyzed using ${\chi}^2$-test and multiple logistic regression with the SPSS/WIN 18.0 program. Results: The adolescents with a foreign-born mother were less likely to smoke and drink alcohol than those with native Korean parents, but for other health risk behaviors the two groups were similar to each other. The adolescents with a foreign-born father were at a greater risk of drug use, intercourse, depression and violence at school than those with native Korean parents. The adolescents whose parents were born abroad were at a greater risk of smoking, drug use, intercourse, depression, suicidal ideation and violence at school than those with native Korean parents. Conclusion: Health promotion approaches differentiated by the type of multi-cultural family are needed in order to improve multi-cultural adolescents' health.