• 제목/요약/키워드: Suicidal ideation, Korea

검색결과 331건 처리시간 0.022초

The Mediating Role of Depression Severity on the Relationship Between Suicidal Ideation and Self-Injury in Adolescents With Major Depressive Disorder

  • Kang, Byungjoo;Hwang, Jaeuk;Woo, Sung-il;Hahn, Sang-Woo;Kim, Minjae;Kim, Younggeun;Jin, Hyeonseo;Jeon, Hong Jun;Lee, Yeon Jung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제33권4호
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    • pp.99-105
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    • 2022
  • Objectives: Suicide is the leading cause of death among adolescents in South Korea, and depression and personality profiles have been identified as significant risk factors for self-injurious behavior. This study examined the influence of depressive mood and temperament/character on self-injury in adolescents. Methods: A total of 116 adolescents (aged 12-18 years) with a primary diagnosis of major depressive disorder (MDD) and their parents were enrolled in this study. The participants were divided into three groups based on adolescent's self-injury frequency, and their Children's Depression Inventory (CDI), Youth Self-Report (YSR), and Temperament and Character Inventory (TCI) scores were compared. Finally, mediation analysis was conducted to investigate the relationship between suicidal ideation and self-injury. Results: Of study participants, 75.9% answered that they had suicidal ideation, and 55.2% answered that they had engaged in self-injurious behavior in the last six months. There were significant differences in CDI and suicidal ideation among the groups. After adjusting for age and sex, mediation analysis indicated that depressive mood mediated the relationship between suicidal ideation and self-injury. Conclusion: This study emphasizes the importance of evaluating and managing depressive mood severity in adolescents with MDD as these factors partially mediate the transition from suicidal ideation to self-injury.

여자 청소년의 성폭력 피해 경험과 자살생각의 관계 - 부모-자녀 간 TSL 의사소통의 조절효과 - (A Study on the Effect of Female Adolescent's Sexual Assault to Suicidal Ideation - Moderating Effect of Parent-adolescent TSL communication -)

  • 김재엽;황성결
    • 한국사회복지학
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    • 제69권4호
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    • pp.75-97
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    • 2017
  • 본 연구의 목적은 여자 청소년의 성폭력 피해 경험이 자살생각에 미치는 영향을 알아보고, 부모-자녀 간의 TSL 의사소통의 조절 효과를 검증하는데 있다. 본 연구는 전국의 중고등학교 13곳의 중1부터 고2까지 여자 청소년 1,032명을 대상으로 조사하였으며, 다중회귀분석을 활용하여 분석하였다. 연구 결과는 첫째, 조사대상자의 16.2%가성폭력 피해 경험이 있었다. 둘째, 여자 청소년의 성폭력 피해 경험은 자살생각의 위험요인으로 검증되었다. 셋째, 부모-자녀 간 TSL 의사소통은 성폭력 피해경험에 따른 자살생각에 주요한 보호요인으로 검증되었다. 이와 같은 연구 결과를 통해 청소년의 성폭력 피해 예방을 위한 개입 방안과 성폭력 피해 청소년의 자살생각을 감소시키기 위한 가족 기능 강화 방안에 대하여 논의하였다.

2016 자살 관련 지표들과 추이 (Suicide Related Indicators and Trends in Korea in 2016)

  • 양지은;주영준;박은철;장성인
    • 보건행정학회지
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    • 제28권1호
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    • pp.87-90
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    • 2018
  • Suicide has been a public health issue in many countries, and Korea has ranked highest suicide rate among Organization for Economic Cooperation and Development (OECD) countries over a decade. To address these issues, we updated the recent trends in suicidal ideation and suicide attempts among Korean adults followed by previous data observation. We used data from five sources: Korean National Health and Nutrition Examination (KNHANES, '07-12, '13, '15-16), Korean Community Health Survey (KCHS, '08-09, '13), Korean Wealth Panel Study (KOWEPS, '12-16), Korea Health Panel Survey (KHP, '10-13), and cause of death data from Statistics Korea ('07-16). We used weighted frequencies and trend tests. The rate of suicidal ideation as recent year was 5.10% (KNHANES, '15), 8.95% (KCHS, '13), 2.08% (KOWEPS, '16), and 5.39% (KHP, '13). That of suicide attempts as recent year was 0.59% (KNHANES, '16), 0.41% (KCHS, '13), and 0.08% (KOWEPS, '16). Annual percentage change of suicidal ideation was -2.80% (KNHANES, '07-12), 5.78% (KNHANES, '13-15), 0.62% (KCHS, '08-13), -8.50% (KOWEPS, '12-16), and -10.94% (KHP, '10-13). Annual percentage change of suicide attempts was -3.84% (KNHANES, '07-12), 2.26% (KNHANES, '13-16), -2.53% (KCHS, '08-13), and -20.22% (KOWEPS, '12-16). Annual percentage change of death by intentional self-harm was -0.49% (Statistics Korea, '07-16). Individuals who had lower income level were more likely to experience suicidal ideation and suicide attempts. According to these results, the rate of suicidal ideation and suicide attempts showed the decreasing tendency. However, the suicide rate of Korea has remained higher than that of OECD countries. Thus, continuous data observation and effective policies on suicide are needed.

농촌지역에 거주하는 독거 당뇨병 노인의 자살사고 관련 요인 (Related Factors of Suicide Ideation in Elderly People with Diabetes Mellitus Living Alone in Rural Area)

  • 강문희;안유진
    • 산업융합연구
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    • 제20권10호
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    • pp.79-86
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    • 2022
  • 본 연구의 목적은 농촌지역에 거주하는 독거 당뇨병 노인의 자살사고에 영향을 미치는 요인을 파악하는 것이다. 본 연구는 서술적 조사연구이다. 연구대상자는 O 지역에 거주하는 당뇨병을 진단받은 만 65세 이상 노인 466명이다. 수집된 자료는 SPSS 26.0 프로그램을 이용하여 서술통계, t-test, χ2-test, 로지스틱 회귀분석을 활용하여 분석하였다. 연구대상자 중 자살사고가 있다고 응답한 대상자는 27.3%이었고. 인지기능이 낮을수록(t=-4.23, p<.001), 우울(t=9.56, p<.001) 및 외로움(t=4.88, p<.001) 이 높을수록 자살사고에 유의한 차이가 있었다. 자살사고 관련 요인은 인지기능(OR=0.86, p<.001), 우울(OR=1.18, p<.001) 및 외로움(OR=1.17, p=.001)으로 나타났으며, 이 요인들은 대상자의 자살사고를 32.2%를 설명하였다. 따라서 농촌지역에 거주하는 독거 당뇨병 노인의 자살사고를 감소시키기 위해 인지기능, 우울 및 외로움을 향상시킬 수 있는 중재가 필요하다.

청소년의 학교생활적응과 자살생각에 관한 종단적 관계연구: 한국아동·청소년패널조사를 중심으로 (A Longitudinal Study on the Correlation between School-life Adjustment and Suicidal Ideation in Adolescents based on the Korean Children and Youth Panel Survey)

  • 양수정;이종은
    • 지역사회간호학회지
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    • 제31권1호
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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.

전기·후기 노인의 자살생각 영향 요인에 관한 연구: 개인체계, 가족체계, 지역사회체계 요인을 중심으로 (A study on the Influencing Factors of Suicidal Ideation of the Young-old and Old-old Elderly in South Korea: Focusing on the Individual, Family, and Community System Factors)

  • 정규형;고아라
    • 한국가족복지학
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    • 제53호
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    • pp.45-78
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    • 2016
  • 본 연구의 목적은 노인을 전기(65-74세)와 후기(75세 이상)로 구분지어 각각 자살생각에 미치는 영향요인이 무엇인지 생태체계적 관점에서 파악하는 것이다. 분석 자료는 2014년도 노인실태조사 자료 중 배우자가 있는 전기노인과 후기노인 총 6,201건이다. 노인의 자살생각에 대한 특성을 살펴보기 위해 $X^2$검정을 실시하였고, 자살생각 영향요인을 파악하기 위해서 이항 로지스틱회귀분석을 진행하였다. 분석 결과 전기 후기노인의 자살생각에 영향을 주는 요인에는 유의미한 차이를 보였다. 개인체계 측면 중 인구사회학적 측면의 변수들은 전기노인 보다 후기노인의 자살생각에 더 많은 영향을 미쳤으며, 건강 측면의 변수는 후기노인에게만 영향을 미쳤다. 경제 측면의 변수들은 전기노인에게만 유의미한 영향을 주었다. 가족체계 측면에서는 부부관계와 부부갈등이 전기노인의 자살생각에 영향을 미치나 후기노인은 부부관계 뿐만 아니라 자녀관계 역시 자살생각에 유의미한 영향을 미치는 것으로 나타났다. 본 연구는 노인의 자살생각을 감소시키기 위해 노인집단별 맞춤형 접근방식의 필요성을 제언한다.

ICF 모델에 기반한 독거노인과 동거 노인의 자살 생각 관련 요인에 대한 비교분석: 2023년 지역사회건강조사 자료 활용 (Comparative Analysis of Factors Related to Suicidal Ideation between Elderly Living Alone and Living with Families Based on the ICF Model: Using Data from the 2023 Community Health Survey)

  • 심유화
    • 한국산업융합학회 논문집
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    • 제27권3호
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    • pp.709-725
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    • 2024
  • This study utilized the raw data from the Community Health Survey (2023) to compare differences in body function, activity, participation, environment, personal factors, and suicidal ideations between elderly individuals aged 65 and older living alone and those living with families in Korea. The study subjects consisted of 80,618 elderly individuals aged 65 and older. Cross-tabulation analysis χ2-test), independent sample t-test, and logistic regression analysis were conducted. The results indicated that for both elderly individuals living alone and those living with families, age(p<.001), smoking(p<.001), stress(p<.001), depression experience(p<.001), and falls experiences(p<.001) were risk factors that increased suicidal ideations. Conversely, educational level(p<.05), income level(p<.001), subjective health status(p<.001), social participation(p<.001), economic activity(p<.001), community environment(p<.001), and social relationships were protective factors that reduced suicidal ideations. These findings demonstrate that demographic characteristics and individual health status significantly influence suicidal ideation in the elderly, while social factors contribute to a decrease in suicidal ideation. Furthermore, considering the differences found between elderly individuals living alone and those living with families regarding hypertension and gender, differentiated interventions for suicide prevention are necessary.

2019년 자살 관련 지표들과 추이 (Suicide Related Indicators and Trends in Korea in 2019)

  • 김승훈;이두웅;권준현;양지은;박은철;장성인
    • 보건행정학회지
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    • 제31권2호
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    • pp.232-239
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    • 2021
  • This study aimed to update suicide-related indicators including suicidal ideation, suicide attempts, and the number of suicidal deaths. Based on up-to-date information, we observed the trends of suicide-related indicators. In this study, five data sources were used to observe the trends of suicide-related indicators: Statistics Korea (1983-2019), Korean National Health and Nutrition Examination (KNHANES, '07-13, '15-19), Korean Community Health Survey (KCHS, '08-09, '13, '17), Korean Wealth Panel Study (KOWEPS, '12-19), and Korea Health Panel Survey (KHP, '10-13, '16-17). The suicide rate, which peaked in 2011, declined until 2017 and then started to rise again from 2018, recording a suicide rate of 26.9 per 100,000 people in 2019. The rate of suicidal ideation estimated based on the recently available data was 4.62% (KNHANES, '19), 3.51% (KHP, '16), 2.87% (KHP, '17), and 1.70% (KOWEPS, '19). That of suicide attempt as recent year was 0.43% (KNHANES, '19), 0.07% (KOWEPS, '19). Annual percentage change of death by intentional self-harm was -2.11% (Statistics Korea), and that of suicidal ideation was -14.7% (KNHANES), -2.5% (KCHS), -10.6% (KOWEPS), and -11.3% (KHP). Annual percentage change of suicide attempt was -5.0% (KNHANES), -4.4% (KCHS), and -11.3% (KOWEPS). The lower the income level, the higher the probability of experiencing suicide ideation and suicide attempts. Considering the recent increase in suicide rate in contrast to the continuing decline in suicidal ideation and suicide attempts, continuous data observation and appropriate policies regarding suicide prevention are needed.

Relationship Between Sleep Duration and Suicidal Ideation Among Farmers: Safety for Agricultural Injuries of Farmers Cohort Study of Jeju, Korea

  • Oh, Jung-Hwan;Yoo, Jeong Rae;Ko, Seo Young;Kang, Jeong Ho;Lee, Sung Kgun;Jeong, Wooseong;Seong, Gil Myeong;Lee, Hyun Jung;Song, Sung Wook
    • Safety and Health at Work
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    • 제12권1호
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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.

20세 이상 성인의 수면시간과 자살생각과의 관련성 (The Association between Total Sleep Time and Suicidal Ideation in Adults over the Age of 20)

  • 황은희;박민희
    • 한국콘텐츠학회논문지
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    • 제16권5호
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    • pp.420-427
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    • 2016
  • 본 연구의 목적은 우리나라 일반 성인과 정신건강 문제를 가진 성인의 수면시간과 자살생각과의 관련성을 파악하는 것이다. 본 연구는 질병관리본부가 실시한 제 5기 국민건강영양조사의 원시자료를 사용하여 SPSS 21.0 프로그램으로 복합표본분석을 하였다. 본 연구의 대상자는 6,199명으로 이중 880명(13.7%)이 자살 생각을 하고 있었다. 우울을 경험한 적이 있는 성인은 846명(13.3%)이었으며 이중 329명(43.1%)이 자살생각을 하고 있었으며, 정신건강 상담을 받은 적이 있는 성인은 164명(2.7%)으로 이 중 63명(40.2%)이 자살 생각을 하고 있었다. 6시간 이상 수면을 취하는 경우와 비교해서 1~5시간의 짧은 수면을 취할 때, 일반성인 그룹에서는 자살생각을 할 위험이 1.33배 높았으며, 우울을 겪은 그룹에서는 자살생각의 위험이 1.92배, 정신건강 상담을 받은 적 있는 그룹에서는 자살생각을 할 위험이 7.10배 높았다. 본 연구를 통해서 짧은 수면시간이 우울 경험이나 정신건강 문제를 매개하지 않아도 자살의 위험요인임이 확인되었다. 따라서 우울 등 정신건강 문제를 가진 성인뿐 만 아니라 일반 성인의 수면장애도 자살예방 차원에서 중재되어야 할 것이다.