• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.436-443
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• 2022

Objectives: Previous studies have reported that self-neglect, which may be a sign of elder abuse, can result in suicide among older adults. The signs of self-neglect and its impact on the risk of suicide may differ by gender. Thus, this study explored the association between self-neglect and suicide risk in older Korean adults and examined the potential moderating effect of gender on this relationship. Methods: Data were collected from 356 Korean adults aged 65 or older through an online survey. Multiple regression analysis was used to test the research hypothesis. First, the associations between 4 sub-dimensions of self-neglect (i.e., daily life management issues, personal hygiene issues, financial management issues, and relational issues) and suicidal ideation were examined. Then, the moderating effect of gender on these relationships was investigated by including interaction terms. Results: Self-neglect was significantly associated with suicidal ideation in older adults. Aspects of self-neglect related to daily life management and relational factors were key predictors of suicidal ideation. Gender significantly moderated the effect of the relational dimension of self-neglect on suicidal ideation. The relational dimension of self-neglect was more strongly associated with suicidal ideation in older women than in older men. Conclusions: The findings suggest the importance of screening older adults with signs of self-neglect for suicide risk. Special attention should be paid to older women who experience relational issues as a high-risk group for suicidal ideation. Public programs and support systems should be established to improve daily life management and promote social relationships among older adults.

• 한국콘텐츠학회논문지
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• 제15권7호
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• pp.264-281
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• 2015

자살생각은 자살행위의 초기 결정요인으로써 자살시도의 중요한 예측 인자이다. 그런데, KNHANES (국민건강영양조사) 자료를 분석한 선행연구에서는 자살 위험에 따라 대상 집단을 정하고 그 집단에 대한 구체적인 연구들은 활발하게 이루어진 반면, 우리나라 성인을 대상으로 한 연구는 미흡한 실정이다. 뿐만 아니라, 우울증 경험 유무에 따른 자살생각 위험요인 간의 관련성을 실증적으로 분석한 연구는 충분하지 않다. 따라서 본 연구에서는 국민건강영양조사(KNHANES) 자료를 바탕으로, 우리나라 성인들의 연령대별 자살생각 관련 위험요인을 밝히고, 더 나아가 우울증이라는 감성요인의 경험과 자살생각 위험요인 간의 관련성을 실증적으로 분석하고자 한다. 이를 위해 국민건강영양조사(KNHANES) 제4기(2008~2009년) 및 제5기(2010~2012년)의 최근 5년치 자료를 이용하여 자살생각 영향요인을 분석하였다. 성별에 따른 자살생각의 차이는 청 장년층, 중년층, 및 노년층 모두에서 통계적으로 유의하게 나타났다. 전체적으로 모든 연령층에서 남성보다 여성이 자살생각을 크게 가지며, 연령으로 비교해보면 노년층이 청 장년층이나 중년층보다 자살생각을 크게 갖는 것으로 분석되었다. 우울증은 모든 연령층에서 자살생각과 긴밀한 관계가 있음이 확인되었다.

• 한국융합학회논문지
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• 제9권10호
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• pp.347-353
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• 2018

본 연구의 목적은 장애인에 대한 차별과 폭력경험이 자살생각에 어떠한 관련성이 있는지를 파악하고자 하였다. 연구 자료는 2014 장애인실태조사를 이용하였으며, 6,332명을 최종분석대상자로 하였다. 자살생각은 최근 1년 동안 실제로 자살시도를 해 본적이 있는지 여부로 정의되었다. 참조군은 자살생각 없음이며, 로지스틱회귀분석을 실시하였다. 연구결과 자살생각을 가진 장애인은 18.5%(n=1,171)였다. 장애인이라는 이유로 언어폭력과 정신적 폭력을 당한 경험이 있는 경우에서 자살생각 위험이 높게 나타났다. 성희롱, 성추행, 성폭력을 경험한 시기가 청소년기인 경우에서 자살생각 위험이 16.7배(CI=4.22-66.18), 가해자가 모르는 사람인 경우 5.85배(CI=2.34-14.6), 대처방법이 무시하거나 참는 경우 4.08배((CI=2.05-8.12) 자살생각 위험이 높았다. 결혼 시 차별경험을 받은 경우 1.60배(CI=1.24-2.08), 장애로 인한 차별을 항상 느끼는 경우 2.73배(CI=4.22-66.18) 자살생각 위험이 높았다. 차별경험과 폭력경험으로 인한 자살생각은 자살로 발전할 수 있으므로 정신적 안녕을 위해 가족 및 사회의 관심과 배려 및 지역사회 차원의 예방프로그램이 함께 지원되어야 할 것이다.

• 한국콘텐츠학회논문지
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• 제19권10호
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• pp.649-659
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• 2019

본 연구는 중학생의 자살생각에 학교 및 부모폭력, 학업스트레스가 우울과 위축을 매개로 하여 어떠한 영향을 미치는지를 분석하였다. 이를 위해서 한국복지패널 제13차년도 아동부가조사 자료를 사용하였고, 조사 응답 중학생은 391명이었다. 구조방정식 모형을 통해서 분석한 결과, 자살생각에 효과가 가장 큰 것은 학교폭력의 총효과였으며, 직접적인 효과도 크게 나타났다. 즉, 학교폭력은 자살생각에 우울과 위축을 통한 부분매개효과라고 할 수 있다. 부모폭력은 자살생각에 직접적인 영향보다는 우울을 통한 간접적인 영향이 큰 것으로 나타났다. 즉, 부모폭력은 자살생각에 우울을 통한 완전매개효과라고 할 수 있다. 학업스트레스는 자살생각에 직접적인 영향보다는 우울과 위축을 통한 간접적인 영향이 큰 것으로 나타났다. 즉, 학업스트레스는 자살생각에 우울을 통한 완전매개효과라고 할 수 있다. 위축은 자살생각에 직접적으로 영향을 미치지 않았으나, 자살생각에 우울을 통한 간접효과가 큰 것으로 나타났다. 따라서 중학생의 자살예방을 위해서 우울의 감소와 우울을 발생시키는 원인인 학교폭력 예방과, 부모폭력, 학업스트레스를 줄이기 위한 방안이 필요하다.

• 한국응급구조학회지
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• 제27권1호
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• pp.7-18
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• 2023

Purpose: This study conducted a systematic literature review to analyze the factors related to suicidal ideation among firefighters. Methods: A systematic literature review was conducted to identify factors influencing suicidal ideation among firefighters, using Korean academic information search services from January to June 2022. A total of 238 articles were searched using keywords such as "firefighter," "depression," "post-traumatic stress disorder (PTSD)," "cognitive emotion regulation," "suicide," and "suicidal ideation." Among them, nine articles were selected for analysis using descriptive correlation studies. Results: It was found that the relationship between firefighter stress (PTSD) and suicidal thoughts was mediated by depression. Even if the stress level (PTSD) was high, suicidal thoughts decreased when the emotional coping level was high. Conclusion: To prevent firefighters from committing suicide, intervention programs with effective approaches to quickly identify high at-risk people and improve their emotional coping skills, should be implemented.

• 대한간호학회지
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• 제45권5호
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• pp.752-760
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• 2015

Purpose: The purpose of this study was to examine the moderating mediation effect of self-esteem on the relations among adolescents' abuse experiences, depression and anxiety, and suicidal ideation. Methods: The participants were selected using secondary data from a population in the 2012 Korea Welfare Panel Survey (KOWEPS). Data were analyzed using SPSS 15.0 and SPSS Macro, and bootstrapping and hierarchical regression analysis were performed to analyze multilevel models. Results: First, analysis of the mediating effect of the adolescents' abuse showed that there was significant mediating influence between suicidal ideation and depression and anxiety. Second, hierarchical regression analysis showed that self-esteem had significant mediation effect on depression and anxiety in adolescents' suicidal ideation. Third, SPSS Macro showed that self-esteem also significantly moderated the mediating effect of adolescents' abuse experiences on suicidal ideation through depression and anxiety. Conclusion: The study results suggest that in future research on adolescent's abuse experience, the risk of suicide in depression and anxiety scores should be selected through evaluation of each individual's self-esteem scale. Coping strategies with immediate early intervention should be suggested.

• 아동학회지
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• 제38권2호
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• pp.81-91
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• 2017

Objective: The purpose of this study was to identify the longitudinal relationship between child maltreatment and adolescent suicidal ideation. Several studies suggest that child maltreatment is associated with adolescent suicidal ideation. However, these studies have not focused on the duration of child maltreatment. Methods: Participants were 420 adolescents (52.6% male; 47.4% female) involved in the Korea Welfare Panel Study. Data were collected via youth self-report in 2006, 2009, and 2012. A self-report assessment of children and youths' experiences of physical, emotional, or neglect had been surveyed longitudinally. Questionnaires on adolescent suicidal ideation were answered in 2012. A growth mixture model and multiple regression were conducted using Mplus 5.21. Results: The study results showed that 93.5% of the children had experienced no maltreatment; 6.5% had experienced increasing maltreatment longitudinally. The trajectory of increasing maltreatment was positively associated with adolescent suicidal ideation. Conclusion: These results show that children suffering from chronic maltreatment are subject to a high risk of suicide and therefore require continuous supervision and management.

• 한국보건간호학회지
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• 제36권2호
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• pp.157-169
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• 2022

Purpose: This study aimed to implement a model for predicting the presence or absence of suicidal ideation in adolescents by using the decision tree analysis method. Methods: This study is a secondary data analysis using the 2019 Child and Adolescent Human Rights Survey, the most recent data published by the Korea Youth Policy Institute. In order to identify the variables predicting suicidal ideation, a decision tree analysis with suicidal ideation as a dependent variable was performed. Results: This study found that the variables of life satisfaction, insults from parents, sex, and cyber-bullying experience of adolescents were selected as significant predictors of suicidal ideation. It is predicted that 58.2% of subjects with low life satisfaction would think of suicide. Among them, the probability of thinking of suicide increased to 72.7% in the case of unhappy people, and the probability of thinking of suicide in the case of a woman increase to 82.9%. Conclusions: It is necessary to consider family, school, and society environment to prevent suicidal ideation of adolescents.

• 한국지역사회생활과학회지
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• 제27권4호
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• pp.831-850
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• 2016

The ratio of suicide among the elderly in Korea has nearly tripled within the last 20 years. With this in mind, this study examined the effects of social exclusion on depression and suicidal ideation among the elderly living in elderly-only households with a focus on gender differences. Social exclusion is composed of economic, health, housing, education, social participation, and relational aspects. For this study, data were gathered from 527 participants aged 65 years and over. The statistical methods used for data analysis were descriptive statistics, chi-square test, t-test, and hierarchical regression analysis with the SPSS Win 20.0 program. The results of this study are summarized as follows: First, more than 80% of the elderly experienced social exclusion. Women were shown to be more vulnerable than men in terms of housing exclusion, educational exclusion, health exclusion, and multiple exclusion, whereas men were more vulnerable than women in terms of social participation exclusion. Second, social exclusion had significant effects on suicidal ideation among the Korean elderly. We also observed gender differences in the results. Regression analysis of suicidal ideation showed that relational exclusion had a significant effect on suicidal ideation in men, whereas health exclusion had a significant effect on suicidal ideation in women. Results of the study show that stronger social support networks and policies focusing on the elderly are needed in order to reduce elderly suicide in Korea.

• 생물정신의학
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• 제27권2호
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• pp.101-111
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• 2020

Objectives The aim of this study is to investigate the association between secondhand smoke (SHS) exposure and depressive symptoms among Korean adults. This study also explored the mediating role of self-rated health (SRH) and perceived usual stress (PUS) in the association between depressive symptoms, suicidal ideation and SHS exposure. Methods Data from the Korea National Health and Nutrition Examination Surveys (KNHANES) in 2014 and 2016 was analyzed for 10539 participants aged 19 years or older. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated in the logistic regression analysis with adjustment for the potential confounding factors. We also adopted the mediation analysis method by Hayes and Preacher. Results After adjusting for the potential confounding factors, SHS at home and at public places were associated with depressive symptoms and suicidal ideation among non-smokers. After adjusting for the potential confounding factors, SHS at home and at public places was associated with depressive symptoms and suicidal ideation among non-smokers. Meanwhile SHS at workplaces was associated with depressive symptoms among former smokers and with suicidal ideation among current smokers. There was an additive effect of SHS on depressive symptoms only among non-smokers. SRH mediated the association between SHS and depressive symptoms and suicidal ideation among non-smokers. We did not observe any significant mediating effect of SRH nor PUS on the association between SHS and depressive symptoms among former and current smokers. Conclusions SHS may be associated with depressive symptoms and suicidal ideation in Korean adults. Our study elucidated how SHS interacted with depressive symptoms among non-smokers through the mediation by SRH.