• 제목/요약/키워드: Suicidal ideation

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청소년의 자살생각 경로모형 분석 (Validation of a Path Model for Adolescents' Suicidal Ideation)

  • 박영숙;권윤희
    • 지역사회간호학회지
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    • 제24권3호
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    • pp.255-263
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    • 2013
  • Purpose: This study examined the fitness of a path model for the relationship among daily life stress, problem of life, social support, depression, and suicidal ideation in adolescents. Methods: The subjects consisted of 247 adolescents. Data were collected through self-report questionnaires. The data were analyzed by the SPSS and AMOS programs. Results: Daily life stress, problem of life, social support, and depression showed direct effects on suicidal ideation in adolescents, while daily life stress and problem of life showed indirect effects on suicidal ideation in adolescents. Daily life stress and problem of life showed direct effects on social support and depression in adolescents. The hypothetical path model of adolescents' suicidal ideation was proven correct. Conclusion: Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes the reduction of daily life stress, problem of life, depression and enhancement social support in order to prevention adolescents' suicidal ideation.

일개 간호대학생의 스트레스, 우울 및 자살생각과의 관계연구 (Relationship of Stress, Depression and Suicidal Tendencies in Nursing Students)

  • 조향숙
    • 부모자녀건강학회지
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    • 제12권1호
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    • pp.3-14
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    • 2009
  • Purpose: This study is intended to identify relationship between stress, depression and suicidal ideation in nursing students. Method: The subjects were 213 nursing students in B city. Data was collected from November 1, 2007 to November, 12, 2007 using structured questionnaire surveys and convenience sampling. Measuring instruments collecting data were SSI (scale for suicidal ideation) developed by Beck (1979), BDI (Beck depression inventory) translated by Lee (2001), scale for stress developed by Lee (2001). Collected data was analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson correlation coefficients with SPSS/PC 12.0. Result: 1. Mean value of stress (50.69) of nursing students were moderate level, depression (28.06) was high, suicidal ideation was moderate. 2. Relationship of stress, depression, suicidal ideation of nursing students. 3. Stress of nursing students with positive relationship with depression (r=.60 p<.001) and suicidal ideation (r=.27 pp<.001). Depression of nursing students was positive relationship with suicidal ideation (r=.46 p<.001). Conclusion: Stress of nursing students was inclined to increase depression, suicidal ideation. Therefore, development of counseling and guidance program to decrease stress of nursing students is recommended.

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노인의 신체질환과 자살사고 간의 연관성 (Associations between Physical Disorders and Suicidal Ideation in Elders)

  • 박철;강희주;이주연;김선영;배경열;김성완;김재민;신일선;윤진상
    • 대한불안의학회지
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    • 제10권1호
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    • pp.24-29
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    • 2014
  • Objectives : This study aimed to investigate the associations between physical disorders and prevalent/incident suicidal ideation in a community dwelling older population aged 65 years or over. Methods : 1204 people aged 65 years or over evaluated at baseline. Suicidal ideation was identified using the questions from the community version of the Geriatric Mental State Schedule ("GMS B3"). Reported physical disorders covering 11 common and generally chronic health problems were ascertained. Covariates included were depression, age, gender, years of education, accommodation status, past occupation, and current occupation. Of 1066 without suicidal ideation at baseline, 805 (76%) were followed 2 years later, and incident suicidal ideation was evaluated. Results : Prevalent suicidal ideation was significantly associated with 4 of 11 physical disorders: eyesight problems, persistent cough, heart disease and paralysis or weakness in one leg or arm. Incident suicidal ideation was associated with 3 physical disorders: asthma, high blood pressure and paralysis or weakness in one leg or arm. Both prevalent and incident suicidal ideation were significantly associated with increased number of physical disorders. Conclusions : Certain physical disorders were comorbid and precipitating factors of suicidal ideation in elders. And appropriate intervention and treatment of physical disorders might prevent suicidal ideation in elderly.

자살시도 경험이 있는 지역주민의 자살사고에 관한 연구 (Associated Factors of Suicidal Ideation in Community Residents with Suicidal Attempt Experiences)

  • 김미영;전성숙;김경희
    • 지역사회간호학회지
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    • 제24권2호
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    • pp.135-142
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    • 2013
  • Purpose: The purpose of this study is to explore influencing factors which contribute to the suicidal ideation in community residents who have ever experienced suicidal attempts. Methods: The subjects of this study were a total of 165 local residents with some experiences of suicidal attempts in B City and K Province. The data were collected from May 1st to October 30th, 2012 and self-report questionnaires including Suicidal Ideation Inventory, Self-Esteem Inventory, Depression, Family and Social Support Inventory were used as a measurement tool. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. Results: The average score of suicidal ideation in the local residents with experiences of suicidal attempts was $12.7{\pm}6.25$. Predicted factors on suicidal ideation in the local residents with experiences of suicide attempts included self-esteem, depression and physical illness, and the suicidal ideation has a variance explanation power of 54%. Conclusion: The development and application of intervention programs, which can help to increase self-esteem levels and decrease depression levels among community residents with experiences of suicidal attempts, are first needed. Furthermore, nursing services of customized self-management for people with physical disabilities are needed on the basis of their own physical problems.

자살사고 속성 척도(Suicidal Ideation Attributes Scale; SIDAS) 타당화 연구 (A Validation Study of Suicidal Ideation Attributes Scale (SIDAS) Measuring Suicidal Severity)

  • 이덕희;김성현;정다송;이동훈
    • 한국심리학회지 : 문화 및 사회문제
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    • 제29권1호
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    • pp.1-23
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    • 2023
  • 본 연구는 일반 성인 399명을 대상으로 자살사고의 심각도를 측정할 수 있는 자살사고 속성척도(Suicidal Ideation Attributes Scale; SIDAS)를 타당화하는 데 목적이 있다. 이를 위해 2020년 7월~8월까지 약 2주간 온라인으로 수집된 자료를 사용하였다. 첫째, 연구참여자의 인구사회학적특성과 우울, 불안, 자살사고, 자살계획, 자살준비, 자살시도 집단에 따른 SIDAS 점수의 차이를 확인한 결과, 성별과 거주형태, 우울과 불안 증상 유무, 자살사고, 자살계획, 자살준비, 자살시도의 유무에 따라 집단 간 SIDAS 점수의 차이가 있는 것으로 나타났다. 둘째, SIDAS의 타당도를 확인하기 위해 SIDAS 문항과 컬럼비아 자살심각도 척도(C-SSRS) 자살사고 강도 문항, 로젠버그 자아존중감 척도(RSE) 문항 간의 상관을 확인한 결과, 문항 간 상관과 C-SSRS의 자살사고 강도 문항과는 모두 유의한 상관이 나타났으며, RSE의 문항과는 부정 상관이 나타나거나 상관이 유의하지 않게 나타났다. 셋째, SIDAS 척도의 요인구조를 확인하기 위해 전체 응답자와 자살사고를 보고한 응답자를 대상으로 확인적 요인분석을 실시한 결과, 두 집단 모두에서 단일요인 구조가 적절한 것으로 나타났으며 내적일치도 또한 양호한 것으로 나타났다. 마지막으로, 연구참여자의 지난 1년간 자살계획 여부에 영향을 미치는 변인을 확인한 결과 자살사고에 대한 통제 가능성과 연령이 유의한 예측 변인으로 확인되었다. 본 연구에서는 웹 기반으로 사용하도록 설계된 SIDAS 척도를 한국에서도 적절하게 사용할 수 있음을 확인할 수 있었다. 본 연구는 추후 온라인 심리치료에 활용 가능한 기초자료를 제공하고, 국내 일반 성인에게 적용가능한 신뢰롭고 타당한 자살사고 측정도구를 제시하였다는 점에서 의의가 있다.

한국 성인의 음주와 흡연 동시행위가 자살생각과 자살시도에 미치는 영향: 국민건강영양조사 자료 활용 (Combined Influence of Smoking and Alcohol Drinking on Suicidal Ideation and Attempts among Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2008~2011)

  • 김현숙;김윤미;조윤희
    • 성인간호학회지
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    • 제28권6호
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    • pp.609-618
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    • 2016
  • Purpose: The purpose of this study was to investigate the combined influence of smoking and alcohol drinking on suicidal ideation and attempts among Korean adults. Methods: This cross sectional study used secondary data from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2011. A total of 13,064 adults were included in the study. Logistic regression was used to analyze the combined influence of smoking and alcohol drinking on suicidal ideation and attempts. Results: Persons who smoke and use alcohol were more likely to report suicidal ideation and attempts than those who did not smoke and reported normal drinking. The group who reported both smoking and harmful drinking/alcohol had significantly higher incidence of suicidal ideation and attempts than the comparison group of non-smoking/normal drinking (Suicidal ideation: Adjusted Odds Ratio [AOR]: 2.13, 95% Confidence Interval [CI]: 1.60~2.83; suicidal attempts: AOR: 3.81, 95% CI: 1.60~9.05). Conclusion: Based on the results of this study, smoking and alcohol drinking were individually important health behaviors for prevention of suicidal ideation and attempts. Especially, suicidal prevention programs might be needed for adults who smoke and drink at the same time to decrease suicidal ideation and attempt.

성인의 성별에 따른 자살생각과 우울경험 관련요인 (Factors Related to Suicidal Ideation and Depression according to Gender among Korean Adults)

  • 이소영
    • 한국보건간호학회지
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    • 제28권1호
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    • pp.71-86
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    • 2014
  • Purpose: This study was conducted in order to identify factors that predict suicidal ideation and depression according to gender among Korean adults. Method: From the data base of the fifth Korean National Health and Nutritional Examination Survey(KNHANESV-1, 2010), data on 4,894 adults aged 19~64 were used. Data were analyzed by application of the Rao-Scott Chi-Square test and logistic analysis with SAS 9.2. Results: Overall, 8.5% of men and 18.1% of women had suicidal ideation during the last year; 7.5% of men and 17.0% of women had depression during the last two weeks. Risk factors for suicidal ideation include perceived high stress(OR male 3.649, female 2.941), depression(OR male 10.109, female 6.033), poor cognition of health status(OR male 8.115, female 6.664), low economic status(OR male 1.898), and low educational status(OR female 1.631). Risk factors for depression include perceived high stress(OR male 2.678, female 3.686), suicidal ideation(OR male 9.925, female 6.022), non-employed(OR female 1.525), married(OR female 2.392), and physical discomfort(OR female 1.545). Conclusions: Based on the above mentioned results, risk factors of suicidal ideation and depression differed according to gender. Development of various policies and appropriate intervention programs according to gender, that lessen the risk of suicidal ideation and depression for adults is needed.

간호대학생의 자살생각과 자아존중감에 관한 연구 (A Study on the Suicidal Ideation and Self-esteem of Nursing Students)

  • 정하윤;정귀임
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.149-160
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    • 2013
  • The purpose of this study was to investigate the relationships of suicidal ideation and self-esteem of nursing students. The subjects of the study were 438 nursing students. The period of data collection was from September 1 to 30, 2012. The data was analyzed by SPSS 19.0 program. The result are as follows; First, the average of suicidal ideation was 1.74 and self esteem was 3.48 points. Second, suicidal ideation was significantly different according to economic status, health status, friendship, personality, adaptation of environment, satisfaction on school, satisfaction on nursing major, score, and bully. Self-esteem was significantly different according to economic status, health status, personality, adaptation of environment, satisfaction on school, satisfaction on nursing major, score, and bully. Third, suicidal ideation was correlated with positive self esteem negatively and negative self esteem positively. Forth, the influencing factor in suicidal ideation of participant were self esteem, friendship and satisfaction on school, $R^2$=.370. Thus, development of guidance program to decrease suicidal ideation of nursing students is recommended.

청소년의 자살생각 관련 요인: 자아존중감과 우울의 매개효과를 중심으로 (Factors Associated With Adolescents' Suicidal Ideation: Focus on Self-Esteem and Depression as Mediators)

  • 박병금
    • 한국생활과학회지
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    • 제16권3호
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    • pp.505-522
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    • 2007
  • This study examined the effects of eco-system factors on adolescents' suicidal ideation and whether self-esteem and depression mediate in the process to provide theoretical basis for prevention and treatment for problems of adolescents who have suicidal ideation. 2,088 high school students were asked to complete self-administering questionnaires on eco-system factors and adolescents' suicidal ideation. Data were analyzed with frequencies, t-test, ANOVA with Scheffe ad-hoc test, correlation analysis using SPSS 12.0 program and AMOS 5.0 program. Study results were ; First, adolescents' suicidal ideation showed significant differences according to their gender, socio-economic financial status, family structure, and the type of school they attended. Second, self-esteem and depression were proved to have significant mediating effect. Child abuse victimization, subjective school achievement and influence of media coverage of celebrity suicide were most important variables which influenced adolescents' suicidal ideation. These results reinforce importance of understanding adolescents' suicidal ideation with eco-system perspective. Moreover, prevention programs for adolescents' suicide require differentiated strategies and tactics according to the target group characteristics.

한국 농촌 후기 청소년 여성의 자살 생각에 영향을 미치는 요인 (Factors influencing suicidal ideation among female late adolescents from a Korean rural province)

  • 조혜경;김현경
    • 여성건강간호학회지
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    • 제26권3호
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    • pp.213-221
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    • 2020
  • Purpose: This study aimed to examine factors affecting suicidal ideation among female late adolescents from a Korean rural province. Methods: A descriptive cross-sectional design involving self-reported questionnaires was used. The data were collected from female adolescents aged 18 to 22 years, from high schools, universities, churches, and local community centers. The sample consisted of 197 female late adolescents from three rural areas in Korea. The Center for Epidemiological Studies-Depression Scale and the Suicidal Ideation Scale were used to measure depression and suicidal ideation, respectively. Results: Suicidal ideation was correlated with having a specific suicide plan (r=.65, p<.001), depression (r=.39, p<.001), subjective well-being (r=-.46, p<.001), ever experienced violence (r=.15, p=.029), and age (r=-.21, p=.003). Factors affecting suicidal ideation among rural female adolescents were having a specific suicide plan (β=.56, p<.001), subjective well-being (β=-.23, p=.001), and suicide of a close person (β=.12, p=.035). These factors explained 48.0% of the variance in suicidal ideation (F=37.62, p<.001). Conclusion: This study demonstrated that affective factors and personal experiences regarding suicide were critical indicators for suicidal ideation among female late adolescents. These factors should be managed and tailored nursing interventions should be offered to prevent suicide and to enhance the psychiatric health status of female late adolescents.