• 식품보건융합연구
• /
• 제8권2호
• /
• pp.27-34
• /
• 2022

The purpose of this study is to find out the role of social support and self-esteem in the relationship between gaming disorder and suicidality of college students. A survey and analysis were conducted on 1,154 students in a four-year university in Gyeonggi-do of Korea. With analysis of the Internet Gaming disorder scale, 162 people (14%) were subjected to gaming disorder and 992 (86%) were non-gaming disorder. The hypothesis of this study was verified as follows. First, college students with gaming disorder have higher suicidality and lower social support and self-esteem than those with non-gaming disorder. Second, gaming disorder of college students have a positive correlation with suicidality, while gaming disorder will have a negative correlation with social support and self-esteem. Third, social support and self-esteem mediate the relationship between gaming disorder and suicidality of college students. These results show that social support and self-esteem can act as protective factors. The results are very meaningful in that they have verified the high risk of suicidality of college students with gaming disorder. It is suggested, when college students show signs of Internet gaming addiction, a more active prevention for suicidality should be considered as they can become a suicidal high risk group.

• 생물치료정신의학
• /
• 제24권3호
• /
• pp.209-217
• /
• 2018

Objectives : The purpose of this study was to investigate the prevalence and risk factors of suicidality among community-dwelling elderly. Methods : The participants were 2,201 elderly people whose ages were over 65. The participants were asked to complete questionnaires, including Mini International Neuropsychiatric Interview(MINI), module C, Short Geriatric Depression Scale of Korean version(SGDS-K), Korean Geriatric Anxiety Inventory(K-GAI), The Korean Health Status Measure for Elderly V 1.0, Korean version of Mini-Mental Status Examination for Dementia Screening(MMSE-DS). Their sociodemographic factors were investigated. The data were analyzed using the chi-square test and the logistic regression test to examine the relationship between suicidality and participants' risk factors. Results : The prevalence rate of suicidality was 23.3%. In multiple logistic regression, depressive symptoms (OR=3.301, 95% CI : 2.453-4.440), anxiety symptoms(OR=3.289, 95% CI : 2.515-4.303), low physical function (OR=1.606, 95% CI : 1.229-2.098), no spouse(OR=1.571, 95% CI : 1.037-1.690), elderly aged 80 years or older (OR=1.506, 95% CI : 1.094-1.740) were independently associated with suicidality. Conclusion : Suicidality in community-dwelling elderly was quite high, particularly related to depressive symptoms. The results of this study can be useful for development of community-based prevention and management programs for suicidality.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제17권2호
• /
• pp.98-105
• /
• 2006

Objectives : To consider which questions are most useful clinically and to find a framework for assessment of suicidality or risk of suicide for adolescents. Methods : Authors reviewed and integrated both clinical works and researches about measures used to evaluate suicidal behaviors in adolescents. Results : The 'cascade approach' for assessment of suicidality was developed; the quality and quantity of 'distress' leads to an entry question to do with the 'quality of life' and whether it is worth living. These two questions lead to examinations of 'thoughts' which may lead to 'plans' which leads to 'threats' which then leads to 'deliberate self injury' and then on to a history of 'past suicide attempts'. Authors also suggested to use a summed score of cascade approach in clinical decisions and showed how to modify it up to different evaluation situations. Focusing on the good things helps not only to qualify suicidality but also to begin the search for solutions. Conclusion : In the clinical assessment process, while scales assist the clinician, there is nothing to supplant a sensitive clinical approach. The 'cascade approach' was proposed as a framework for assessing adolescents for suicidality.

• 정신신체의학
• /
• 제27권2호
• /
• pp.181-190
• /
• 2019

Objectives : Epidemiological studies in other countries show that a low intake of omega-3 fatty acids (FAs) increases the risk of depression or suicidality. However, no studies have investigated the associations of suicidality with omega-3 FAs in Korea. Hence, this cross-sectional study aimed to investigate the effects of omega FAs on suicidality in the general South Korean population. Methods : The data in this study were sourced from adults (n=215,860) who completed the Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI), and the associations between omega FAs and suicidality were analyzed using multivariate logistic regressions. Results : Our results demonstrated that high omega-3 FA intake was associated with a decreased risk of suicide (OR=0.83, 95% CI : 0.71-0.98) and the high omega-6 to omega-3 FA ratio was associated with an increased risk of suicide (OR=1.25, 95% CI : 1.02-1.54). Additionally, a high intake of omega-3 FAs was associated with a decreased risk of suicide in men, but not in women (OR=0.72, 95% CI : 0.59-0.88). Conclusions : Overall, our findings suggest that a lower intake of omega-3 FA is associated with the increased risk of suicidality in the general Korean population, especially in men.

• 대한불안의학회지
• /
• 제6권1호
• /
• pp.45-54
• /
• 2010

본 연구는 이천시에 거주하는 65세 이상의 인구를 대상으로, 우울증의 유병률과 자살경향성, 우울증과 자살경향성에 영향을 미치는 위험요인을 살펴본 연구이다. 전체적으로 우울증의 유병률은 28% 정도로 파악되어 실제로 65세 이상의 연령대에서 상당수의 노인들이 임상적으로 의미 있는 우울증을 경험하고 있는 것으로 관찰되었다. 또한 자살경향성은 전체 조사대상자의 약 20%에서 자살생각, 자살의도, 자살계획, 자해의도, 자살시도 중 한 가지 이상을 지난 한 달 동안 경험했던 것으로 나타났다. 거주 형태별로 구분하여 비교 분석한 결과, 혼자 생활하거나 시설에서 생활하는 노인들에서 동거가족이 있는 노인들보다 우울증의 유병률이 높고, 증상도 심한 것으로 나타났으며, 이들에게서 자살경향성 역시 높은 것으로 파악되어 이들 고위험군에 대한 보다 집중적인 우울증의 조기 발견 및 자살예방사업이 필요할 것으로 판단되었다. 위험요인 분석에서는 고령, 시설거주, 낮은 사회적 지지 수준은 우울증의 위험요인으로, 독거생활, 시설거주, 낮은 사회적 지지 수준, 두통의 기왕력은 자살경향성의 위험요인인 것으로 파악되었다.

• Journal of Preventive Medicine and Public Health
• /
• 제52권1호
• /
• pp.30-40
• /
• 2019

Objectives: The purpose of this study was to investigate the role of self-esteem as a moderator of the factors influencing suicidality among middle-schoolers. Methods: Moderated multiple regression analysis was applied to assess the influence of happiness, depression, and hostility on suicidality and to determine the degree to which self-esteem served as a moderator of those relationships. Data were collected from 268 students at a middle school in Busan, Korea, using a self-administered structured questionnaire. Results: Happiness, depression, and hostility had significant direct effects on suicidality. Self-esteem showed no direct effect, but had a significant moderating effect on the relationship between hostility and suicidal behavior. Conclusions: These results suggest that various interventions, such as counseling programs, should be designed to alleviate hostility and depression and to enhance happiness and self-esteem among early adolescents.

• 대한조현병학회지
• /
• 제23권1호
• /
• pp.8-14
• /
• 2020

Objectives: This study aimed to investigate suicidal behaviors and the related psychopathology across the different stages of schizophrenia. Methods: We recruited 131 patients with schizophrenia and categorized them into two groups, according to the duration of illness (DI) as follows: ≤10 years (n=39) and >10 years (n=92). Psychopathology and suicidality were assessed using the 18-item Brief Psychiatric Rating Scale (BPRS-18) and the suicidality module from the Mini-International Neuropsychiatric Interview, respectively. Results: One-quarter of the patients with a DI ≤10 years and nearly one-sixth of the patients with a DI >10 years experienced suicidal behaviors in the previous month. Suicidality scores were significantly associated with the "affect" factor scores of the BPRS-18 in patients with a DI ≤10 years (β=0.55, p=0.003) and with the "resistance" factor scores in patients with a DI of >10 years (β=0.29, p=0.006). Conclusion: The present study demonstrated that psychopathological factors were differentially associated with suicidality in patients with schizophrenia according to the illness stage. Our findings suggest that for effective suicide prevention, different approaches are required for the management of each stage of schizophrenia.

• 사회복지연구
• /
• 제42권2호
• /
• pp.467-491
• /
• 2011

본 연구는 청소년 자살성(suicidality)의 성별차이를 일반긴장이론(general strain theory)에 근거하여 살펴보았다. 이를 위해 서울시 서대문구 3개 중학교 학생 819명을 대상으로 설문조사를 실시한 후 t-test와 로지스틱 회귀분석(logistic regression)을 사용하여 자료를 분석하였다. 그 결과 첫째, 관계적 긴장에 해당하는 아버지의 학대 피해와 학교폭력 피해는 남자 중학생의 경험이 유의미하게 더 많았다. 둘째, 자살성에 영향을 미치는 요인에서 남자 중학생은 지위적 긴장에 해당하는 경제적 상황이, 여자 중학생은 관계적 긴장 요인에 해당하는 아버지의 비신체적 학대 피해가 유의미한 것으로 나타났다. 셋째, 비신체적 학교폭력 피해는 남녀 모두의 자살성에 유의미한 영향요인이었다. 이러한 결과를 바탕으로 중학생의 주요 생활환경인 가정과 학교에서의 사회복지적 접근을 통해 남자 중학생의 지위적 특성과 여자 중학생의 관계적 특성에 주목한 개입이 이루어져야 하며 학교사회복지사 및 관련기관의 네트워크가 필요함을 제시하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제32권3호
• /
• pp.104-111
• /
• 2021

Objectives: Adolescent suicide is a serious national issue in Korea. Recently, life satisfaction has been recognized as a major factor related to this issue. The main purpose of this study was to identify the domains of life satisfaction that affect suicidal behavior in adolescence. Methods: Data were collected from eight middle schools in Incheon, Korea. A total of 1297 students answered questions regarding their demographic characteristics, happiness, self-related life satisfaction domains (appearance, leisure time, physical health, and mental health), depressive symptoms, and suicidal behavior. Results: In the Spearman correlation analysis, female sex, perceived socioeconomic status (SES), happiness, and all four self-related satisfaction scores showed significant correlations with depression and suicidality. Multivariate regression analysis suggested that suicidality was significantly affected by perceived SES, satisfaction with appearance, mental health satisfaction, and depression. Finally, depression was identified as a partial mediator of the association between mental health satisfaction and suicidality, and a complete mediator of the association between female sex and suicidality. Conclusion: Perceived SES, satisfaction with appearance, and mental health satisfaction significantly affected students' suicidality, with or without the effect of depression. Health authorities, educators, and family members must be aware of this to identify adolescents at suicide risk earlier.

• 정신신체의학
• /
• 제31권2호
• /
• pp.125-133
• /
• 2023

연구목적 본 연구는 아동양육시설과 청소년쉼터에서 거주하는 청소년들의 정신건강을 비교하여 각 시설에 맞는 적절한 정신의학적 개입을 하는 것을 목적으로 한다. 방법 본 연구의 대상자는 한국판 청소년 자기행동 평가척도(K-YSR)를 완료한 아동양육시설 청소년 157명과, 청소년 쉼터 대상자 31명이다. 우리는 두 집단의 K-YSR 점수를 비교하였고, 이들 중 자살경향성과 관련된 요인 들을 살펴보았다. 결과 청소년쉼터 대상자들은 아동양육시설에 비해 나이가 많고 음주(p<0.001), 흡연(p<0.001), '이상수면'(p=0.007)의 비율이 높았으며, 더 높은 자살경향성(p=0.004)과 K-YSR 점수를 보였다. 반면 아동양육시설 청소년들은 '이상수면'(OR 4.194; p=0.006)이나 '이상식이'(OR 2.503; p=0.010), '체중증가에 대한 걱정'(OR 3.897; p=0.002)을 호소할 때 자살경향성이 높았다. 또한 본 연구에 참여한 전체 청소년들의 17.6%에서 자살경향성을 보였고, 자살경향성을 보인 군은 아닌 군에 비해 전체적으로 높은 K-YSR 점수가 높았으며, '이상수면'(OR 3.766; p=0.014)이나 '체중증가에 대한 걱정'(OR 2.864; p=0.032)이 많았다. 결 론 청소년쉼터 대상자들이 아동양육시설 청소년들에 비해 임상적인 어려움이 더 크고 심각하여 정신의학적 개입이 신속하게 필요해 보인다. 또한 아동양육시설 청소년들이 수면이나 식이, 체중증가에 대한 불편감을 호소할 때, 자살경향성을 포함한 정신건강 평가를 고려하는 것이 필요하겠다.