• Title/Summary/Keyword: Suicide Attempted

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An Empirical Analysis of Effects of Depression on Suicidal Ideation of Korean Adults: Emphasis on 2008~2012 KNHANES Dataset (국내성인에 있어서 우울증이 자살생각에 미치는 영향에 관한 실증연구: 국민건강영양조사 2008~2012 자료를 중심으로)

  • Jeon, Hyeon Gyu;Sim, Jae Mun;Lee, Kun Chang
    • The Journal of the Korea Contents Association
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    • v.15 no.7
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    • pp.264-281
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    • 2015
  • Suicidal ideation has received much attention from both practitioners and researchers as Korean society becomes aging and individualistic. However, previous researches on the suicide ideation have focused on young generations instead of adults who seem to be more suffered from economic pressure and all kinds of exterior environments causing depression. Besides, there were research voids in the suicidal ideation area where depression was never taken into consideration. In this sense, we attempted to launch empirical studies on analyzing explanatory factors relevant to suicidal ideation in all the age groups by using KNHANES dataset from 2008~2012 years. Especially, we further analyzed KNHANES dataset to know how much depression affects suicidal ideation. Empirical results showed that depression is in a significant relationship with the suicidal ideation in all the demographic dimensions such as age, education, living area, etc.

he Influence of Posttraumatic Stress on Suicidal Ideation in Firefighters : Cognitive Emotion Regulation as a Moderator (소방공무원의 외상 후 스트레스가 자살생각에 미치는 영향 - 인지적 정서조절의 조절효과-)

  • Kim, Sung-Jung;Yook, Sung-Pil
    • Fire Science and Engineering
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    • v.32 no.2
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    • pp.92-101
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    • 2018
  • This study investigated the impact of post-traumatic stress of the fire-fighting officers who are exposed to traumatic events repeatedly on suicide and attempted to verify the moderating effect of cognitive emotion regulation in the relationship between post-traumatic stress and suicidal ideation. For this investigation, this study measured Post-traumatic stress Diagnostic Scale, Korean Beck scale for Suicidal Ideation, Cognitive Emotion Regulation Questionnaire. The research results are as follows. First, Post-traumatic stress, suicidal ideation, adaptive cognitive emotion regulation, and maladaptive cognitive emotion regulation were correlated. second, A hierarchical regression analysis was conducted in order to examine the moderating effect of cognitive emotion regulation in the relationship between post-traumatic stress and suicidal ideation, and as a result, it was found that a sub-factor of cognitive emotion regulation, adaptive cognitive emotion regulation had a moderating effect in a group of persons with low post-traumatic stress, while maladaptive cognitive emotion regulation had a moderating effect in a group of persons with high post-traumatic stress. These results, this study discussed the necessity of follow-up studies, in addition to its academic and clinical implications.

A Case Report of Korean Medicine Treatment of a Patient with Diarrhea after Hemicolectomy (대장절제술 후 발생한 설사 환자에 대한 한의치료 증례보고 1례)

  • Kim, Youngji;Song, Juyeon;Moon, Jiseong;Min, Seonwoo;Kim, Hakkyeom;Choi, Dong-jun
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.926-932
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    • 2020
  • This report presents examples of the use of Korean medicine to treat diarrhea after colon hemicolectomy. The patient was a male in his 80s who had undergone hemicolectomy 3 years previously for colon cancer. He complained of diarrhea and fecal incontinence and had attempted suicide. He was admitted to the internal medicine ward through the emergency room. Treatment did not improve his diarrhea, even with the use of antidiarrheal drugs, so he was transferred to the Korean Medicine Hospital, where he received daily acupuncture and medicine treatment. After Korean medicine treatment, his symptoms improved rapidly and his fecal incontinence stopped after one week of hospitalization. Two weeks after hospitalization, his stool had improved to normal stool, his hypotonia had also improved, and he was discharged. This report shows that Korean medicine treatment can be effective in treating patients with diarrhea. In the future, related cases will need to be accumulated.

Median Nerve Entrapment Syndrome Due to Adhesion of Laceration Wound by Suicidal Attempt -A Case Report (자살시도로 인한 손목 열상 후 유착에 의해 발생한 수근부 정중신경포착증후군 치험례)

  • Baek, In-Soo;Roh, Sang-Hoon;Sohn, Hyung-Bin;Hong, In-Pyo
    • Archives of Plastic Surgery
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    • v.37 no.5
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    • pp.676-680
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    • 2010
  • Purpose: Median nerve entrapment syndrome within carpal tunnel is usually called carpal tunnel syndrome and it is the most common form of peripheral nerve entrapment syndrome. Many factors such as diabetes mellitus, hypothyroidism, hormonal replacement theraphy, corticosteroid use, rhematoid arthritis and wrist fractures may cause carpal tunnel syndrome. To the best of our knowledge, this is the first case report of median nerve entrapment syndrome due to adhesion of laceration wound after suicidal attempt. Methods: A 28-year-old woman presented with a sensory change and thenar hypotrophy on her left hand. On her history, she attempted suicide by slashing her wrist. Initial electromyography (EMG) showed that the nerve conduction velocities of median nerve was delayed. Therefore, we performed surgical procedures. When exploration, Fibrous scar tissue observed around the median nerve but nerve had not been injured. Transcarpal ligament was completely released and adjacent fibrous tissue was removed to decompress the median nerve. Results: The postoperative course was uneventful until the first year. Opposition difficulty and thenar hypotrophy were improved progressively after the surgery. Sensory abnormality was slowly improved over one year. Conclusion: We report a case of median nerve entrapment syndrome that was caused by adhesion of laceration wound after suicidal attempt. This is an unusual cause of median nerve entrapment syndrome, the symptoms were relieved after transcarpal ligament release and fibrous scar tissue removal.

Changes in Characteristics of Patients with Acute Intoxication in a Regional Emergency Medical Center (일개 응급센터에 내원한 급성 중독 환자군의 특성 비교)

  • Jeong, Hyun-Wook;Kim, Ho-Kwon;Jeong, Tae-O;Jin, Young-Ho;Lee, Jae-Baek
    • Journal of The Korean Society of Clinical Toxicology
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    • v.2 no.2
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    • pp.90-95
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    • 2004
  • Purpose: The purpose of this study is to compare the toxicologic characteristics of two groups of patients with acute intoxication for two different time periods and to make recommendations based on the results of this study. Methods: We reviewed retrospectively the medical records of patients with acute intoxication in our emergency center from June 1997 to May 1998 (group A) and from June 2000 to May 2003 (group B), and we evaluated differences in the epidemiologic and the toxicologic characteristics between the two groups. Results: The ratios of the number of patients with acute intoxication to the total numbers of patients who visited our emergency department were $0.49\%$ and $0.52\%$ for groups A and B, respectively. In both groups many poisoned patients visited our emergency center from 4:00 pm to midnight. The interval between the time of intoxication and arrival at the hospital was significantly shorter in group B. The number of patients transferred to our emergency center was larger in group B. Attempted suicide was the major cause of acute intoxication in both groups. Major toxic substances in both groups were centrally active drugs and insecticides. The number of comatose and mechanically ventilated patients was larger in group B. However, there was no statistically significant difference in the mortality rates. Conclusion: Emergency physicians who manage intoxicated patients should recognize regional characteristics and differences in the toxicologic characteristics of poisoning. In addition, the establishment of a poisoning control center in the regional emergency center is necessary to integrate data control and to enhance specialized management of intoxicated patients.

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The Protective Effects of Development Assets on Health Risk Behaviors among Korean Adolescents (청소년 성장발달자산의 건강위험행태 방어효과)

  • Lee, Myoung-Soon
    • Korean Journal of Health Education and Promotion
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    • v.22 no.4
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    • pp.137-154
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    • 2005
  • Objectives: This study aims to examine the positive effects of developmental assets on the prevention of health risk behaviors among Korean adolescents. The framework of developmental assets was introduced as building blocks for healthy child and adolescent development by Benson and his colleagues. These assets represent positive external environmental factors and internal personal qualities which strongly influence the quality of life of adolescents. Methods: In 2001, we administered self-reported questionnaires to 3,739 girls and boys in grade 9 at eight schools in two cities, Chinju and Suwon in South Korea. The data was compiled into a 'Korean Youth Health Related Behaviors and Developmental Assets Survey' and then analyzed Youth health risk behaviors, which we measured in terms of their frequency, included tobacco, alcohol, and substance use, sexual intercourse, anti-social behaviors, violence, feelings of social isolation at school, depression or attempted suicide, absenteeism from school, gambling. Results: Overall, with respect to developmental assets, the Korean adolescents surveyed only 12.6 of the 40 assets, and 88 percent of adolescents had 20 or fewer of the assets. Based on their number of developmental assets(DA), adolescents were categorized into four groups: Group I(DA 0-10): Group II(DA 11-20): Group III(DA 21-30): Group IV(DA 31-40). We examined the differences in the frequency of each health risk behavior across the four groups, Group I-IV, and found that the frequency of most health risk behaviors decreased as the number of developmental assets increased. Conclusion: We therefore concluded that in order to make effective approaches for the prevention of health risk behaviors among adolescents, we should consider and develop more comprehensive and adolescents-based policy and programs to promote various aspects of adolescents' health and quality of life.

Mental Health and Health Risk Behaviors of Multicultural Adolescents according to Their Mothers' Native Country: Using Data from the 11th (2015) Korea Youth Risk Behavior Web-Based Survey 2015 (다문화 청소년의 어머니 출생국가에 따른 정신건강 및 건강위험행위: 제11차(2015) 청소년건강행태온라인조사를 이용)

  • Ju, Hyeon-Ok;Park, So-Yeon;Lee, Jaeyoung
    • Child Health Nursing Research
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    • v.23 no.1
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    • pp.101-110
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    • 2017
  • Purpose: The purpose of this study was to analyze the mental health and health risk behaviors of multicultural adolescents according to their mothers' native country. Methods: For this study raw data from the 11th Youth Health Behavior Online Survey (2015) was examined. Mental health and health risk behaviors for 62,985 adolescents were analyzed according to their mothers' native country. Collected data were analyzed with the SPSS program using descriptive statistics and logistic regression analysis, to which the complex sample design was applied. Results: The odds ratio of depression in multicultural adolescents compared to Korean adolescents was 44.92 (CI: 5.77-349.59) for adolescents whose mothers came from Cambodia and 3.00 (CI: 1.57-5.76) for adolescents whose mothers came from North Korea. The odds ratio of attempted suicide was 14.73 (CI: 3.09-70.22) for adolescents whose mothers came from Cambodia and 8.63 (CI: 3.45-21.62) for adolescents whose mothers came from North Korea. The odds ratio of problematic drinking in multicultural adolescents was 7.47 (CI: 1.71-32.67) for adolescents whose mothers came from Mongolia. Conclusion: Findings indicate that when planning a health promotion program for adolescents from multicultural families, a customized approach should be sought taking into account the characteristics of mothers' native country.

A Comparison of Drinking Refusal Self-efficacy and Mental Health between Two Groups of Korean Nursing Students (간호대학생의 음주실태, 음주거부 자기효능감과 정신건강: 정상음주군과 문제음주군 비교)

  • Park, Hyoung-Sook;Cho, Myo-Heon;Cho, Gyoo-Yeong;Kim, Dong-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.1
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    • pp.110-119
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    • 2011
  • Purpose: This study was conducted to identify the consumption of alcohol as well as to compare drinking refusal self-efficacy and mental health between an average drinking group and a problem drinking group of Korean nursing students. Methods: A questionnaire using the Alcohol Use Disorders Identification Test (AUDIT) measuring drinking refusal self-efficacy and mental health was given to 938 students of two universities in Gyeongsangnam-do. Results: Among the respondents 381 (40.6%) were problem drinkers. The score of alcohol consumption in the AUDIT were 3.38 for the average group and 12.50 for the problem drinking group. There were significant differences between the average group and problem drinking group in age, living place, smoking, parent's drinking, age of the first drink and reasons for first drink. Participants of the average group had significantly higher drinking refusal self-efficacy than the problem drinking group. Regarding mental health, there were differences between the two groups in attempted suicide. The risk factors significantly associated with problem drinking were living place, smoking and reasons for the initial drink. Conclusion: These results provide guidance for developing strategies, such as an educational program, to promote safe alcohol consumption in nursing students.

A Convergence Study on Difference of Health Behaviors depending on wether Sexual Experiences of Adolescents (청소년의 성경험 유무에 따른 건강행태 차이에 대한 융복합 연구)

  • Lee, Han Na;Cho, Haeryun
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.145-152
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    • 2020
  • This study investigated the differences in health behaviors of adolescents depending on their sexual experiences. Secondary data analysis was conducted using the data of 61,861 respondents from the 2017 adolescents' health behavior online survey in Korea. Adolescents with sexual experience were typically male, in high school, from a boy's school, had low academic performance, lived apart from their parents, and of either high or low economic status; their health behaviors were characterized by more physical activity, stress, sadness and hopelessness, thought/planned/attempted suicide, drinking, and smoking. Almost half of adolescents with sexual experience (48.9%) did not use contraception. The results of this study are significant and can contribute to the development of sex education programs when considering the characteristics of Korean adolescents and their sexual health.

The Nonlinear Association Between Internet Using Time for Non-Educational Purposes and Adolescent Health

  • Kim, Jong-Yeon
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.1
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    • pp.37-46
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    • 2012
  • Objectives: This study was performed to consider the association between Internet using time for non-educational purposes and adolescent health, and to examine how health status differs between Internet users and non-users. Methods: We analyzed 2009 data from the Korea Adolescent Risk Behavior Web-Based Survey, conducted on a nationally representative sample of students in grades 7 to 12. A total of 75 066 adolescents were categorized into four groups according to their Internet using time excluding using for educational purposes: non-Internet users (NIUs), occasional Internet users (OIUs) (<1 h/d), moderate Internet users (MIUs) (${\geq}1$ and <2 h/d), and heavy Internet users (HIUs) (${\geq}2$ h/d). Health factors included eight health risk behavior indices, four mental health indices and six physical health indices. Results: The distribution of Internet use was as follows: NIUs 17.4%, OIUs 68.1%, MIUs 12.7%, and HIUs 1.7%. In multivariate analysis, using OIUs as a reference, U- or J-shaped associations were observed for five health risk behavior indices (current smoking, current drinking, drug abuse, sexual intercourse, sedentary behavior on weekdays) and four mental health indices (stressed, depressed, suicidal ideation, attempted suicide) in both genders. After removing confounding effects, including age, region, school type, subjective school record, subjective economic status, presence of parents, living with family, and sedentary behavior, these associations were still observed. Conclusions: Health professionals should consider both Internet non-users (for non-educational purposes) and heavy users to be high-risk groups in terms of health status. Also, more well-designed studies are needed to clarify what factors are working in these nonlinear associations.