• Asia-Pacific Journal of Business Venturing and Entrepreneurship
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• v.8 no.1
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• pp.223-233
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• 2013

The purpose of this study is to analyze the factors giving effects to juvenile's suicide thinking and search for the method to protect juveniles from the risk factors of suicide thinking and reinforce protective factors. For this purpose, juvenile's depression and stress degree were analyzed as the factors giving effects to juvenile's suicide thinking and the effect of social support, which was assumed as a protective factor from suicide thinking, was verified. Analysis results are as follows. First, juvenile's daily stress showed significant deference from suicide thinking. There was a significant positive correlation between juvenile's daily life stress and suicide thinking. Therefore, it was found that the juveniles who suffer from stress have a lot of suicide thinking. Second, juvenile's depression gave a significant effect to suicide thinking. There was a significant positive correlation between juvenile's depression and suicide thinking. it was proved that the juveniles who suffer from depression have a lot of suicide thinking. Third, There was a significant negative correlation between social support and suicide thinking. The more the juveniles get social support, the less they have suicide thinking. The study results above reveal that juvenile's suicide shall be approached from the preventive aspect, for preventing juvenile's suicide, social support which mitigates suicide thinking factors is very important. Therefore this study proposed social attention on the juvenile's suicide thinking, and formation social support system that reinforce social support. Moreover, for preventing the factors reinforcing suicide thinking, preventive approach, alternative program such as case management and group program, and integrated management inined with juvenile related organizations and specialists are required. At the same time school environment shall be improved and changed.

• Journal of Preventive Medicine and Public Health
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• v.47 no.6
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• pp.327-335
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• 2014

Objectives: Several epidemiological studies on medical care utilization prior to suicide have considered the motivation of suicide, but focused on the influence of physical illnesses. Medical care expenditure in suicide completers with non-illness-related causes has not been investigated. Methods: Suicides motivated by non-illness-related factors were identified using the investigator's note from the National Police Agency, which was then linked to the Health Insurance Review and Assessment data. We investigated the medical care expenditures of cases one year prior to committing suicide and conducted a case-control study using conditional logistic regression analysis after adjusting for age, gender, area of residence, and socioeconomic status. Results: Among the 4515 suicides motivated by non-illness-related causes, medical care expenditures increased in only the last 3 months prior to suicide in the adolescent group. In the younger group, the proportion of total medical expenditure for external injuries was higher than that in the older groups. Conditional logistic regression analysis showed significant associations with being a suicide completer and having a rural residence, low socioeconomic status, and high medical care expenditure. After stratification into the four age groups, a significant positive association with medical care expenditures and being a suicide completer was found in the adolescent and young adult groups, but no significant results were found in the elderly groups for both men and women. Conclusions: Younger adults who committed suicide motivated by non-illness-related causes had a higher proportion of external injuries and more medical care expenditures than their controls did. This reinforces the notion that suicide prevention strategies for young people with suicidal risk factors are needed.

• Journal of The Korea Institute of Healthcare Architecture
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• v.27 no.3
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• pp.51-60
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• 2021

Purpose: The purpose of this study is to derive the residential environment design elements that affect suicide, and then analyze the actual situation in terms of suicide prevention and suggest implications. Methods: The study was conducted through literature analysis, field surveys, and interviews with stakeholders. Results: As a result of extracting the variables related to the residential environment that affect suicide suggested in a total of 18 papers, 15 variables were extracted and organized into major categories such as housing type, health and welfare facilities, leisure and cultural facilities, and living environment. Next, we selected a public rental housing complex with a relatively high suicide rate among multi-family housing as the case, and conducted a empirical analysis. It was investigated that the facilities were insufficient, and apart from the quantitative satisfaction of the rest, various problems were exposed, such as the classification of users according to age and insufficient management in terms of the actual use of residents including suicide attempters. Implications: First, it is necessary to search for the design direction of the residential environment for suicide prevention. Second, it is necessary to find a way to solve the exclusion phenomenon that appears in space and programs. Third, when planning a space for suicide prevention, understanding of the behavior of high-risk groups should be reflected.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.1
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• pp.29-35
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• 2020

Objectives : Evidence regarding the association between untreated depression in adolescence and suicidal risk in male young adults is scarce. We aimed to assess the effect of untreated illness during adolescence on the suicidal risk and attempt after that first episode. Methods : As part of a cross-sectional study, between May 2017 and April 2018, a total of 260 patients with currently unipolar or bipolar depression were included in the final analysis. Multiple linear and logistic regression analysis were performed to evaluate the association between untreated mood disorder in adolescence and its effect on the suicidal risk and attempt. Results : In total 260 patients, 189 were classified as untreated group. The proportion of suicide attempts, total depression score, suicidal risk and number of suicide attempts were significantly higher in the untreated group. The most predictive factors of suicide attempts were history of untreated depression [Adjusted Odds Ratio (AOR)=4.19, 95% Confidence Interval (CI)=2.25-7.81, p<0.001] and diagnosis of bipolar depression (AOR=2.60, 95% CI=1.52-4.46, p<0.001). Conclusions : Although the untreated depression suggests higher rates of suicidality, a significant proportion (86.7%) of adolescent depression in this study did not receive psychiatric treatment. Future research should be needed to find better ways to decrease barriers in using mental health treatment and its contribution to reduction and prevention of adverse outcome.

• Child Health Nursing Research
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• v.24 no.4
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• pp.393-406
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• 2018

Purpose: This study was designed to analyze recent trends in adolescent suicide intervention research in Korea and to suggest future research directions in this area. Methods: Studies Thirty-four studies selected from http://www.riss4u.net over the for last 20 years were analyzed by field and design of the study, study participants, and the outcome variables used in intervention studies. Results: Nineteen (55.9%) of the 34 studies were conducted in the fields of welfare (9), psychology (5) and nursing science (5). Ordinary adolescents were the most frequently studied participants. A nonequivalent control group pretest-posttest design was used in twenty one (61.7%) of the 34 studies. The most frequently measured outcome variables were depression, suicidal ideation and self-esteem. Conclusion: These results suggest that research on adolescent suicide intervention programs is expanding with a focus on ordinary adolescents as and subjects. In order to prevent suicide, research on family, teachers, and friends, who all are important parts of a teenager's support system, is needed. It is also necessary to develop a post-management intervention program to prevent recurrence in high-risk teenagers who have attempted suicide.

• Korean Journal of Biological Psychiatry
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• v.12 no.1
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• pp.3-12
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• 2005

Most suicides(about 90%) occur in the context of psychiatric disorders. Prediction of suicide risk in patients with mental illness is very important in preventing suicide attempts. However, current approaches to predict suicidality are based on clinical history and have low specificity and biological markers are not yet included. Many studies have explored the association between different biological parameters and suicidality. Studies of cerebro-spinal fluid(CSF) demonstrated that 5-HIAA and HVA levels were lower in patients with a history of suicide. Platelet serotonin transporter and the 5-HT2 serotonin receptor have also been studied in relation to violence and suicide. Depressive patients with greater suicidal tendency had significantly lower cholesterol concentrations but some researchers failed to find the correlation. DST non-supression is reported to predict suicidality in major depression. Several studies demonstrated a relationship between intron 7 polymorphism of tryptophan hydroxylase and suicidal behavior. Since suicide is not occurred in a single disease, the systematic and comprehensive study in large samples with various diagnoses is necessary to find the biological and genetic predictors of suicidal behavior.

• Korean Journal of Psychosomatic Medicine
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• v.23 no.2
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• pp.107-113
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• 2015

Objectives : The aim of this study was to investigate the factors including possibility of bipolar disorder that are related to intensity of suicidal idea. Methods : The study subjects consisted of 50 patients who did suicidal attempt and treated at the Inje University Haeundae Paik Hospital Emergency Room. All participants underwent psychiatric interview and underwent Columbia Suicide Severity Rating Scale(C-SSRS), Beck Depression Inventory(BDI), Korean Version of Mood Disorder Questionnaire(MDQ) and Bipolar Spectrum Diagnostic Scale(BSDS) to evaluate patient's suicide attempt, severity of depression and possibility of bipolar disorder. Results : Compared to non-high risk group, suicide high risk group showed significantly higher BDI(p<0.001) and intensity of ideation(IOI) in C-SSRS(p<0.001). Also intensity of ideation(IOI) was correlated with Mood Disorder Questionnaire(MDQ) bipolarity positive(p=0.033). Conclusions : The present study indicated that possibility of bipolar disorder plays a significant role in suicide attempters. Assessment of suicide ideation severity and possibility of bipolar disorder should be considered when suicide attempters come to emergency room.

• Korean Journal of Culture and Social Issue
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• v.12 no.2
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• pp.1-19
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• 2006

There are less studies on the elderly suicide even though it's steep increase. The purpose of the present study was to investigate factors that influence on the elderly suicide and to categorize them. For these purpose, A total of 23 cases were analyzed through qualitative contents analysis. Specifically, on the basis of the stress-vulnerability model, we scrutinized vulnerability factors(classified personal, family-environment factors) and precipitating events(classified interpersonal events) influencing on the elderly suicide. Personal factor was to be classified into personal mental health, physical health and problematic behavior. Family-environment factor was divided family relationship problem and economic problem. Interpersonal events belonging to the precipitating events was to be classified into interpersonal loss and interpersonal conflict. As the results of this study, elderly suicide classified into 3 types, that is, 'risk type suicide', 'event-response type suicide', 'complex type'. And then we discussed the characteristics of the suicidal types and suggestions for reduction of elderly suicide.

• Korean Journal of Culture and Social Issue
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• v.12 no.1
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• pp.15-33
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• 2006

There are less studies on the adult suicide even though it's steep increase and negative effect on person itself, family and society. The purpose of the present study was to investigate factors that influence on the adult suicide and to categorize it. Using a case-study approach, a total of 61 cases were analyzed. Specifically, on the basis of the stress-vulnerability model, I scrutinized vulnerability factors(classified personal, family-environment, and social-environment factors) and precipitating events(classified personal, interpersonal events) influencing on the adult suicide. As the results of this study, adult suicide classified into 3 types, that is, 'risk type suicide', 'event-response type suicide', 'complex type'. And then I discussed the characteristics of the suicidal types and the method for reduction of adult suicide.

• Korean Journal of Biological Psychiatry
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• v.25 no.3
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• pp.72-78
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• 2018

Objectives The high suicide rate has risen as a main concern in South Korea. Given the complexity of the mechanism resulting in complete suicide, studies targeting various populations are needed for broader understanding of its risk factors. This study aims to analyze the factors affecting the suicidal tendency in the population of the elderly living alone in Seoul depending on basic elderly-care services. Methods A total number of 415 people participated in the study. Home-visit interviews were administered by trained interviewers. Suicidal tendency was measured by the Korean version of mini international neuropsychiatric interview (K-MINI). Health-related quality of life was measured by a brief version of the World Health Organization Quality-of-life Scale (WHOQOL-BREF). Alcohol problem was assessed by the Korean version of the alcohol use disorders identification test (AUDIT-K). Among total subjects of 415 interviewees, the actual responses of 408 people were used for the final analysis. Results The result showed that the suicide risk was high in persons isolated from social support [odds ratio (OR) = 4.49], having depression (OR = 14.85), and having low quality of life (OR = 4.39). Conclusions We found that social support, depression and health-related quality of life are associated with suicidal tendency in the elderly living alone on basic services. Our evidence will contribute to suicide prevention policy for the elderly living alone on care services.