• Research in Community and Public Health Nursing
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• v.19 no.3
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• pp.419-430
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• 2008

Purpose: The purpose of this study was to identify variables influencing suicide ideation among adolescents. Methods: Data were collected from 235 middle school students in Chungbuk Province from April to September 2007. We used the Korean versions of Reynold's Suicide Ideation Questionnaire, Children's Depression Inventory and Conners-Wells' Adolescent Scale, Beck's Hopelessness Scale and Internet Addiction Scale-K for measuring the research variables. Results: Of the subjects, 23.0% were classified into the risk group of suicide ideation. Overall, the score of the suicide ideation scale was 14.25 (${\pm}16.38$). The score of the suicide ideation scale in female adolescents ($17.45{\pm}19.04$) was significantly higher than that in male ones ($11.17{\pm}12.65$). Depression was a major predictor of suicide ideation. ADHD, gender, internet addiction, and hopelessness were the other significant predictors of suicide ideation. Conclusion: A strategy for school mental health education should be provided in order to prevent suicide ideation. The function of school health and Mental Health Center should be reinforced in terms of organization and staff personnel.

• Korean Journal of Biological Psychiatry
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• v.22 no.1
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• pp.1-6
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• 2015

Suicide, the fourth leading cause of death in Korea, is a serious national problem. The Korea National Suicide Survey (KNSS) is the result of the first legislation to address this issue, "Article 11 of THE ACT FOR THE PREVENTION OF SUICIDE AND THE CREATION OF A CULTURE OF RESPECT FOR LIFE" (the "Act for the Prevention of Suicide"). To overcome the limitations of previous studies, the KNSS was designed by collaborators from a variety of fields : psychology, epidemiology, social welfare, and psychiatry. The KNSS was composed of four substudies that addressed the multifaceted process involved in suicide-related behavior over time, exploring general attitudes toward suicide and suicidal ideation, suicide planning, suicide attempts, and completed suicides. Study 1 examined the risk factors for suicide based on data regarding completed suicides ; Study 2 adopted the approach of a psychological autopsy ; Study 3 focused on suicide attempters ; and Study 4 explored attitudes toward suicide in the general population. The KNSS was designed to provide a comprehensive understanding of suicide from a longitudinal, multifaceted perspective to serve as a basis for policies aimed at suicide prevention.

• Journal of the Korea Convergence Society
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• v.13 no.2
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• pp.349-356
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• 2022

This study aims to identify factors related to suicide within one year of schizophrenia diagnosis based on data from National Health Information Database. We obtained data of 102,540 patients diagnosed with schizophrenia between 2007 to 2010 from customized database, which was checked using the National Statistics Organization database and schizophrenia cohort was built. The number of suicide within one year of schizophrenia diagnosis was 615(0.60%), and the risk of suicide within one year was high among patients within age group of 25-34 and patients with medium-low to high economic status. The risk of suicide within one year among male patients was high within age group of 45-54 and patients with medium-low to high economic status. The risk of suicide within one year among female patients was high within patients with high economic status. Age and economic status need to be considered during suicide prevention intervention of schizophrenia patients diagnosed within one year and suicide related factors by sex need to be especially considered.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.4
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• pp.473-484
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• 2016

Purpose: The purpose of this study was to identify the relations among appropriateness of work, competency on student suicide and attitude toward suicide in health teachers. Methods: This study was a cross-sectional descriptive one. The subjects were 193 health teachers. Self-administered questionnaires were used to measure the variables of this study. Descriptive statistics, independent t-test, one way ANOVA, Pearson correlation, and stepwise multiple regression with SAS 9.3 software were used for the data analysis. Results: The attitude score toward suicide ranged from 1.47 to -1.03. The average score of appropriateness of work and competency related to student suicide were 2.34 and 2.81 respectively. Associated factors with competency related to student suicide among health teacher were appropriateness of work related to student suicide, two items of attitude toward suicide(suicide is an acceptable means to end an incurable illness and people who commit suicide are usually mentally ill), education level, education experience on suicide prevention and management, and the adjusted $R^2$ of the regression model was 34.3%. Conclusion: Health teachers were not tolerable to student suicide. However, they evaluated themselves as low in the appropriateness and competency to the work on student suicide, especially in screening and counselling of high risk groups. The results of this study suggest that it is necessary to develop education programs about counseling and intervention on student suicide for health teachers.

• Anxiety and mood
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• v.11 no.1
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• pp.3-11
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• 2015

Objective : The aim of this study was to find associations between specific symptoms and suicidal behavior by using global severity on depression scales. Methods : Data were obtained from 1,183 patients of CRESCEND study. Factor analysis of the 17-item Hamilton Rating Scale for Depression (HAM-D) and the Beck Depression Inventory-II (BDI-II) was used to compare symptom clusters between the past suicide attempters and the non-suicide attempters, among the patients with depressive disorders. Results : Factor analyses of HAM-D and BDI-II extracted three factors. Suicide attempters had significantly higher scores on core factor of HAM-D, including depressed mood, feeling of guilt, suicide, work, and activities. The higher scores on all factors of BDI-II or scores correlated with a total of 7 suicide attempts and with known risk factors for suicidal behavior. Conclusion : These findings suggest that the suicide attempters complained of more cognitive, affective, somatic symptoms on BDI-II, but the core factor on HAM-D was the only differentiated factor between the two groups. Clinician-rated scales as well as self-reported questionnaires were valid in measuring suicidal attempts, and the clinical profile may help in guiding the studies of biological correlates and the treatments to reduce suicide risk.

• Journal of the Korean Society of Child Welfare
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• no.27
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• pp.69-93
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• 2008

The study tried to identify suicidal factors of adolescences by analyzing effect factors of adolescences' suicide. Demographic factor, Self-respect, depression, suicidal ideation, and school adjustment scale, Social support, self-regulation, and problem solving scale were analyzed as effect factors. 307 junior high and high school students in Pusan city were surveyed by community education experts for this research. As a result, there are significant differences between high suicidal risk group and low suicidal group in all subcategories including economic status. As for the correlation analysis between risk factors and preventive factors, variables, it was analyzed that each variable was correlated to other variables. In addition, multiple regression analysis was conducted to find out affecting factors of adolescence suicide categorized into demographic factor, personal factor, school factor, and social factor. As a result, it was founded that the affecting factors of adolescence suicide were school adjustment, problem solving ability, suicidal ideation, depression and neighborsupport, and self-regulation. That is, to prevent adolescence suicide, the adolescence who are exposed to suicidal risk should be identified by measuring the degree of suicidal ideation, strengthened their school adjustment, and then conducted group therapy to strengthen their problem solving ability and self-regulation. In addition, adolescence suicide can be prevented by strengtheningsocial support for adolescences.

• Korean Journal of Clinical Pharmacy
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• v.28 no.4
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• pp.308-319
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• 2018

Background: Some mental illnesses such as depression are known to be one of the risk factors of suicide and proper antidepressant therapy can reduce suicidal behavior. Objectives: This study aimed to analyze regional variations in antidepressant consumption and adherence, suicide rate, prevalence of suicide related mental disorders, and access to relevant healthcare services. Methods: Cross-sectional analyses were conducted using National Patients Sample data compiled by the Health Insurance Review and Assessment Service between 2014 and 2016. We included patients who had a diagnosis record of suicide related mental disorders during the study period. Cause of death statistics and National health and medical statistics were used to identify suicide rate and distribution of healthcare service. We conducted visual analyses, chi-squared tests, independent t-tests and correlation analyses to demonstrate regional variations. Results: Between 2014 and 2016, the average prevalence of suicide related mental disorders was 5.4 per cent. Suicide rate and prevalence of suicide related mental disorders were higher in Gangwon, Chungcheong, and Jeolla (p < 0.001), and lower in Seoul (p < 0.001) than the national average. Unexpectedly, regional variations in antidepressant consumption were seen in the limited area including Daejeon, Chungnam and Gyeongnam (p < 0.05). The number of mild patient-centered clinics was associated positively with antidepressant consumption (p < 0.01) and associated negatively with suicide rate (p < 0.01). Conclusion: There were some regional variations in prevalence of suicide related mental disorders, antidepressant adherence and suicide rate. The higher level of antidepressant therapy and the lower level of suicide rates were seen in regions with easy access to mild patient-centered clinics.

• 한국노년학
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• v.38 no.4
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• pp.1107-1125
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• 2018

The purpose of this study was to present the empirical data for the prevention of suicide by analyzing the group differences according to the types of risk factors and protective factors of family members living with dementia patients and the effects of each type on suicidal ideation. This study investigated the characteristics of suicidal ideation among family members of people living with dementia by using a community health survey. It then investigated the effect of each latent group on the suicidal ideation of family members of people living with dementia. Twenty-four risk and protective factors on suicide ideation were analyzed by using Mplus. The four latent classes were high risk - low protective, high risk - high protective, low risk - high protective and low risk - low protective. Multivariate logistic regression analysis showed that the high risk-low protective factor group had the highest suicidal ideation. Based on these results, practical implications and challenges were presented.

• Journal of Families and Better Life
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• v.27 no.2
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• pp.203-211
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• 2009

This study was conducted to evaluate a forecast model designed to describe a vocational high school for runaway students. The study included 2000 adolescents from the KEEP(Korean Education and Employment Panel). A Data mining decision tree model revealed that: (1) Suicide ideation was a risk factor for running away among smokers. (2) High self-evaluation was a risk factor for running away among individuals that smoked and had no suicide ideation. (3) Drinking was predicted as a risk factor for no smokers, while family life dissatisfaction was predicted as a risk factor among non-smokers that drank. (4) Negative relationship with mother was predicted as a risk factor among non-drinking non-smoking.

• Journal of the Korean Society of School Health
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• v.20 no.1
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• pp.11-24
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• 2007

Purpose : Health Risk behaviors are a leading cause of preventable morbidity and mortality. Adolescents is a critical transitional period for establishing health behavior for healthy life. The purpose of this study was to describe the types and frequency of the health risk behaviors being performed by middle school students, examine the gender and grade differences of health risk behaviors, and identify the relationship among health risk behaviors. Methods : A total of 1952 early adolescents recruited from 7 middle schools in a district of urban setting completed questionnaires. Youth Risk Behavior Survey-Middle school questionnaires was used to identify the types of health risk behaviors among early adolescents. Data were analyzed by descriptive statistics and Chi-Square test using SAS program . Results : The results showed the frequency for most health risk behaviors and increased with advancing grade level. Males were more likely than females to behaviors related to smoking and violence, whereas females were more likely than males to have suicidal thoughts, be physical inactive and attempt to lose weight. Among health risk behaviors, the relationship of alcohol experience, smoking, and suicide was high. Conclusion : The findings identify a high risk target group among middle school adolescents and suggest that preventive intervention strategies should take into consideration the types with gender and grade, and provided the evidence that one of health risk behaviors may induce the other health risk behaviors.