• Title/Summary/Keyword: Suicide attempted

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Brain MRI Findings of Nitrogen Gas Inhalation for Suicide Attempt: a Case Report

  • Kim, Young-eun;Lee, Donghoon;Kim, Minji;Hwang, Hokyoung
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.4
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    • pp.264-268
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    • 2017
  • South Korea has the highest reported suicide rate among all countries belonging to the Organization for Economic Cooperation and Development. Nitrogen is a colorless, odorless and nontoxic gas. Nitrogen gas has, however, been recently used as a method of attempted suicide, its nontoxity notwithstanding. We herein report on an unusual case involving a 30-year-old male who presented with symptoms after a suicide attempt by nitrogen inhalation. Diffusion-weighted imaging of his brain was showed curvilinear high signal intensity in the bilateral frontal and right occipital cortices, with subtle low apparent diffusion coefficient value. In addition, T2-weighted images and fluid attenuated inversion recovery images revealed subtle high signal intensity in the bilateral frontal cortices, basal ganglia and occipital cortices with contrast enhancement.

A Study of Subjectivity among Nursing Students Regarding Suicide Attempters (자살시도자에 대한 간호대학생의 주관성 연구)

  • Cho, Jeong Lim;Lee, Eun Nam;Park, Eun Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.3
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    • pp.341-352
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    • 2017
  • Purpose: To identify the types and characteristics of subjective structures among nursing students toward individuals who attempt suicide. Methods: A group of 32 third- and fourth-year nursing students with experience in clinical practice rated 35 Q-statements on a nine-point scale according to their opinion. Data analysis was conducted using the PC-Quanl program. Results: Subjectivity among nursing students toward individuals who attempt suicide was analyzed for three types. Type 1 (social responsibility emphasis) subjectivity recognizes the social responsibility for suicide attempts and emphasizes the importance of social support systems as a preventive effort. Type 2 (rational reprimand) subjectivity emphasizes the willpower and effort to overcome challenges in life, because happiness and unhappiness are dependent on one's thoughts and will. Type 3 (situation acceptance) subjectivity regards the suicide attempt as an optional means to avoid a deeply strenuous, painful, and difficult situation. Conclusion: This study investigated the subjectivity of nursing students toward individuals who attempt suicide and to provide a better understanding of them. In addition, the development of training programs that take advantage of the subjective characteristics of individuals based on subjectivity types demonstrated in this study is expected to provide nursing students with useful educational materials for their future careers as nurses.

Factors Influencing Attempted Suicide Among Adolescents in Korea (청소년들의 자살시도에 영향을 미치는 요인)

  • Lee, Gyuyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3139-3147
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    • 2015
  • The aim of this study was to investigate the condition surrounding attempted suicide and related factors among middle and high school students in Korea. Methods : Data from 72,435 participants of 2013 Korea Youth Risk Behavior Web-based Based Survey were analyzed. Statistical analyses were conducted on weighted data using SPSS 21 software to account for the complex sampling designs. Results : Complex samples logistic regression analysis, school level, socioeconomic status, drinking alcohol, drug use, experience of school bullying were associated with an increased proportion of attempted suicide for boys and girls. Particularly, male students was associated with living type. Conclusion : The results of this study highlight the important of developing a program that focuses on enhancing suicidal prevention & respect life program with life skills program, to effectively reduce the likelihood of attempted suicide among adolescents in Korea.

Effects of Suicidal Attitudes, Perception of Life, and Depression on Adolescents' Suicide (자살 태도, 삶의 인식, 우울이 청소년의 자살에 미치는 영향)

  • Lee, Sang-Eun;Lee, Eun Jin;Ham, Ok Kyung
    • Journal of the Korea Convergence Society
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    • v.12 no.7
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    • pp.305-315
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    • 2021
  • The Korea Convergence Society. The purpose of this study was to examine the effect of suicidal attitude, perception of life, and depression on adolescents' suicide(ideation, plans, attempts). Data on general characteristics, the Attitude Toward Suicide, the Perception about Life, and the Korean version of Center for Epidemiologic Studies Depression Scale-Revised were collected in 889 second-year middle school students in the I area. Two hundreds forty six students (27.67%) indicated they had suicide ideation, 85 had suicide plans (9.56%), and 46 had suicide attempts (5.17%). The proportion of female students was significantly higher than that of male students. The suicide indices (ideation, plans, attempts) increased as one shows lower body image satisfaction, higher depression, lower subjective mental and physical health, and lower leisure satisfaction. Predictors of suicide ideation included suicidal attitude (solution and permissiveness), depression, subjective mental health, and body image satisfaction. Predictors of the suicide plan were permissiveness and solution among suicidal attitude, and depression, subjective mental health, and those of suicide attempts were permissiveness and depression. Conclusion: This study suggests that much effort is required to decrease depression and improve perception of life and suicidal attitude in the suicide prevention education for adolescents.

A Qualitative Study on the Restoration of Middle Aged Women Who Have Attempted Suicide Throughout Their Life Course (생애과정에서 자살을 시도했던 중년여성의 극복 경험 연구)

  • Kim, Misuk;Sung, Seoungyun
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.149-165
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    • 2019
  • The purpose of this study is to conduct an in-depth interview on 5 middle aged women who have attempted suicide in the past and to explore their suicide attempts and the vivid empirical value of life after the attempt. The collected data were analyzed using Giorgi's phenomenological approach. The data analysis resulted in 21 sub categories and 7 essential categories. Study participants experienced an-'selected death at the end of a cliff', 'standing on the border of life and death', 'life became clear after escaping delusion', 'working toward life once again', 're-evaluating their past life and discovering new possibilities', 'experiencing the vividness of life here', 'spiritual growth and deeper insight'. Such results offer a discussion on existence toward self-completion, and hold significance in that it increased our in depth understanding and recognition beyond the narrow perceptions of individuals who attempt suicide.

The characteristics of elderly suicidal attempters in the emergency department in Korea: a retrospective study

  • Ji-Seon Jang;Wan-Seok Seo;Bon-Hoon Koo;Hey-Geum Kim;Seok-Ho Yun;So-Hey Jo;Dae-Seok Bai;Young-Gyo Kim;Eun-Jin Cheon
    • Journal of Yeungnam Medical Science
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    • v.41 no.1
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    • pp.30-38
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    • 2024
  • Background: Although Korea ranks first in the suicide rate of elderly individuals, there is limited research on those who attempt suicide, with preventive measures largely based on population-based studies. We compared the demographic and clinical characteristics of elderly individuals who attempted suicide with those of younger adults who visited the emergency department after suicide attempts and identified the factors associated with lethality in the former group. Methods: Individuals who visited the emergency department after a suicide attempt from April 1, 2017, to January 31, 2020, were included. Participants were classified into two groups according to age (elderly, ≥65 years; adult, 18-64 years). Among the 779 adult patients, 123 were elderly. We conducted a chi-square test to compare the demographic and clinical features between these groups and a logistic regression analysis to identify the risk factors for lethality in the elderly group. Results: Most elderly participants were men, with no prior psychiatric history or suicide attempts, and had a higher prevalence of underlying medical conditions and attributed their attempts to physical illnesses. Being sober and planning suicide occurred more frequently in this group. In the elderly group, factors that increased the mortality rate were biological male sex (p<0.05), being accompanied by family members (p<0.05), and poisoning as a suicide method (p<0.01). Conclusion: Suicide attempts in elderly individuals have different characteristics from those in younger adults and are associated with physical illness. Suicides in the former group are unpredictable, deliberate, and fatal. Therefore, tailored prevention and intervention strategies addressing the characteristics of those who are elderly and attempt suicide are required.

Factors influencing repeated suicide attempts among suicide attempters who visited the emergency room due to acute drug intoxication: a retrospective study (급성약물중독으로 응급의료센터를 내원한 자살시도자의 자살 재시도 영향요인: 후향적 연구)

  • In Ah Yun;Mi Yang Jeon
    • Journal of Korean Biological Nursing Science
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    • v.26 no.3
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    • pp.228-239
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    • 2024
  • Purpose: This retrospective study was conducted to identify factors associated with repeated suicide attempts by analyzing the electronic medical records of suicide attempters who visited emergency medical centers due to drug intoxication. Methods: Data from January 1, 2020 to December 31, 2021 were collected for this study and analyzed using SPSS/WIN 25.0. Results: In this study, the factors affecting repeated suicide attempts among individuals who visited the emergency medical center due to acute drug intoxication were the presence or absence of psychiatric diseases, the season of drug intoxication, and age. In order to identify the factors affecting repeated suicide attempts in those who presented with acute drug intoxication, logistic regression analysis was performed by inputting psychiatric diseases, season of drug intoxication, and age, all of which exhibited significant differences between those who did and did not attempt suicide again. The presence of psychiatric diseases (odds ratio [OR] = 1.99, 95% confidence interval [CI] = 1.04~3.80), intoxication occurring in the fall (vs. spring; OR = 3.35, 95% CI = 1.28~8.75), and age ≥ 65 (vs. those under the age of 18; OR = 12.96, 95% CI = 2.02~83.17). The regression model was found to be statistically significant (F = 30.01, p < .001), and the coefficient of determination of Cox and Snell, which represents the explanatory power of the model, was 12.0%. Conclusion: This study suggests that to prevent repeated suicide attempts, it is necessary to develop a tool to evaluate the risk of suicide, use it to evaluate the risk of suicide, and then manage individuals accordingly.

Trends in Research on Adolescent Suicide Interventions (청소년 자살 중재연구 동향)

  • Cho, Hun Ha;Kang, Jung Mi;Kim, Won Soon
    • 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.

Factors on the Suicidal Attempt by Gender of Middle and High School Student (남녀 중.고등학생의 자살시도 예측요인)

  • Yi, Sang-Gu;Yi, Yun-Jeong;Jung, Hye-Sun
    • Journal of Korean Academy of Nursing
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    • v.41 no.5
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    • pp.652-662
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    • 2011
  • Purpose: The suicide rate of adolescents in Korea is increasing annually. Therefore, this research was done to identify the suicide attempt rate of middle and high school students and to identify factors that influence suicidal attempts. Methods: The Korea Youth Health Risk Behavior Web-based Survey (2007) was used as data. Discriminant analysis and logistic regression were performed to analyze the data depending on gender to consider the gender difference in assessing the influence of each independent variable on suicidal attempts. Results: Discriminant analysis according on gender showed that 13 factors correlated with suicidal attempts for boys, and 20 factors for girls. The most highly correlated factors were smoking, depression and inhalation experience. For inhalation experience, boys had 2.7 times higher possibility of suicide attempts (95% CI 1.8-3.0) and girls, a 2.4 times higher possibility (95% CI 1.7-3.5). Conclusion: The results of the study indicate a need to classify adolescents for expectation of suicide risk and high danger for suicidal attempts through, and introduce suicide prevention programs for these adolescents. In particular, it is necessary to start intervention with students who smoke, have sexual and inhalation experiences and high levels of depression.

Predictors of Suicide Attempts in Out of School Youths (학교 밖 청소년의 자살시도 영향요인)

  • Lee, Yoonjeong;Park, Moonkyoung;Jeong, Younghee
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.541-552
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    • 2022
  • This study is a secondary data analysis study using the 1st Panel Survey of School Dropouts in Korea for investigating predictors of suicide attempts in out-of-school youths (OSYs). Data analysis were performed using the SPSS 26.0 statistical program. Suicide attempts were reported in 62 (8%) of the 776 participants included in the study. Logistic regression analysis revealed that suicide attempts before school dropout (OR=10.66), experience of violence victimization (OR=6.97), alcohol consumption (OR=3.73), depression (OR=2.62), parental attachment (OR=0.47), peer relationships (OR=0.63) before school dropout were significant predictors of suicide attempts. Prevention of suicide attempts by OSYs should be preceded by confirmation of their experience in suicide attempts before school dropout. In addition, it is required to establish a suicide prevention program considering psychological situations, interpersonal relationships, and violence experiences.