• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권4호
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• pp.99-105
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• 2022

Objectives: Suicide is the leading cause of death among adolescents in South Korea, and depression and personality profiles have been identified as significant risk factors for self-injurious behavior. This study examined the influence of depressive mood and temperament/character on self-injury in adolescents. Methods: A total of 116 adolescents (aged 12-18 years) with a primary diagnosis of major depressive disorder (MDD) and their parents were enrolled in this study. The participants were divided into three groups based on adolescent's self-injury frequency, and their Children's Depression Inventory (CDI), Youth Self-Report (YSR), and Temperament and Character Inventory (TCI) scores were compared. Finally, mediation analysis was conducted to investigate the relationship between suicidal ideation and self-injury. Results: Of study participants, 75.9% answered that they had suicidal ideation, and 55.2% answered that they had engaged in self-injurious behavior in the last six months. There were significant differences in CDI and suicidal ideation among the groups. After adjusting for age and sex, mediation analysis indicated that depressive mood mediated the relationship between suicidal ideation and self-injury. Conclusion: This study emphasizes the importance of evaluating and managing depressive mood severity in adolescents with MDD as these factors partially mediate the transition from suicidal ideation to self-injury.

• 한국콘텐츠학회논문지
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• 제13권3호
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• pp.240-250
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• 2013

자살 생각을 초기에 발견하는 것은 자살을 예방하는 데 중요하다. 본 연구는 의료 현장에서 사용될 수 있는 간단한 스크리닝 도구를 개발하는 것을 목적으로 하였다. 자살위험 스크리닝 도구는 의사들이 빠르고 쉽게 사용할 수 있도록 설계되었다. 미국 알래스카 Norton Sound region의 Screening for Depression and Thoughts of Suicide라는 도구로부터 2개의 항목으로 구성된 스크리닝 도구를 만들었다. 이 도구는 개인식별번호를 제외하는 등 한국의 실정에 맞게 양식이 수정되었으며 한국형 자살위험 스크리닝 도구로 이름붙였다. 이 도구의 신뢰성과 적용가능성은 7명의 의사들을 통해 검토되었다. 이 도구의 타당성은 4개의 의료기관에서 325명의 환자들을 조사하여 현재의 정신건강 상태를 외부 기준으로 하여 확인하였다. 이와 같은 2개 문항으로 구성된 자살위험 스크리닝 도구는 정신과 의사 및 기타 의사들에 의해 환자의 자살경향을 발견하는데 사용될 수 있을 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권4호
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• pp.161-169
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• 2021

Objectives: Adolescent suicide is a serious social problem. Adolescent alcohol use is one of the most important risk factors for adolescent suicide. This study aimed to identify the relationship between drinking habits and suicide among Korean adolescents. Methods: Data from the 14th and 15th Korean Youth Risk Behavior Web-based Survey, conducted in 2018 and 2019, were used for analysis. Multiple logistic regression analysis was used to identify the relationship between drinking habits-including the age of drinking initiation, frequency of drinking, average drinking amount, frequency of drunkenness-and suicidal ideation, plans, and attempts. Results: Even after adjusting for age, sex, school grade, academic achievement, socioeconomic status, depression, stress, and drinking habits, the frequencies of drinking and drunkenness increased the risk of suicide attempts. Suicide attempts were associated with the frequency of drinking in girls and middle school students, and with the frequency of drunkenness in boys and high school students. Conclusion: This study identified associations between drinking habits (the age of drinking initiation, frequency of drinking, average amount of drinking, frequency of drunkenness) and suicidal behavior in adolescents. Our findings suggest that to prevent adolescent suicide, it might be necessary to investigate drinking habits, including the frequencies of drinking and drunkenness. Moreover, considering the differences in sex and school grade, it is important to include the individual group characteristics when evaluating drinking habits.

• 생물정신의학
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• 제12권1호
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• pp.20-31
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• 2005

Objectives:This study was designed to investigate the characteristics of personality changes and emotional distress using the Personality Assessment Inventory (PAI) in patients with traumatic brain injury(TBI), divided into mild (MTBI) and severe (STBI) groups according to the severity of injury. Methods:The subjects were consisted of 25 patients with MTBI, 25 patients with STBI, and 25 normal controls. They were interviewed with the PAI. The data were analyzed by ${\chi}^2$ test, analysis of variance and Tukey test. Results:The results were the followings. First, Negative Impression in validity scales was elevated above cutoff point(T score 70) in both MTBI and STBI groups. Second, the clinical scales of which scores elevated above the cutoff point were Somatic Complaints, Anxiety, Anxiety-Related Disorders, Depression, and Schizophrenia in the MTBI, and Somatic Complaints and Depression in the STBI. Third, the clinical subscales above the cutoff point were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Traumatic Stress, Cognitive Depression, Affective Depression, Physiological Depression, Thought Disorder, and Affective Instability in the MTBI, and Health Concerns, Cognitive Depression, Affective Depression, and Physiological Depression in the STBI. Fourth, Suicide Ideation in treatment scales was the only scale above the cutoff point in the MTBI and the others of the treatment and interpersonal scales in the MTBI and all of these scales of the STBI were not elevated above the cutoff point. Fifth, the scales of which scores showed significant difference between the MTBI and the STBI were Somatic Complaints, Anxiety, Depression, and Suicide Ideation, the subscales were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Physiological Depression, and Psychotic Experiences. Conclusion:These results suggest that the patients with MTBI had more somatic and anxiety symptoms, depressed mood, and suicidal ideation than the patients with STBI. These characteristics are generally consistent with clinical observation and findings from previous studies of the patients with TBI, and the PAI seems to be a beneficial adjunctive assessment tool for the evaluation of patients with traumatic brain injury.

• 디지털융복합연구
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• 제16권4호
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• pp.267-276
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• 2018

본 연구는 우울감있는 성인의 나이에 따른 자살생각에 영향을 주는 요인을 파악하여 자살시도를 사전에 예방하기 위한 간호중재 시 기초자료를 제공하고자 시도되었다. 본 연구대상자는 보건복지부와 질병관리본부에서 시행한 2013-2015년도 국민건강영양조사 대상자 총 15,568명 중 '2주 이상 연속 우울감 여부' 문항에 '있음'으로 명확하게 응답한 30세 이상 1,202명을 대상으로 하였다. IBM SPSS 23.0 프로그램을 이용하여 복합표본계획파일을 생성한 후 가중치를 부여하여 분석하였으며, 유의수준은 .05로 하였다. 본 연구결과는 다음과 같다. 자살생각에 유의한 영향을 준 요인으로는 소득(50-60대), 가구원수(50-60대), 결혼상태(40-50대), 주관적 건강(30-50대, 70대 이상), 스트레스(30대, 50대 이상), 경제활동상태(50대), 당뇨(60대 이상), 음주량(60대), BMI(40대)로 나타났다. 따라서, 자살예방 계획 및 중재 시 대상자의 일반적 건강관련 요인들을 고려한 맞춤식 중재가 필요하다.

• 한국융합학회논문지
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• 제10권1호
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• pp.353-360
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• 2019

목적: 최근 노인의 우울은 두드러진 정신기능의 변화로 매년 증가하여 삶에 큰 영향을 미치고 있다. 우울은 다양한 심리적, 사회적 문제를 경험하게 하고 노인 자살의 강력한 예측 요인으로 작용하고 있다. 본 연구에서는 자살 생각을 가진 우울증 노인의 삶에 대한 적응 경험을 융합적으로 이해하고자 한다. 절차 및 방법: 자조집단 내에서 GDS 척도가 17점 이상이고, SSI 척도가 9점 이상인 7명의 노인을 대상으로 이론적 포화가 될 때까지 면담을 실시하였고, 근거이론 분석 방법에 따라 자료를 분석하였다. 결과 및 기여도: 동료 집단과의 교류를 통해 우울증 노인이 스스로 삶의 중심이 되는 것이 중요하다는 것을 인지하게 되어 자신의 삶을 포용하게 되었다. 향후 연구 방향: 자살 생각을 가진 우울증 노인의 적응 경험에 영향을 미치는 동료집단과의 긍정적인 교류에 대한 경험적 연구가 확대되고 지속되어야 할 것이다.

• 유통과학연구
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• 제12권8호
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• pp.91-102
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• 2014

Purpose - Today, the importance of the service industry has increased. Social welfare businesses that follow the non-profit principle have neglected the distribution of the service. However, an intangible service, when produced and consumed, has a similar service delivery system to common service distribution and social welfare. Therefore, the author has assumed the efficiency of the service delivery system of social welfare to be equivalent to the service distribution industry. Hence, various kinds of social welfare services for the prevention of elderly suicide, from the perspective of distribution, are discussed. Studies on generational relations have thus far investigated depression from parent-children conflict, and satisfaction with their lives. Studies on the relationship between family solidarity and elderly suicide by analyzing existing social problems are rare. This study investigated the effects of family solidarity between old parents and adult children upon elderly suicide by analyzing serious psychological and social problems. This study revealed basic measures for elderly suicide prevention through services that could elevate family solidarity from the perspective of social welfare service distribution. Research design, data, and methodology - The subjects were 468 elderly, 65 years or older, at 18 senior welfare centers and halls for the elderly at Seoul and Gyeonggi-do. Questionnaire surveys, excluding invalid answers, were analyzed. Convenience sampling was used from February 5, 2014 to March 5, 2014. The findings were: First, women and those having spouses with advanced educational backgrounds and social activities had primary solidarity such as contact solidarity, affectionate solidarity, functional solidarity (giving help), and functional solidarity (receiving help). In addition, those who had good health, from a subjective point of view, had more solidarity. Second, the elderly who were men and single, and who had poorer educational backgrounds thought of suicide, lacked social activities, and had poor health, from a subjective point of view. Third, family solidarity between old parents and adult children had significantly negative influence on the suicidal ideation of the elderly. Results - The study revealed the following implications. First, the preparation for old age should consider not only economic welfare but also the psychological welfare due to the relationship with children. Second, the phenomenon of elderly suicide because of a lack of family solidarity could increase national loss and have great influence upon welfare in old age. Therefore, planning of welfare services for the elderly should consider the value of relationships with children to improve the psychological welfare of the elderly. Third, the social expenses of government-oriented support for parents should be discussed from the people's point of view. Conclusions - The subjects of the study comprised the elderly at Seoul and Gyenggi-do; therefore, it would be difficult to extrapolate the findings to all the elderly in the nation. The subject visited senior welfare centers as well as halls for the elderly; therefore, it would be difficult to assume that the trends were representative of the elderly in the nation.

• 지역사회간호학회지
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• 제32권3호
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• pp.292-302
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• 2021

Purpose: Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents. Methods: The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis. Results: The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives' home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52). Conclusion: The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

• 대한통합의학회지
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• 제11권1호
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• pp.141-148
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• 2023

Purpose : This study examined the relationship between suicidal thoughts, hand grip strength, socioeconomic status, educational level, and disease occurrence. Methods : Korean national health and nutrition examination survey 2017 were used in this study. 5,449 were analysed. For comparison between groups, cross-tabulation analysis and mean comparison were performed. Logistic regression analysis were performed to analyze the influencing factors between grip strength and suicidal ideation. Results : Our results are consistent with the literature on the importance of socioeconomic status in health. The lower the level of education, the higher the suicidal thoughts. Being single or divorced was also significantly associated with suicidal ideation. Moreover, a lower income level was significantly associated with a higher suicide intention. Furthermore, older ages, lower educational levels, and lower income were significantly associated with a higher odds ratio of suicidal thoughts. Interestingly, suicidal thoughts were significantly lower among non-smokers. In contrast, suicide intention did not differ significantly according to gender, age, monthly drinking habit, aerobic physical activity, and disease occurrence. Suicidal thoughts decreased as grip strength increased and this was statistically significant. Socioeconomic status, disease occurrence, and handgrip strength level affected the security of an individual's livelihood and were significant risk factors for suicidal thoughts. These associations remained significant in multiple logistic regression even after controlling for all covariates. Conclusion : Future prevention intervention efforts to reduce suicide risks should consider handgrip strength. Studies to explore the possible proximal risk factors and mediators between handgrip strength and suicidal thoughts are also warranted.

• 산업진흥연구
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• 제3권2호
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• pp.63-78
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• 2018

본 연구는 청소년의 자살생각에 영향을 미치는 요인을 규명하기 위해 서베이 연구방법을 사용하였다. 본 연구결과는 다음과 같다. 첫째, 부모와 청소년 자녀의 심리적인 거리감을 좁히고 가족 내에서 더욱 화합하기 위한 각 가정에서의 노력이 필요하며, 부모 자녀 간에 때때로 무심코 가해지는 신체적, 언어적인 폭력을 의식적으로 줄여야 한다. 둘째, 자살시도를 하는 청소년이 발생할 때, 학교나 교육기관, 지역사회의 상담관련 기관에서는 청소년의 위기상황에 효과적으로 대응할 수 있도록 해야 하며, 자살예방교육 및 자살태도 교육 등 그 후속조치를 반드시 실시하여 청소년들의 모방 자살이나 충동적인 자살생각을 줄일 수 있도록 노력하여야 한다. 셋째, 청소년의 자살예방 및 관련 프로그램을 개발할 때 이를 고려한 차별화된 프로그램과 자살예방 교육을 시도해야 할 것이다. 넷째, 학교밖 청소년에게도 실시할 수 있는 체계를 마련하여 우울이 높은 청소년을 조기에 발견하여 개입하는 것이 청소년의 자살생각을 예방하는 데에 필요하리라 본다.