• Journal of Oriental Neuropsychiatry
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• v.34 no.3
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• pp.213-234
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• 2023

Objectives: To investigate current status of randomized controlled clinical trial (RCT) registration for suicide attempters. Methods: The World Health Organization International Clinical Trials Registry Platform (WHO-ICTRP) was used to search for data using 'suicide' as a search term. All registration information of RCTs registered up to April 2023 were collected. Results: Among a total of 68 RCTs registered, the United States ranked the highest in terms of quantity in this field (n=30, 46.15%), whereas Asia had only six (8.82%). A total of 62 (91.18%) RCTs involved individual interventions, while nine (13.24%) RCTs involved group interventions. Among individual interventions, 11 (16.18%) and 54 (79.41%) RCTs were on pharmacotherapy and psychotherapy, respectively. Within psychotherapy, there were a total of 17 (25%) studies utilizing digital media, with cognitive behavioral therapy (CBT) via phone being the most common approach. Among non-digital media-based studies, CBT was used the most frequently (n=11, 16.18%), followed by attempted suicide short intervention program (n=6, 8.82%). There were no studies using interventions from East Asian traditional medicine, including Korean medicine (KM). The most frequently used main outcome was the Beck scale for suicidal ideation. Conclusions: Studies on suicide attempts in Asia, especially in South Korea, are very scarce. Despite vigorous psychotherapeutic research in this field, KM psychotherapy has not been used. Thus, KM clinical trial for suicide attempters might be planned in the future based on our findings.

• Research in Community and Public Health Nursing
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• v.31 no.1
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• pp.86-95
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• 2020

Purpose: The aim of this study was to examine the correlation between school-life adjustment and suicidal ideation in adolescents by applying the latent growth curve models to the longitudinal data. Methods: This study analyzed three waves of data from the Korean Children & Youth Panel Survey (2014~2016). A total of 1,534 students were included in the analysis. In the application of the latent growth curve models to the longitudinal survey data, we analyzed the initial status and growth changes for each wave, identified individual differences in the general characteristics, and examined the direct relationship between the two latent constructs. Results: The analysis revealed that variations in the initial status and rate of school-life adjustment were significant with respect to parents' education level, household income and academic satisfaction. Variations in the initial status and growth rate of suicidal ideation were significantly associated with household income and family structure. The relationship between school-life adjustment and suicidal ideation showed a negative correlation in which the starting value of the former increased and that of the latter decreased and vice versa. Conclusion: The results confirmed that school-life adjustment and suicidal ideation varied according to students' general characteristics. In addition, school-life adjustment was negatively correlated with suicidal ideation, thereby highlighting students' ability to adjust as an important factor influencing their suicidal thinking.

• 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.

• Journal of Korean Academy of Nursing
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• v.48 no.5
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• pp.565-577
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• 2018

Purpose: The purpose of this study was to construct and test a hypothetical model about impact of parents' problem drinking on suicidal ideation of their children who are university students and the multiple mediating effects of childhood trauma, experiential avoidance, and depression based on stress-vulnerability model. Methods: A purposive sample of 400 university students was recruited from three universities in provincial areas and the data were collected between October and November 2016. The collected data were then analyzed using SPSS 20.0 and AMOS 20.0 programs. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Multiple mediating effects analysis using phantom variable and bootstrapping were implemented to verify the mediating effect of the research model. Results: We found no significant direct effect on depression and suicidal ideation of parents' problem drinking, but multiple mediating effects of childhood trauma and experiential avoidance between parents' problem drinking and depression (B=.38, p=.001). The path from parents' problem drinking to suicidal ideation was significantly mediated by childhood trauma and depression (B=.02, p=.016) and by childhood trauma, experiential avoidance, and depression (B=.05, p=.011), but experiential avoidance did not have a significant direct effect on suicidal ideation (B=.02, p=.616). Conclusions: Based on the results of this study, it can be suggested that in order to decrease depression and prevent suicide of university students, considering of parents' problem drinking and childhood trauma, intervention methods that decreased chronic use of experiential avoidance and strengthen acceptance should be developed and made available to them.

• Journal of Digital Convergence
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• v.11 no.9
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• pp.221-228
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• 2013

The purpose of this study was to examine the effects of alcohol use, depression, and self-esteem on suicidal ideation of older adults. Community-dwelling older adults aged 65 years and older were recruited from three welfare centers. A total of 245 older adults was assessed with the Alcohol Use Disorder Identification Test-Korean (AUDIT-K), Geriatric Depression Scale Short Form-Korea Version (GDSSF-K), Self-Esteem Scale (SES), and Scale for Suicidal Ideation (SSI). Descriptive statistics, Pearson's correlation, independent t-test, one-way ANOVA, and multiple regression analysis were performed using the SPSS WIN 19.0 program. Higher depression, lower self-esteem, no religion, and poorly perceived health were statistically significant determinants of higher level of suicidal ideation in older adults. To prevent or reduce suicidal ideation of older adults, health care providers should consider the determinants identified in this study.

• Korean Journal of Social Welfare
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• v.68 no.3
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• pp.181-201
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• 2016

Using a nationally representative sample from three recent waves of the Korean Welfare Panel Study, this study examined the association between experiencing material hardship and suicidal ideation among low-income households in South Korea. Overall, we found that experiencing material hardship was associated with a higher likelihood of having suicidal ideation. We also found that, among individual items of material hardship, experiencing food insecurity or credit problems was associated with a higher likelihood of having suicidal ideation. Furthermore, we found that the association of experiencing material hardship with having suicidal ideation was more pronounced for male-headed or elderly-headed households. Policy implications to improve living condition among low-income households and reduce their suicide-related behavior were discussed.

• Mood & Emotion
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• v.16 no.3
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• pp.152-157
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• 2018

Objectives : The purpose of this study was to examine psychosocial factors influencing suicidal ideation of community dwelling elderly, using the senior community center in Jeonnam Province. Methods : A total of 2,202 subjects (369 males, 1,833 females) were recruited. We evaluated sociodemographic factors, using a self-reporting questionnaire. Subjects completed the Geriatric Depression Scale-Short Form Korean Version (SGDS), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean version of the General Health Questionale-12 (GHQ-12) and Satisfaction with Life scale (SWLS), to assess psychosocial factors affecting suicidal ideation. Results : Among 2,202 subjects, 179 (8.1%) reported recent suicidal ideation. Self-perceptive health status (p<0.001) and physical disease (p=0.002) revealed differences between two groups. The scores of four scales in the suicidal group were significantly different from the control group: SGDS (p<0.001) and GHQ-12 (p<0.001) were higher, while MSPSS (p<0.001) and SWLS (p<0.001) were lower, in the suicidal ideation group than the control group. Multivariate logistic regression analysis revealed that physical disease (OR 2.575, 95%CI 1.022-6.492), SGDS (OR 1.181, 95%CI 1.120-1.246) and GHQ-12 (OR 1.192, 95%CI 1.108-1.283), were significantly associated with suicidal ideation. Conclusion : Findings support that physical disease, depression, and general mental health may correlate to suicidal ideation in the elderly.

• Journal of Digital Convergence
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• v.19 no.1
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• pp.465-474
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• 2021

The purpose of this study is to identify the influence of problem gambling on suicidal ideation and suicidal attempts of school adolescents and out-of-school adolescents. Data were obtained from the 2018 Survey on Youth Gambling Problems and analyzed using logistic regressions. The results of this study were as follows: First, Out-of-school adolescents have more problems with the problem gambling severity, experience a decline in academic performance due to gambling, experience of borrowing money from acquaintances of lenders, suicidal ideation and suicidal attempts than school adolescents. Second, regardless of whether they attended school, experience of borrowing money from lenders was identified as significant variable of suicidal ideation and attempt. Third, problem gambling severity, experience of borrowing money from acquaintances of lenders and a decline in academic performance appeared to influence suicidal ideation and suicidal attempts of school adolescents. Based on this results, we suggested the method to decrease suicide due to problem gambling.

• 한국노년학
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• v.41 no.4
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• pp.527-546
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• 2021

This study examined the effect of past acceptance on suicidal ideation in older adults and verified double mediation effects of attitude to aging and depression. The responses of 329 aged 65 years or older who participate in senior welfare centers in Seoul and Gyeonggi-do were used. As an analysis method, the double mediation effect was confirmed through serial multiple mediation model verification using the SPSS PROCESS macro program. The followings are the results of the study. First, the past acceptance had a significant effect on the aging attitude, the aging attitude on the depression, and the depression on the suicidal ideation, but the direct effect of past acceptance on the suicidal ideation was not significant. Second, double mediation effects of attitude to aging and depression were significant in the relationship between past acceptance and suicidal ideation. Based on these results, practical and policy interventions to prevent suicide in old age were suggested.

• Industry Promotion Research
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• v.7 no.1
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• pp.43-58
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• 2022

The purpose of this study is to explore and identify the factors influencing the suicidal ideation among middle-aged and elderly people with disabilities. For this, the study has used the panel data of the 7th (2012) through 11th sessions (2016) of the Korea Welfare Panel Survey. In the middle-aged (40 years old to 64 years old), it was found that ordinary income and family life stress significantly affected Suicidal ideation. In the elderly aged 65 to 74, the marital status, ordinary income, depression, family life stress, and satisfaction with family life significantly influenced Suicidal ideation. In the elderly aged 75 or older, depression was the decisive factor affecting Suicidal ideation This study has suggested an effective social welfare intervention plan to prevent the occurrence of suicide among middle-aged and elderly people with disabilities, which emerges as a serious social issue in Korea.