• Korean Journal of Biological Psychiatry
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• v.6 no.2
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• pp.253-258
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• 1999

The fluoxetine is one of the most frequently prescribed drugs for the treatment of depression and obsessive-compulsive disorder(OCD). This has been known as one of the most safest medication. But since the advent of this drug, there have been several reports of side effects-the mania and suicidal ideation-encountered during coadministration of fluoxetine with or without other psychotropic drugs. We experienced a case of 20 years old male OCD patient who developed into abrupt manic state and also was preoccupied with intense suicidal ideation following fluoxetine use. He was a only child in his family and his father had a history of alcoholism about 15years ago. Our patient's obsessive-compulsive symptoms have been occured since puberty. His OCD symptoms and anxiety were aggravated since joining the army. Beside these facts, we could not find any other psychiatric history such as depressive disoder and bipolar disorder. We used the fluoxetine starting dosage of 20mg and increased to 40mg at second week. About 3 weeks after the treatment, he developed sudden manic symptom and more aggravated suicidal ideation without any OCD symptoms. He felt vitalized and energetic without having enough sleep and food. These symptoms were ceased over two weeks by stopping medication. Up to this point, the reason why fluoxetine induces mania and suicidal preoccupation is unclear. But somehow the fluoxetine has effects on serotonin receptor and serotonin-dopamine regulations, thus we could make an assumption that fluoxetine can induce mania, extrapyramidal symptoms(EPS) and suicidal ideation in some part of the serotonin unbalanced patients. We think this would be the first report to remark on fluoxetine's suicidal and manic side effects in Korea. So here we present the case with the summary of reviewed articles.

• Journal of the Korea Convergence Society
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• v.6 no.6
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• pp.271-277
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• 2015

The purpose of this study was to investigate the association between Suicidal ideation and Neighborhood environment among some adolescents. The G city 4,509 people which is suitable for this research at was aimed against the adolescents among the survey data collected. On the area neighborhood environment recognizes was good 1,805 people, was not good was 2,704 people. Suicidal ideation was where the neighborhood environment was bad 12.9%, good 8.8%. And in multiple logistic analysis, neighborhood environment was bad more significantly likely to be Suicidal ideation (OR=1.40, 95% CI=1.14-1.71). Therefore the residential zone environment needs to be monitored through the participation style local resident program. And it is regarded to find the plan that it lowers the suicide idea through the material and emotional converge support to the youth on the area where the residential zone environment is unable to be good in the national dimension.

• Korean Journal of Adult Nursing
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• v.29 no.2
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• pp.109-118
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• 2017

Purpose: To identify the risk factors for suicidal ideation across the life cycle among Korean adults using data from 2015 Korean Psycho-social Anxiety Survey. Methods: The data were statistically analyzed using hierarchical logistic regression analysis. Results: The factors associated with suicidal ideation among the young adult group were education level (odds ratio [OR] 1.62, 95% confidence interval [CI] 1.05~2.49), self-esteem (OR 1.19, 95% CI 1.12~1.27), stress (OR 3.26, 95% CI 2.07~5.15), anger control problems (OR 3.58, 95% CI 2.34~5.50), and depression (OR 2.59, 95% CI 1.66~4.04) whereas among the middle-aged adults the factors were education level (OR 1.58, 95% CI 1.12~2.23), existence of a spouse (OR 2.55, 95% CI 1.72~3.78), self-esteem (OR 1.13, 95% CI 1.08~1.18), stress (OR 2.46, 95% CI 1.81~3.33), anger control problems (OR 1.70, 95% CI 1.22~2.36), and depression (OR 2.64, 95% CI 1.91~3.64). Among the older adult group the findings were the existence of a spouse (OR 2.16, 95% CI 1.37~3.39), self-esteem (OR 1.22, 95% CI 1.13~1.32), stress (OR 2.21, 95% CI 1.38~3.54), anxiety (OR 2.42, 95% CI 1.46~4.02), and depression (OR 2.48, 95% CI 1.30~4.72). Conclusion: The findings suggest that there may be a need for different suicide intervention programs to decrease suicidal ideation across the life cycle.

• Safety and Health at Work
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• v.10 no.4
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• pp.504-511
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• 2019

Objectives: We evaluated the physical and mental health problems of waged workers in Korea who had different classes of occupation. Methods: We used data from the Korean National Health and Nutrition Examination Survey (2007-2017) to examine 22,788 workers who were waged employees and categorized these workers into 5 occupational classes. Results: "Unskilled manual workers" were more likely to be older, less educated, have lower monthly income, and work fewer hours per week. Among men and relative to "managers and professionals" (reference group), "skilled manual workers" were more likely to have physician-diagnosed osteoarthritis, "clerks" were less likely to report suicidal ideation, and "unskilled manual workers" were more likely to report suicidal ideation. Among women and relative to "managers and professionals" (reference group), "service and sales workers" and "unskilled manual workers" were more likely to report physician-diagnosed osteoarthritis, depressive feelings, and suicidal ideation. However, hypertension, hyperlipidemia, diabetes, and cardiovascular diseases did not differ among the occupational classes for men and women. Conclusion: We identified differences between men and women and among those in different occupational classes regarding employment status, physical health, and mental health. "Unskilled manual workers" of both genders were more likely to be older, less educated, have less monthly income, work fewer hours per week, and have suicidal ideation. Female "service and sales workers" were more likely to have osteoarthritis, depressive feelings, and suicidal ideation.

• Journal of the Korea Convergence Society
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• v.12 no.11
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• pp.487-499
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• 2021

This study identifies factors related to suicidal ideation such as demographics, health behaviors and subjective perceptions of high school students. This study analysis using the chi-square test and multiple logistic regression to find out the factors related to suicidal ideation using the 2020 youth online health pattern survey of 25,987 Korean high school students. Sociodemographic factors that affected suicidal ideation in these subjects included grade, gender, and housing type. The health behavior characteristics were experiences with drinking, smoking, sex, and drug misuse. Finally, the subjective perception characteristics included health status, happiness status, loneliness, stress level, and depression. Therefore, it is expected that will be used as basic data for strategies to prevent suicide among high school students in Korea in the covid-19 environment.

• Health Policy and Management
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• v.30 no.2
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• pp.221-230
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• 2020

Background: The purpose of this study is to identify the factors affecting the depressive mood experience of adults in their 20s. Methods: This study is a descriptive survey that conducted a secondary analysis using data from the 2017 Community Health Survey, which is conducted annually in Korea. The study targets 21,324 adults in their 20s. Data analysis was conducted after creating a composite sample plan file that reflected layering variables, colony variables, and weights. Results: Factors affecting the depressive mood experience were suicide thought experience, subjective stress level, gender, monthly household income, smoking status, subjective health level, breakfast status, participation in social activities, and whether the Internet, games, and smartphone interfered with daily life (p<0.05). Conclusion: It is necessary to establish and realize a system that enables early detection and support of depression and suicide high-risk groups at the individual, home, community, and national levels.

• Journal of Hospice and Palliative Care
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• v.6 no.1
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• pp.58-64
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• 2003

Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.372-383
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• 2020

This study analyzed the influence of Korean adults sleep time on psychological symptoms, suicidal ideation and attempts considering gender differences. The data was collected from the community health survey in 2017 with 228,381 people. When categorizing them into male and female, logistic regression analysis was conducted and the main analysis results are as follows. First, there are more women with shorter or longer sleep time than men. Second, in case of shorter sleep time (5 hours and less), stress, depression, and the suicidal ideation rates were high while suicidal attempts were higher in case of sleep greater than 9 hours and more. Third, in case of men, based on 6~8 hours of sleep time, people with shorter sleep time showed higher stress (1.84 times), depression (1.98), suicidal ideation (1.88), and attempts (2.38). People with 9 hours and more sleep showed greater depression (1.79), suicidal ideation (1.96) and attempts (2.39). Fourth, in the case of women, people with shorter sleep time showed greater stress (2.09), depression (1.94), suicidal ideation (1.96), and attempts (2.90). People with longer sleep showed greater depression (1.39), suicidal ideation (1.45) and attempts (1.71). Fifth, people's stress with greater sleep for both genders was higher than that of people with normal sleep. but there was no significant difference. Further prospective studies are needed on specific sleep dysfunctions effects on suicidal ideation and attempts.

• Journal of Gifted/Talented Education
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• v.22 no.3
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• pp.779-800
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• 2012

This study is to understand gifted students' suicidal ideation and its related variables among gifted students. For this, this study explores the relationship between maladaptive perfectionism of gifted students and suicidal ideation, confirming mediating effects of depression and academic stress. For the study 320 middle school students who were identified as the gifted at a gifted education center affiliated with the university. The results are summarized as follows. First, the fit of measurement model was found to be ${\chi}^2$=228.571(df=110, p=.000), CFI=.972, TLI=.966, RMSEA=.058, indicating most of fit indexes were acceptable. Second, suicidal ideation was found a significant positive relationship with maladaptive perfectionism, depression, academic stress. Third, as a result of examining path coefficient, it was found to be influenced significantly by all of the path from maladaptive perfectionism to depression and academic stress, the path from depression to suicidal ideation, the path from academic stress to suicidal ideation. However, the path from maladaptive perfectionism to suicidal ideation was found to be statistically insignificant. Fourth, the result showed that depression and academic stress worked as complete mediators between maladaptive perfectionism and suicidal ideation. These findings give useful information about affective aspects of gifted adolescents in hard circumstances. The results of the study will be helpful in devising consultation and educational programs for the gifted who are in danger of suicide.

• Journal of the Korea Convergence Society
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• v.12 no.12
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• pp.499-507
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• 2021

The purpose of this study is to analyse suicidal ideation and to identify the effect of health behavior and heath status on suicidal ideation of female baby boomers by using Korea Health Panel Data 2017. The Korea Health Panel Data 2017 were collected from February to June 2017 and included 1,319 people responded to the question whether suicidal ideation. The data were analyzed by chi-square, t-test and multiple logistic regression using SPSS WIN 25.0 program. The ratio of suicidal ideation was 3.1% in female baby boomers. Influencing factors to suicidal ideation in female baby boomers revealed that spouse, eating problem, activity restriction, and presence of depression had more suicidal ideation by 7.21 times(CI=1.15-6.36, p=.047), 4.44 times(CI=2.05-9.61, p<.001), 4.63 times(CI=1.63-13.16, p=.004), 12.12 times(CI=5.36-27.37, p<.001) respectively. Therefore, it is required to develop a suicide prevention program that considers the characteristics of female baby boomers and factors influencing suicidal ideation.