• Health Policy and Management
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• v.24 no.2
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• pp.143-152
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• 2014

Background: Previous studies showed that the characteristics of population and regions were related to the suicide rates. This study purposed to analyze the relationships between regional factors and suicide rates with spatial analysis model. Methods: This is a cross sectional study based on the statistics of 2011 which was extracted from the 229 City Gun Gu administrative districts in Korea. Cause of death statistics on each district was used to produce the age-, sex-adjusted mortality rates resulting from suicide. Regional characteristics were measured by the number of doctors engaged in medical institutions per 1,000 population, divorced people's rate per 1,000 population, number of marriages per 1,000 population, and percent of welfare budget in general accounting. Statistical analysis was performed by using SAS ver. 9.3 and ArcGIS ver. 10.2 was used for geographically weighted regression (GWR). Results: In ordinary least square (OLS) regression, divorced people's rate per 1,000 population had a significant positive relationship with the standardized mortality rate per 100,000 population. Marriages per 1,000 population and the proportion of welfare budget in the general accounting had significant negative relationships with the mortality rates. Meanwhile, GWR provided that the directions of variable, divorced people's rate per 1,000 population, were varied depending on regions. The adjusted $R^2$ was improved from the 0.32 in OLS to the 0.46 in GWR. Conclusion: Results of GWR showed that regional factors had different effects on the suicide rates depending on locations. It suggested that policy interventions for reducing the suicide rate should consider the regional characteristics in obtaining policy objectives.

• Journal of The Korea Institute of Healthcare Architecture
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• v.27 no.3
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• pp.51-60
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• 2021

Purpose: The purpose of this study is to derive the residential environment design elements that affect suicide, and then analyze the actual situation in terms of suicide prevention and suggest implications. Methods: The study was conducted through literature analysis, field surveys, and interviews with stakeholders. Results: As a result of extracting the variables related to the residential environment that affect suicide suggested in a total of 18 papers, 15 variables were extracted and organized into major categories such as housing type, health and welfare facilities, leisure and cultural facilities, and living environment. Next, we selected a public rental housing complex with a relatively high suicide rate among multi-family housing as the case, and conducted a empirical analysis. It was investigated that the facilities were insufficient, and apart from the quantitative satisfaction of the rest, various problems were exposed, such as the classification of users according to age and insufficient management in terms of the actual use of residents including suicide attempters. Implications: First, it is necessary to search for the design direction of the residential environment for suicide prevention. Second, it is necessary to find a way to solve the exclusion phenomenon that appears in space and programs. Third, when planning a space for suicide prevention, understanding of the behavior of high-risk groups should be reflected.

• Journal of Digital Convergence
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• v.16 no.6
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• pp.223-232
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• 2018

This study aims to incorporate resilience factors into current suicide research that is focused on risk factors by validating the role of hope and self-forgiveness, which are potential resilience factors, in thwarted belongingness and perceived burdensomeness, risk factors according to the interpersonal theory of suicide. Data was collected from 316 undergraduates in Seoul and Gyeonggi areas. We examined the correlations between self-forgiveness, hope, perceived burdensomeness, thwarted belongingness and suicidal ideation and tested moderating effects of self-forgiveness and hope on the relationship between perceived burdensomeness and suicidal ideation and between thwarted belongingness and suicidal ideation. The study results were all significant, indicating that self-forgiveness moderates the relationship between perceived burdensomeness and suicidal ideation and that hope moderates the relationship between thwarted belongingness and suicidal ideation. The result will be a basis for incorporating and resilience factors into the suicide risk assessment when educating suicidal prevention and counseling college students. Further research on studying more risk factors and resilience factors will contribute to establishing more useful and various suicide risk factor evaluation, prevention education, counseling and policies.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.4
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• pp.1711-1720
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• 2011

This study was performed to determine the levels of suicide awareness and attitudes among the high school students in urban and rural areas, and to reveal its related factors. The interviews were performed, during the period from July 1, to July 31, 2009, to the 2,082 students in urban and rural areas. As a results, the suicide awareness rate of subjects was 38.8%, and they were not significant between urban and rural areas. The levels of suicide awareness and attitudes were significantly higher in rural students than that of urban students. The factors affecting suicide awareness in urban areas were living with parents, academic speciality, suicide ideation, suicide attitudes, and sex, argument with parents, suicide ideation and suicide attitudes were affected in rural areas. The factors affecting suicide attitudes in urban areas were academic speciality, suicide awareness, and sex, smoking and suicide awareness were affected in rural areas. In conclusion, the development of suicide prevention programs would required to keep under management of the factors affecting suicide awareness and attitudes such as the factors family and school lifes.

• 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.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.33 no.3
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• pp.59-66
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• 2022

Objectives: This study aimed to investigate the clinical characteristics of adolescents hospitalized through the emergency room for intentional self-harm or suicide attempts. Methods: This retrospective study used data from the Korean National Hospital Discharge In-depth Injury Survey conducted between 2006 and 2018 for individuals aged 10-24 years. The clinical characteristics of the patients were analyzed and compared across sex and age groups using the Rao-Scott chi-square tests and multiple logistic regression analysis for complex survey data. Results: The most common psychiatric diagnosis was mood disorder (22.0%), and more female patients were diagnosed with it than male patients (p=0.010). The 19-24 years age group was diagnosed with mood disorder the most compared to other younger groups (p=0.012). Male patients used lethal methods more than female patients (p=0.008), and the 19-24 years age group used more drug poisoning and cutting or piercing (p<0.001) for intentional self-harm or suicide attempts than younger groups. Conclusion: Adolescents hospitalized for intentional self-harm or suicide attempts showed significant differences in clinical characteristics across sex and age groups. These findings suggest that measures for preventing self-harm or suicide attempts need to be differentiated according to the sex and age of adolescents.

• Journal of The Korean Society of Clinical Toxicology
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• v.19 no.1
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• pp.8-16
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• 2021

Purpose: This study was conducted to analyze the social factors influencing the 'authenticity of suicidal ideation' based post-suicidal care programs in emergency departments (EDs). Methods: This retrospective study was an analysis using the data of patients who had attempted suicide and visited the ED in tertiary urban hospitals from January 1, 2016, to December 31, 2018. The variables examined included gender, age, history of previous psychiatric disease, suicide method, and the number of previous attempts. Univariate and multivariate logistic regression analyses were conducted to identify factors influencing the registration rate for the community-based post-suicide care program. Results: Overall,1,460 suicides were analyzed, 177 (1.16%) showed a high authenticity of suicide. The social factors influencing the authenticity of suicide intent were the unmarried status of men and women, joblessness, history of mental illnesses, more than two previous suicide attempts, the influence of alcohol, and an attempt to commit suicide after midnight more specifically between 24:00 to 6:00 hours in the morning (p<.05). The factors influencing the severity of the condition of high authenticity suicide patients were low Glasgow coma scores (12 points or less), lactate levels, and oxygen saturation observed in the patients who were admitted to the intensive care unit for treatment and died (p<.05). Conclusion: The need for evidence-based preventive measures and early assessment tools at the emergency medicine level is emphasized to reduce the rate of suicide attempts. If the results of this study are used in the management of suicide prevention, the evaluation of the authenticity of suicide intent will be more likely to be made at the emergency medicine level, allowing the severity to be assessed earlier.

• Journal of Digital Convergence
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• v.14 no.2
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• pp.427-435
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• 2016

Any comparative study has not been done between Korea and a certain country about the social economic factors of elderly suicide rates, even though there has been comparative studies among several nations. Therefore, this study is going to reveal how the macro-social economic factors are related to elderly suicide rates based on Korea and the United States, which show great gap of elderly suicide rate and have completely different aspect of increasing and decreasing rate of elderly suicide, as members of OECD. For this, trend analysis has been done between elderly suicide rates of both Korea and the United States for the past twenty years(1990-2009) and social economic factors, and correlation analysis also has been done at the same time. After all, this study is going to suggest policy implications for the prevention of elderly suicide in our society based on the results of the analysis.

• Journal of Korean society of Dental Hygiene
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• v.20 no.3
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• pp.335-346
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• 2020

Objectives: This study investigated the association between oral health and suicide attempts in adults aged 65 years or older using the 7^th Korea National Health and Examination Survey (KHANES, 2016-2018). Methods: Of the total 24,269 participants of the 7^th KHANES (2016-2018), 1,488 adults aged 65 years or older who had an oral health examination were selected. Variations in suicide attempts with demographic characteristics and perceived oral health status were analyzed using the χ² test, and the association between oral health and suicide attempts was analyzed using the logistic regression model. Results: The suicide attempt rate was higher among older adults with chewing (p<0.01) and speaking (p<0.05) difficulties. The odds ratio for a suicide attempt was 1.05 times higher among those with tooth loss (p<0.05). Conclusions: Our results showed that older adults with tooth loss had an increased risk of suicide. Thus, it is important to prevent tooth loss, in the first place, through proper oral health management. If tooth loss occurs, appropriate treatment should be prioritized to facilitate functional recovery. Finally, national support is required for older adults with limited access to dental care.

• Journal of Digital Convergence
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• v.20 no.2
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• pp.553-561
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• 2022

The purpose of this study is to understand the relationship between anxiety, sleep disturbance, and suicide ideation in the elderly using senior welfare centers and to identify factors influencing suicide ideation. Data were collected from January 6 to February 7, 2020 from 206 elders who analyzed using SPSS/Win 25.0 with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis. anxiety, sleep disturbance, suicide ideation were positively correlated. Meanwhile, factor affecting suicide ideation were anxiety(β=.215, p=.001), sleep disturbance(β=.383, p<.001) and the explanatory power of suicide ideation was 27.3%. Therefore, in order to prevent suicide ideation, it will be necessary to develop an intervention program to maintain qualitative sleep and lower anxiety levels.