• Journal of Medicine and Life Science
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• 제16권3호
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• pp.60-63
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• 2019

The rate of suicide is the 5th leading cause of death in Korea. Moreover, suicide is the 1st cause of death in from 2nd to 4th decade. In order to treat suicide attempters who have visited the emergency room and to prevent retries, it is necessary to understand the nature of the suicide and to take the right approach. Suicide is more than doubled in women, and retry rates are high among patients with a history of suicide. Suicidal means are throat, fall, gas poisoning, poisoning and drowning. All suicide attempters should suspect and treat cervical spine injury and airway management, and rapid hyperbaric oxygen therapy is recommended for carbon monoxide addicts. Interviewing a suicide attempter requires a sympathetic attitude and examines the underlying depression or adaptation disorders. Interdisciplinary care with mental health departments is necessary, and interventions in emergency roombased suicide attempt management work can be helpful to connect with the community.

• 보건행정학회지
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• 제29권1호
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• pp.1-3
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• 2019

Suicide is a major problem in Korean health care and a serious social problem. In Korea, 12,463 people (24.3 per 100,000) lost their lives due to suicide in 2017. Although the government has established three National Comprehensive Plan of Suicide Prevention (2004, 2009, 2016), and National Action Plan of Suicide Prevention (2018), the suicide rate is still high. The suicide rate of the elderly is especially high. This is due to the economic vulnerability of the elderly in Korea. Therefore, in order to prevent suicide in Korea, mental health care approach and social welfare approach should be integrated. The intervention of preventing suicide of suicide attempters should include social welfare services as well as mental health program and should be based on community. There are many health problems, including prevention of suicide, which can not be solved only by the efforts of health care. Many health problems are social problems and the integrated approach is needed to solve them. In order to solve many health care problems and improve health, integrated approach of health, social science, and humanities is needed.

• 대한간호학회지
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• 제51권4호
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• pp.408-413
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• 2021

Recently, nurse suicide has emerged as one of the major issues. We tried to review the status of nurse suicide and its management in Korea through inspecting related web sites, news articles, and research. However, there were no sufficient reports or statistics along with the research throughout the country. Moreover, there were no organized nurse suicide management systems or programs including suicide prevention, suicide intervention, suicide postvention management. In other countries, there were various trials and successful experiences about nurse suicide programs, and those have been managed in organized and integrated ways. It gave us a lot of implications. To effectively prevent and manage the nurse suicide in Korea, nursing workforce, nursing managers, and nursing researchers should be concerned about nurse suicide. Furthermore, discussions and the research must be made actively. Based on such efforts, appropriate programs, organized manage systems, and policies must be devised at institution and national level.

• 벤처창업연구
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• 제8권1호
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• pp.223-233
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• 2013

학교의 안전과 질서를 유지하기 위한 관리활동은 학교경영의 주요활동 중에 하나이다. 본 연구는 효과적인 학교 경영을 위하여 청소년들의 자살생각 영향요인을 규명하여 청소년 자살생각의 위험요인을 차단하고 보호요인을 강화할 수 있는 방안을 모색하고자 하는 목적으로 진행되었다. 이를 위하여 청소년 자살생각에 미치는 위험요인으로 청소년의 우울과 스트레스 정도를 분석하고 자살생각으로부터의 보호요인으로 추정되는 사회적 지지의 효과성을 검증하였다. 분석결과 첫째, 일상생활 스트레스 전체와 자살생각 간의 상관관계는 정적 상관관계로서 일상생활에서 스트레스를 많이 받을수록 자살생각이 많아짐을 나타내었다. 둘째, 우울과 자살생각과는 정적 상관관계를 보여 우울이 심할수록 자살에 대한 생각이 많아짐을 나타내었다. 셋째, 사회적 지지와 자살생각은 부적인 관계성을 보여 사회적 지지가 높을수록 자살생각이 낮은 것으로 나타났다. 연구결과에 의하면 청소년의 자살은 예방적 차원에서의 접근이 무엇보다 중요하다. 또한 분석결과는 청소년 자살을 예방하기 위해서는 청소년의 자살생각 위험요인을 완화시킬 수 있는 사회적 지지가 필요함을 보여준다. 따라서 본 연구에서는 사회적 지지를 강화할 수 있는 사회적 관심과 지지체계의 형성, 이를 통한 예방적 접근의 필요성, 자살생각 강화요인에 대한 대안적 프로그램의 접근, 사례관리 및 집단프로그램의 방법활용 등 청소년 관련기관과 전문가의 개입과 통합적 관리, 학교환경의 개선과 변화가 필요함을 제언하였다.

• 보건의료산업학회지
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• 제6권2호
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• pp.179-191
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• 2012

The study thus examined and analyzed 1,478 people aged 65 or older in the Korea National Health and Nutrition Examination Survey of 2010 to investigate the effects of differences in the elderly's general characteristics and depression & suicide ideation and in their subjective health perceptions and quality of life on their depression and suicide ideation. As a result, Significant differences in their suicide ideation were also caused by such quality of life variables as ill in bed, exercise capacity, self-management, daily activity, pain and uncomfortableness, and anxiety. The logistic analysis results of depression and suicide ideation according to the degree of subjective health perception show a significant finding that the better health perception they had compared with their very poor subjective health perception, the lower the odds ratio became. In the category of quality of life, only experience of uncomfortableness caused significant results on suicide ideation and depression. The results of the study will be of great use as basic data to intervene in the suicide route of the elderly and take measures to prevent suicide.

• 보건의료산업학회지
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• 제8권3호
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• pp.193-205
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• 2014

The purpose of this study is to find out the effects of the socio-demographic characteristics, self-recognition factors, and health behavior factors of Korean adolescents on suicide dimension, and grasp the effects of suicide thinking of adolescents on attempting suicide. This study used the eighth primitive data of the "Web-based Survey on Adolescents Health Behavior(2012)", and targeted 72,228 actual test respondent(93.8%). In conclusion, risk factors that greatly influence the suicide dimension of adolescents can be summarized into level of happiness, level of stress, depression, experience drinking, experience smoking, experience with drugs, suicide thinking, etc. and considering these risk factors, a preparation for preventing adolescents' suicide should be established, and along with a regular education, developing and expanding a treatment program for preventing recurrence afterwards of adolescents who have experience attempting suicide are necessary.

• 정신신체의학
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• 제29권2호
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• pp.176-183
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• 2021

연구목적 응급실 기반 자살시도자 사후관리사업에 등록된 자살시도자의 인구학적 요인, 자살시도 패턴 및 정신건강의학과 병력 및 관리가 사후관리 프로그램 완수에 어떠한 영향을 끼치는지 알아보고자 하였다. 방 법 2018년 6월 1일부터 2021년 5월 31일까지 중앙대학교병원 응급실을 방문한 자살시도 환자 중 사례관리에 동의한 661명을 연구대상으로 하였다. 대상자는 응급실 퇴원 후 8주간의 사후관리 서비스 프로그램에 등록하여 관리를 받았다. 인구학적 요인, 자살시도 패턴, 정신건강의학과 병력 및 관리에 해당하는 요인들을 독립변인으로, 사후관리사업 프로그램의 완수 여부를 종속변인으로 두고, 위계적 로지스틱 회귀 분석을 시행하였다. 결 과 자살시도 패턴이 사후관리 사업 완수에 가장 큰 영향을 미치고, 인구학적 요인, 정신건강의학과 병력 및 관리 순으로 사후관리 사업 완료 여부에 영향을 미치는 것으로 나타났다. 자살시도자 사후관리사업 프로그램 완수자는 미완수자에 비해, 향후 자살계획을 가진 경우가 유의하게 많았고, 자살시도의 진정성이 강했으며, 과거자살시도력 또한 유의하게 높았다. 결 론 대상자들이 사후관리사업 프로그램을 완수하고 지역사회 서비스로 연계되도록 하기 위하여, 자살시도 패턴, 인구학적 요인, 정신건강의학과 병력에 대한 고려를 바탕으로 한 개별화된 접근이 필요하다.

• 디지털융복합연구
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• 제10권11호
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• pp.525-533
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• 2012

본 연구는 대학생의 자살행동(자살생각, 자살계획, 자살시도)의 실태를 파악하고 이에 영향을 미치는 요인을 규명하는 것으로 목적으로 시행된 서술적 조사연구이다. 분석을 위해 2012년 4월 2일부터 4월 21일까지 대전과 충청지역 대학생 421명을 대상으로 설문조사를 실시하였다. 이중 불성실한 응답자를 제외한 384부의 설문지를 분석하였으며, SPSS 통계 프로그램을 이용하여 분석하였다. 연구결과 대학생의 평생 자살생각률 32.3%, 자살계획률 4.7%, 자살시도율 3.0%이었으며 자살생각이 자살계획 및 자살시도를 예측할 수 있는 것으로 확인되었다. 자살생각, 자살계획, 자살시도에 공통적이며 주요한 위험요인으로 나타난 우울증에 대해 경도이상의 우울증을 경험하는 대학생이 42.2%였다. 이에 자살을 방지하기 위해서는 자살생각과 우울증의 관리가 요구된다. 자살방지를 위해서는 자살생각 및 우울증 있는 대상자의 선별검사의 제도화, 과거 자살시도자, 자살자 주위 사람에 대한 전문적 사후관리, gatekeeper 활용 및 자살위험행동에 대한 매뉴얼 개발, 사전관리를 위한 정신건강프로그램, 언론매체의 신중한 보도 등의 노력이 이루어져야 하겠다.

• 보건행정학회지
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• 제25권4호
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• pp.285-294
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• 2015

Background: Suicide is one of important health problems in Korea. Previous studies showed factors associated with suicide in individual levels. However, suicide was influenced by society that individuals belong to, so it was required to analyze suicide in local levels. The purpose of this study was to analyze the regional disparities of suicide mortality by gender and the association between local characteristics and suicide mortality. Methods: This study included 229 city county district administrative districts in Korea. Age- and sex-standardized suicide mortality and age-standardized suicide mortality (male/female) were used as dependent variables. City county district types, socio-demographics (number of divorces per 1,000 population, number of marriages per 1,000 population, and single households), financial variable (financial independence), welfare variable (welfare budget), and health behavior/status (perceived health status scores and EuroQol-5 dimension [EQ-5D]) were used to represent the local characteristics. We used hot-spot analysis to identify the spatial patterns of suicide mortality and negative binomial regression analysis to examine factors affecting suicide mortality. Results: There were differences in distribution of suicide mortality and hot-spot regions of suicide mortality by gender. Negative binomial regression analysis provided that city county district types (city), number of divorces per 1,000 population, financial independence, and EQ-5D had significant influences on the age- and sex-standardized suicide mortality per 100,000. Factor influencing suicide mortality was the number of divorces per 1,000 population in both male and female. Conclusion: Study results provided evidences that suicide mortality among regions was differed by gender. Health policy makers will need to consider gender and local characteristics when making policies for suicides.

• 보건행정학회지
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• 제31권2호
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• pp.232-239
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• 2021

This study aimed to update suicide-related indicators including suicidal ideation, suicide attempts, and the number of suicidal deaths. Based on up-to-date information, we observed the trends of suicide-related indicators. In this study, five data sources were used to observe the trends of suicide-related indicators: Statistics Korea (1983-2019), Korean National Health and Nutrition Examination (KNHANES, '07-13, '15-19), Korean Community Health Survey (KCHS, '08-09, '13, '17), Korean Wealth Panel Study (KOWEPS, '12-19), and Korea Health Panel Survey (KHP, '10-13, '16-17). The suicide rate, which peaked in 2011, declined until 2017 and then started to rise again from 2018, recording a suicide rate of 26.9 per 100,000 people in 2019. The rate of suicidal ideation estimated based on the recently available data was 4.62% (KNHANES, '19), 3.51% (KHP, '16), 2.87% (KHP, '17), and 1.70% (KOWEPS, '19). That of suicide attempt as recent year was 0.43% (KNHANES, '19), 0.07% (KOWEPS, '19). Annual percentage change of death by intentional self-harm was -2.11% (Statistics Korea), and that of suicidal ideation was -14.7% (KNHANES), -2.5% (KCHS), -10.6% (KOWEPS), and -11.3% (KHP). Annual percentage change of suicide attempt was -5.0% (KNHANES), -4.4% (KCHS), and -11.3% (KOWEPS). The lower the income level, the higher the probability of experiencing suicide ideation and suicide attempts. Considering the recent increase in suicide rate in contrast to the continuing decline in suicidal ideation and suicide attempts, continuous data observation and appropriate policies regarding suicide prevention are needed.