• 제목/요약/키워드: Suicide management

검색결과 200건 처리시간 0.021초

웨어러블 기기를 이용한 군 장병 정신건강 관리 향상 방안 (A Study on Improvement of Soldier Mental Health Care Using Wearable Devices)

  • 김인찬;조상근;심준학;김종훈;박상혁
    • 문화기술의 융합
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    • 제9권6호
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    • pp.801-805
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    • 2023
  • 우리나라는 출산율 감소로 인한 인구 절벽 현상으로 병역자원이 계속 줄어들고 있다. 군 병력의 감소에도 불구하고 장병들의 정신건강 악화로 인해 발생하는 사고는 오히려 증가하고 있다. 장병들의 정신건강은 개인의 문제이기도 하지만, 부대에도 큰 영향을 미칠 수 있다. 개인의 정신건강 악화로 인해 자살, 이혼, 군무이탈 등의 사고는 부대의 전투력 발휘 제한과 사기 저하로 이어지기 때문이다. 현재 국내·외 학계에서는 웨어러블 기기를 이용한 정신건강 관리 방안이 연구되고 있다. 우리 군 역시 이를 활용하여 장병의 정신건강 상태를 객관적으로 측정하고, 축적된 빅데이터를 활용하여 다양한 상황을 예측, 조치할 수 있는 장병 정신건강 관리의 보조도구로 활용할 수 있다. 이에 본 연구에서는 웨어러블 기기를 활용한 군 장병의 정신건강 관리 방안을 제안하고 후속 연구가 원활하게 이루어져 우리 장병들의 정신건강이 향상되길 기대한다.

The Combined Effect of Subjective Body Image and Body Mass Index (Distorted Body Weight Perception) on Suicidal Ideation

  • Shin, Jaeyong;Choi, Young;Han, Kyu-Tae;Cheon, Sung-Youn;Kim, Jae-Hyun;Lee, Sang Gyu;Park, Eun-Cheol
    • Journal of Preventive Medicine and Public Health
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    • 제48권2호
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    • pp.94-104
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    • 2015
  • Objectives: Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation. Methods: Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion. Results: Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59). Conclusions: Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.

응급실 기반 자살 시도자 사후 관리사업의 등록률에 영향을 미치는 인자 (The Factors Affecting the Registration Rates for Emergency Department Based Post-suicidal Care Program)

  • 이준철;강형구;김창선;오재훈;임태호;안동현;이정임;박민희;김경희
    • 대한임상독성학회지
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    • 제13권1호
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    • pp.25-32
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    • 2015
  • Purpose: The aim of this study was to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED). Methods: This prospective observational study was conducted between March and December 2013 at the academic ED at the tertiary urban hospital. During the study period, the pre-designed registry was recorded. The variables examined included the following: patients' demographic data (Sex, age, address, type of insurance, marital status, level of education, and history of previous psychiatric disease), suicide-related data (suicidal methods, combined drink of alcohol and number of previous attempts), and management-related data (disposition at ED, physician's training level, etc.). Univariated and multivariated logistic regression analyses were performed for identification of factors affecting the registration rate for the community-based post suicidal care program. Results: A total of 163 suicides were included during the study period. Of these, 33 (20.2%) patients were registered in the post-suicide care program. Factors including a patient's address (OR: 14.92, 95% CI: 3.606-61.711), immediate intervention by psychiatric healthcare center (OR: 5.05, CI: 1.688-15.134), admissions in hospital (OR: 3.69, CI: 1.286-10.605), and history of previous psychiatric disease (OR: 3.52, CI: 1.216-10.201) showed significant association with registration for the program. Conclusion: The community-based post-suicidal care program, which is available 24 hours a day, should be operated in each district in order to increase the registration rate. Emergency physicians should actively consider the inpatient treatment program for suicidal patients and strongly recommend registration to the program, particularly for patients without previous history of psychiatric disease.

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고등학생의 대인관계성향, 사회적 지지와 우울 간의 관련성 (Associations between Interpersonal Dispositions, Social Support, and Depression among High School Students)

  • 최슬기;박경옥
    • 한국학교보건학회지
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    • 제28권2호
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    • pp.120-126
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    • 2015
  • Purpose: The purpose of this study was to understand interpersonal dispositions and social support among high school students and identify factors associated with depression. Methods: A total of 604 students (320 males and 284 females) from four high schools conveniently sampled from high schools in the Incheon area participated in a self-administered survey. Results: According to hierarchical multiple regression analysis, the following factors significantly affected the participants' depression levels with the explanatory power of 30.6%: grade, perceived health status, sympathetic-acceptable personality, sociable-friendly personality, rebellious-distrustful personality, parent support, peer support, and the support from community. Conclusion: In this study, interpersonal dispositions and social support were positively associated with depression. These results suggest that strengthening personal relations and social support can help high school students in terms of mental health and suicide prevention.

Acquired synechia of the tongue to the mouth floor

  • Sodnom-Ish, Buyanbileg;Nguyen, Truc Thi Hoang;Eo, Mi Young;Cho, Yun Ju;Kim, Soung Min;Lee, Jong Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권5호
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    • pp.394-397
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    • 2021
  • Sodium hydroxide or caustic soda is a corrosive agent that can cause extensive damage to the oral mucosa, lips, and tongue when ingested either accidentally or intentionally. These injuries include microstomia, shallow vestibule, ankyloglossia, speech impairment, loss of teeth and impairment in facial expression. In the present article, we report a unique case of tongue adhesion to the mouth floor and its surgical management in a 66-year-old female patient, who had a history of caustic soda ingestion.

Exploring Social Innovation and Time Bank: Focus on the Elderly Healthcare in the Gangwon Province

  • Kim, Ho-Kyung
    • Asian Journal of Innovation and Policy
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    • 제8권2호
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    • pp.208-237
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    • 2019
  • Serious social problems related to the elderly have appeared in the Gangwon Province because the population in this area is rapidly aging. Gangwon has the highest suicide rate and the highest percentage of single households. In the process of preparing for the super-aging society, Time Bank (TB) System has been actively used in 34 countries, especially in the United States, the United Kingdom, and Japan. In Korea, the Gumi Senior Club has joined this system since 2004. TB is a multilateral exchanged system based on the philosophy that everyone's time is valued equally. Time credits are given to the person who provides social services, such as citizen participation and elderly care. People receive the desired services using time credits or donating them. If this system were applied to the Gangwon Province in accordance with its characteristics, it would help to reduce the elderly's prejudices and manage their diverse health problems. A virtual local currency using IT technologies is needed to boost the regional economy. The elderly's participation in TB is strongly needed. Future research about the effectiveness of health management is then discussed.

만성정신질환자들의 자살사고에 영향을 미치는 요인 (Factors Influencing Suicidal Ideation in People with Mental Disorder)

  • 이미영;김영선
    • 보건의료산업학회지
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    • 제8권2호
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    • pp.209-220
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    • 2014
  • The purpose of this study was to identify the effects of depression, self-efficacy and social support on suicidal ideation in people with mental disorder. The participants for this study were 165 patients from psychiatric hospital, day hospital, community mental health center and nursing home, located in Busan. A self-report survey was used for data collection, which was carried out from May 1 to 30, 2011. The collected data were analyzed using SPSS21.0 program. According to results, Suicidal ideation was influenced by age, number of admission, psychiatric diagnosis and history of suicidal attempts. This study showed that suicide ideation had positive correlation with depression, negative with social support. History of suicidal attempt, depression, self-esteem and social support accounted for 52.8% regarding suicidal ideation. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes decreasing depression and suicidal attempt and increasing the self-esteem and social support in order to decrease suicidal ideation.

다문화가정 청소년의 자살생각에 영향을 미치는 요인분석 - 2012 청소년건강행태온라인조사를 바탕으로- (The Analysis of Risk Factors Influencing Adolescent Suicidal Ideation in a Multicultural Family - Based on the 2012 Korean Youth Health Risk Behavior On-line Survey -)

  • 박근영;최유리;김보라
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.155-165
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    • 2013
  • This study aims to identify the significance of adolescent suicidal ideation in a multicultural family, propose suicidal prevention strategies, and provide considerable foundations supporting their secured future. The research results are in the follow. For the results of main factors of relative influence on the suicidal ideation, the relative dangerousness levels were 5.5 times more likely to experience with drugs, 4.5 times more likely to have depressive symptoms, 3.2 times more likely to experience violence at school, and 2.8 times more likely to experience drinking alcohol, 1.4 times more likely to feel unhappiness and 1.3 times more likely to be bad off in economic status, all of which contribute to suicidal ideation. All results turned out to be statistically significant. Therefore, the findings and results of this study indicate that appropriate and practical prevention strategies to address the suicidal behavior of adolescents in a multicultural family need to be carefully considered and designed in a most urgent manner.

119구급대원의 외상사건 경험, 외상후 스트레스와 건강증진 프로그램 요구도와의 관계 (The Relationships among Experiences of Traumatic Events, Post-traumatic Stress and the Needs for Health Promotion Programs of 119 Paramedics)

  • 강미숙;김영임;근효근
    • 지역사회간호학회지
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    • 제28권4호
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    • pp.524-536
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    • 2017
  • Purpose: This study aims to examine the relationships among experiences of traumatic events, post-traumatic stress (PTS), and the needs for health promotion programs of 119 paramedics. Methods: Experiences of traumatic events, PTS, and needs for health promotion programs were measured using a structured questionnaire. The subjects were 193 paramedics in Jeju Island. Data were analyzed using descriptive statistics, t-test and $x^2$ test. Results: The most experienced event out of the 16 different traumatic events was 'retrieve a suicide's body.' A high-risk classification of PTS was observed in 36.2% of the subjects. The rates of experiences were higher than those of the actual needs for all 26 health promotion programs. The programs reported as highly needed by respondents were stress management (75.5%) followed by exercise (74.6%) and PTS management (72.5%). Subjects with longer career periods, a fire sergeant, perceived obesity, numerous experiences of traumatic events, and in the PTS risk group had a higher need for a stress management program. Conclusion: These findings indicate that a significant number of 119 paramedics experienced PTS. They also show that onsite strategic management is strongly required. In addition, implementation of health promotion programs based on the needs of 119 paramedics is highly needed.

유무선 카운팅 연동형 AI 영상분석 비상문 개폐 시스템 개발 (Development of AI Image Analysis Emergency Door Opening and Closing System linked Wired/Wireless Counting)

  • 강철수;홍지연;김봉현
    • 디지털정책학회지
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    • 제1권2호
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    • pp.1-8
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    • 2022
  • 위험상황 발생 시 비상구 역할을 하는 옥상은 소방법상 화재를 대비하여 개방되어 있어야 한다. 그러나, 옥상 문 개방 시 불법적인 출입, 범죄, 투신 등 각종 사건, 사고 발생의 장소가 되고 있다. 그러다보니, 범죄 및 각종 사건, 사고의 방지를 위하여 시설관리 측면에서 옥상 출입문을 폐쇄하는 것이 현실이다. 이에, 정부에서는 옥상 출입문에 전자식 자동개폐장치 설치를 의무화하는 내용의 주택건설기준 등에 관한 규정 입법을 추진하고 있다. 따라서, 본 논문에서는 지능형 비상문 개폐장치 시스템을 제안하였다. 이를 위해, 유무선 출입 카운팅 및 AI 영상분석을 연동하여 지능형 비상문 개폐 시스템을 개발하였다. 최종적으로, 장치상태 실시간 모니터링 이벤트 알람 중앙 집적 방식의 원격제어 및 이력관리 기능이 제공되는 무선통신 기반 통합 관리 플랫폼 구축이 가능하다.