• 보건행정학회지
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• 제24권2호
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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.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제27권3호
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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.

• 디지털융복합연구
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• 제16권6호
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• pp.223-232
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• 2018

본 연구의 목적은 자살의 대인관계이론에서 위험요인인 좌절된 소속감, 인식된 부담감과 자살생각과의 관계에서 잠재적 회복력 요인인 희망과 자기용서의 역할을 검증하는 것이다. 연구기간은 8개월이었으며, 연구대상은 서울과 경기권의 대학생 316명이다. 연구방법은 인식된 짐스러움, 좌절된 소속감과 자살생각 그리고, 조절변수인 자기용서와 희망 간에 관계성을 알아보기 위하여 상관분석을 실시하였으며, 결과는 모두 유의미하였다. 인식된 짐스러움과 자살생각과의 관계에서 자기용서가 조절효과가 있는지, 좌절된 소속감과 자살생각과의 관계에서 희망이 조절효과가 있는지 검증하였다. 분석결과는 자기용서와 희망 모두 조절효과가 있는 것으로 나타났다. 본 연구에서 얻어진 결과는 대학생들을 위한 자살예방교육과 자살을 생각하는 대학생을 위한 상담을 실시함에 있어서 자살의 회복력 요인인 희망과 자기용서를 적용할 수 있을 것이다. 추후 더 많은 회복력 요인을 탐색하는 연구를 지속하여 자살의 위험요인과 함께 다양한 회복력 요인을 포함한 자살위험성평가, 자살예방교육, 자살위기상담, 그리고 최종적으로 우리나라 자살예방정책수립에 기여할 수 있을 것이다.

• 한국산학기술학회논문지
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• 제12권4호
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• pp.1711-1720
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• 2011

본 연구는 도시 농촌지역 고등학생들의 자살에 대한 인식 및 태도를 알아보고, 그에 관련된 요인을 파악하기 위하여 우리나라 중부권에 소재한 K시의 도시지역 학생 1,114명, 농촌지역 학생 968명을 대상으로 2009년 7월 1일부터 7월 31일까지 구조화된 자기기입식 설문지를 이용하여 설문조사하였다. 연구결과 최근 1년간 자살생각을 갖은 고등학생은 38.8%였으며 도시와 농촌 간에 유의한 차이가 없었다. 자살에 대한 인식 및 태도는 농촌지역학생이 도시지역학생보다 높았으며, 자살 인식도에 영향을 미치는 관련요인으로 도시지역학생은 부모와 동거유무, 학교계열, 최근1년 간 자살생각유무, 자살태도가 유의한 변수로 선정되었으며(설명력 22.3%), 농촌지역학생에서는 성별, 부모와 언쟁 유무, 최근1년 자살생각유무, 자살태도가 유의한 변수로 선정되었다(설명력 37.1%). 자살태도에 영향을 미치는 관련요인으로 도시지역학생은 학교계열, 자살 인식도가 유의한 변수로 선정되었으며(설명력 20.6%), 농촌지역학생은 성별, 흡연유무, 자살 인식도가 유의한 변수로 선정되었다(설명력 38.8%). 따라서 자살에 대한 인식과 태도에 영향을 주는 가정환경 및 학교생활 변인을 적극적으로 관리하는 프로그램 개발 및 자살예방을 위한 지속적인 관심과 지도가 필요하다.

• Child Health Nursing Research
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• 제24권4호
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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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• 제33권3호
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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.

• 대한임상독성학회지
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• 제19권1호
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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.

• 디지털융복합연구
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• 제14권2호
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• pp.427-435
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• 2016

노인자살률의 사회경제적인 요인에 대하여 다수 국가 간 비교분석은 있어도 우리나라와 특정 국가와의 집중적인 비교 연구는 없는 실정이다. 따라서 본 연구에서는 OECD 국가의 일원으로서 노인자살률의 큰 격차를 보일뿐만 아니라 노인자살률 증감률의 정반대 양상을 보이고 있는 한국과 미국을 중심으로 거시 사회 경제적 요인과 노인자살률과 어떠한 관련성을 지니는 지를 일차적으로 규명하고자 한다. 이를 위하여 한국과 미국의 지난 20년간(1990-2009)의 노인자살률과 사회구조적 요인간의 경향분석과 동시에 상관관계 분석을 활용하였다. 아울러 분석결과를 기초로 우리사회의 노인자살 예방에 대한 정책적 시사점을 제언하고자 한다.

• 한국치위생학회지
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• 제20권3호
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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.

• 디지털융복합연구
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• 제20권2호
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• pp.553-561
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• 2022

본 연구는 노인복지센터 이용 노인의 불안, 수면장애, 자살사고의 관련성을 파악하고 자살사고에 미치는 영향요인을 규명하기 위함이다. 노인 206명을 대상으로 2020년 1월 6일부터 2월 7일까지 자료를 수집하였으며 SPSS/Win 25.0을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis로 분석하였다. 불안, 수면장애, 자살사고는 정적 상관관계로 나타났다. 자살사고에 미치는 영향요인은 불안(β=.215, p=.001), 수면장애(β=.383, p<.001)였으며, 이들의 설명력은 27.3%이었다(F=26.653, p<.001). 따라서 자살사고를 예방하기 위해서는 질적인 수면 유지와 불안 수준을 낮추기 위한 중재 프로그램 개발이 필요할 것이다.