• 분석과학
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• 제28권6호
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• pp.398-408
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• 2015

번개탄과 같은 착화탄을 이용한 일산화탄소 중독사는 국내에서 빈번히 발생하고 있으며, 대부분이 자살과 관련되지만 타살의 가능성을 절대적으로 배제할 수는 없는 실정이다. 때문에 변사자와 사건 현장을 법과학적으로 철저하게 조사하여 변사자가 자살을 실행했다는 것을 입증해야 하며, 착화탄을 사용하여 자살을 했을 경우 착화탄이 접촉될 수 있는 손, 콧속 및 문고리 등에서 착화탄성분을 확인하는 것이 사건현장과 변사자와의 관련성을 입증하는데 매우 중요하다. 착화탄성분은 외관 및 화학적 조성을 토대로 확인할 수 있었으며, 판별분석을 통하여 검출된 착화탄성분이 검정색으로 관찰되는 목편과는 뚜렷하게 구별됨을 확인하였다. 자살을 입증한 사례에서 착화탄성분 분석을 위하여 실체현미경 및 주사형 전자현미경에너지분산형 X-선분석기(SEM-EDX)를 사용하였고, 일부 탄화된 수지상물질의 성분 분석을 위하여 현미경-적외선분광광도계(microscope-FT/IR) 및 열분해-기체크로마토그래프/질량분석기(Py-GC/MS)를 사용하였다. 또한 수면제 약물인 디펜히드라민을 위하여 기체크로마토그래프/질량분석기(GC/MS)를 사용하였고, 혈중 일산화탄소-헤모글로빈(CO-Hb) 농도 확인을 위하여 기체크로마토그래프(GC/TCD)를 사용하였다. 착화탄성분을 외관형상 및 화학적 성분을 토대로 손바닥 및 손잡이 등에서 확인하였으며, 특히 변사자의 콧구멍에서 착화탄성분을 검출함으로써 변사자가 자살을 위해 직접 불을 피웠음을 확인할 수 있었다. 일부 탄화된 검정색물질은 아크릴로니트릴스티렌 수지로 포장용 비닐가방에 널리 사용되는 재질로 착화탄을 운반할 때 사용된 것으로 추정되었다. 수면제 성분으로 디펜히드라민이 2.3 mg/L 검출되었으나 사망사건에서 검출된 농도 8-31 mg/L (평균 16 mg/L) 보다 훨씬 낮은 농도로 단지 수면을 유도했을 것으로 판단되었으며, 79%의 혈중 CO-Hb의 검출은 일산화탄소 중독이 사망원인이었음을 나타내었다. 위에서 언급된 절차들은 밀폐된 방 또는 차량 안에서 착화탄을 피워 사망한 일산화탄소 중독사에서 자살인지를 판단하는데 있어 매우 훌륭한 사례라 할 수 있을 것이다.

• 생물정신의학
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• 제12권1호
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• pp.20-31
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• 2005

Objectives:This study was designed to investigate the characteristics of personality changes and emotional distress using the Personality Assessment Inventory (PAI) in patients with traumatic brain injury(TBI), divided into mild (MTBI) and severe (STBI) groups according to the severity of injury. Methods:The subjects were consisted of 25 patients with MTBI, 25 patients with STBI, and 25 normal controls. They were interviewed with the PAI. The data were analyzed by ${\chi}^2$ test, analysis of variance and Tukey test. Results:The results were the followings. First, Negative Impression in validity scales was elevated above cutoff point(T score 70) in both MTBI and STBI groups. Second, the clinical scales of which scores elevated above the cutoff point were Somatic Complaints, Anxiety, Anxiety-Related Disorders, Depression, and Schizophrenia in the MTBI, and Somatic Complaints and Depression in the STBI. Third, the clinical subscales above the cutoff point were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Traumatic Stress, Cognitive Depression, Affective Depression, Physiological Depression, Thought Disorder, and Affective Instability in the MTBI, and Health Concerns, Cognitive Depression, Affective Depression, and Physiological Depression in the STBI. Fourth, Suicide Ideation in treatment scales was the only scale above the cutoff point in the MTBI and the others of the treatment and interpersonal scales in the MTBI and all of these scales of the STBI were not elevated above the cutoff point. Fifth, the scales of which scores showed significant difference between the MTBI and the STBI were Somatic Complaints, Anxiety, Depression, and Suicide Ideation, the subscales were Conversion, Somatization, Health Concerns, Affective Anxiety, Physiological Anxiety, Physiological Depression, and Psychotic Experiences. Conclusion:These results suggest that the patients with MTBI had more somatic and anxiety symptoms, depressed mood, and suicidal ideation than the patients with STBI. These characteristics are generally consistent with clinical observation and findings from previous studies of the patients with TBI, and the PAI seems to be a beneficial adjunctive assessment tool for the evaluation of patients with traumatic brain injury.

• 대한간호학회지
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• 제39권5호
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• pp.651-661
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• 2009

Purpose: This study was done using meta-analysis to examine 58 studies from studies published in the past eight years (2000 to 2007) that included variables related to adolescents' suicidal ideation. Methods: The materials for this study were based on 32 variables which were selected from masters' thesis, doctoral dissertation and articles from Journals of the Korean Academy of Nursing. Results: The classification consisted of 5 variables groups and 32 variables. In terms of effect size on risk, variables which were significant included psychological variables (0.668), socio-cultural variables (0.511), family environmental variables (0.405), school environmental variables (0.221), and personal characteristics variables (0.147). In terms of effect size on protection, variables which were significant included personal characteristics variables (-1.107), psychological variables (-0.526), family environmental variables (-0.264), and school environmental variables (-0.155). In terms of effect size on risk variables, psychological variables (0.668) were highest. In terms of effect size on protective variables, the variable of personal characteristic (-1.107) was the highest. Conclusion: While the results indicate possible risk and protective variables for suicidal ideation, but prediction is still difficult. Further study to compare adolescents with similar variables but no suicidal ideation and those with suicidal ideation is necessary.

• 한국응용과학기술학회지
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• 제38권4호
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• pp.1029-1044
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• 2021

본 연구는 남녀 임금근로자의 우울 유병률과 우울 관련 융복합적 요인의 규명을 위해 시행되었다. 2014년, 2016년 국민건강영양조사 자료를 이용하여 19세 이상 65세 미만 성인 3,763명(남성 1,888명, 여성 1,875)을 대상으로 분석하였다. 우울은 Patient Health Questionnaire-9 (PHQ-9)으로 측정하였으며 전체 근로자의 우울(PHQ-9≥10)은 4.1%(남성 3.2%, 여성 5.0%)로 나타났다. 남녀 근로자의 우울 영향 요인을 평가하기 위해 다중 로지스틱 회귀분석을 수행하였다. 남성 근로자에서 일 관련 특성인 고용 유형, 주당 근로시간은 인구사회학적 특성, 건강 관련 특성, 생활습관 특성을 보정한 후에도 우울과 유의한 관련이 있는 것으로 나타났다. 그러나 여성 근로자에서 일 관련 특성은 유의한 관련을 보이지 않아 남성과 차이를 보였다. 그러므로 우울 위험 요인의 성별 특성을 고려한 직장 내 상담 또는 정신건강 증진 프로그램을 개발, 수행할 필요가 있다. 또한 남녀 모두 건강 관련 특성(우울증 진단 여부, 자살 계획 여부, 스트레스 인지 수준, 미충족 의료서비스 여부, 주관적 건강상태)이 우울과 관련이 있는 것으로 나타났으므로 이들 요인에 대한 지속적인 관리가 요구된다.

• 한국융합학회논문지
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• 제12권11호
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• pp.487-499
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• 2021

본 연구는 고등학생의 인구학적특성, 건강행동, 주관적 인식이 자살생각에 관련 있는 요인인지 파악하는 것이다. 본 연구는 한국 고등학생 2만5987명을 대상으로 한 2020년 청소년 온라인 건강 행태 조사를 이용하여 자살생각과 관련있는 요인을 알아보기 위하여 카이 제곱 검정과 다중 로지스틱 회귀 분석을 사용하여 분석하였다. 자살 생각에 영향을 준 인구학적특성 요인에는 성적, 성별, 주거 형태가 포함되었다. 건강 행동에서는 음주, 흡연, 성별, 약물 오남용 경험이었다. 마지막으로 주관적인 인식 특성에서는 건강 상태, 행복 상태, 외로움, 스트레스 수준, 우울이었다. 이에 따라, 본 연구는 코로나-19 상황에서 국내 고등학생들의 자살 예방 전략의 기초 자료로 활용될 것으로 기대된다.

• 한국대기환경학회지
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• 제32권3호
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• pp.237-247
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• 2016

Global climate change is becoming one of the greatest challenges facing humanity. This article proposes a psychological perspective of climate change adaptation. Climate change-related severe adverse weather events may trigger mental health problems, including increased post-traumatic stress disorder (PTSD), depression, anxiety, violence, and even suicide. Forced migration could be considered a coping method for dealing with weather events, but it may also pose a psychological threat. People respond to severe weather events in different ways based on their individual characteristics. Psychological risks from adverse weather events are mediated and moderated by these factors, which are influenced by personal cognition, affect, and motivation. Examinations from a psychological perspective, which have been neglected in the science of climate change thus far, may provide keys to successful adaptation and the prevention of serious psychological problems resulting from the experience of severe weather events. A new prevention strategy has been suggested for coping with climate threats through encouraging attitude change, establishing proactive support systems for vulnerable groups, establishing a PTSD network, and implementing a stress inoculation program.

• 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.

• 대한임상독성학회지
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• 제6권1호
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• pp.16-24
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• 2008

Purpose: There has been no nationwide surveillance survey of poisoning cases in Korea. This study examined the clinical characteristics of poisoning admissions in order to obtain preliminary data for future planning. Methods: This study retrospectively reviewed the data on poisoning admissions of 150 hospitals based on the hospital discharge injury surveillance data of Center for Disease Control and Prevention in Korea from January to December in 2004. The demographic data, poisons used, causes of poisoning, reasons for attempted suicide and mortality rate was investigated according to the age group. The factors associated with mortality were also evaluated. Results: A total 836 patients admitted for poisoning were analyzed. Their mean age was $46.5{\pm}19.5$ years (male 415, female 421). The most frequent age group was the 4th and 5th decades. The most common poisons involved were pesticides (45%) and medications (23%). The majority (64%) involved intentional poisoning except for those in the 1st decade. The most common reason for the attempted suicide was family problems. However, individual disease was the most common reason in those over 60 years. The overall mortality rate was 8.7% (73/836). Pesticides and being elderly (over 65 years old) were strongly correlated with fatality. Conclusion: The incidence of intentional poisoning increases from the 2nd decade making it a preventable injury. "Overall, the incidence of intentional poisoning increases from the 2nd decade". Therefore, there is a need to frame a prevention policy corresponding to each factor related to fatality, such as an elderly population and pesticides.

• 한국보건간호학회지
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• 제24권1호
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• pp.82-92
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• 2010

Purpose: This study aimed to identify the incidence and risk factors of suicidal ideation among the elderly in Korea. Methods: This cross-sectional study used secondary data of the 2005 Korean National Health and Nutrition Examination Survey. The participants were 1,097 elderly Koreans who responded to the health survey. Sociodemographics, health related characteristics, and the prevalence of suicidal ideation were obtained through face-to-face interviews. Risk factors of the suicidal ideation were also examined. Descriptive statistics and multivariate logistic regression were used for data analysis. Results: Of the 1,097 respondents, 30.5% had suicidal ideation during the past year. Depression and stress were the important risk factors; others included mobility, pain/discomfort, chronic illness, smoking, sleep, and leisure time physical activity. Sociodemographic characteristics such as gender, education, and marital status affected suicidal ideation. Conclusion: The high frequency of suicidal ideation in the elderly suggests the necessity of community-based interventions directed at depression and stress.

• 한국컴퓨터정보학회논문지
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• 제25권10호
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• pp.151-158
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• 2020

본 연구는 국민건강영양조사의 자료를 이차분석하여 시간적 추이에 따른 19세 이상 한국 성인 암환자의 자살생각 관련 요인을 파악하여 암환자 관리의 기초자료를 제공하기 위해 시도되었다. 자료는 IBM SPSS WIN 22.0 program을 이용하여 2009년, 2017년 2개년도 연구대상자의 인구사회학적 특성, 건강관련 특성, 정신관련 특성을 분석하기 위해 복합표본 빈도분석, 복합표본 교차분석, 복합표본 다중 로지스틱 회귀분석을 이용하여 분석하였다. 연구결과 암환자 자살생각 관련요인은 2009년 활동제한, 우울증상 경험으로 나타났고(Negelkerke R²=.384) 2017년 연령, 결혼상태, 활동제한, 우울증상 경험으로 나타났다(Negelkerke R²=.525). 본 연구는 시간적 추이에 따른 암환자 자살생각 관련요인을 파악하여 관련요인의 변화를 확인했다는 점에서 의의가 있으며, 암환자의 자살을 예방할 수 있는 중재 프로그램의 개발 및 적용이 필요하다.