• 가정과삶의질연구
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• 제26권6호
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• pp.123-134
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• 2008

This study aimed to assess the roll of various abusive factors on suicide thoughts. In particular, the effects of negligence, physical and emotional abuse, as the subordinate variables of abuse, were examined on suicide ideation. In addition, the mediation effects of shame-proneness and friendships were also investigated. To achieve these specific objectives, subordinate dimensions of abuse such as negligence, physical abuse and emotional abuse were measured for 277 male and 275 female students from Seoul middle schools using a measurement tool. Specifically, experiences of being abused and neglected, the level of suicide thoughts using scale for suicidal ideation (SSI), the level of shame-proneness and friendships using personal feelings questionnaire-2(PFQ-2), and schoolmate relationships were measured using a questionnaire. Analysis of collected data revealed that while suicide thoughts showed significant positive relationship with abuse and shame-proneness, there was a significant negative relationship between suicide thoughts and friendships. In particular, negligence, physical abuse and emotional abuse had significant effects on suicide ideation, while emotional abuse had the greatest effect on suicide ideation. Shame-proneness and friendships partially mediated abuse and suicide thoughts. The findings of this study have contributed to understanding of factors related to suicide thoughts. In particular, the mediation effects of shame-proneness and friendships have been highlighted.

• 대한간호학회지
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• 제40권4호
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• pp.524-532
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• 2010

Purpose: This study was done to explore the relationship of social support and meaning of life to suicidal thoughts among patients with cancer. Methods: Data were collected by questionnaires from 138 patients who had been in cancer treatment at medical clinics and 8 patients who were members of an internet cancer association. The data were collected between August and November 2009 and analyzed using SPSS 12.0. Results: Of the participants, 47.3% reported having had suicidal thoughts and 16.4% had attempted suicide since the diagnosis of cancer. The study participants received most support from family members, but 73.3% reported experiencing an existential vacuum. The suicide attempt group had significantly higher scores according to gender, age, level of education, diagnosis, treatment modality, level of activity, caregiver and social support compare to the suicide thought group. Suicidal thoughts were negatively related to social support and meaning of life was positively associated with social support. Support from family and friends and diagnosis explained 50.0% of variance for suicidal thoughts with 36.0% of variance being explained by family support. Conclusion: Nurses should be able to identify risk factors for suicide in cancer patients. Prevention and intervention efforts need to be directed toward improving social support, family support in particular, and assisting patients finding meaning in life after a diagnosis of cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4831-4836
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• 2016

The study aimed to find out to what degree suicidal thoughts and associated factors affect the suicide risk of advanced cancer patients. The frequency of suicidal thoughts among patients with cancer, especially in the advanced stages, is about 3 times greater than the adult average in South Korea. We recruited 457 participants with four types of cancers (colon, breast, cervical, and lung) using stratified sampling. Data collection was carried out through one-on-one interviews by trained nurses using a structured questionnaire. Advanced cancer patients with high, vs. low, levels of anxiety and pain had a higher suicide risk. In contrast, having one's spouse as the primary care provider was associated with a low suicide risk. Overall, the three factors of anxiety, pain, and the primary caregiver being one's spouse explained 17.2% of the variance in suicide risk. In conclusion, we derived influencing factors of suicide risk using a sample of patients with various types of advanced cancer. The results provide systematic baseline data for preparing nurse-led interventions to prevent suicidal thoughts and suicide attempts among advanced cancer patients.

• 한국콘텐츠학회논문지
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• 제12권6호
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• pp.265-279
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• 2012

본 연구에서는 노인의 자살 생각에 영향을 미치는 생태체계요인에 관해서 알아보고 특히 중증 만성 질환자를 돌보는 노인의 자살생각에 영향을 미치는 생태체계요인에 대해서 분석하였다. 생태체계요인은 개인적 체계, 가족적 체계, 사회적 체계를 선정하여 인구사회학적특성과 함께 투입하여 자살생각에 미치는 영향을 살펴보았다. 연구대상은 경기도에 거주하고 있는 55세 이상의 중증 만성질환자를 돌보는 노인 274명을 대상으로 하였다. 자료 분석은 SPSS 18.0 프로그램을 이용하여 빈도분석, 요인분석, 신뢰도분석, t-test 및 분산분석, seheffe test와 위계적회기 분석을 하였고 연구결과는 다음과 같다. 첫째, 개인적 체계가 자살생각에 미치는 영향을 측정하기 위해서 개인적 특성 및 부양부담감 을 독립변수로 선정하여 자살생각에 미치는 영향을 분석한 결과 두 변수 모두 유의하였으며, 둘째, 가족적 체계는 가족적 특성과 가족적 지지로서 간병기간이 길수록, 가족의 지지가 적을수록 자살생각에 미치는 영향이 컸다. 셋째, 사회적 체계 면에서는 사회적 지지와 사회활동참여도를 독립변수로 적용한 결과 사회적 지지의 모든 요인이 자살생각에 부(-)적 영향을 주었으나 사회활동 참여도의 영향력은 없는 것으로 분석되었다.

• 대한통합의학회지
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• 제11권1호
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• pp.141-148
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• 2023

Purpose : This study examined the relationship between suicidal thoughts, hand grip strength, socioeconomic status, educational level, and disease occurrence. Methods : Korean national health and nutrition examination survey 2017 were used in this study. 5,449 were analysed. For comparison between groups, cross-tabulation analysis and mean comparison were performed. Logistic regression analysis were performed to analyze the influencing factors between grip strength and suicidal ideation. Results : Our results are consistent with the literature on the importance of socioeconomic status in health. The lower the level of education, the higher the suicidal thoughts. Being single or divorced was also significantly associated with suicidal ideation. Moreover, a lower income level was significantly associated with a higher suicide intention. Furthermore, older ages, lower educational levels, and lower income were significantly associated with a higher odds ratio of suicidal thoughts. Interestingly, suicidal thoughts were significantly lower among non-smokers. In contrast, suicide intention did not differ significantly according to gender, age, monthly drinking habit, aerobic physical activity, and disease occurrence. Suicidal thoughts decreased as grip strength increased and this was statistically significant. Socioeconomic status, disease occurrence, and handgrip strength level affected the security of an individual's livelihood and were significant risk factors for suicidal thoughts. These associations remained significant in multiple logistic regression even after controlling for all covariates. Conclusion : Future prevention intervention efforts to reduce suicide risks should consider handgrip strength. Studies to explore the possible proximal risk factors and mediators between handgrip strength and suicidal thoughts are also warranted.

• 생물정신의학
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• 제27권1호
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• pp.9-17
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• 2020

Objectives The purpose of this study is to investigate the interest level, perception and attitude of suicide high-risk group toward the media's suicide report, and also to provide the fundamental data in order to strengthen both the standard and the recommendation of media coverage in Korea. Methods We analyzed the data from the 2013 The Korea National Suicide Survey. The study included 1500 participants aged between 19 and 75 years. The participants were selected through the regional multi-layer stratification method using the sampling frame of the 2010 Census. One-on-one face-to-face interviews investigated the interest level, opinions, and attitudes toward suicide reports and collected data on past suicide history and demographic data. The collected data were evaluated using multiple logistic regression analysis. A probability level of p < 0.05 was considered statistically significant. Results The suicide high risk groups with histories of suicidal ideations or attempts showed more interest in suicidal reports [suicidal thought odds ratio (OR) = 1.81, 95% confidence interval (CI) = 1.40-2.34 ; suicidal attempt OR = 3.21, 95% Cl = 1.52-6.78]. However, there was no difference among the groups in thought that suicide reports incite suicide (suicidal thought OR = 1.26, 95% Cl = 0.92-1.73 ; suicidal attempt OR = 0.96, 95% Cl = 0.44-2.09). The suicide high risk groups showed a positive attitude toward suicide reports, but it was not statistically significant (suicidal thought OR = 1.10, 95% Cl = 0.41-2.92 ; suicidal attempt OR = 1.10, 95% Cl = 0.76-1.59). Conclusions We suggest the need of careful attitude of media suicidal reports not to bring about copycat suicides. and also we offer suicide prevention campaign based on media leverage.

• 한국치위생학회지
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• 제21권6호
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• pp.711-720
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• 2021

Objectives: This study attempted to determine the influence of factors related to suicide attempts in the elderly. Data from a 2017 Community Health Survey were used to find 67,810 subjects aged 65 years or older. Methods: Cross-analysis and logistic regression analysis were conducted by dividing the suicide thought and suicide attempt experience groups. Results: In the group with subjective stress, suicidal thoughts were higher in women 2.748 times (p<0.01) and 1.917 times (p<0.001) in women. In terms of income level, the higher the income level, the lower the suicidal ideation experience. Suicide attempts were 0.708 times lower when mastication was not uncomfortable and 0.170 times lower when the patient was not experiencing depression (p<0.001). Conclusions: The correlation between oral dysfunction and suicidal thoughts and attempts in the elderly has been demonstrated, and it is expected to be used as baseline data for establishing an institutional study.

• 한국응급구조학회지
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• 제27권1호
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• pp.7-18
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• 2023

Purpose: This study conducted a systematic literature review to analyze the factors related to suicidal ideation among firefighters. Methods: A systematic literature review was conducted to identify factors influencing suicidal ideation among firefighters, using Korean academic information search services from January to June 2022. A total of 238 articles were searched using keywords such as "firefighter," "depression," "post-traumatic stress disorder (PTSD)," "cognitive emotion regulation," "suicide," and "suicidal ideation." Among them, nine articles were selected for analysis using descriptive correlation studies. Results: It was found that the relationship between firefighter stress (PTSD) and suicidal thoughts was mediated by depression. Even if the stress level (PTSD) was high, suicidal thoughts decreased when the emotional coping level was high. Conclusion: To prevent firefighters from committing suicide, intervention programs with effective approaches to quickly identify high at-risk people and improve their emotional coping skills, should be implemented.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권4호
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• pp.294-301
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• 2011

Objectives : This study investigated factors related to suicide in high school students and focused on perceived academic performance. Methods : We surveyed 293 grade 10 high-school students in Jeju and Gyeonggi provinces and gave them self-assessment questionnaires. To evaluate the suicide risk, the questionnaire included questions about suicidal thoughts, plans, threats, deliberate self-injury, and suicide attempts from the Scale for Suicide Ideation (SSI). Also, it included the Beck Depression Inventory (BDI), Beck Hopelessness Scale (BHS), Locus of Control Scale (LOC), Rosenberg's Self Esteem Scale (RSE) and Perceived Academic Performance (PAP) to identify factors related to suicide in high school students. Results : Depression, hopelessness, and low self-esteem were related with suicidal thoughts, plans, attempts, and severe suicidal ideation (SSI score${geq}$16). In the multivariate analysis, a low level of PAP (OR=3.796, 95%CI 1.280-11.257) was significantly associated with severe suicidal ideation (SSI score${geq}$16). Deliberate self-injury was most prevalent in failing the PAP group and also having a high level of PAP (OR=6.161, 95%CI 1.474-25.760). Conclusion : The authors found that the suicide risk of high school students is related to depression, hopelessness, low self-esteem and a low level of PAP. These results provide significant indicators in planning an adolescent suicide prevention program.

• 한국콘텐츠학회논문지
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• 제13권3호
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• pp.240-250
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• 2013

자살 생각을 초기에 발견하는 것은 자살을 예방하는 데 중요하다. 본 연구는 의료 현장에서 사용될 수 있는 간단한 스크리닝 도구를 개발하는 것을 목적으로 하였다. 자살위험 스크리닝 도구는 의사들이 빠르고 쉽게 사용할 수 있도록 설계되었다. 미국 알래스카 Norton Sound region의 Screening for Depression and Thoughts of Suicide라는 도구로부터 2개의 항목으로 구성된 스크리닝 도구를 만들었다. 이 도구는 개인식별번호를 제외하는 등 한국의 실정에 맞게 양식이 수정되었으며 한국형 자살위험 스크리닝 도구로 이름붙였다. 이 도구의 신뢰성과 적용가능성은 7명의 의사들을 통해 검토되었다. 이 도구의 타당성은 4개의 의료기관에서 325명의 환자들을 조사하여 현재의 정신건강 상태를 외부 기준으로 하여 확인하였다. 이와 같은 2개 문항으로 구성된 자살위험 스크리닝 도구는 정신과 의사 및 기타 의사들에 의해 환자의 자살경향을 발견하는데 사용될 수 있을 것이다.