• 보건의료산업학회지
• /
• 제6권4호
• /
• pp.295-308
• /
• 2012

This study aimed to investigate gender differences in prevalence and correlates of depression and suicidal ideation among Korean adolescents. The analysis was performed using data from the 2009 Korean Youth Risk Behavior Web-based Survey. Logistic regression models and Wald chi-square statistics were used to identify the difference in the coefficients between the gender-specific models. Female students reported higher prevalence for depression(42.9%) than male students(31.4%), as well as higher level of suicidal ideation(girls:23.1%, boys:14.7%). Lower school achievement, worse self-rated health status, more conflicts were associated with higher level of depression and suicidal ideation. The impact of school achievement and conflicts with friends on mental health was greater among girls than boys. We suggest that the efficient strategies focusing on the gender differences should be established to improve mental health among Korean adolescents.

• Journal of Preventive Medicine and Public Health
• /
• 제44권3호
• /
• pp.118-124
• /
• 2011

Objectives: Although cigarette smoking is known to be related to the exacerbation of asthma symptoms, several studies have indicated that the prevalence of cigarette smoking among asthmatic adolescents is similar to or even higher than that among non-asthmatic adolescents. The aim of this study was to evaluate the relationship between asthma and cigarette use behaviors and whether or not the presence of suicidal ideation modifies this relationship among Korean adolescents. Methods: We analyzed data from the 2008 Korea Youth Risk Behavior Web-based Survey, which included a nationally representative sample of middle and high school students. Multiple logistic regression models were used to calculate odd ratios and 95% confidence intervals of cigarette use behaviors among current asthmatics, former asthmatics, and nonasthmatics, after adjusting for gender, grade, school records, socioeconomic status, current alcohol use, and suicidal ideation. Results: Of 75 238 study participants, 3.5% were current asthmatics and 4.5% were former asthmatics. Compared with non-asthmatics, asthmatics were more likely to report current cigarette use, frequent and heavy cigarette use, and cigarette use before 13 years of age. There were statistically significant interactions between asthma and suicidal ideation in cigarette use behaviors. Conclusions: This study demonstrated that asthmatic adolescents are more likely than non-asthmatic adolescents to engage in cigarette use behaviors and the presence of suicidal ideation is an effect modifier of the relationship between asthma and cigarette use behaviors. Particular attention should be paid to the awareness of health risks of cigarette smoking and mental health problems among asthmatic adolescents.

• 한국환경보건학회지
• /
• 제46권4호
• /
• pp.388-397
• /
• 2020

Objectives: The aim of this study was to assess the association between the use of heated tobacco products (HTP) and suicidal behaviors such as suicidal ideation, suicide planning, and suicide attempts among adolescents in South Korea. Methods: The study used a cross-sectional design. Data was from the 15th Korea Youth Risk Behavior Web-based Survey (KYRBS) performed in 2019 by the Ministry of Education, Ministry of Health and Welfare, and Korean Center for Disease Control and Prevention. Heated tobacco product use was used as a main independent variable and suicide-related behaviors such as suicidal ideation, planning, and attempts were applied as dependent variables. Out of 60,100 students, 57,303 responded. Results: HTP use significantly increased the odds of a suicide attempt and suicide planning among adolescents. After controlling for confounders, when comparing 'current HTP users' with 'never HTP users', the adjusted odds ratio (OR) was 1.78 (95% confidence interval (CI): 1.38-2.30) for suicide attempts among adolescents. After controlling the confounders, comparing 'current HTP users' with 'never HTP users', the adjusted OR was 1.36 (95% CI: 1.06-1.73) for suicide planning among adolescents. For sadness/despair among adolescents, when comparing 'current HTP users' with 'never HTP users', the adjusted OR was 1.29 (95% CI: 1.11-1.50). However, HTP use had no significant association with suicidal ideation among adolescents. Conclusions: Current HTP users were more likely to attempt to commit suicide, and more likely to plan to commit suicide than never HTP users among adolescents. These results may be useful in developing a scientific basis for designing suicide prevention programs targeting adolescents.

• 대한간호학회지
• /
• 제38권4호
• /
• pp.513-521
• /
• 2008

Purpose: The purpose of this study was to develop an integrated suicide violence prevention program for adolescents. Another purpose was to evaluate the effects of the integrated suicide violence prevention program on self-esteem, parent-child communication, aggression, and suicidal ideation in adolescents. Methods: The study employed a quasi -experimental design. Participants for the study were high school students, 24 in the experimental group and 25 in the control group. Data was analyzed by using the SPSS/WIN. 11.5 program with $X^2$ test, t-test, and 2-way ANOVA. Results: Participants in the integrated suicide violence prevention program reported increased self-esteem scores, which was significantly different from those in the control group. Participants in the integrated suicide violence prevention program reported decreased aggression and suicidal ideation scores, which was significantly different from those in the control group. Conclusion: The integrated suicide violence prevention program was effective in improving self-esteem and decreasing aggression and suicidal ideation for adolescents. Therefore, this approach is recommended as the integrated suicide violence prevention strategy for adolescents.

• 한국학교보건학회지
• /
• 제28권2호
• /
• pp.99-110
• /
• 2015

Purpose: This study aims to investigate the association between suicidal thoughts and the co-occurrence of alcohol, tobacco, and drug use among adolescents. Methods: This study used the data of the Korea Youth Risk Behavior Web-based Survey from 2008 through 2014. The subjects of this study were 517,866 students, in total (Male 266,500, Female 251,366). Frequency analysis was conducted on the data about the subjects' general characteristics and their experience of smoking, drinking, and drug use. The relationship between suicidal thoughts and the co-occurrence of alcohol, tobacco, and drug use was analyzed through ${\chi}^2-test$ and logistic regression. The analyses were done using SAS 9.4. Results: According to the study, adolescents who used alcohol, cigarettes, and drugs at the same time engaged in suicidal ideation 3.69 times more than their peers who didn't use such substances (95% CI: 3.40~4.00, p<.001). Also, adolescents who used only tobacco, only alcohol, and only drugs engaged in suicidal ideation 1.49 times (95% CI: 1.43~1.56, p<.001), 1.28 times (95% CI: 1.26~1.31, p<.001) and 2.34 times (95% CI: 2.04~2.69, p<.001) more than the students who didn't use any substances, respectively. Conclusion: Adolescents' suicidal ideation and the co-occurrence of alcohol, tobacco, and drug use had a statistically significant relationship.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제35권2호
• /
• pp.119-126
• /
• 2024

Objectives: Non-suicidal self-injury (NSSI) and suicidal behavior, including suicidal ideation (SI) and suicide attempts, are important predictors of suicide in adolescents. This study aimed to investigate the associations between NSSI, SI, NSSI+SI, mental health problems, and family factors in Korean adolescents in Jeju Island, with an emphasis on key findings. Methods: A total of 561 adolescents completed self-report questionnaires regarding demographics, NSSI, SI, suicidal behavior, perceived family functioning, and mental health problems, which were assessed using Center for Epidemiological Studies Depression Scale for Children, Screen for Children Anxiety-Related Disorders (SCARED), and Youth Self-Report (YSR). Data were analyzed using descriptive statistics, one-way analysis of variance, chi-square test, post-hoc analyses, and multivariate logistic regression. Results: In this study, 22.3% of adolescents reported either NSSI or SI, with 5.5% reporting NSSI and 20.7% reporting SI. Combined (NSSI+SI) group showed a significantly higher SCARED score, anxiety/depression, thought problems, attention problem, and rule breaking on YSR than did the SI only group. Higher level of depression and anxiety were significantly associated with NSSI and SI. Female sex and perceived family dissatisfaction were significantly associated factors for SI, but not for NSSI in multivariate logistic regression. Conclusion: This study provides insights into the clinical characteristics and associated factors among adolescents with NSSI, SI, and NSSI+SI in Jeju Island. Identifying these results can inform the development of targeted prevention and intervention strategies to mitigate the negative consequences of these behaviors and contribute to a better understanding of the role of family in this context.

• Safety and Health at Work
• /
• 제8권1호
• /
• pp.77-83
• /
• 2017

Background: In contemporary China, most parents are dual-earner couples and there is only one child in the family. We aimed to examine the associations of parents' work stress with suicidal ideation among the corresponding adolescent. We further hypothesized that low parental support experienced by adolescents may mediate the associations. Methods: Cross-sectional data from school students and their working parents were used, with 907 families from Kunming City, China. Stress at work was measured by the effort-reward imbalance questionnaire. Perceived parental support was assessed by an item on parental empathy and their willingness to communicate with the adolescent. Suicidal ideation was considered positive if students reported thoughts about suicide every month or more frequently during the previous 6 months. Logistic regression was used to examine the associations. Results: We observed that parents' work stress was positively associated with low parental support, which was in turn associated with adolescent suicidal ideation. The odds ratio for parents' work stress and adolescent suicidal ideation was 2.91 (95% confidence interval: 1.53-5.53), and this association was markedly attenuated to 2.24 (95% confidence interval: 1.15-4.36) after additional adjustment for parental support. Notably, mothers' work stress levels exerted stronger effects on children's suicidal ideation than those of fathers. Conclusion: Parents' work stress (particularly mother's work stress) was strongly associated with adolescent's suicidal ideation, and the association was partially mediated by low parental support. These results need to be replicated and extended in prospective investigations within and beyond China, in order to explore potential causal pathways as a basis of preventive action.

• 융합정보논문지
• /
• 제7권4호
• /
• pp.129-138
• /
• 2017

본 연구의 목적은 청소년들의 부적응적 완벽성향과 집단따돌림 피해가 자살 생각에 미치는 융합적 영향과 그 과정에 있어서 부모-자녀 의사소통의 매개 효과를 분석하는 것을 목적으로 수행되었다. 이를 위해 초 중 고등학교에 재학 중인 1,395명의 청소년을 대상으로 살펴보았다. 주요 분석결과는 다음과 같다. 첫째, 청소년의 부적응적 완벽성향은 자살 생각에 정적인 영향을 미치고 집단따돌림 피해는 자살 생각에 영향을 미치지 않는 것으로 나타났다. 둘째, 청소년의 부적응적 완벽성향과 자살 생각 간에 있어 부모-자녀 의사소통은 부분 매개하는 것으로 나타났다. 셋째, 청소년의 집단따돌림 피해와 자살 생각 간에 있어 부모-자녀 의사소통은 완전매개하는 것으로 나타났다. 즉, 부모-자녀 의사소통의 긍정적인 역할은 청소년의 위기극복능력을 향상시켜 자살 생각을 감소하게 하는 중요한 요인으로 작용하고 있다.

• 한국보건간호학회지
• /
• 제28권2호
• /
• pp.285-297
• /
• 2014

Purpose: The purpose of this study was to investigate the structural relationship among the life stress, depression, suicidal ideation of adolescent. Methods: Participants for this study included 285 students from five middle schools located in Seoul and Gyeongsangbukdo, Korea. The SPSS 18.0 program and AMOS 18.0 program were used for analysis of data. Results: The characteristics of this study were to analyze causal relationship with latent variables by considering measurement error and to grasp direct effect, indirect effect and total effect. Life stress and depression were found to be factors influencing suicidal ideation. Depression was a direct factor and life stress was a indirect factor. The effects of depression as a mediator between life stress and suicidal ideation were significant statistically. Conclusion: The findings of this study may provide useful assistance in development of effective nursing interventions for prevention and management of middle school students' suicidal ideation.

• 디지털융복합연구
• /
• 제12권9호
• /
• pp.445-454
• /
• 2014

청소년의 인터넷 게임 과몰입이 정신건강에 부정적 영향을 미친다는 주장이 제기되어 왔다. 특히, 높은 자살률은 우리사회의 심각한 정신건강의 문제로 알려져 있다. 본 연구는 청소년의 인터넷 게임 과몰입이 자살생각에 미치는 영향과, 그 두 변수 사이에서 우울감이 가지는 매개효과를 검증함으로써, 인터넷 게임 과몰입, 우울감과 자살생각 간의 관계를 조사하고자 하였다. 이를 위해 한국청소년정책연구원의 2012년 한국 아동 청소년 정신건강 실태조사연구(N=8,745)를 분석하였다. 주요 분석 결과로는 첫째, 척도의 위험성 기준으로 볼 때 약 5.6%의 청소년이 위험군에 속하는 것으로 발견되었다. 둘째, 두 변인의 관계만을 고려하였을 때, 청소년의 인터넷 게임 과몰입이 자살생각에 유의미한 영향을 주는 것으로 발견되었다. 셋째, 그러나, 인터넷 게임 과몰입과 자살생각 사이에서 우울감이 완전매개효과를 가져, 인터넷 게임 과몰입은 우울감을 증가시킴으로써 자살생각을 증가시키는 관계를 가지는 것으로 분석되었다. 실천적 함의로서, 청소년의 인터넷 게임 과몰입과 정신건강 문제에 개입함의 필요성을 논의하였다.