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ICU Nurses' Work Experience for Attempted Suicide Patient by Drug Ingestion: A Focus Group Study (일 대학병원 중환자실 간호사의 음독자살시도 환자 간호 경험: 포커스 그룹 연구)

  • Kim, Mi Ok;Cho, Heung Don;Bong, Eun Kyung;Son, Youn-Jung;Park, Young-Su
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.11-20
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    • 2013
  • Purpose: This study to describe experiences of nurses who work in intensive care units (ICUs) where they frequently encounter patients with attempted suicide by drug ingestion. Methods: Data were collected by 2 focus group interviews with 9 ICU nurses. The interview were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: The results of data analysis, five themes were drawn: 'Confusion about for the attempted suicidal patient care', 'Helplessness for dying with attempted suicidal patients', 'Guilty for insufficient care', 'Ambivalence for the attempted suicidal patients', 'Recognition of need for professional approach'. Conclusion: The results of this study help us to understand patients who attempted suicide through the ICU nurses' experience. It would be useful to develop effective education programs for ICU nurses to preventive strategies for patients who are high risk of recurrence of suicidal crisis situation.

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Case study on the couple therapy for family violence : Focusing on the wife residing in a shelter (가정폭력에 대한 부부치료 사례 분석 : 가정폭력 쉼터에 거주하는 부인을 대상으로)

  • Park, Tai-Young;Park, So-Young
    • Journal of Families and Better Life
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    • v.28 no.5
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    • pp.75-88
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    • 2010
  • This study analyzed a family therapy case which dealt with family violence and was consisted of 14 sessions. The therapeutic perspective for this case was MRI model, a strategic family therapy model which emphasizes attempted solutions and interactions. The results of this study were as follows. This study found the interaction process of occurring family violence. When the husband attempted conversations with his wife after drinking, the wife who was anxious and dreadful avoided conversation. This avoidance made the husband felt rejected feeling, and he battered his wife. The avoidance of conversation, an attempted solution of wife, was made from her frame of reference which was affected from her original family context and the couple's communication style in ordinary times. The therapist made the couple recognize their attempted solutions were not effective, and he helped them begin new solutions or coping behaviors. This intervention process was long and hard, but the couple changed their attempted solutions to new solutions which were clear communication styles and functional interaction process. This study results showed the effectiveness of couple therapy on family violence. The effectiveness of MRI model was also proved from the study. The results of study will be helpful to the family therapists and counsellors in the field of family violence.

Feminist Phenomenology on the Life Experiences of Young Korean Women with Attempted Suicide (자살을 시도한 젊은 여성들의 삶의 경험에 관한 페미니스트 현상학)

  • Yi, Myung-Sun;Hwang, Soon-Chan
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.123-134
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    • 2011
  • Purpose: The purpose of the study was to understand and describe the experiences of young Korean women with attempted suicide. Methods: The data were collected by individual interviews from four women who attempted suicide during 2008-2009. A total of 25 hours interviews were audio-recorded and transcribed verbatim. The data were analyzed using feminist phenomenology to reflect and respect the participants' view and experience as much as possible. Results: Five theme clusters and ten themes emerged from the analysis. Five theme clusters include "anger resulting from others-oriented life," "guilt resulting from selfish life," "confusion resulting from unbalanced life between self and others," "attempted suicide resulting from the chaos of life as a whole," and "peace resulting from balanced life between self and others." While these theme clusters represent the phases of life experience, ten themes indicate specific problems or strategies raised during these phases in the context of male-oriented Korean patriarchal society. Conclusion: The results of the study provide insights by deeply understanding of life of young women who attempted suicide in the Korean sociocultural context with the ideology of the subjection of women.

Epidemiology of Suicide by Hanging in Fars Province, Iran (2011-2019): A Population-based Cross-sectional Study

  • Leila Moftakhar;Alireza Mirahmadizadeh;Sanaz Amiri;Fariba Rezaei;Habibollah Azarbakhsh
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.3
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    • pp.264-271
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    • 2023
  • Objectives: Hanging is a common method of attempted suicide. This study investigated the epidemiological profile of attempted and completed suicides by hanging in southern Iran. Methods: This cross-sectional study was performed on 1167 suicide attempts by hanging between 2011 and 2019. All data related to suicide attempts by hanging were collected from the Fars Suicide Surveillance System. The trends in suicide cases and the mean age of attempted and completed suicides were plotted. The chi-square test was used to identify suicide-related factors. Crude rates of incidence, mortality, and standardized fatality during the study period were calculated. Finally, logistic regression was used to identify the predictors of death in individuals who attempted suicide. Results: The mean age of those who attempted suicide was 33.21±16.82 years; the majority were male (80.5%). The rate of attempted and completed suicide by hanging were 3.50 and 2.79 per 100 000 people, respectively. The case-fatality rate was calculated as 79.34%. The results of our study indicated an increasing trend in suicide attempts by hanging. The likelihood of death was 2.28 times higher in individuals with a previous history of suicide attempts and 1.85 times higher in those with a psychological disorder. Conclusions: The findings of this study suggest an increasing trend in attempted and completed suicide by hanging, especially among individuals with a history of suicide attempts and psychological disorders. It is necessary to take action to reduce the rate of suicide attempts and identify the underlying causes of suicide attempts by hanging.

The Socio-Psychiatric Study on Attempted Suicides (일부(一部) 자살기도자(自殺企圖者)에 대한 사회정신의학적(社會精神醫學的) 조사연구(調査硏究))

  • Song, Hae-Yong;Yum, Young-Tae;Shin, Dong-Kyun
    • Journal of agricultural medicine and community health
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    • v.9 no.1
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    • pp.46-55
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    • 1984
  • The socio-psychiatric study and personality analysis by Minnesota Multiphasic Personality Inventory on attempted suicides with drug intoxication in Seonsan-Gun and Cheongdo-Gun of Kyoungsang buk-Do was attempted to identify overall picture of attempted suicides and to detect some characteristics of personality. The total of 93 suicide attempted cases which were brought to the local clinics for the past 3 years from February, 1981 to February,1984 were sampled among them. The socio-psychiatric study and MMPI were performed with 45 attempters possible to be interviewed. The personalities of a group which answered "Still have the desire occasionally" or "Don't know about the present attitude toward suicide was compared with those of the other group who answered "Will not do it agagin". The results were as follows; 1) The sex ratio of the total attempters (93 cases) were 138.5. The highest rate by age group was found in the 3rd decade to be 27 cases. On the other hand, the sex ratio of interviewed cases were 136.8 and the highest rate was found in the age group of 50-59. 2) For the common characteristics of majority other than sex, 55.7% of cases were graduated primary school, and 62.2% were engaged in agriculture. 3) Except the fact that more of the attempted suicides happened during summer, there were no seasonal variation among other seasons. 4) The places selected for the attempted suicides were the houses in majority of cases (98%). Most of cases (53.3%) were found immediately after the attempt and 24.4% within one hour. For the poison taken, 86.7 took a sort of herbicides or insecticides, 55.6% were admitted to local clinics for only one day and 20% for two days. 5) The most common precipitating factors of the attempted suicides were family trouble and financial poverty. 6) The psychodynamic motives of the attempters were impulsive hostility(35.6%), abandonment(33.3%), guilt feeling (11.1%), manipulation and attention seeking (8.9%) and others. 7) In regard to their present attitude toward suicide, 29 cases (64.4%) expressed that they would never do such an act again, 37.8% of cases expressed that they really wanted to die at the time when they attempted. 8) The Psychopathic deviate, Paranoia, Depression, Schizophrenia scores were significantly higher in the attempters group who answered "Don't know" or "Possibly" for the question of "Will you attempt suicide again?" Than the group who answered" will not do it again".

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A study on attempted suicide (자살 기도자에 관한 조사연구)

  • Lee O.J.
    • The Korean Nurse
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    • v.16 no.1 s.87
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    • pp.70-79
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    • 1977
  • This research is a study of 492 patients who attempted to commit suicide and were, brought to the receiving room of Inchon Christian Hospital from the. period between Jan. 1, 1974 to Sept. 15th, 1976, that is, 2 years and nine months. The total number of

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Life Experience following Suicide Attempt among Middle-aged Men (중년남성의 자살시도 후 삶의 체험)

  • Chin, Eun-Young;Kim, Hyun Kyung
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.215-225
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    • 2016
  • Purpose: This study was performed to identify the meaning of life experience following suicide attempt among middle-aged men. Methods: A qualitative research design was adopted using van Manen's hermeneutic phenomenological approach. The participants were six middle-aged men who had attempted suicide at least one time. Data were collected in 2013 through in-depth interviews. Individual interviews were recorded; and literary, art works and phenomenological literature were searched to identify the meaning of the experience. Results: The five essential themes of the life experience of middle-aged men who attempted suicide were 'Bitter reality confronted again', 'Anger buried deep inside', 'Broken family, inescapable fetters', 'Blocked relationships, closed world' and 'A step towards a new life'. Conclusion: The meaning of lived experience found in this study provides deep insight into the experience following suicide attempt in middle-aged men and crucial information to give directions to appropriate support and nursing interventions.

Aminomethylation of 5-Phenylhydantoin (5-Phenylhydantoin의 아미노메칠화 반응)

  • 권순경
    • YAKHAK HOEJI
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    • v.26 no.2
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    • pp.111-116
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    • 1982
  • The behavior of the 5-phenylhydantoin (5-phenyl-2, 4-imidazolidinedione) ring in the aminomethylation reaction was studied in order to determine the orientation of this substitution. In case of monoaminomethylation, 3-morpholinomethyl-5-phenylhydantoin (or 3-piperidinomethyl-5- phenylhydantoin) was synthesized by the condensation of 5-phenylhydantoin with one mole of morpholine (or piperidine) and one mole of formaldehyde. 1, 3-Dimorpholinomethyl- 5-phenylhydantoin was obtained in the attempted condensation of 5-phenylhydantoin with two moles of morpholine and two moles of formaldehyde. Despite the close resemblance to morpholine the attempted condensation of 5-phenylhydantoin with piperidine and formaldehyde under reflux gave no expected 1, 3-dipiperidinomethyl -5-phenylhydantoin. In case of diaminomethylation using piperidine and formaldehyde, only 3, 5-dipiperidinomethyl-5-phenylhydantoin was formed.

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Synthesis of a Conformationally-rigid Etorphine Analogous

  • Kim, Keun-Jae;Hahn, Soon-Jong;Lyu, Hark-Soo
    • Bulletin of the Korean Chemical Society
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    • v.7 no.3
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    • pp.166-169
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    • 1986
  • In order to synthesize conformationally rigid etorphine analogues having potentially interesting pharmacological activities, synthesis of compound 3 by the reaction of compound 4 and compound 5 via intramolecular Diels-Alder reaction has been attempted. However, the reaction did not go well and the compound 3 would not be isolated. Therefore, intermolecular Diels-Alder reaction using dimethyl acetylene dicarboxylate was attempted. As shown in scheme 2, Diels-Alder adduct 9 was converted into the target molecule 14 containing the new [2.2.2] bicyclo octane ring in good yields.

The effects of body mass index and body shape perceptions of South Korean adults on weight control behaviors; Correlation with quality of sleep and residence of place

  • Kang, Nam E;Kim, Seung Ju;Oh, Yoon Sin;Jang, Se-Eun
    • Nutrition Research and Practice
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    • v.14 no.2
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    • pp.160-166
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    • 2020
  • BACKGROUND/OBJECTIVES: The obese population is rapidly increasing because of reduced physical activity and a Westernized diet; consequently, various chronic diseases are more prevalent. With the increasing interest in body shape and appearance, research on body shape perceptions and accompanying weight control behaviors are needed for healthy weight management. SUBJECTS/METHODS: A cross-sectional survey was conducted on randomly selected 536 (209 men and 327 women) aged 20 to 65 years. Body mass index (BMI), body-shape perception, weight control behavior, quality of sleep, and place of residence were collected using self-reported questionnaires. Multivariable logistic regression analysis was conducted using complex design in each groups. Collected data were analyzed using the SAS 9.4 statistical package, and the significance level was set at P < 0.05. RESULTS: When these two variables were divided into four groups, they were found to influence dieting attempts. People with abnormal weights who were dissatisfied with their body shapes attempted dieting 5.23 times more than those with healthy weights and satisfaction with their body shapes. Further, those with normal weights but dissatisfaction with their bodies attempted dieting 4.45 times more than those who were satisfied with their shapes. Subjects in their 20s attempted dieting 2.53 times more than those in their 30s and 40s, and female subjects attempted dieting 2.24 times more than male subjects. CONCLUSIONS: A correct perception of one's shape can be an important factor for dietary behavior, as body shape perceptions and dieting attempts are strongly related. Additionally, healthy weight management and nutrition education are important elements to incorporate into a weight control program aimed at preventing excessive weight control behaviors and promoting correct perceptions of body shape.