• 대한간호학회지
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• 제32권2호
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• pp.231-242
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• 2002

The purpose of this study was to identify the rate of suicidal attempts, investigate difference of rate of suicidal attempts between students and delinquents, and examine correlation between personality, family dynamics, environment, and suicidal attempts among Korean adolescents. Method: Data were collected through questionnaire surveys. Internal consistencies for this questionnaire ranged from 0.63 to 0.88. The subject used in this study consisted of 922(delinquent : 367, student : 555), using the proportional stratified random sampling method. Statistical methods employed were Chi-square and t-test. Results: \circled1 The rate of suicidal attempts were 10.8%, and the highest peak age of suicidal attempt was 17-18 year old (16.9%). \circled2 Delinquents(19.6%) showed a higher rate of suicidal attempts than students (5.1%). Among the students, girls (43.3%) showed a higher rate of suicidal attempt than boys (19.1%). Whereas, boys (80.9%) showed a higher rate of suicidal attempt than girls (56.7%) among delinquents. \circled3 Those who attempt suicide have more familial problem such as incest, psychosis, depression, attempted suicide, committed suicide, and alcoholism in their family. They also have more dysfunctional family dynamics, environment, and maladaptive personalities than non-attempters. Conclusions: Suicide and suicidal behaviors are multifaceted events. For suicide prevention, independent assessments of variables such as familial problems, personality, family dynamics, and environment must be considered.

• 한국간호교육학회지
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• 제23권3호
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• pp.341-352
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• 2017

Purpose: To identify the types and characteristics of subjective structures among nursing students toward individuals who attempt suicide. Methods: A group of 32 third- and fourth-year nursing students with experience in clinical practice rated 35 Q-statements on a nine-point scale according to their opinion. Data analysis was conducted using the PC-Quanl program. Results: Subjectivity among nursing students toward individuals who attempt suicide was analyzed for three types. Type 1 (social responsibility emphasis) subjectivity recognizes the social responsibility for suicide attempts and emphasizes the importance of social support systems as a preventive effort. Type 2 (rational reprimand) subjectivity emphasizes the willpower and effort to overcome challenges in life, because happiness and unhappiness are dependent on one's thoughts and will. Type 3 (situation acceptance) subjectivity regards the suicide attempt as an optional means to avoid a deeply strenuous, painful, and difficult situation. Conclusion: This study investigated the subjectivity of nursing students toward individuals who attempt suicide and to provide a better understanding of them. In addition, the development of training programs that take advantage of the subjective characteristics of individuals based on subjectivity types demonstrated in this study is expected to provide nursing students with useful educational materials for their future careers as nurses.

• 대한간호학회지
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• 제46권2호
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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.

• 의료법학
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• 제9권1호
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• pp.165-196
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• 2008

Recently the Supreme Court held that "in cases in which a patient suffering from a mental disorder attempts to commit suicide, fails, and then succeeds in a subsequent attempt, the following circumstances must be present in order to acknowledge reasonable causation between the negligence of the hospital with regards to taking care of the patient and the death of the patient; there must have existed negligence on the part of the hospital with regards to their failure to stop the 1stsuicide attempt, injurious aftereffects must have been caused to the patient by the1stsuicide attempt, and said aftereffects must have been the main cause for the 2nd successful suicide attemtp." This, in effect, lessens the requirements of past holdings of the Supreme Court which held that "to acknowledge reasonable causation between the negligence of the hospital and the patient that commits suicide, the patient must have experienced such severe physical and mental suffering from the previous attempt so that they could not help but choose to commit suicide". The fact that the Supreme Court did not clearly state such changes in their view on this matter should be corrected. Also, the fact that the court only held the hospital liable for damages of less than 50 million won, only calculating damages up to the point when the deceased passed, is inadequate compared to other cases and should be corrected.

• 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.

• 한국환경보건학회지
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• 제46권4호
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• pp.388-397
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• 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.

• 대한불안의학회지
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• 제8권2호
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• pp.141-145
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• 2012

Objective : The purpose of this study was to describe and compare trends in suicidal ideation, suicidal attempt and suicide in Republic of Korea from 2006 to 2011. Such data are needed to guide policies to reduce suicidal behaviors. Methods : Data came from the 2006-2010 Korea National Health and Nutrition Examination Survey, Korea National Statistical Office and 2006-2011 Korean Epidemiologic Catchment Area Study Replication and 2007-2011 National Emergency Department Information System. Results : No change occurred between 2006-2011 in suicidal ideation, suicidal attempt, whereas suicide rate increased annually. Suicidal attempt events was decreased in age over 50. Suicidal attempts by poisoning and hanging have increased, although suicide caused by poisoning of insecticide have decreased. Especially, suicides caused by hanging have gradually increased in both sex. Conclusions : These finding suggest that fatal suicidal methods may influence increased suicidal rate. Instead of traditional suicidal process, investigation of other pathway about suicidal behaviors should be needed.

• 한국콘텐츠학회논문지
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• 제15권7호
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• pp.244-254
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• 2015

본 연구의 목적은 후기고령노인의 자살시도 경험의 의미와 본질을 탐색하여 보다 심층적으로 이해하는데 있다. 이를 위해 Giorgi의 기술적 현상학을 적용하여 경험의 본질에 집중하여 현상의 구조를 밝히고 기술하였다. 자살시도 경험을 가진 서울 지역 75세 이상 노인 8명을 대상으로 하여, 개방적 심층면담을 통해 자료를 수집하였고, 연구 참여자들이 진술한 자료를 근거로 분석한 결과, 후기고령노인의 자살시도의 경험의 의미구조는 '지속적인 고통의 삶과 죽음의 기로에서 편안함을 갈망하는 내려놓음'이었다. 통합된 일반적 구조로 6개의 구성요소와 20개의 하위구성요소가 도출되었다. 최종 도출된 6개의 구성요소는 '모진 세월의 회한', '절망적이며 처량한 신세', '무가치한 삶', '참을 수 없는 통증과 무기력', '의지할 곳 없는 고독', '마지막 선택'이다. 이러한 연구결과를 토대로 후기고령노인의 자살시도 경험에 대한 의미와 본질을 심층적으로 논의하고, 노인자살 예방을 위한 정신보건사회복지의 실천적 제언을 제시하였다.

• 정신신체의학
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• 제29권2호
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• pp.176-183
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• 2021

연구목적 응급실 기반 자살시도자 사후관리사업에 등록된 자살시도자의 인구학적 요인, 자살시도 패턴 및 정신건강의학과 병력 및 관리가 사후관리 프로그램 완수에 어떠한 영향을 끼치는지 알아보고자 하였다. 방 법 2018년 6월 1일부터 2021년 5월 31일까지 중앙대학교병원 응급실을 방문한 자살시도 환자 중 사례관리에 동의한 661명을 연구대상으로 하였다. 대상자는 응급실 퇴원 후 8주간의 사후관리 서비스 프로그램에 등록하여 관리를 받았다. 인구학적 요인, 자살시도 패턴, 정신건강의학과 병력 및 관리에 해당하는 요인들을 독립변인으로, 사후관리사업 프로그램의 완수 여부를 종속변인으로 두고, 위계적 로지스틱 회귀 분석을 시행하였다. 결 과 자살시도 패턴이 사후관리 사업 완수에 가장 큰 영향을 미치고, 인구학적 요인, 정신건강의학과 병력 및 관리 순으로 사후관리 사업 완료 여부에 영향을 미치는 것으로 나타났다. 자살시도자 사후관리사업 프로그램 완수자는 미완수자에 비해, 향후 자살계획을 가진 경우가 유의하게 많았고, 자살시도의 진정성이 강했으며, 과거자살시도력 또한 유의하게 높았다. 결 론 대상자들이 사후관리사업 프로그램을 완수하고 지역사회 서비스로 연계되도록 하기 위하여, 자살시도 패턴, 인구학적 요인, 정신건강의학과 병력에 대한 고려를 바탕으로 한 개별화된 접근이 필요하다.

• Journal of Yeungnam Medical Science
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• 제41권1호
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• pp.30-38
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• 2024

Background: Although Korea ranks first in the suicide rate of elderly individuals, there is limited research on those who attempt suicide, with preventive measures largely based on population-based studies. We compared the demographic and clinical characteristics of elderly individuals who attempted suicide with those of younger adults who visited the emergency department after suicide attempts and identified the factors associated with lethality in the former group. Methods: Individuals who visited the emergency department after a suicide attempt from April 1, 2017, to January 31, 2020, were included. Participants were classified into two groups according to age (elderly, ≥65 years; adult, 18-64 years). Among the 779 adult patients, 123 were elderly. We conducted a chi-square test to compare the demographic and clinical features between these groups and a logistic regression analysis to identify the risk factors for lethality in the elderly group. Results: Most elderly participants were men, with no prior psychiatric history or suicide attempts, and had a higher prevalence of underlying medical conditions and attributed their attempts to physical illnesses. Being sober and planning suicide occurred more frequently in this group. In the elderly group, factors that increased the mortality rate were biological male sex (p<0.05), being accompanied by family members (p<0.05), and poisoning as a suicide method (p<0.01). Conclusion: Suicide attempts in elderly individuals have different characteristics from those in younger adults and are associated with physical illness. Suicides in the former group are unpredictable, deliberate, and fatal. Therefore, tailored prevention and intervention strategies addressing the characteristics of those who are elderly and attempt suicide are required.