• 한국산학기술학회논문지
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• 제19권4호
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• pp.329-341
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• 2018

본 연구는 복무 부적응 병사들이 경험하고 있는 자살시도 과정에 대한 본질과 구조를 이해하기 위한 질적 연구이다. 연구 참여자는 K도 00군단의 복무 부적응으로 그린캠프에 입소한 병사 10명을 대상으로 하였다. 자료 수집은 2016년 10월에서 2017년 9월까지 12개월간 진행하였다. 개별 심층 면담 결과를 Colaizzi(1978)의 현상학적 연구 방법을 적용하여 분석하였다. 연구 결과는 '창살 없는 감옥', '모든 것이 눈치', '가식적인 삶의 연속', '자포자기의 삶'의 4개의 범주, 9개 주제모음과 25개 주제로 도출되었다. 연구결과로 복무 부적응 병사들은 군 문화에 대해 전반적으로 부정적인 경험을 하고 있었다. 군 문화에 적응하지 못한 신세대 병사들이 마지막 단계인, 자포자기의 순간을 이겨내지 못하면 극단적인 행동을 하게 된다. 성격 유형별로 자살요인에 차이가 있었고, 자살 시도 이전 내외부적 도움이 필요한 시점이 있음을 알 수 있었다. 자살 전까지 자살 시도 과정에 대한 구체적인 이해가 선행되지 않으면 복무 부적응 병사들의 자살 예방 정책들은 큰 효과를 기대하기 어렵다. 본 연구 결과를 통해 정신 간호 중재 프로그램과 자살 예방 사업의 기초자료로 활용되기 원한다.

• 한국보건간호학회지
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• 제27권3호
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• pp.500-512
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• 2013

Purpose: The purpose of this study was to investigate suicidal ideation and its associated factors according to sex in the elderly, by focusing on socio-demographic and health characteristics. Methods: Data were derived from the fifth Korean National Health and Nutrition Examination Survey (KNHANES V-2, 2011). The subjects were 1,464 elderly aged 65 years or more (620 male and 844 female). The SPSS/WIN 21.0 program was used for data analysis. Results: Suicidal ideation was positively associated with depression and stress in both male and female subjects. For elderly men, those aged 75 years or more, had no spouse, and had activity limitations showed a higher suicidal ideation risk. For elderly women, those who had low a education level and were perceived to be unhealthy showed a higher suicidal ideation risk. Conclusion: Nurses should consider sex differences when designing suicide prevention programs for the elderly.

• International Journal of Advanced Culture Technology
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• 제7권1호
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• pp.103-111
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• 2019

This study attempted to test the path model that can predict Korean adult suicidal ideation. The subjects were 459 adults aged between 19 and 64 who agreed to this study among quota sampled by the population, sex, and region of the metropolitan city. The path model of collected data was estimated using SPSS 24.0 program and AMOS 22.0. The results of the bias-corrected percentile method for verifying the significance of the mediator effect of the final model showed that suicidal attitude, depression, and stress were found to be mediating effects of health status on suicidal ideation. Suicide attitude and stress were found to mediate the effects of health status on depression. And the effect of drinking on depression was mediated by stress. This result is expected to be used as a practical basis for the development of suicide prevention and intervention programs for adults in the future.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.105-118
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• 2021

Objectives: This study aimed to examine the effect of Activities Daily Living(ADL)(physical health), depression(mental health), social participation(social health) on suicidal ideation among community dwelling elderly. Methods: Samples were obtained from 184 people aged over 65 years old in one county of Kyungsangbukdo. The survey samples were divided into the presence and absence group of the suicidal ideation. Data were analyzed with x² test, t-test and logistic regression analysis. Results: First, suicidal ideation were significantly different by religion. Secondly, after adjusting for socio-economic variables, logistic regression analysis showed that only depression was associated with higher odds of suicidal ideation Conclusions: It was suggested to develop customized depression and suicide prevention program were required to reduce suicide rate of the elderly.

• 대한간호학회지
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• 제32권2호
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• pp.254-264
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• 2002

This study was conducted to identify and compare the stressors and coping behaviors of high school students who experienced suicidal ideation vs those who do not. Method: The data were collected from 1,441 high school students living in the middle region of Korea. Researchers collected the data using Adolescent Stress Inventory and Adolescent Coping questionnare from February to May of 1999. Data were analyzed using X2, T-test. Result: A significant proportion (31.9%) of subjects had thought about suicide during the past 6 months, 297 girls (35.3%) and 163 boys (27.2%). Major stressors of subjects who experienced suicidal ideation were academic problems, conflicts between family members, and changes in sleeping or eating patterns. Conflicts with family members contributed to have suicidal ideation. There was no significant difference in helpful coping behaviors between the two groups. The group who experienced suicidal ideation had lower scores and fewer coping behaviors. Boys perceived more stressors and had fewer helpful coping behaviors than girls. Conclusion: It is necessary to develope school-based suicide prevention programs. Our findings suggest that the program should focus on problems related to studying and conflicts within the family.

• 대한간호학회지
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• 제35권8호
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• pp.1433-1442
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• 2005

Purpose. The purposes of this study were 1) to examine the differences in suicidal ideation and psychological variables by gender, 2) compare the contribution of demographic-behavioral variables and psychosocial variables in explaining the variance in suicidal ideation, and 3) identify the most important predictors of suicidal ideation for male adolescents and female adolescents. Methods. The subjects consisted of 271 male adolescents and 230 female adolescents. Data were collected through self-report questionnaires, which were constructed to include SSI-C, DEP subscale of the SCL-90-R, PACI, and SWLS. The data were analyzed by the SPSS/WIN program. Results. Suicidal ideation differed by gender. Depression and family communication differed by gender. The unique contribution of demographic-behavioral variables and psychosocial variables in explaining the variance in suicidal ideation differed between male adolescents and female adolescents. The significant predictors of suicidal ideation for male adolescents were life satisfaction, depression, and family communication, explaining $28\%$ of the variance in suicidal ideation. The significant predictors of suicidal ideation for female adolescents were depression, smoking, and life satisfaction, explaining $38\%$ of the variance in suicidal ideation. Conclusion. The findings of this study suggest that the approach to effective suicide prevention program for adolescents should consider gender differences.

• 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.

• 지역사회간호학회지
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• 제32권3호
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• pp.292-302
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• 2021

Purpose: Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents. Methods: The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis. Results: The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives' home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52). Conclusion: The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

• 한국산학기술학회논문지
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• 제16권5호
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• pp.3139-3147
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• 2015

'자살'은 다양한 원인들이 존재하지만 자살생각을 넘어선 자살시도는 곧 청소년 사망과 직결되기 때문에 예방차원의 대안모색이 필요하다. 따라서 본 연구에서는 우리나라 청소년들의 자살시도에 영향을 미치는 요인을 파악하여 청소년들의 자살시도예측요인을 규명하고 더 나아가 청소년 자살예방프로그램 개발 시 기초자료를 제공하고자 한다. 조사대상은 '2013년 청소년 건강행태 온라인조사'대상자인 중 고등학생 72,435명(남학생 36,655명, 여학생 35,780명)이며, 통계분석은 SPSS 21.0프로그램을 활용하였다. 자료 분석은 가중치를 적용하여 백분율을 산출하였고, 인구학적 특성및 건강행태, 자살시도와의 관련성 등은 복합표본 카이제곱검정, 자살시도에 영향을 미치는 요인은 복합표본 로지스틱 회귀분석을 실시하였다. 본 연구결과 자살시도 경험은 중학생 7.3%, 일반계고등학생 3.5%, 특성화고등학생 5.5%로 중학생들의 자살시도가 유의하게 높았다. 자살시도에 영향을 주는 요인은 남녀 공통적으로 승산비가 가장 컸던 변수로 '슬픔과 절망'이었고, 그 외 약물경험, 음주경험, 체중조절, 폭력피해 등이 자살시도 예측변수로 확인되었다. 한편 남녀 자살시도 예측요인으로 차이가 났던 변수는 남학생의 경우 '거주형태'였고, 여학생의 경우는 학교성적으로 확인되었다. 즉 남학생의 경우 보육시설에 거주하는 학생이 가족과 함께 사는 학생에 비해 자살시도 승산비가 약 4배 높았고, 여학생의 경우 학교성적이 낮은 여학생이 성적이 좋다고 응답한 여학생에 비해 자살시도 승산비가 1.309배 높게 나왔다. 따라서 추후 청소년 자살예방프로그램 개발 시에는 남녀 공통적으로 나타난 자살시도에 영향을 주는 변수와 차이가 났던 변수를 고려하여 성별을 고려한 청소년 자살예방프로그램을 개발할 필요가 있다.

• 한국학교ㆍ지역보건교육학회지
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• 제17권3호
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• pp.11-25
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• 2016

Background & Objectives: There were increasing evidence about the relationship between allergy related disease such as asthma, atopic dermatitis and allergic rhinitis and suicide ideation. However little was known about the concrete relatedness between severity and comorbidity of allergy related disease with suicide ideation. The objective of this study was to investigate the cases of the prevalence of suicide ideation among adolescents with allergy related disease such as asthma, atopic dermatitis and allergic rhinitis, and examine the association between allergy related disease and suicidal ideation among adolescents in South Korea. Methods: Data was based on Korean Youth Risk Behavior Web-based Survey(2014) which was a cross-sectional study containing 34,874 Korean middle and high school students who diagnosed with allergy related disease. We used the weights, strata and primary sampling unit information provided by the public use dataset to compute descriptive statistics and logistic regressions. Computations were done with SPSS version 20.0. Results: 19.9%, 15.6%, 13.8% of adolescents who suffered from one, two and three of allergy related diseases respectively reported having been thought of suicide ideation. Socio-demographic factors were adjusted as control variables. Students with greater severity of disease were more likely to have suicide ideation. Odds ratio for students who were absent one to three days from school because of allergies was 1.96(95% CI 1.51-2.46), and odds ratio for those who were absent more than four days from school was 3.60(95% CI 2.46-5.28). Conclusions: Given that adolescents' severity and comorbidity of allergy related disease were clearly associated with suicide ideation, suicide prevention programs for adolescents with allergy related disease should be improved by strategic approaches towards the severity and comorbidity of disease.