• Korean Journal of Culture and Social Issue
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• v.12 no.2
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• pp.1-19
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• 2006

There are less studies on the elderly suicide even though it's steep increase. The purpose of the present study was to investigate factors that influence on the elderly suicide and to categorize them. For these purpose, A total of 23 cases were analyzed through qualitative contents analysis. Specifically, on the basis of the stress-vulnerability model, we scrutinized vulnerability factors(classified personal, family-environment factors) and precipitating events(classified interpersonal events) influencing on the elderly suicide. Personal factor was to be classified into personal mental health, physical health and problematic behavior. Family-environment factor was divided family relationship problem and economic problem. Interpersonal events belonging to the precipitating events was to be classified into interpersonal loss and interpersonal conflict. As the results of this study, elderly suicide classified into 3 types, that is, 'risk type suicide', 'event-response type suicide', 'complex type'. And then we discussed the characteristics of the suicidal types and suggestions for reduction of elderly suicide.

• Journal of the Korean society of biological therapies in psychiatry
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• v.24 no.3
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• pp.129-141
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• 2018

Suicide is a behavior that is intended to cause death by itself and requires medical treatment, resulting in suicidal attempt or completion. Suicide causes loss of life, damages the body, costs a lot of medical expenses, and causes families to fall into sorrow and suffering therefore this suicide is a huge loss to family and society. There have been attempts to reduce and prevent suicide by understanding the mechanism of suicide. The mechanism of suicide can be thought of as psychological mechanism and biological mechanism. In the past, if we considered the psychological and biological mechanisms separately, the development of neuroscience now connects and integrates these two. Psychological factors affect biological factors and biological temperaments also affect perception or thinking about the situation and increase psychological vulnerability. Distant factors in suicidal behavior-such as childhood adversity and family and genetic predisposition-increase the lifetime risk of suicide. They alter the response to stress and other processes through changes in gene expression and regulation of emotional and behavioral characteristics. Distant factors affect the biological system and consequently changes in these systems can increase the risk of suicide. In other words, the distal factor does not directly induce suicidal behavior but rather acts indirectly through developmental or mediating factors. These mediating factors are impulsive aggressive and anxious trait, and chronic use of substances. The mechanism of this disorder is the abnormality of the serotonin system and the abnormality of the lipid level. Proximal factors are associated with the onset of suicide events and include changes in the major neurotransmitter systems, inflammatory changes, and dysfunction of glial cells in the brain. A series of studies, including a variety of research methods and postmortem and in-vivo imaging studies, show the impairment of the serotonergic neurotransmitter system and hypothalamic-pituitary-adrenal axis stress response system for suicidal behavior. These disorders lead to suicidal behavior due to difficulty in cognitive control of mood, pessimism, reactive aggression, abnormality in problem solving abilities, excessive response to negative social signals, severe emotional distress, and cognitive dysregulation of suicidal ideation.

• Korean Journal of Biological Psychiatry
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• v.25 no.4
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• pp.118-124
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• 2018

Objectives Although impulsivity has long been thought as an important factor influencing suicidal behaviors, it is unknown whether impulsivity increases the risk of dying from suicidal behaviors and what specific component among constructs of impulsivity contributes to the risk of dying among suicide attempters. Methods To elucidate the association between impulsivity and medical lethality of suicide attempt among suicide attempters, we consecutively recruited 46 suicide attempters who visited an emergency room of a general hospital located in a metropolitan area, Seoul, Republic of Korea, due to suicide attempts and consented to participate in this study. Then we assessed medical lethality with the Beck Lethality Scale (LS) and impulsivity with the Korean version of the Barratt Impulsiveness Scale-11-Revised (BIS). Demographic variables were obtained from medical records and structured social work reports for suicide attempters. Results Although total scores of the BIS did not correlate with LS scores, only the scores of self-control, that is one of the Barrett's six theoretical constructs of impulsivity in which the higher score indicates less self-control and more impulsivity, had a significant positive correlation with scores of LS (p = 0.003). The association remained significant after adjusting for variables known to affect suicide lethality such as job status, recent alcohol consumption, diagnosis of depressive disorders, and having a plan for suicide (${\beta}=0.429$, p = 0.009). Conclusions Not impulsivity in general, but poor self-control, in particular, predicts lethal suicidal behaviors among suicide attempters. The degree of self-control should be evaluated when assessing patients with elevated suicide risk, and proper measures should be installed to prevent possible future lethal suicide attempts.

• 한국노년학
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• v.37 no.3
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• pp.601-616
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• 2017

Elderly suicide is a major public health issue in South Korea. The aim of this study was to systematically examine the current knowledge about suicidal ideation among Korean older adults with specific focus on risk and preventive factors. In order to achieve this aim, a meta-analysis was conducted using Korean academic peer-reviewed journals published since 2001. A total of 97 articles were selected that met the research criteria (e.g., original study findings and key words of suicidal ideation, suicidal thought, and suicide). Three domains were identified and used for further analysis: individual, family, and society. Results showed that among individual factors, depression and burden or stress increased the risk of suicidal ideation, while better mental health reduced the risk of suicidal ideation. Among family factors, living alone was a risk factor for suicidal ideation, while family cohesion was a preventive factor for suicidal ideation. Among social factors, elderly discrimination, social isolation, and negative relationships were significant risk factors, while social support, social environment, and social activities were significant preventive factors affecting suicidal ideation. The results suggest several practical implications for developing suicide prevention programs and counseling approaches to address suicidal ideation. For example, depression and stress can be reduced by MBSR (Mindfulness-Based Stress Reduction) program where meditation is used as a coping strategy. In addition, counseling programs specifically focused on improving family and social relations should be implemented. Government should continuously support for these programs to prevent suicide among older Koreans.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.2
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• pp.236-243
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• 2016

Objectives : The aim of this study was to clarify the role of alcohol use disorders and acute alcohol consumption in suicide attempts by gender. Methods : Data of 1,152 suicide attempters(487 males and 742 females) who had visited an emergency center was gathered. Suicide attempts were categorized into three groups according to alcohol use: an alcohol use disorder group(AUD), an acute alcohol use group(AAU), and a no-alcohol use group(NAU). The intent and lethality of suicide attempts were evaluated by Suicidal Intents Scale and Risk-Rescue Rating Scale. Results : For Suicidal Intents Scale score, the male AUD group revealed a significantly lower mean score than the male AAU one. However, there were no statistically significant differences for female subjects across subgroups. With regard to the Risk-Rescue Rating Scale score, there were no significant differences for males, while the AUD group showed both the lowest highest rescue scores and lowest risk-rescue scores within female groups. Conclusions : AUD in females was more likely regarding impulsive suicide attempts with high rescue chances. Consuming alcohol might have different effect on suicide attempts by gender and our study shows that alcohol use is an important risk factor according to gender, particularly with regard to female suicide attempts.

• 한국노년학
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• v.38 no.4
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• pp.1107-1125
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• 2018

The purpose of this study was to present the empirical data for the prevention of suicide by analyzing the group differences according to the types of risk factors and protective factors of family members living with dementia patients and the effects of each type on suicidal ideation. This study investigated the characteristics of suicidal ideation among family members of people living with dementia by using a community health survey. It then investigated the effect of each latent group on the suicidal ideation of family members of people living with dementia. Twenty-four risk and protective factors on suicide ideation were analyzed by using Mplus. The four latent classes were high risk - low protective, high risk - high protective, low risk - high protective and low risk - low protective. Multivariate logistic regression analysis showed that the high risk-low protective factor group had the highest suicidal ideation. Based on these results, practical implications and challenges were presented.

• Journal of Digital Convergence
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• v.13 no.3
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• pp.271-281
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• 2015

Using data from 2011 Elderly Living Condition Survey database, this study analyzed risk factors for suicide ideation of Korean elderly persons. The analysis sample consists of 10,003 cases. The main purpose of this research was to explore the effects of social quality factor on suicide ideation of Korean elderly persons. Analysis results show that gender, age, area of residence, living alone, subjective standard of living, activities of daily living(ADLs), and geriatric depression are significant predictors of suicide ideation. Key findings are that social quality factor such as experiencing feeling hurt from others' words and actions like avoiding conversations, disregarding one's opinions, pretending to be not heard, getting irritated, grumbling, etc. has the largest effects on suicide ideation. Analysis results imply that without improving social quality, it would not be possible to lower elderly suicide rate.

• Industry Promotion Research
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• v.7 no.3
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• pp.43-51
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• 2022

This study Research is physical in times of great social and cultural influence in adolescence. In terms of spirit, growth is accelerated, developmental and situational stress is experienced in the process of finding identity, and crisis management ability is also insufficient for emotional confusion and frustration. Therefore, it has the characteristic of falling into anxiety and depression for no reason or showing strong hostility or aggression against minor stimuli. By understanding the impulsiveness, which is an important determinant of suicide in adolescents, the seriousness of suicide is recognized through the current status and reality of suicide in adolescents, and stress, which is a risk factor for suicide.It is meaningful to analyze the effectiveness of youth suicide prevention by practicing the value of life respect through life respect education programs to reduce depression and improve self-esteem as a protective factor.

• The Journal of the Korea Contents Association
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• v.20 no.4
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• pp.553-563
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• 2020

Suicide is one of the major social problems in Korea, and its suicide rate is highest among the OECD countries. It has been reported that employment instability in labour market is causal factor of suicide ideation. Because the unemployed and temporary or part-time workers are reported to have high level of suicide ideation due to unstable job security, and they are likely to be a high risk group for suicide, it is necessary to do in-depth research on the effect of job stability on suicide ideation and the protective factors. For this purpose this study investigates the relationship between employment status and suicide ideation, and examine the moderating effect of family function. Data of 1,235 adults from the national-wide 'Longitudinal Study of Suicide Survivors' Mental Health were analyzed. Employment status were associated with the level of suicide ideation(B=-.904, p<.001), and the level of suicide ideation was the highest in the unemployed group. And the moderating effect of family function was statistically significant(B=-.218, p<.05), and good family function buffers the effect of unstable job status on suicide as a protective factor. Based on these findings, policy and practical implications for suicide prevention for precarious employment from the family dimension are discussed.

• Korean Journal of Culture and Social Issue
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• v.12 no.1
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• pp.15-33
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• 2006

There are less studies on the adult suicide even though it's steep increase and negative effect on person itself, family and society. The purpose of the present study was to investigate factors that influence on the adult suicide and to categorize it. Using a case-study approach, a total of 61 cases were analyzed. Specifically, on the basis of the stress-vulnerability model, I scrutinized vulnerability factors(classified personal, family-environment, and social-environment factors) and precipitating events(classified personal, interpersonal events) influencing on the adult suicide. As the results of this study, adult suicide classified into 3 types, that is, 'risk type suicide', 'event-response type suicide', 'complex type'. And then I discussed the characteristics of the suicidal types and the method for reduction of adult suicide.