• Journal of Korean Home Economics Education Association
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• v.32 no.4
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• pp.67-79
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• 2020

The purpose of the study were to analyze the patterns of adolescent suicide attempts, and to explore the effects of personal psychology (subjective depression, subjective stress), health status (BMI, subjective health perception), and subjective academic performance on the types of youth suicide attempts. For this research, data of 'The 15th Korea Youth Risk Behavior Survey' were analyzed employing a hierarchical logistic regression analysis. The findings are as follows. First, out of 1,731 youth suicide attempts 156 (9%) were impulsive and 1,575 (91%) were planned. Girls(67.3%) attempted suicide more than boys (32.5%), and middle school students (62%) attempted suicide more than high school students (38%). Second, the variables that significantly affect suicide attempt types were subjective depression, subjective stress, and subjective health perception, after controlling for gender, grade level, school type, and SES. The rate of planned suicide attempts was higher among those who experienced depression than among those who did not. In the case of subjective stress, adolescents who felt stressed were likely to commit planned suicide attempts. Those who attempted impulsive suicide showed 1.32 times higher subjective health perception scores than those who attempted planned suicide, indicating adolescents who perceived they were not healthy were more likely to attempt planned suicide. BMI and subjective academic performance did not have a significant effect on the types of youth suicide attempts. These findings suggested the necessity of systematic intervention in Home Economics classes or extra-curricular programs, to prevent potential youth suicide attempts.

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.1
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• pp.31-60
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• 2023

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

• Korean Journal of Social Welfare
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• v.63 no.3
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• pp.5-27
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• 2011

This study was based on the 'Escape Theory' model suggested by Baumeister(1990). Based on this analysis framework, this study attempted to examine that complicated direct and indirect effect of school risk factors(risk of academic scores, risk of relation with teacher and risk of peer relation) on suicide ideation in adolescence, through negative self-esteem, depression and withdrawal coping. To this end, this study used the data from the '2008 Gyeongsangbuk-Do youth crisis survey' conducted by the Youth service center in province of Gyeongsangbuk-Do. The target number of this study was 2,335 students in the age group of middle school and high school. The result of the Analysis indicate that risk of relation with teacher among school risk factors was only one which affected directly and indirectly on suicide ideation. The other side, risk of academic scores and risk of peer relation had indirect effects, via negative self-esteem, depression and withdrawal coping. In conclusion, this study confirmed that school risk factors had effects on suicide ideation directly or indirectly, they were complicatedly connected, through negative self-esteem, depression and withdrawal coping. Therefore, Prevention program for adolescence' suicide ideation or suicide risk require integrated strategies and tactics.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.31 no.1
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• pp.33-40
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• 2020

Objectives: There is an increasing number of North Korean adolescents in South Korea. These adolescents need clinical attention as they experience a high risk of suicidal behavior because of the childhood adversity and acculturative challenges that they face before and after arriving in South Korea. This study assessed the risk of suicide attempts among North Korean adolescents compared to South Korean adolescents, and investigated the contributing factors for each group. Methods: We used data from the Korean Youth Risk Behavior Web-Based Survey (KYRBS) spanning 2011 to 2018, in which 404 adolescents had a father and/or mother who was a North Korean native. Data on 1,212 propensity-matched South Korean adolescents were extracted from the 2011 to 2018 KYRBS. Prevalence was calculated and compared by group. Separate odds ratios were calculated by group. Results: The North Korean group had a significantly higher suicide attempt rate [unadjusted odds ratio (OR)=8.27; adjusted OR=8.45]. Multivariate analysis indicated that having a low or high socioeconomic status and depressive symptoms were significantly associated with suicide attempts in North Korean adolescents, while being female, having a high socioeconomic status, alcohol use, and depressive symptoms were significantly related to suicide attempts in South Korean adolescents. Conclusion: The results found similarities and differences in the factors associated with the likelihood of suicide attempts in the two groups. From these results, different approaches are needed when planning interventions for each group.

• Journal of Korean Academy of Nursing
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• v.38 no.3
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• pp.465-473
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• 2008

Purpose: Suicide has been considered a large public health concern in recent years because suicide mortality has been increasing rapidly. This study was done to investigate the prevalence and risk factors of a suicide attempt among adolescents in South Korea. Methods: The data of the 2006 Youth Health Risk Behavior web-based Survey collected by the Korean Center for Disease Control was analyzed using logistic regression for this study. Results: The prevalence of a suicide attempt was 5.2% in South Korea. The risk factors of a suicide attempt were suicidal ideation (odds 31.83), depression (odds 7.98), drug use (odds 4.67), currently smoking (odds 3.19), feeling unhappiness (odds 2.77), stress (odds 2.60), currently drinking alcohol (odds 2.39), sexual activity (odds 2.33), living with neither parent (odds 2.24), initial alcohol drinking by age 9 (odds 1.80), health status (odds 2.15), skipped breakfast (odds 1.75), disease (odds 1.65), and school records (odds 1.22). Conclusion: Suicide screening and prevention programs should be developed, considering these risk factors. Suicide prevention programs should be applied to the at risk population prior to a suicide attempt.

• Korean Journal of Culture and Social Issue
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• v.13 no.2
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• pp.97-117
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• 2007

The goal of this study was to find out how prepared Korean high school teachers are to identify suicidal students and connect them to appropriate resources. This study surveyed 390 high school teachers in terms of their level of knowledge on youth suicide and their misconception on suicide. In addition, this study examined what kind of actions they usually take once they identify suicidal students. Results indicated that high school teachers in Korea did not have sufficient knowledge to identify suicidal students and they did not think they are capable of identifying those students. Although their misconception on youth suicide was not as pervasive as expected, some of the misconception were still problematic in relation to suicide intervention. Furthermore, their intervention strategies for suicidal students were quite limited, focusing on isolated individual efforts. It is critical to develop and implement teacher training programs for youth suicide prevention which address suicide risk factors, warning signs, crisis response, and referral procedures.

• Journal of the Korean Society of School Health
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• v.22 no.2
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• pp.13-23
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• 2009

Purpose: Suicide was considered as a big public health concern in recent years because suicide mortality has been increased rapidly. This study was to investigate the prevalence and risk factors of suicidal ideation among adolescents in South Korea. Methods: The data of 2007 Youth Health Risk Behavior Web-based Survey collected by Korean Center for Disease Control were analyzed using logistic regression for this study. Results: The prevalence of suicidal ideation was 23.7% in South Korea. The risk factors of suicide ideation were depression (odds 8.43), perceived stress(odds 4.30), drug use (odds 2.47), sexual intercourse(odds 2.36), present smoking (odds 1.76), present alcohol drink (odds 2.39), feeling unhappiness (odds 2.89), living with none of parents (odds 1.71), gender(odds 1.72), health status (odds 1.66), and socioeconomic status (odds 2.0). Conclusion : Health risk behaviors and mental health status were related to suicide ideation. Health risk behavior such as smoking and drinking prevention programs and mental health promotion programs should be implemented to decrease suicide ideation among adolescents. Suicide, mental health and health risk behaviors should be prevented through comprehensive health promotion programs.

• Journal of Applied Reliability
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• v.15 no.2
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• pp.76-83
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• 2015

This study is implemented to find out the risk factors of adolescent suicide due to depression experiences and the factors that have effect on adolescent suicide attempt. Also it tries to figure out that if hospital treatment is enforced after a suicide attempt and the importance of prevention and therapy for adolescent suicide attempt. To analyze, used SPSS 22.0 and raw data made by online survey for adolescent health status is used. The factors effect on suicide attempt of adolescents who have had depression experience and who have not appear differently and hospital treatment is not being done well after attempting suicide. In conclusion, this study tries to show the factors that affect suicide attempts in adolescents, and to propose basis for the measures that can reduce suicide attempts in adolescents.

• Research in Community and Public Health Nursing
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• v.28 no.3
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• pp.240-250
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• 2017

Purpose: In South Korea, suicide mortality has rapidly increased, so it has become a major public health concern. Multicultural adolescents are regarded as a high-risk group due to their situation. In this study, we compared the prevalence and risk factors of suicide ideation between Korean and multicultural adolescents. Methods: Data from the eleventh Korean Youth Risk Behavior Web-based Survey (2015), collected by the Korean Centers for Disease Control and Prevention, were statistically analyzed using the descriptive statistics and multivariate logistic regression. The total participants were 63,376 in numbers. They were composed of 62,649 (98.9%) Korean and 727 (1.1%) multicultural adolescents. Results: I found that the prevalence of suicide ideation was significantly higher among the multicultural adolescents (15.8%) compared with those of Korean (11.3%). The risk factors of suicide ideation in the Korean group were co-residence without family, poor perceived health status, depressive mood, high stress level, poor perceived happiness level, and experience of violence. Conversely, the risk factors of the multicultural group were smoking, depressive mood, and experience of violence. Conclusion: These findings suggest that appropriate and practical prevention strategies should focus on psychological and environmental factors in order to prevent suicide ideation and reduce suicide behavior in Korean and multicultural adolescents.

• Journal of Korean Academy of Nursing
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• v.51 no.1
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• pp.40-53
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• 2021

Purpose: The purpose of this study was to develop and compare the prediction model for suicide attempts by Korean adolescents using logistic regression and decision tree analysis. Methods: This study utilized secondary data drawn from the 2019 Youth Health Risk Behavior web-based survey. A total of 20 items were selected as the explanatory variables (5 of sociodemographic characteristics, 10 of health-related behaviors, and 5 of psychosocial characteristics). For data analysis, descriptive statistics and logistic regression with complex samples and decision tree analysis were performed using IBM SPSS ver. 25.0 and Stata ver. 16.0. Results: A total of 1,731 participants (3.0%) out of 57,303 responded that they had attempted suicide. The most significant predictors of suicide attempts as determined using the logistic regression model were experience of sadness and hopelessness, substance abuse, and violent victimization. Girls who have experience of sadness and hopelessness, and experience of substance abuse have been identified as the most vulnerable group in suicide attempts in the decision tree model. Conclusion: Experiences of sadness and hopelessness, experiences of substance abuse, and experiences of violent victimization are the common major predictors of suicide attempts in both logistic regression and decision tree models, and the predict rates of both models were similar. We suggest to provide programs considering combination of high-risk predictors for adolescents to prevent suicide attempt.