• Title, Summary, Keyword: Suicidal ideation

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Predictors of Suicide Ideation in Rural Residents: Based on Comparison Predictors of Suicide Ideation in Urban Residents (농촌 주민의 자살생각 예측요인 -도시 주민의 자살생각 예측요인과의 비교를 중심으로-)

  • Kim, Yun Jeong;Kang, Hyun Jeong
    • Journal of Agricultural Extension & Community Development
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    • v.19 no.3
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    • pp.617-647
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    • 2012
  • The purpose of this study was to identify the predictors of suicidal ideation of rural residents. This study was based on predictors of suicidal ideation of urban residents. The participants were adolescents, adults, and seniors sampled from 10 provinces all over the country, from May to Aug, 2010. The data for the study were analysed as decision tree analysis. The major results of the study were as follows. First, a main predictor of suicidal ideation for rural residents was high depression. Unlike rural residents, urban residents reporting high depression and influence of mass media showed high suicidal ideation. Second, interaction of depression and family solidarity was important predictor of suicide ideation both rural and urban residents, but a condition that effects the situation differed between rural and urban residents. Rural residents reporting high depression and high family solidarity showed high suicidal ideation, urban residents reporting low depression and high family solidarity showed low suicidal ideation. Stress was also operate differently. Rural residents reporting moderate depression, low family solidarity and high stress showed high suicidal ideation, but stress of urban resident was not a important predictors of suicidal ideation. And rural residents reporting low depression and low stress showed the lowest level of suicidal ideation, urban residents reporting low family solidarity and low depression showed the lowest level of suicidal ideation.

Factors on the Pathway from Trauma to Suicidal Ideation in Adolescents

  • Kwon, Seo Young;Nam, Ji Ae;Ko, Boo Sung;Lee, Chang Wha;Choi, Kyeong-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.30 no.1
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    • pp.26-33
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    • 2019
  • Objectives: Suicide is the most frequent cause of death among Korean adolescents, and adolescents who have experienced trauma have an increased risk of post-traumatic stress disorder (PTSD) symptoms, depression, and suicide attempts. However, resilience and self-esteem are protective factors. We examined the effects of resilience and self-esteem on the relationship among traumatic experiences, PTSD symptoms, depression, and suicidal ideation. Methods: Middle-school students (n=403) completed questionnaires assessing traumatic experiences, PTSD symptoms, depression, suicidal ideation, resilience, and self-esteem. Path analysis was performed to investigate the mediating effects of PTSD symptoms, resilience, self-esteem, and depression on the relationship between trauma exposure and suicidal ideation. Results: Traumatic experience was positively correlated with PTSD symptoms, depression, and suicidal ideation. PTSD symptoms and depression were positively correlated with suicidal ideation. The relationship between traumatic experiences and suicidal ideation was mediated by PTSD symptoms, which had both direct and indirect effects on suicidal ideation; the indirect effect was mediated by resilience, self-esteem, and depression. Conclusion: Korean adolescents who had experienced trauma were more likely to develop PTSD symptoms, increasing their risk of depression and suicidal ideation. However, self-esteem and resilience may help protect against depression and suicidal ideation. Our findings could inform suicide prevention initiatives.

Suicidal Ideation and Spirituality of College Students (대학생의 자살생각과 영성)

  • Choi, Soon-Ock;Kim, Sook-Nam
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.2
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    • pp.190-199
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    • 2011
  • Purpose: This study was done to investigate suicidal ideation and spirituality of college students. Method: The participants were 295 college students located in Busan city and Kyung Nam Province. The study used a 'Suicidal Ideation Questionnaire' and a 'Korean Spirituality Scale'. The collected data was analyzed for t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with the SPSS/WIN 19.0 program. Result: The level of suicidal ideation and spirituality of the participants averaged 1.73 and 3.44 respectively. In each sub-factor, meaning and purpose of life was the highest at 3.70 points. In differences of suicidal ideation and spirituality followed by general characteristics, there were significant differences according to gender, major, religion, and cohabitation. There were inverse correlations among suicidal ideation, spirituality level, connectedness, meaning and purpose of life, inner resources, and awareness. Suicidal ideation was significantly associated with major, spirituality level, connectedness, and meaning and purpose of life which explained 22% of variance in suicidal ideation. Conclusion: Future research should examine relations between college students' suicidal ideation and spirituality level through random sampling. Development of a program to lessen college students' suicidal ideation and to raise their spirituality level should be prudent.

The Effect of Abuse Experience and Coping Styles on Suicidal Ideation in the Elderly (노인의 학대경험과 대처양식이 자살생각에 미치는 영향)

  • Jeong, Jeong Hee;Kim, Jung Soon
    • Journal of Korean Academy of Community Health Nursing
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    • v.26 no.1
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    • pp.42-51
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    • 2015
  • Purpose: The aim of this study is to determine the impact of abuse experience and coping styles on suicidal ideation in Korean elders. Methods: Data were collected from the 2011 Korean National Survey on the Elderly. The participants were 10,537 elders aged 65 or older who had replied to the question on suicidal ideation. Socio-demographic and health related factors, abuse experience, and coping style were included as the influence factors of suicidal ideation. Data were analyzed using ${\chi}^2$-test and logistic stepwise regression with the SPSS/WIN 21.0 program. Results: The prevalence of abuse experience among the elders was 12.7% and that of suicidal ideation was 11.2%. Elders with abuse experience (OR=2.79, 95% CI=2.39~3.26) were more likely to have suicidal ideation but those with an active coping style (OR=0.69, 95% CI=0.57~0.84) were less likely to have suicidal ideation even with other influence factors controlled. Conclusion: Abuse experience of the elderly was a major risk factor that increased suicidal ideation, and active coping style was a protective factor that reduced suicidal ideation. These findings show that careful attention to elderly abuse and education for active coping style are necessary to reduce suicidal ideation among the elderly.

The Effect of Social Stigma on Suicidal Ideation of Male HIV Infected People: Focusing on the Mediating Effect of Hope and Depression (남성 HIV 감염인의 사회적 낙인이 자살생각에 미치는 영향: 희망과 우울의 매개효과)

  • Kim, Il Ok;Shin, Sun Hwa
    • Korean Journal of Adult Nursing
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    • v.26 no.5
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    • pp.563-572
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    • 2014
  • Purpose: The purpose of this study was to identify the mediating effect of hope and depression applied on the influence of social stigma on suicidal ideation of 108 HIV infected males. Methods: This study was a descriptive, crosssectional design that used a survey approach. Data collection was one-on-one interviews by a counseling nurse from July 2012 to January 2013. The survey included questions about social stigma, hope, depression, and suicidal ideation. Results: Fitness of the hypothetical model was appropriate ($x^2/df=1.97$, TLI=.97, CFI=.98, RMSEA=.07, SRMR=.04). Social stigma had no direct effect on suicidal ideation but had a significant indirect effect on suicidal ideation via hope and depression. Hope had a mediating effect the relationship between stigma and depression but no direct effect on the relationship between stigma and suicidal ideation. Hope had an indirect effect on suicidal ideation via depression. Stigma and hope accounted for 41% of depression was where as suicidal ideation was explained 56.3% by depression, hope, and stigma. Conclusion: In order to reduce depression and suicidal ideation of HIV infected people, stigma improving strategies are required. And hope intervention for HIV infected people may decrease their suicidal ideation and depression.

The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators

  • Bahk, Yong-Chun;Jang, Seon-Kyeong;Choi, Kee-Hong;Lee, Seung-Hwan
    • Psychiatry investigation
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    • v.14 no.1
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    • pp.37-43
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    • 2017
  • Objective Childhood trauma is recognized as an important risk factor in suicidal ideation, however it is not fully understood how the different types of childhood maltreatment influence suicidal ideation nor what variables mediate the relationship between childhood trauma and suicidal ideation. This study examined the path from childhood trauma to suicidal ideation, including potential mediators. Methods A sample of 211 healthy adults completed the Childhood Trauma Questionnaire (CTQ), Beck scale for Suicidal Ideation (BSI), Functional Social Support Questionnaire (FSSQ) and Hospital Anxiety and Depression Scale (HADS). Path analysis was used to investigate the relationship among study variables. Results Of the several types of childhood maltreatment we considered, only childhood sexual abuse directly predicted suicidal ideation (${\beta}=0.215$, p=0.001). Childhood physical abuse (${\beta}==0.049$, 95% confidence interval: 0.011-0.109) and childhood emotional abuse (${\beta}=0.042$, 95% confidence interval: 0.001-0.107) indirectly predicted suicidal ideation through their association with anxiety. Childhood neglect indirectly predicted suicidal ideation through association with perceived social support (${\beta}=0.085$, 95% confidence interval: 0.041-0.154). Conclusion Our results confirmed that childhood sexual abuse is a strong predictor of suicidal ideation. Perceived social support mediated the relationship between suicidal ideation and neglect. Anxiety fully mediated the relationship between suicidal ideation and both physical abuse and emotional abuse. Interventions to reduce suicidal ideation among survivors of childhood trauma should focus on anxiety symptoms and attempt to increase their social support.

Factors Influencing Suicidal Ideation in People with Mental Disorder (정신장애인의 자살사고에 미치는 영향요인)

  • Seo, Seong Yee;Kim, Hee Sook;Kim, Yang Tae
    • Journal of Korean Academy of Community Health Nursing
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    • v.24 no.2
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    • pp.245-254
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    • 2013
  • Purpose: This study was conducted to investigate factors influencing suicidal ideation in people with mental disorder. Methods: The subjects were 176 people with mental disorder from community mental health centers, social rehabilitation facilities, and university hospital psychiatric outpatient departments. The instruments used included a suicidal ideation questionnaire, a self-esteem scale, a spiritual well-being scale, a family support scale, and a professional support scale. Data were analyzed with t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: Suicidal ideation was influenced by age, history of suicidal attempts, and existential spiritual well-being. This study shows that suicidal ideation has negative correlation with existential spiritual well-being, self-esteem, family support, and age. Existential spiritual well-being, history of suicidal attempts, and age accounted for 30% regarding suicidal ideation in people with mental disorder. Conclusion: The lower existential spiritual well-being and age, the higher suicidal ideation. And also suicidal ideation was higher in people who had attempted suicide than in those who had not. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes existential spiritual well-being in order to decrease suicidal ideation in young people with mental disorder.

Path Model for the Family and School Environment Affecting Adolescent Suicidal Ideation Mediated by Depression (우울증을 매개로 한 청소년의 자살구상에 관한 가족 및 학교환경의 경로분석 모델)

  • 전영주
    • Journal of the Korean Home Economics Association
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    • v.39 no.1
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    • pp.151-167
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    • 2001
  • This study tests the path model which examines how the variables of past and present family dynamics, school adjustment, filed life events affect the adolescents'depression which in tum influencing their suicidal ideation. In the path model, the exogenous varialbes were negative parenting experience in childhood, maladjustment history of the family (e.g., alcohol, divorce), present parent-adolesecent communication, school adjustment, filed life events were used, whereas the adolescent depression was used as the mediated variable. The endogenous variable was the adolescent suicidal ideation. The respondents of the survey were 635 adolescent who were 1st and 2nd grade of high school located in Seoul and Busan. Using SPSS for Windows, the path analysis was done for male and female adolescents separately, since female adolescents were found to report significantly higher degree of depression and suicidal ideation then were male adolescents. The results of the path analysis were as followings. First, for both the male and female adolescents, depression was the strongest predictor of their suicidal ideation. Also, school adjustment strongly affected the adolescents'depression as well as their suicidal ideation. Meanwhile, filed life events indirectly influenced the suicidal ideation only through the depression. Second, for the male adolescents, negative parenting experience in childhood affected both the depression and suicidal ideation, while the parent-adolescent communication directly affected the suicidal ideation. Third, for the female adolescents, maladjustment family history and negative parenting experience did not affect their depression, but the suicidal ideation. Meanwhile, parent-adolescent communication was a significant predictor of female adolescents'suicidal ideation as well as their depression. In conclusion, discussion on different path of male and female adolescents'suicidal ideation was provided.

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Parental Abuse, Parental Alcoholism, and Suicidal Ideation of University Students: The Mediation Effects of Depression (부모로부터의 학대 경험과 부모의 알코올 중독이 대학생 자녀의 자살생각에 미치는 영향: 우울의 매개 효과 중심으로)

  • Kim, Han-Na;Kim, Hae-Ryun;Choi, Yun-Shin
    • Korean Journal of Health Education and Promotion
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    • v.28 no.5
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    • pp.117-129
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    • 2011
  • Objectives: This paper examines the mediation effect of depression in the relationship between parental abuse, parental alcoholism, and suicidal ideation in university students. Methods: A survey on abusive experience from parents, parental alcoholism, depression, and suicidal ideation was conducted with 415 students from six universities. Structural equation analysis was performed using the AMOS program. Results: The result demonstrates that depression has some mediation effects between parental abuse and suicidal ideation in university students. Meanwhile, depression has an entire mediation effect between parental alcoholism and suicidal ideation. Conclusions: This study shows that the parental alcoholism by itself did not affect suicidal ideation in university students, but depression did. Experience of parental abuse is a significant risk factor which may cause suicidal ideation, and depression may cause suicidal ideation indirectly. It calls for efforts to prevent parental abuse and emphasizes the necessity of paying primary attention to the mediation effect of depression in preventing suicidal ideation.

Effects of Adolescent's Alienation, Depression, Family Environment and School Maladjustment on Suicidal Ideation (청소년의 소외감, 우울과 가족환경 및 학교생활 부적응이 자살생각에 미치는 영향)

  • Cho, Yoon-Suk;Lee, Kyung-Nim
    • Journal of the Korean Home Economics Association
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    • v.48 no.8
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    • pp.27-37
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    • 2010
  • This study examined the effects of adolescent's alienation, depression, family environment and school maladjustment on suicidal ideation. Data were collected from 577 second graders from high school. The results were as follows: Firstly, family's abuse had a direct and an indirect effect through alienation and depression on adolescent's suicidal ideation. Home stress, family support and socioeconomic status had an indirect effect through school maladjustment, alienation and depression on suicidal ideation. Secondly, school maladjustment in dating had a direct effect on adolescent's suicidal ideation. School maladjustment in relations with teacher and peers and in learning activities had indirect effects through alienation and depression on adolescent's suicidal ideation. Thirdly, adolescent's depression had a greatest direct effect on suicidal ideation. Adolescent's alienation had a direct and an indirect effect through depression on adolescent's suicidal ideation and was the most important predictive variable of adolescent's suicidal ideation.