사회적 자본과 자살충동

Social Capital and Suicidal Impulse

  • 신상진 (서울대학교 보건대학원) ;
  • 조영태 (서울대학교 보건대학원)
  • 발행 : 2007.09.30

초록

Objectives: This study examines the relationship between social capital and suicidal impulse for the Metropolitan Seoul residents, paying particular attention on individual and area level risk factors using multilevel analysis techniques. Methods: Data are obtained from the 2005 Seoul Health Indicators Survey and the Seoul Survey. At the individual level, we analyze demographic variables including sex, age, marital status, educational attainments, family income, field of economic activities, having close friends or relatives, and having participating groups or organization. To measure the area level social capital, happiness index, attitude toward minority, the percent of volunteer activity, the percent of having close friends or relatives, and the percent of participating groups or organization are considered. A multilevel logistic regression analysis is conducted utilizing the SAS 9.1. Result: Results show that non-aged, female, not currently married, unemployed individuals tend to have relatively high motivation of suicide. Controlling for individual level covariates, the relationship between social capital and suicidal impulse is neither significant nor substantial. Further, the consideration of area social capital does not explain the variances in suicidal impulse across 25 Kus. Conclusion: Suicidal impulse among Seoul residents is mainly attributable to the composition of individual characteristics but little to the contextual social capital.

키워드

참고문헌

  1. 노병일, 곽현근. 동네의 맥락적 특성이 주민의 정신건강에 미치는 영향: 동네빈곤, 무질서, 네트워크형성을 중심으로. 보건과 사회과학 2005;17:5-31
  2. 보건복지부.2001 국민건강영양조사-보건의식행태편-서울: 보건복지부; 2002
  3. 서동우. 자살에 의한 사망, 자살충동 및 자살시도의 현황과 변화추이. 보건사회연구 2001;21(1):103-23
  4. 신영전 외 6명. 국내 자살 증가의 원인분석 및 정책개발을 위한 사회, 경제학적 연구: 다학제적 접근 및 국제비교. 서울: 한양대학교 의과대학, 건강증진사업지원단.2006
  5. 오진경, 조영태, 김창엽.2000년 우리나라 성인 자살자의 인구사회적 특성. 보건과 사회과학 2005;18:191-201
  6. 유석춘, 장미혜. 사회자본과 한국사회. 사회발전연구 2002; 8:88-125
  7. 전신현. 지역특성이 성인의 정신 및 육체건강에 미치는 영향. 보건과 사회과학 2003;13(6):113-134
  8. 정성원, 조영태. 한국적 특수성을 고려한 지역특성과 개인의 건강. 예방의학회지 2005;38(3):259-99
  9. 통계청. 2005 사망원인통계연보. 서울: 통계청, 2006
  10. 통계청. 2006 사회통계조사. 서울: 통계청, 2006
  11. Antretter, E. 외 5명. Multilevel modeling was a convenient alternative to common regression designs in longitudinal suicide research. J Clin Epidemiol 2006;59(6):576-86 https://doi.org/10.1016/j.jclinepi.2005.10.010
  12. Berkman, L F., T. Glass, I Brissette ,T. E. Seeman. From social integration to health: Durkheim in the new millennium. Soc Sci Med 2000;51 (6):843-57 https://doi.org/10.1016/S0277-9536(00)00065-4
  13. Berkman, L F. ,I. Kawachi, Social Epidemiology, OXFPRD. 2000
  14. OECD Bealth DATA Statistics and Indicators for 30 Countries Version OECD, 2000
  15. De Man, A F. ,C. P. Leduc. Suicidal ideation in high school students depression and other correlates. J Clin Psychol 1995;51(2):173-81 https://doi.org/10.1002/1097-4679(199503)51:2<173::AID-JCLP2270510205>3.0.CO;2-R
  16. Dubow E, Kausch D, Blum M, Rem J ,Bush E. Correlates of Suicidal Ideation and Attemptts in a Community Sample of Junior High and High & School Students, Journal of Clinic Child Psychology 1989;18(2):158-166 https://doi.org/10.1207/s15374424jccp1802_7
  17. Dnkheim E. Le Suicide. 1897. 김충선(옮김). 자살론. 서울: 청아출판사. 2005
  18. Fukuda, Y., K Nakarnna ,T. Takano. Cause-specific mortality differences across socioeconomic position of municipalities in Japan, 1973-1977 and 1993-1998: increased importance of injury and suicide in inequality for ages under 75. Int J Epidemiol 2005;34(1):100-9
  19. Kawachi, I, B. P. Kennedy, K Lochner ,D. Prothrow-Stith. Social capital, income inequality, and mortality. Am J Public Health 1997;87 (9):1491-8 https://doi.org/10.2105/AJPH.87.9.1491
  20. Kumar G., Steer R, Psychosocial Correlation of Suicidal Ideaticn in Adolescent Psychiatric Inpatients. Adolescence 1995;25(3):339-346
  21. Miller, J. R. 외 6명. Income inequality and risk of suicide in New York City neighborhoods: a multilevel case-control study. Suicide Life Threat Behav 2005;35(4):448-59 https://doi.org/10.1521/suli.2005.35.4.448
  22. Neeleman, J. Beyond risk theory: suicidal behavior in its social and epidemiological context. Crisis 2005;23(3):114-20
  23. Pilkington, P. Social capital and health: measuring and understanding social capital at a local level could help to tackle health inequalities more effectively. J Public Health Med 2002;24(3):156-9 https://doi.org/10.1093/pubmed/24.3.156
  24. Preti, A. Unemployment and suicide. J Epidemiol Community Health 2000;57(8):557-8
  25. Putnam R D. The prosperus community: social capital and public life. Frontier issues in economic thought 1997;3:211-212
  26. Rehkopf, D. H. S. L. Buka. The association between suicide and the socioeconomic characteristics of geographical areas: a systematic review. Psychol Med 2006;36(2):145-57 https://doi.org/10.1017/S003329170500588X
  27. Rudd, M D. An integrative model of suicidal ideation. Suicide Life Threat Behav, 1990:20(1):16-30
  28. Turvey, C, A. Stromquist, K. Kelly, C. Zwerling J. Merchant. Financial loss and suicidal ideation in a rural community sample. Acta Psychiatr Scand 2002;106(5);373-80 https://doi.org/10.1034/j.1600-0447.2002.02340.x
  29. Wilkinson, R G. Unhealthy societies: the afflications of inequality, London: Routledge, 1996