Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Affecting Suicide Ideation among University Students

대학생의 자살생각에 영향을 미치는 요인 - 위험 및 완화요인을 중심으로 -

  • Ra, Chaelin Karen (Graduate School of Public Health, Seoul National University) ;
  • Lee, Changjin (Graduate School of Public Health, Seoul National University) ;
  • Seo, Jooyoun (Graduate School of Public Health, Seoul National University) ;
  • Choi, Jihee (Graduate School of Public Health, Seoul National University) ;
  • You, Myoungsoon (Graduate School of Public Health, Seoul National University)
  • Received : 2012.08.03
  • Accepted : 2012.12.12
  • Published : 2013.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study aimed to investigate life stressors and mitigating factors affecting suicide ideation amongst university students in Korea. Methods: Study participants were recruited online from one of the universities in Seoul. The total of 794 samples were included in the final dataset. First, correlation analyses were performed among life stressors, depression and mitigating factors. Second, factorial analysis was conducted to explore different dimensions of he life stressors experienced by the university students. Finally, we used logistic regression to find out the relationship between university students' sub-stressors or mitigating factors, and suicide ideation. Results: Three sub-stressors were identified - interpersonal relationship stress, academic stress and economic stress. All of these stressors were significantly associated with suicide ideation. However, none of them significantly predicted suicide ideation controlling for depression. All mitigating factors - health related behaviors, social support and leisure activities - were statistically significant and negatively related to depression, yet only social support had a significantly negative association with suicide ideation. Conclusions: In conclusion, Social support is the most important factor which may affect suicide ideation among university students in Korea.

Keywords

References

  1. Abela, J. R., & Seligman, M. E. (2000). The hopelessness theory of depression: a test of the diathesis-stress component in the interpersonal and achievement domains. Cognitive Therapy and Research, 24, 361-378. https://doi.org/10.1023/A:1005571518032
  2. Abramson, L. Y., Metalsky, G. L., & Alloy, L. B. (1989). Hopelessness depression: a theory based subtype of depression. Psychological Review 96, 358-372. https://doi.org/10.1037/0033-295X.96.2.358
  3. Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology, 47(2), 343-352. https://doi.org/10.1037/0022-006X.47.2.343
  4. Blumenthal, S. J., & Kupfer, D. J. (1986). Generalizable treatment strategies for suicidal behavior. Annals of the New York Academy of Sciences, 487, 327-340. https://doi.org/10.1111/j.1749-6632.1986.tb27911.x
  5. Breslow, L., & Enstrom, J. E. (1980). Persistence of health habits and their relationship to mortality. Preventive Medicine, 9, 469-483. https://doi.org/10.1016/0091-7435(80)90042-0
  6. Caplan, G. (1974). Support systems and community mental health. New York, NY: Behavioral Publications.
  7. Cassel, J. (1976). The Contribution of the social environment to host resistance. American Journal of Epidemiology, 104(2), 107-122. https://doi.org/10.1093/oxfordjournals.aje.a112281
  8. Cho, H. S. (2007). Relationship of stress, depression and suicidal tendencies in nursing students. Korean Parent-Child Health Journal, 12(1), 3-14.
  9. Cobb, S. (1976). Social support as a mediator of life stress. Psychosomatic Medicine, 38, 300-314. https://doi.org/10.1097/00006842-197609000-00003
  10. Conwell, Y. (1994). Suicide in elderly patients : diagnosis and treatment of depression in late life. American Psychiatric Association, 397-418.
  11. Conwell, Y., Caine, E. D., & Olsen, K. (1990). Suicide and cancer in late life. Hospital and Community Psychiatry, 41, 1334-1339.
  12. Dubow, E. F., Kausch, D. F., Blum, M. C., Reed, J., & Bush, E. (1989). Correlates of suicidal ideation and attempts in community sample of junior high and high school students. Journal of Clinical Child & Adolescent Psychology, 18(2), 158-166. https://doi.org/10.1207/s15374424jccp1802_7
  13. Folkman, S., & Lazarus, R. S. (1988). Coping as a mediator of emotion. Journal of Personality and Social Psychology, 54, 466-475. https://doi.org/10.1037/0022-3514.54.3.466
  14. Hall, D. J., & Mansfield, R. (1971). Organizational and individual response to external stress. Administrative Science Quarterly, 16, 533-547. https://doi.org/10.2307/2391771
  15. Harriss, L., & Hawton, K. (2005). Suicidal intent in deliberate self-harm and the risk of suicide: the predictive power of the suicide intent scale. Journal of Affective Disorders, 86, 225-233. https://doi.org/10.1016/j.jad.2005.02.009
  16. House, J. S. (1981). Work stress and social support. Cambridge, MA : Addison-Wesley.
  17. Jung, N., Kim, H., & Lee, S. M. (2010). A study of the determinants of suicidal ideation among the young in Korea. The Korean Journal of Public Health, 47(1), 47-52.
  18. Kang, E. J. (2005). Factors related to suicide ideation by age group, Health-Welfare Policy Forum, 107, 81-86.
  19. Kaplan, B. H. (1975). An epilogue: toward further research on family and health. In B. H. Kaplan, & J. C. Cassel (Eds.), Family and Health: An Epidemiological Approach (pp. 89-106). Chapel Hill, NC: Institute for Research in Social Science, University of North Carolina.
  20. Kaplan, B. H., Cassel, J. C., & Gore, S. (1977). Social support and health. Medical Care, 15(5), 47-58. https://doi.org/10.1097/00005650-197705001-00006
  21. Kessler, R. C., & McLeod, J. D. (1985). Social support and mental health in community samples. In S. Cohen, & S. L. Syme (Eds.), Social Support and Health. New York, NY: Academic Press, 219-240.
  22. Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32, 959-976. https://doi.org/10.1017/S0033291702006074
  23. Kiesler, C. A. (1985). Policy implications of research on social support and health. In S. Cohen, & S. L. Syme (Eds.), Social support and health. New York, NY: Academic Press, 347-364.
  24. Kim, H. & Kim B. A. (2008). Comparative study on suicidal ideation in the elderly and the adolescents. Journal of the Korean Gerontological Society, 28(2); 325-343.
  25. Kim, H. J, & Jeong M. A. (2010). Effect of family function and self-efficacy on suicidal ideation in university students. The Journal of Korean Academic Society of Nursing Education, 16(1), 43-50. https://doi.org/10.5977/JKASNE.2010.16.1.043
  26. Kim, H. S. (2002). A study on epistemology of Korean elder's suicidal thought. Journal of the Korea Gerontological Society, 22(1), 159-172.
  27. Kim, J. J. (2009). An analysis of variables related to university student's suicidal ideation - regarding effect of suicidal attempt experience, mental health, psychosocial problems. Mental Health & Social Work, 32, 413-437.
  28. Korean Educational Development Institute. (2011) Statistical Yearbook of Education (pp. 26-27). Retrieved from http://cesi.kedi.re.kr/index.jsp
  29. Korean NeuroPsychiatric Association. (2005). Textbook of neuropsychiatry (pp. 815-830). Seoul, Korea : Chungang-munwha company.
  30. Kraaih, V., Garnefski, N., & Maes, S. (2002). The joint effects of stress, coping and coping resources on depressive symptoms in the elderly. Anxiety, Stress and Coping, 15(2), 163-177. https://doi.org/10.1080/10615800290028468
  31. Lakshmi, N. V. (2009), Health psychology and counseling (pp.164-172). Delhi, India: Discovery Publishing House.
  32. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York, NY : Springer Publishing Company.
  33. Lee S. M. (2000). Introduction to the factor analysis. Paju, Korea: Science Education Company.
  34. Lee, E. H., & Cho, Y. J. (2008). Psychological process of adolescents suicide : the protecting effects of social support and problem-solving ability. Korean Journal of Social Issues, 16(3), 105-143.
  35. Lee, M. S. (2005). Study on the effect of social support on depression and suicide of the old. Korean Journal Of Clinical Social Work, 2(3), 191-211.
  36. Lee, N. J. (2011). Moderating effects of life problems, social support older people. Health and Social Welfare Review, 31(4), 34-62. https://doi.org/10.15709/hswr.2011.31.4.34
  37. Lee, S. Y., & Seo, I. (1995). Relationship of health status and health practices. Korean Journal of Epidemiology, 17(1), 48-63.
  38. Lim, J. S., Choi, Y. I., & Kim, K. H. (2012). The effect of the family relationship, ego identity and dysfunctional career thoughts on career maturity in university students, The Journal of Career Education Research, 25(1), 151-167.
  39. Oh, J. K., Cho, Y. T., & Kim, C. Y. (2005). Socio-demographic characteristics of suicides in South Korea. Health and Social Science, 18, 191-210.
  40. Park, J. H., Kong, E. H., & Cha, H. S. (2000). The propensity to depression in Korean internet users. Korean Journal of Family Medicine; 21(2), 203-210.
  41. Park, M. S. (2005). Classification and evaluation of suicidal risk group, and application of group counseling for college students (Doctoral dissertation). Chung-Ang University, Seoul, Korea.
  42. Park, S. M., Cho, S. I., & Moon S. S. (2010). Factors associated with suicidal ideation : role of emotional and instrumental support, Journal of Psychosomatic Research, 69, 389-397. https://doi.org/10.1016/j.jpsychores.2010.03.002
  43. Paykel, E. S. (1976). Life stress, depression and attempted suicide. Journal of Human Stress, 2(3), 3-12.
  44. Ross, S. E., Niebling, B. C., & Heckert, T. M. (1999). Sources of stress among college students. College Student Journal, 33(2), 312-317.
  45. Sadock, H. S. (2000). Chapter 29.1. Suicide. In B. J. Sadock & V. A. Sadock (Ed.) Kaplan and Sadock's Comprehensive Textbook of Psychiatry (pp. 2717-2731). Philadelphia, PA : Lippincott Williams & Wilkins.
  46. Schaefer, C., Coyne, J. C., & Lazarus, R. S. (1982). The health-related functions of social support. Journal of Behavioral Medicine, 4, 381-406.
  47. Sohn, J. N. (2007). Discriminating power of suicidal ideation by life stress, coping strategy, and depression in college students. The Journal of Korean Psychiatric and Mental Health Nursing Academic Society, 16(3), 267-275.
  48. Statistics Korea (2011). 2010 Annual Report on the Cause of Death Statistics. Daejeon, Korea: Author.
  49. Stefansson, J., Nordstrom, P., & Jokinen, J. (2012). Suicide Intent Scale in the prediction of suicide. Journal of Affective Disorders, 136(1-2), 167-71. https://doi.org/10.1016/j.jad.2010.11.016
  50. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle : development and psychometric characteristics. Nursing Research, 36, 76-81.
  51. Wasserman D., Tran T. T. H., Pham T. M. D, Goldstein M., Nordenskiöld A., & Wasserman C. (2008). Suicidal process, suicidal communication and psychosocial situation of young suicide attempters in a rural Vietnamese community. World Psychiatry, 7(1), 47-53. https://doi.org/10.1002/j.2051-5545.2008.tb00152.x
  52. Wasserman, D. (2001). Suicide - An Unnecessary Death (pp. 1-305). London, England: Martin Dunitz Publishers, Taylor & Francis Group.
  53. Westefeld, J. S., Range, L. M., Rogers, J. R., Maples, M.R., Bromley, J.L., & Alcorn, J. (2000). Suicide : an overview. The Counseling Psychologist, 28, 445-510. https://doi.org/10.1177/0011000000284002
  54. Wingard, D. L., Berkman L. F., & Brand R. J. (1982). A multivariate analysis of health-related practices: a nine-year mortality follow-up of the Alameda County Study. American Journal of Epidemiology, 116(5), 765-75. https://doi.org/10.1093/oxfordjournals.aje.a113466
  55. Yoo, J. S., Chang S. J., Choi, E. K., & Park J. W. (2008). Development of a stress scale for Korean nursing students. Journal of Korean Academy of Nursing; 38(3), 410-419. https://doi.org/10.4040/jkan.2008.38.3.410

Cited by

  1. Association between sexual behavior and suicidal ideation among South Korean middle school students pp.17427932, 2019, https://doi.org/10.1111/jjns.12237
  2. 대학생을 대상으로 한 한국어판 자살극복력 측정도구의 신뢰도와 타당도 vol.17, pp.1, 2013, https://doi.org/10.5762/kais.2016.17.1.508
  3. 자비명상이 대학생들의 마음챙김, 회복 탄력성 및 스트레스에 미치는 영향 vol.18, pp.4, 2013, https://doi.org/10.5762/kais.2017.18.4.75