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Relationship among Failed Belongingness, Perceived Burdensomeness, and Suicidal Ideation of Psychiatric Inpatients: Mediation Effect of Depression

정신건강의학과 입원 환자의 좌절된 소속감, 인식된 짐스러움 및 자살사고와의 관계: 우울의 매개효과

  • Kang, Hee Yang (Eulji University Hospital, Dept. of Psychiatry) ;
  • Chang, Eun Jin (Korea Baptist Theological University, Dept. of Counseling Psychology)
  • 강희양 (을지대학교 병원 정신건강의학과) ;
  • 장은진 (침례신학대학교 상담심리학과)
  • Received : 2018.01.04
  • Accepted : 2018.02.20
  • Published : 2018.02.28

Abstract

This study focuses on the influence of interpersonal relationship in suicidal ideation and mediation effect of depression in the case of psychiatric inpatients. The subject group was consisted of 109 psychiatric inpatients. Interpersonal relationship was classified into 'perceived burdensomeness' and 'failed belongingness' Findings were as follows: Perceived burdensomeness directly influence depression and through depression also indirectly influences suicidal ideation. In contrast, failed belongingness, though directly influencing depression, do not influence suicidal ideation. In accordance with these findings, this study argues that when intervening in the suicidal ideation of psychiatric inpatients, methods that could influence the factors related to interpersonal relationship would be effective.

본 연구는 정신건강의학과 입원 환자를 대상으로 하여 자살사고에 미치는 대인관계의 영향과 우울의 매개효과를 알아보았다. 대상은 정신건강의학과에 입원한 환자 109명으로, 대인관계는 인식된 짐스러움과 좌절된 소속감으로 구분하였다. 연구 결과, 대인관계 척도의 하위요인 중 인식된 짐스러움은 자살사고와 우울에 직접적인 영향을 주었고, 우울을 매개로 하여 자살사고에 간접적인 영향을 주었다. 반면 대인관계 척도의 하위 요인 중 좌절된 소속감은 우울에 직접적으로 영향을 주었으나 자살사고에는 유의한 영향을 주지 않았다. 이러한 결과와 관련하여 정신건강의학과 입원 환자의 자살사고 개입을 할 때 대인관계와 관련된 변인을 다룰 수 있는 자살개입 방법이 효과적일 것에 대해 논의하였다.

Keywords

References

  1. Statistics Korea. (2015). Annual Report on the causes of Death Statistics http"//www.nso.go.kr.
  2. Y. M. Jae.. (2004). Suicide and Psychiatric Disorder. J Korean Soc Biol Ther Psychiatry, 10(1), 250-261.
  3. M. Y. Kim. (2013). An analysis on the suicide rates of Korea. Seoul National University, Ph.D. thesis.
  4. E. Durkheim. (2002). Moral education, New York: Dover Publication, 15.
  5. J. H. Park & D. H. Wi. (1999). Clinical Analysis of the Suicidal Attempters Visiting Emergency Center. Journal of the Korean society of emergency medicine, 10(4), 568-578.
  6. A. Doshi, E. D. Boudreaux, N. Wang, A. J. Pelletler & C. A. Camargo. (2005). National study of US Emergency Department visits for attempted suicide and Self-inflicted injury, 1997-2001. Annals of Emergency Medicine, 422-426.
  7. J. H. Park. (2007). Clinical observation of acute drug intoxication patients in an emergency department, Chosun Univeristy, B. A. thesis.
  8. K. T. Moon. (2006). Influence of diseases and socioeconomic factors in suicide, Yonsei Univeristy, Ph. D, thesis.
  9. A. Doshi, E. D. Boudreaux, N. Wang, A. J. Pelletler & C. A. Camargo. (2005). National study of US Emergency Department visits for attempted suicide and Self-inflicted injury, 1997-2001. Annals of Emergency Medicine, 369-375.
  10. M. J. Marttunen, H. M. Aro & J. K. Lonnqvist. (1993). Precipitant stressors in adolescent suicide, Journal of the American Academy of Child and Adolescent Psychiatry, 32(6), 1178-1183. https://doi.org/10.1097/00004583-199311000-00010
  11. D. A. Brent. (1987). Correlates of the medical lethality of suicide attempts in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 26(1), 87-91. https://doi.org/10.1097/00004583-198701000-00017
  12. Ministry of Health and Welfare. (2011). Actual situation survey of Mental Illness.
  13. Korean Association for Suicide Prevention. (2004). http://www.suicideprevention.or.kr.
  14. S. J. Ladely & K. R. Puskar. (1994). Adolescent suicide: Behaviors, factors psychiatric nursig interventions. Issues in Mental Health Nursing, 14, 497-509.
  15. A. R. Choi & Y, S, Lee. (2011). The Mediating Effects of Cognitive Deconstruction on the Relation Between Suicidal Ideation, Life Stress, and School Type in High School Student. Korean Journal of Counseling And Psychotherapy, 23(3), 761-784.
  16. H. P. Lee. (2014). Relationship Between Social Exclusion and Suicidal Ideation, and Mediating Effect of Depression in Neurotic Outpatients. Korean Journal of Psychology: General, 33(1), 1-24.
  17. S. Balsis & J. A. Cully. (2008). Comparing depression diagnostic symptoms across younger and older adults. Aging and Mental Health, 12(6), 800-806. https://doi.org/10.1080/13607860802428000
  18. T. E. Joiner. (2005). Why people die by suicide, Cambridge, MA, US: Harvard University Press, 276.
  19. K. J. Chu & S, Y. Lee. (2012). Relationships among Perceived Burdensomeness, Hopelessness, Depression, and Suicidal Ideation in Adolescents and Elders. The Korean Journal of Developmental Psychology, 25(3), 31-53.
  20. E. S. Shneidman. (1996). Why do we kill ourselves? In E. S. Shneidman (Ed), The suicide mind. New York : Oxford University Press. 3-26.
  21. S. L. Brown & A. D. Vinokur. (2003). The interplay among risk factors for suicidal ideation and suicide: The role of depression, poor health, and loved one' messages of support and criticism. American Journal of Community Psychology, 32(2), 131-141. https://doi.org/10.1023/A:1025659210192
  22. G. M. Slavich, A. O'Donovan & E. S. Epel. (2010). Kemeny, M. E. Black sheep get the blues: A psychobiological model of social rejection and depression. Neuroscience and Biohavioral Review, 35(1), 39-45. https://doi.org/10.1016/j.neubiorev.2010.01.003
  23. L. Y. Abramson, G. I. Metalsky & I. B. Alloy. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review, 96(2), 361-366.
  24. M. H. Jo. (2010). An evaluation of interpersonal psychological model of suicide in Korean Army, Korea University, B. A. thesis.
  25. S. Y. Kim (2013). Suicidal ideation of lesbians and gays in South Korea: Test of interpersonal psychological model. Korea University, B. A. thesis.
  26. K. A. Van Orden, T. K. Witte, K. H. Gordon,, T. W. Bender & Jr T. E. Joiner. (2008). Suicidal Desire and the Capability for Suicide: Tests of the Interpersonal-Psychological Theory of Suicidal Behavior Among Adults. Journal of Consulting and Clinical Psychology, 76, 72-83. https://doi.org/10.1037/0022-006X.76.1.72
  27. M. S. Kim, I. S. Lee & C. S. Lee. (2007). The Validation Study 1 of korean BDI-2: In Female University Students Sample. Korean Journal fo Clinical Psychology, 26(4), 997-1014. https://doi.org/10.15842/kjcp.2007.26.4.011
  28. A. T. Beck, RA. Steer & W. F. Ranieri. (1988). Scale for Suicide Ideation: psychometric properties of a self-report version. Journal of Clinical Psychology, 44, 499-505. https://doi.org/10.1002/1097-4679(198807)44:4<499::AID-JCLP2270440404>3.0.CO;2-6
  29. H. S. Lee & J. H. Kuwn. (2009). Validation of the Beck Scale for Suicide Ideation with Korean University Students. Korean Journal of Clinical Psychology, 28(4), 1155-1172. https://doi.org/10.15842/kjcp.2009.28.4.011
  30. R. M. Baron & D. A. Kenny. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategy and statistical considerations. Journal of Personality and Social Psycholog, 97(1), 90-113.
  31. J. M. Ha, Y. U, Seol & M. G. Jwa. (2010). The Effect of Perceived Burdensomeness and Failed Belongingness to Youth's Suicidal Ideation. Social Science Research Review, 26(4), 223-246.
  32. S. P. Yook. (2002). The exploration of suicide related variables and the development of treatment program. Korean Univerisy, Ph. D. thesis.
  33. J. M. Ha, Y. J. Song & H. U. Nam (2012). The Effect of Perceived Burdensomeness and Failed Belongingness to Elderly Suicidal Ideation. Age Well-Being Research, 55, 65-84.
  34. S. Kidd, C. Henrich, K. Brookmeyer, L. Davidson, R. King & G. Shahar. (2006). The social context of adolescent suicide attempts: interactive effect of parent, peer, and school social relation. Suicide & Life-Threatening Behavior, 36(4), 357-363.