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Influence of Constructive Factors of Predictive Variables Related to Suicidal Ideation

자살충동과 관련된 예측변인들의 구성요인의 영향력

  • 김지훈 (경상대학교 사회복지학과) ;
  • 김경호 (경남과학기술대학교 사회복지학과)
  • Received : 2018.11.01
  • Accepted : 2018.12.04
  • Published : 2019.01.28

Abstract

The purpose of this study was to investigate the influence of constructive factors of predictive variables related to suicidal ideation, in contrast to previous studies analyzing the influence of predictive variables related to suicidal ideation. The 11,755 subjects were participated in the 12th(2017) KoWePS. After the diagnosis of multicollinearity among constructive factors of predictive variables related to suicidal ideation, and are analyzed with the statistical program Spss 23.0 as a calling logistic regression. The major findings were as follows: The more patriarchal gender role increase, the more language violence occur, the more feel loneliness, the more people treat me cold, the more drinking' black-out occur, the odds ratio of suicidal ideation increases, while the more ladder score of life increase, the odds ratio of suicidal ideation decreases. Based on this result, we suggests social welfare implications to reduce or prevent suicidal ideation, and the limitations of this study and the suggestions for future studies were also presented.

본 연구는 12차년도(2017년) 한국복지패널에 참여한 11,755명을 대상으로 자살충동에 관련된 예측변인들의 영향력을 분석한 선행연구와는 달리 자살충동에 관련된 예측변인들의 구성요인의 영향력을 통합적인 연구틀에서 살펴보고자 수행되었다. 연구방법은 SPSS 23.0 버전을 적용하여 자살충동에 영향을 미치는 예측 변인들의 구성요인 간 다중공선성 진단 후, 자살충동에 영향을 미치는 예측변인들의 구성요인의 상대적 영향력을 로지스틱 회귀 분석하였다. 연구 결과, 가부장적인 역할이 증가할수록, 언어폭력이 증가할수록, 외로움을 더 느낄수록, 사람들이 자신을 차갑게 대할수록. 음주 후 블랙아웃(black-out)이 증가할수록 자살충동의 승산비가 증가하는 반면, 삶의 사다리 점수가 증가할수록 자살충동의 승산비가 감소하였다. 이를 근거로 자살충동을 축소 예방하기 위한 사회복지적 함의를 제시하고, 이 연구의 제한점, 그리고 추후 연구에서 고려할 점을 논의하였다.

Keywords

표 1. 조사대상자의 인구사회학적 특성

CCTHCV_2019_v19n1_634_t0001.png 이미지

표 2. 자살충동과 관련된 예측변인들의 구성요인의 특성

CCTHCV_2019_v19n1_634_t0002.png 이미지

표 3. 자살충동과 관련된 예측변인들의 구성요인에 대한 로지스틱 회귀분석

CCTHCV_2019_v19n1_634_t0003.png 이미지

References

  1. 보건복지부, 고용부, 교육부, 여가부, 행안부 등 관계부처합동, 자살예방 국가 행동계획, 2018.1.23.
  2. 남재일, "한국 신문의 자살보도의 담론적 성격," 언론과학연구, 제10권, 제3호, pp.191-224, 2010.
  3. 김지훈, 김경호, "자살생각과 자살계획에 관련된 유발변인의 영향력 분석: 심리상태와 가족관련 변인 중심으로," 가족과 문화, 제25권, 제4호, pp.246-272, 2013.
  4. 이묘숙, "노인의 우울수준이 죽음불안에 미치는 영향 및 생활만족도 조절효과 연구," 노인복지연구, 제49권, pp.241-266, 2010.
  5. 이은석, 이선장, "농촌지역 노인의 스트레스, 우울 및 자살생각에 있어서 신체적 여가활동의 완충효과," 한국스포츠사회학회, 제22권, 제2호, pp.35-54, 2009.
  6. 배진희, "노인의 상실, 학대경험, 우울이 자살생각에 미치는 영향," 노인복지연구, 제44권, pp.49-70, 2009.
  7. 김정란, 김혜신, "가정폭력 및 학교폭력이 청소년의 자살충동에 미치는 영향," 보건사회연구, 제34권, 제2호, pp.310-333, 2014. https://doi.org/10.15709/HSWR.2014.34.2.310
  8. A. Crosby, B. Han, L. Ortega, S. E. Park, and J. Gfroerer, "Suicidal thoughts and behaviors among adults aged $18^+$ years-United States, 2008-2009," Morbidity and Mortality Weekly Report, Vol.60, No.13, pp.1-22, 2011.
  9. K. Devries, C. Watts, M. Yoshihama, L. Kiss, L. B. Schraiber, N. Deyessa, L. Heise, J. Durand, J. Mbwambo, H. Jansen, Y. Berhane, M. Ellsberg, and C. Garcia-Moreno, "Violence against women is strongly associated with suicide attempts: Evidence from the WHO multi-country study on women's health and domestic violence against women," Social Science & Medicine, Vol.73, No.1, pp.79-86, 2011. https://doi.org/10.1016/j.socscimed.2011.05.006
  10. L. Eshelman and A. Levendosky, "Dating violence: Mental health consequences based on type of abuse," Violence & Victims, Vol.27, No.2, pp.215-228, 2012. https://doi.org/10.1891/0886-6708.27.2.215
  11. J. L. Alhusen, N. Frohman, and G. Purcell. "Intimate partner violence and suicidal ideation in pregnant women," Archives of Women's Mental Health, Vol.18, No.4, pp.573-578, 2015. https://doi.org/10.1007/s00737-015-0515-2
  12. X. Dong, R. Chen, B. Wu, N. J. Zhang, A. C. Y. Mui, and I. Chi, "The association between elder mistreatment and suicidal ideation among community-dwelling chinese older adults in the u.s," Gerontolgy, Vol.62, No.1, pp.71-80, 2015. https://doi.org/10.1159/000437420
  13. J. Zhang, Y. Lie, and L. Sun, "Life Satisfaction and Degree of Suicide Intent: A Test of The Strain Theory of Suicide," Comprehensive Psychiatry, Vol.74, pp.1-8, 2017. https://doi.org/10.1016/j.comppsych.2016.12.002
  14. A. Case and A. Deaton, Suicide, age, and wellbeing: An empirical investigation, NBER Working Paper, No.21279, 2015.
  15. T. Troister, M. P. Davis, A. Lowndes, and R. R. Holden, "A five-month longitudinal study of psychache and suicide ideation: Replication in general and high risk university students," Suicide Life Threat Behavior, Vol.43, No.6, pp.611-619, 2013. https://doi.org/10.1111/sltb.12043
  16. 김보미, 유성은, "대인관계 외상 경험자들의 사회적 유대감, 정서조절과 자살생각의 관계," 한국심리학회지: 임상, 제3권, 제3호, pp.731-748, 2012.
  17. 강초롱, 조영태, "사회적 차별이 자살생각에 미치는 영향: 성.연령.경제상황에 따른 차별인지 중심으로," 한국인구학, 제35권, 제3호, pp.1-27, 2012.
  18. 이묘숙, "노인의 사회참여활동은 사회적 고립과 자살생각 간의 관계를 매개하는가?," 정신보건과사회사업, 제40권, 제3호, pp.231-259, 2012.
  19. A. Stravynski and R. Boyer, "Loneliness in relation to suicide ideation and para-suicide: A population-wide study," Suicide and Life-Threatening Behaviour, Vol.31, No.1, pp.32-40, 2001. https://doi.org/10.1521/suli.31.1.32.21312
  20. S. A. Kidd, "The walls are closing in, and we were trapped: A qualitative analysis of street youth suicide," Youth and Society, Vol.36, No.1, pp.30-55, 2004. https://doi.org/10.1177/0044118X03261435
  21. C. A. King and C. R. Merchant, "Social and interpersonal factors relating to adolescent suicidality: A review of the literature," Archives of Suicide Research, Vol.12, No.3, pp.81-196, 2008.
  22. M. M. Pervin and N. Ferdowshi, "Suicidal ideation in relation to depression, loneliness and hopelessness among university students," Dhaka University, Journal of Biological Science, Vol.25, No.1, pp.57-64, 2016. https://doi.org/10.3329/dujbs.v25i1.28495
  23. L. W. Li, H. Xu, Z. Zhang, and J. Liu, "An ecological study of social fragmentation, socioeconomic deprivation, and suicide in rural china: 2008-2010," SSM-Population Health, Vol.2, pp.365-372, 2016. https://doi.org/10.1016/j.ssmph.2016.05.007
  24. N. D. L. Smith and I. Kawachi, "State-level social capital and suicide mortality in the 50 U. S. States," Social Science & Medicine, Vol.120, pp.269-277, 2014. https://doi.org/10.1016/j.socscimed.2014.09.007
  25. V. Lorant, A. E. Kunst, M. Huisman, M. Bopp, J. Mackenbach, and The Working Group, "A european comparative study of marital status and socio-Economic inequality in suicide," Social Science & Medicine, Vol.60, pp.2431-2441, 2005. https://doi.org/10.1016/j.socscimed.2004.11.033
  26. M. Strobe, W. Strobe, and G. Abakoukin, "The broken heart: Suicidal ideation in bereavement," The American Journal of Psychiatry, Vol.162, No.11, pp.2178-218, 2005. https://doi.org/10.1176/appi.ajp.162.11.2178
  27. S. U. Lee, S. W. Roh, Y. E. Kim, J. I. Park, B. Y. Jeon, and I. H. Oh, "Impact of disability status on suicide risks in south korea: Analysis of national health insurance cohort data from 2003 to 2013," Disability and Health Journal, Vol.10, No.1, pp.123-130, 2017. https://doi.org/10.1016/j.dhjo.2016.06.008
  28. A. Cleary, "Suicidal action, emotional expression, and the performance of masculinities," Social Science & Medicine, Vol.74, No.4, pp.498-505, 2012. https://doi.org/10.1016/j.socscimed.2011.08.002
  29. D. Coleman, "Traditional masculinity as a risk factor for suicidal ideation: Cross-sectional and prospective evidence from a study of young adults," Journal of Archives of Suicide Research, Vol.19, No.3, pp.366-384, 2015. https://doi.org/10.1080/13811118.2014.957453
  30. J. Pirkis, M. J. Spiial, L. Keogh, T. Mousaferiadis, and D. Currier, "Masculinity and suicidal thinking," Social Psychiatry and Psychiatric Epidemiology, Vol.52, No.3, pp.319-327, 2017. https://doi.org/10.1007/s00127-016-1324-2
  31. 윤명숙, "알코올중독자의 자살생각에 미치는 음주의 조절효과," 정신보건과 사회사업, 제38권, pp.113-140, 2011.
  32. M. Pompili, G. Serafini, M. Innamorati, G. Dominici, S. Ferracuti, G. D. Kotzalidis, G. Serrs, P. Girardi, L. Janiri, R. Tatarelli, L. Sher, and D. Lester, "Suicidal behavior and alcohol abuse," International Journal of Environmental Research and Public Health, Vol.7, pp.1392-1431, 2010. https://doi.org/10.3390/ijerph7041392
  33. W. C. Kerr, M. S. Kaplan, N. Huguest, R. Caetano, N. Giesbrecht, and B. H. McFarland, "Economic recession, alcohol, and suicide rates: Comparative effects of poverty, foreclosure, and job loss," American Journal of Preventive Medicine, Vol.52, No.4, pp.469-475, 2017. https://doi.org/10.1016/j.amepre.2016.09.021
  34. 강준혁, 이혁구, 이근무, "자살관념 극복에 관한 연구: 자살 고위험집단을 중심으로," 보건사회연구, 제35권, 제3호, pp.103-134, 2015.
  35. 배지연, "노인자살에 관한 사례분석: 신문기사 내용을 중심으로," 노인복지연구, 제23권, pp.65-82, 2004.
  36. Y. Gvion and A. Apter, "Aggression, impulsivity, and suicide behavior: A review of the literature," Archives of Suicide Research, Vol.15, No.2, pp.93-112, 2011. https://doi.org/10.1080/13811118.2011.565265
  37. I. Orbach, M. Mikulincer, P. Sirota, and E. Gilboa-Schechtman, "Mental pain: A multidimensional operationalization and definition," Suicide Life Threat Behavior, Vol.33, No.3, pp.219-30, 2003. https://doi.org/10.1521/suli.33.3.219.23219
  38. K. A. Van Orden, T. K. Witte, L. M. James, Y. Castro, K. H. Gordon, S. R. Braithwaite, D. L. Hollar, and T. E. Joiner, "Suicidal ideation in college students varies across semesters: The mediating role of belongingness," Suicide Life Threat Behavior, Vol.38, No.4, pp.427-35, 2008. https://doi.org/10.1521/suli.2008.38.4.427
  39. H. Hendin, Recognizing a suicide crisis in psychiatric patients, In Wasserman D, & Wasserman C, editors, Oxford Textbook of Suicide Prevention, A Global Perspective Oxford University Press, pp.327-31, 2009.
  40. E. D. Klonsky and A. M. May, "Differentiating suicide attempters from suicide ideators: A critical frontier for suicidology research," Suicide and Life-Threaening Behavior, Vol.44, No.1, pp.1-5, 2014. https://doi.org/10.1111/sltb.12068
  41. T. W. Bender, K. H. Gordon, K. Bresin, and T. E. Joiner, "Impulsivity and suicidality: The mediating role of painful and provocative experiences," Journal of Affective Disorders, Vol.129, No.1-2, pp.301-307, 2011. https://doi.org/10.1016/j.jad.2010.07.023
  42. S. P. Whiteside and D. R. Lynam, "The five factor model and impulsivity: Using a structural model of personality to understand impulsivity," Personalty and Individual Differences, Vol.30, No.4, pp.669-689, 2001. https://doi.org/10.1016/S0191-8869(00)00064-7
  43. S. M. Allessi and N. M. Petry, "Pathological gambling severity is associated with impulsivity in a delay discounting procedure," Behavioral Processes, Vol.64, No.3, pp.345-354, 2003. https://doi.org/10.1016/S0376-6357(03)00150-5
  44. P. Baud, "Personality traits as intermediary phenotypes in suicidal behavior: Genetic issues," American Journal of Medical Genetics Part C, Vol.133(c), No.1, pp.34-42, 2005. https://doi.org/10.1002/ajmg.c.30044
  45. S. B. Mee, B. G. Bunney, W. F. Hetrick, S. G. Potkin, and C. Reisl, "Assessment of psychological pain in major depressive episodes," Journal of Psychiatric Research, Vol.45, No.11, pp.1504-1510, 2011. https://doi.org/10.1016/j.jpsychires.2011.06.011
  46. Y. Levi-Belz, Y. Gvion, N. Horesh, T. Fischel, I. Treves, E. Or, O. Stein-Reisner, M. Weiser, H. S. David, and A. Apter, "Mental pain, communication difficulties, and medically serious suicide attempts: A case-control study," Archives of Suicide Research, Vol.18, No.1, pp.74-87, 2014. https://doi.org/10.1080/13811118.2013.809041
  47. M. T. Berlim, B. S. Mattevi, D. P. Pavanello, M. A. Caldieraro, M. P. A. Fleck, L. R. Wingate, and T. E. Joiner, "Psychache and suicidality in adult mood disordered outpatients in Brazil," Suicide Life Threat Behavior, Vol.33, No.3, pp.242-248, 2001. https://doi.org/10.1521/suli.33.3.242.23220
  48. L. C. Konick and P. M. Gutierrez, "Testing a model of suicide ideation in college students," Suicide Life Threat Behavior, Vol.35, No.2, pp.181-192, 2005. https://doi.org/10.1521/suli.35.2.181.62875
  49. Y. Levi, N. Horesh, T. Fischel, I. Treves, E. Or, and A. Apte, "Mental pain and its communication in medically serious suicide attempts: An impossible situation," Journal of Affective Disorders, Vol.111, No.2-3, pp.244-250, 2008. https://doi.org/10.1016/j.jad.2008.02.022
  50. J. Frattaroli, " Experimental disclosure and its moderators: A metaanalysis," Psychol Bull, Vol.132, No.6, pp.823-865, 2006. https://doi.org/10.1037/0033-2909.132.6.823
  51. N. Horesh, G. Zalsman, and A. Apter, "Suicidal behavior and self-disclosure in adolescent psychiatric inpatients," The Journal of Nervous and Mental Disease, Vol.192, No.12, pp.837-842, 2004. https://doi.org/10.1097/01.nmd.0000146738.78222.e5
  52. L. S. Barnes, R. M. Ikeda, and M. Kresnow, "Help-seeking behavior prior to nearly lethal suicide attempts," Suicide Life Threat Behavior, Vol.32, No.s1, pp.68-75, 2001. https://doi.org/10.1521/suli.32.1.5.68.24217
  53. World Health Organization, Preventing suicide: A global imperative, World Health Organization, Geneva, 2014.
  54. D. L. Best and J. E. Williams, Gender and culture, In D. Matsumoto(Ed.), The handbook of culture and psychology, New York, NY: Oxford University Press, pp.195-222, 2001.
  55. K. Kendler, L. Thornton, and C. Prescott, "Gender differences in the rates of exposure to stressful life events and sensitivity to their depressogenic effects," American Journal of Psychiatry, Vol.158, No.4, pp.587-593, 2001. https://doi.org/10.1176/appi.ajp.158.4.587
  56. I. Niehaus, "Gendered endings: Narratives of male and female suicides in the South African Lowveld," Culture, Medicine, and Psychiatry, Vol.36, No.2, pp.327-347, 2012. https://doi.org/10.1007/s11013-012-9258-y
  57. 조흥식, 김혜련, 신혜섭, 김혜란, 여성복지학, 학지사: 서울, 2000.
  58. D. S. Eitzen and M. B. Zinn, "The missing safety net andfamilies: A progressive critique of the new welfare legislation," Journal of Sociology and Social Welfare, Vol.27, No.1, pp.53-73, 2000.
  59. M. E. Beutel, E. M. Klein, E. Brahler, I. Reiner, C. Junger, M. Michal, J. Wiltink, P. S. Wild, T. Munzel, K. J. Lackner, and A. N. TibubosEmai, "Loneliness in the general population: Prevalence, determinants and relations to mental health," BMC Psychiatry, Vol.17, No.1, pp.1-7, 2017. https://doi.org/10.1186/s12888-016-1163-4
  60. R. F. Baumeister and M. R. Leary, "The need to belong: Desire for interpersonal attachments as a fundamental human motivation," Psychol Bull. Vol.117, No.3, p.497, 1995. https://doi.org/10.1037/0033-2909.117.3.497
  61. D. H. Silvera and C. R. Seger, "Feeling good about ourselves: Unrealistic self-evaluations and their relation to self-esteem in the United States and Norway," Journal of Cross-Cultural Psychology, Vol.35, No.5, pp.571-585, 2004.
  62. D. Mellor, M. Stokes, L. Firth, Y. Hayashi, and R. Cummins, "Need for belonging, relationship satisfaction, loneliness, and life satisfaction," Personality and individual Differences, Vol.45, No.3, pp.213-218, 2008. https://doi.org/10.1016/j.paid.2008.03.020
  63. L. Andersson, "Loneliness research and interventions: A review of the literature," Aging and Mental Health, Vol.2, No.4, pp.264-274, 1998. https://doi.org/10.1080/13607869856506
  64. R. Mushtaq, S. Shoib, T. Shah, and S. Mushta, "Relationship between loneliness, psychiatric disorders and physical health? A review on the psychological aspects of loneliness," Journal of Clinical and Diagnostic Research, Vol.8, No.9, pp.1-4, 2014. https://doi.org/10.1111/crj.12028
  65. D. Perlman, "European and canadian studies of loneliness among seniors," Canadian Journal on Aging, Vol.23, No.2, pp.181-188, 2004. https://doi.org/10.1353/cja.2004.0025
  66. L. C, Hawkley and J. P. Capitanio, "Perceived social isolation, evolutionary fitness and health outcomes: A lifespan approach," Philosophical Transaction of The Royal Society B, Vol.370, No.1669, 2015.
  67. A. M. H. Eisses, H. Kluiter, K. Jongenelis, A. M. Pot, A. T. F. Beekman, and J. Ormel, "Risk indicators of depression in residential homes," International Journal of Geriatric Psychiatry, Vol.19, No.7, pp.634-640, 2004. https://doi.org/10.1002/gps.1137
  68. H. Cantril, The pattern of human concerns, New Brunswick, NJ: Rutgers University Press, 1965.
  69. 김지훈, 김경호, "베이비부머의 가족갈등대처전략이 가정폭력에 미치는 영향: 문제음주와 자아존중감의 매개효과를 중심을," 한국콘텐츠학회논문지 제16권, 제8호, pp.448-461, 2013. https://doi.org/10.5392/JKCA.2016.16.08.448
  70. D. J. Bem, "Exotic become erotic: A developmental theory of sexual orientation," Psychological Review, Vol.103, No.2, pp.320-335, 1996. https://doi.org/10.1037/0033-295X.103.2.320
  71. D. L. Snow, T. P. Sullivan, S. C. Swan, D. C. Tate, and I. Klein, "The role of coping and problem drinking in men's abuse of female partners: Test of a path model," Violence and Victims, Vol.21, No.3, pp.267-286, 2006. https://doi.org/10.1891/vivi.21.3.267
  72. V. Tzouvara, C. Papadopoulos, and G. Randhawa, "A narrative review of the theoretical foundations of loneliness," British Journal of Community Nursing, Vol.20, No.7, pp.329-334, 2015. https://doi.org/10.12968/bjcn.2015.20.7.329
  73. 김지훈, 강욱모, 문수열, "베이비부머의 사회적 자본 인식과 사회적 자본 형성간의 관계분석: 자원봉사 및 기부활동 중심으로," 사회복지정책, 제40권, 제3호, pp.25-50, 2013.