DOI QR코드

DOI QR Code

Influence of Physical Symptoms and Lifestyle on Suicidal Ideation of Senior Grade Students in Elementary School

초등학교 고학년 아동의 신체증상 및 생활습관이 자살생각에 미치는 영향

  • Received : 2018.12.13
  • Accepted : 2019.01.30
  • Published : 2019.04.30

Abstract

Purpose: This study was conducted to analyze physical symptom-related and life-style factors affecting suicidal ideation of senior grade students in elementary school. Methods: Physical symptom-related and life-style factors were used to investigate suicidal ideation among 663 elementary school students. From February 11 to 15, 2018, data were collected using a structured questionnaire and analyzed using the $x^2$ test, Pearson correlation analysis, and logistic regression analysis in SPSS for Windows version 22.0. Results: The factors affecting suicidal ideation were gender, family structure, economic status, academic performance, exposure to school violence during the past year, physical symptoms, drinking experience, smoking experience, sleeping time, and ramen noodle consumption. The regression analysis showed that exposure to school violence during the past year (odds ratio [OR]: 102.99, 95% confidence interval [CI]: 51.19~207.19, p=.001), number of physical symptoms (OR: 1.25, 95% CI: 1.12~1.41, p=.001), drinking experience (OR: 3.17, 95% CI: 1.66~6.06, p=.001), and game and internet usage time (OR: 2.08, 95% CI: 1.08~4.01, p=.029) affected suicidal ideation. Conclusion: This study revealed that physical symptoms and life-style significantly influenced suicidal ideation. Therefore, interventions to reduce suicidal ideation in children must focus on improving children's physical symptoms and life-style.

Keywords

References

  1. Kim SH, Jeong HS, Im SE, Kim SA. Comparative study of welfare level in OECD countries. Research Report. Sejoung: Korea Institute for Health and Social Affairs; 2016. Report No.: 978-89-6827-346-993330.
  2. Statistics Korea. The cause of death statistics in 2017 [Internet]. Daejeon: Statistics Korea; 2017 [cited 2017 December 31]. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&bSeq=&aSeq=370711&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=0.
  3. Statistics Korea. Youth health behavior survey: Suicide attempt rate in 2014 [Internet]. Daejeon: Statistic Korea; 2014 [cited 2017 December 31]. Available from: http://kosis.kr/search/search.do?query=%EC%B2%AD%EC%86%8C%EB%85%84%EA%B1%B4%EA%B0%95%ED%96%89%ED%83%9C.
  4. Statistics Korea. Survey on human rights of children in 2017 [Internet]. Daejeon: Statistics Korea; 2017 [cited 2017 December 31]. Available from: http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&bSeq=&aSeq=360040&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=0.
  5. National Youth Policy Institute. The survey of children and adolescents' mental health in 2012. Research Report. Seoul: National Youth Policy Institute; 2012 December. Report No.: 12-R15-1.
  6. Min HJ, Jon DI, Jung MH, Hong N, Song MA, Kim YS, et al. Depression, aggression, and suicidal ideation in first graders: A school-based cross-sectional study. Comprehensive Psychiatry. 2012;53(8);1145-1152. https://doi.org/10.1016/j.comppsych.2012.05.004.
  7. Kim HS. The Current trend of suicide and its prevention in life stages: Focusing on the comparison of elderly and youth suicide. Korean Journal of Gerontological Social Welfare. 2006;34:271-292.
  8. Nrugham L, Holen A, Sund AM. Prognosis and psychosocial outcomes of attempted suicide by early adolescence: A 6-year follow- up of school students into early adulthood. The Journal of Nervous and Mental Disease. 2015;203(4):294-301. https://doi.org/10.1097/NMD.0000000000000281
  9. Park SK. The necessity of diagnosis of actual condition of child protection system and establishment of safety guarantee system [Internet]. Sejong: Korea Institute for Health and Social Affairs; 2015 August [cited 2018 January 1]. Available from: https://www.kihasa.re.kr/web/publication/periodical/issue_ view.do?menuId=50&tid=38&bid=21&searchForm=Y&keyField=title&searchStat=2018&key=%EB%B3%B4%ED%98%B8&aid=392&ano=1.
  10. Hockenberry MJ, Wilson D. Wong's nursing care of infants and children [Internet]. USA: Elsevier Health Sciences; 2014 [cited 2018 January 1]. Available from: https://www.elsevier.com/books/wongs-nursing-care-of-infants-and-children/hockenberry/978-0-323-48538-8.
  11. Kim Y, Chang H. Effects of physical health conditions on suicidal ideation in Korean adolescents. Korean Journal of Health Education and Promotion. 2016;33(2):27-37. https://doi.org/10.14367/kjhep.2016.33.2.27
  12. Sohn SY. Factors affecting suicidal ideation, suicidal plan and suicidal attempt in Korean adolescents. Journal of the Korea Academia-Industrial cooperation Society. 2014;15(3):1606-1614. https://doi.org/10.5762/KAIS.2014.15.3.1606
  13. Fitzgerald CT, Messias E, Buysse DJ. Teen sleep and suicidality: Results from the youth risk behavior surveys of 2007 and 2009. Journal of Clinical Sleep Medicine. 2011;7(4):351-356. https://doi.org/10.5664/jcsm.1188
  14. Kim SW, Kim DS. The relationship between tragectories of child maltreatment and adolescent suicidal ideation. Korean Journal of Child Studies. 2017;38(2):81-91. https://doi.org/10.5723/kjcs.2017.38.2.81
  15. Oh SA, Kim JH. Impact of school violence experience on the mental health of elementary school children: Mediated effects of peer attachment, parent-child interaction, parenting attitude. Korean Journal of Children's Media. 2017;16(4):157-179. https://doi.org/10.21183/kjcm.2017.12.16.4.157
  16. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/BF03193146.
  17. Ministry of Health and Welfare, Ministry of Education, Korea Centers for Disease Control and Prevention. The 13th Korea youth risk behavior [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2017 [cited 2017 December 31]. Available from: http://yhs.cdc.go.kr.
  18. Ministry of Education. School health check rules: No. 31 [Internet]. Sejong: Ministry of Education; 2014 [cited 2017 December 31]. Available from: https://www.moe.go.kr/boardCnts/view.do?boardID=141&lev=0&statusYN=C&s=moe&m=0404&opType=N&boardSeq=57981.
  19. Klomek AB, Marrocco F, Kleinman M, Schonfeld IS, Gould MS. Peer victimization, depression and suicidiality in adolescents. Suicide and Life-Threatening Behavior. 2008;38(2):166-180. https://doi.org/10.1521/suli.2008.38.2.166
  20. Baldry AC, Winkel FW. Direct and vicarious victimization at school and at home as risk factors suicidal cognition among Italian adolescent. Journal of Adolescence. 2003;26(6):703-716. https://doi.org/10.1016/j.adolescence.2003.07.002
  21. Flannery DJ, Wester KL, Singer MI. Impact of exposure to violence in school on child and adolescent mental health and behavior. Journal of Community Psychology. 2004;32(5):559-573. https://doi.org/10.1002/jcop.20019
  22. Ministry of Education. 2018 A survey on school violence [Internet]. Sejong: Ministry of Education; 2018 [cited 2018 December 13]. Available from: https://www.moe.go.kr/boardCnts/view.do?boardID=294&boardSeq=75144&lev=0&searchType=null&statusYN=C&page=1&s=moe&m=0503&opType=N.
  23. Solberg ME, Olweus D. Prevalence estimation of school bullying with the Olweus Bully/Victim Questionnaire. Aggressive Behavior. 2003;29(3):239-268. https://doi.org/10.1002/ab.10047
  24. Choi E, Lee MJ, Yun HJ, Kim JH, Lee JS, Park JH, et al. Behavioral characteristics and parental stress in elementary school children with bronchial asthma and allergic rhinitis. Allergy, Asthma and Respiratory Disease. 2016;4(3):205-211. https://doi.org/10.4168/aard.2016.4.3.205
  25. Bentley KH, Franklin JC, Ribeiro JD, Kleiman EM, Fox KR, Nock MK. Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: A meta-analytic review. Clinical Psychology Review. 2016;43:30-46. https://doi.org/10.1016/j.cpr.2015.11.008
  26. Kelly TM, Cornelius JR, Lynch KG. Psychiatric and substance use disorders as risk factors for attempted suicide among adolescents: A case-control study. Suicide and Life-Threatening Behavior. 2002;32(3):301-312. https://doi.org/10.1521/suli.32.3.301.22168
  27. Korean Youth Counselling and Welfare Institute. Survey on youth suicide in 2007 [Internet]. Busan: Korean Youth Counselling; 2012 [cited 2017 December 31]. Available from: https://www.kyci.or.kr/userSite/lib/public_read.asp?idx=X342&Page=1&Gubun=T&orderMdate=&SearchGubun=bname&SearchText=0.
  28. Ryu EJ, Choi KS, Seo JS, Nam BW. The Relationships of internet addiction, depression, and suicidal ideation in adolescents. Journal of Korean Academy of Nursing. 2004;34(1):102-110. https://doi.org/10.4040/jkan.2004.34.1.102
  29. Moon DK, Kim YH. A meta-regression analysis on related triggering variables of adolescents' suicidal ideation. Korean Journal of Counseling. 2011;12(3):945-964. https://doi.org/10.15703/kjc.12.3.201106.945

Cited by

  1. 간호대학생의 신체이미지, 자기효능감이 건강증진생활양식에 미치는 융합 연구 vol.12, pp.3, 2019, https://doi.org/10.15207/jkcs.2021.12.3.361