• Korean Journal of Culture and Social Issue
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• v.29 no.1
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• pp.1-23
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• 2023

The purpose of this study was to validate the Suicidal Ideation Attributes Scale(SIDAS) which can measure the severity of suicidal ideation in a sample of 399 Korean adults. For this purpose, an online survey was conducted for two weeks from July 2020 to August 2020. First, there were differences in SIDAS scores among groups divided by gender, residence status, depression and anxiety symptoms, suicidal ideation, suicidal plan, suicidal preparation, and suicidal attempt. Second, correlations between SIDAS, C-SSRS suicidal ideation intensity question(3 items), and the Rosenberg Self-efficacy (RSE) were examined to confirm the validity of SIDAS. As a result, correlations between the SIDAS and suicidal ideation intesity items of C-SSRS were significant in all items, while correlations between the SIDAS and RSE items were negative or insignificant. Third, as a result of the confirmatory factor analysis of SIDAS on all respondents and respondents with suicidal ideation, a single factor structure was appropriate for both groups. Internal consistency of SIDAS was also good. Lastly, as a result of identifying the variables affecting the suicidal plan over the past year, controllability and age were identified as significant predictive variables. SIDAS which was designed to be administered through web, can be appropriately used in Korea. It was confirmed that SIDAS is a reliable and valid suicidal ideation scale which is applicable to adults in Korea.

• Health and Mission
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• s.24
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• pp.28-31
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• 2011

최근 경제적 어려움이나 극심한 스트레스로 인해 자살이라는 극단적인 선택을 하는 사람들이 늘고 있다. 우리나라는 5분에 한명씩 자살을 시도하고, 45분에 한명씩 자살로 생명을 잃을 만큼 자살 문제가 심각하다. 우리나라는 2006년에 이미 OECD(경제협력개발기구) 국가 중 가장 높은 자살율을 기록하고 있으며 2009년 통계청 자료에 의하면 인구 10만 명당 31명에 이른다. 특별히 경제난으로 고통 받고 있는 사람들에게 자살분위기가 도미노처럼 번져 나가고 있는 것은 참으로 우려스러운 일이 아닐 수 없다. 인간생명의 존엄성이 상실되어 가는 현실사회의 문제를 떠맡아 기초적인 실마리를 제공하고 해결해야 하는 것은 세상의 빛과 소금의 역할을 해야 하는 교회의 몫이라고 보여 진다.

• 건강소식
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• v.25 no.4 s.269
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• pp.6-13
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• 2001

자살은 인류 역사의 시작과 함께 시작되어 시대의 변화나 문화의 차이에도 불구하고, 인류와 함께 있어 왔다. 우리나라는 최근 급속한 자살 사망률의 증가로 인해 자살이 심각한 보건학적, 사회적 문제가 되고 있다. 특히 IMF 경제위기를 겪으면서 실업, 빈곤화, 가족해체 등은 IMF경제위기 이전보다 자살사망률이 급증하는 결과를 초래하였다. 또한 기존의 가족이나 사회문제, 교육문제 등으로 인해 취약한 정신건강상태로 인해 자살욕구에 대한 전염력이 강한 청소년과 젊은 청년층에게 ‘자살 사이트’라는 인터넷 매체로의 접근은 자살이라는 전염병의 새로운 감염경로가 되고 있다. 이것은 국민들의 정신건강 상태가 위험수위에 이르고 있음을 나타낸다. 온전한 정신 건강은 육체적 건강을 위한 필수조건일 뿐만 아니라 활기찬 생활의 바탕이 된다.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.1
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• pp.74-82
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• 2016

Objectives : Suicide attempters have impaired decision making and are at high risk of reattempt. Therefore it is important to refer them to psychiatric treatment. Especially, People with medical comorbidity are at higher risk of suicidal attempt and mortality. The aim of this study was to investigate the characteristics of suicidal attempters and to analyze the influence of the medical comorbidity on decision to receive psychiatric treatment after visit to an emergency department. Methods : One hundred and thirty two patients, who visited the emergency room of a general hospital in Gyeonggi-do between January, 2012 and December, 2012 were enrolled as the subjects of this study. After reviewing each subject's medical records retrospectively, demographic and clinical factors were analyzed. Results : Regardless of the engagement type, either via admission or outpatient clinic, the determinant factors of psychiatric treatment engagement were psychiatric diagnosis, employment status, previous psychiatric treatment history, and previous attempt history. Comparison of severity of medical comorbidity(Charlson Comorbidity Index) showed that suicide attempters who received psychiatric treatment via admission or refused the treatment tended to have higher level of medical comorbidity than who received psychiatric treatment via outpatient department. Conclusions : Our findings showed that medical comorbidity of suicide attempters affected the decision to accept psychiatric treatment. All psychiatrists should evaluate the presence and the severity of medical comorbidity of the suicide attempters and consider implementing more intervention for the medically ill attempters who are willing to discharge against advice.

• Proceedings of the Population Association of Korea Conference
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• 2007.11a
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• pp.299-316
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• 2007

이 연구는 가족의 불안정성이 노인자살에 미치는 영향을 확인하고 시간의 흐름에 따른 변화추이를 살펴보기 위한 것이다. 이를 위해 입지조건 가족불안정성 사회경제적 수준을 설명변수로 인과구조의 분석모형을 만들었다. 자료는 1995년, 2000년, 2005년의 사망원인통계와 시 군 구 지역단위통계를 활용하였다. 이혼을 통해 가족불안정성을 측정하였으며, 이혼이 미치는 영향을 자세히 살피기 위해 노인과 20-50대, 그리고 남자노인과 여자노인자살률을 분석에 같이 사용하였다. 이 논문은 GIS를 이용하여 세시점의 자살률을 제시하였고, 입지조건 및 이혼에 따른 노인자살률의 차이를 검증하기 위해 분산분석과 회귀분석을 실시하였다 일부 지역에서만 높은 수치를 보이던 노인자살률이 시간의 흐름에 따라 높아져, 최근에는 남서해안을 제외한 대분 지역에서 높게 나타나고 있다 또한 노인의 자살이 높은 지역이 대도시에서 농촌지역으로 변화해 농촌지역에서의 노인자살이 심각한 것을 알 수 있다. 경제위기를 겪으면서 급증한 이혼은 가족불안정성으로 이어져 자살률을 높이는 효과를 보여준다. 노인자살률과 20-50대 자살률에 미치는 이혼의 효과는 동일하게 나타나고 있으며. 노인의 경우 더 강한 정적인 영향을 미치고 있다. 이혼이 자살에 미치는 효과는 성별에 따른 차이를 보여주는데, 여자노인보다 남자노인자살률을 높이는 방향으로 작용하고 있다 이러한 결과들을 보면 가족불안정성이 특히 남자노인자살에 가장 큰 영향을 미치고 있음을 알 수 있다.

• Proceedings of the Korea Contents Association Conference
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• 2014.11a
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• pp.437-438
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• 2014

오늘날 자살은 현대사회의 심각한 사회현상으로 인식되고 있다. 자살에 대한 역사적 이해와 성경의 자살 이야기들을 간략하게 다룬 다음 자살의 원인을 살펴보게 될 것이다. 자살문제에 대한 해법을 제대로 찾기 위해 반드시 필요한 것은 그 원인이 무엇인지에 대한 올바른 이해가 선재되어야 하기 때문이다. 학자들의 견해는 대략적으로 생물학적 원인, 정신과적 원인, 그리고 사회학적 원인 세 부류로 나눠진다. 논자의 주요 논지는 자살을 이런 요인들이 복합적으로 작용한 결과로 발생한다는 것이다. 이에 대한 해결책으로 성경의 생명존중을 기초로 한 세 가지 사실을 제시한다. 첫째, 하나님의 형상으로 창조된 인간의 생명은 고귀하다. 둘째, 인간은 궁극적 의미에서 영원한 생명이라는 희망의 미래를 조망해야 할 존재이다. 셋째, 자살은 범죄행위라기보다는 치료가 필요한 질병이라는 인식의 확산이 필요하다.

• Journal of the Korea Convergence Society
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• v.13 no.2
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• pp.273-280
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• 2022

The purpose of this study is to investigate factors influencing the severity of non-suicidal self-injury in an adult community sample. Participants with recent and repeated NSSI(N=54) completed self-reported questionnaire assessing frequency, method, and motivation of self-injury and the emotional regulation of cognitive reappraisal. Results indicated that intrapersonal motivations were endorsed more than interpersonal motivations, and were significantly related with NSSI severity. Also earlier onset was significantly related to NSSI severity. These findings support the emotional regulation model of NSSI and highlight the importance of intervention focusing on emotional regulations.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.5
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• pp.591-598
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• 2019

The statistics of committing suicide in S. Korea is ranked in top with serious attempts of falling among OECD countries since 2003. The rates is slightly dropped by 5 percent point, nevertheless the falling is still high for the age of over 10 years old and this matter must be solved. Most of the case of suicides are the falling based on a trend view of falling which is serious matter and cannot be solved easily for both domestic and foreign countries. For example, the steel net of falling prevent was installed in the Golden Gate Bridge costed by 200 million-dollar. In New Zealand, the steel net of falling prevention had been removed and re-installed beccause of the high suicide rates. Canada and Australia also surrounded the bridge with steel fences to prevent suicide without consideration of the beauty of bridge. Therefore, this paper suggested a comparison study on both falling prevention systems in all countries and patent technologies. Also, it covers the blocking skills of approach in both security and limited area. This paper suggested the technical Rollinder system equipped with the mechanical apprentice to prevent effectively the falling sucides and wall passing. Before the installation of Rollinder System by 2016, there were 33 person who tried to fall in the river in Machang Bridge. However, the number of the committing suicides were dramatically reduced to zero after the installation of the system.

• The Journal of the Korea Contents Association
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• v.20 no.1
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• pp.530-538
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• 2020

Recently, the suicide rate problem in Korea is very serious. Local governments are pushing various policies to lower suicide rates. The purpose of this study is to assess the difference in the suicide rate among regions and to identify the trend of change by concentration index(CI). The major findings are as follows. First, county suicide rate was the highest in the last 20 years and the lowest in the city. The low suicide rate in urban areas continues. Second, suicide rates are increasing in all regions. But the gap between the district and the county was decreasing. The difference in suicide rates between urban and rural areas is decreasing. Third, the suicide rate concentration index was negative for all 20 years. Suicide rates in low-density farming and fishing villages. Fourth, the absolute value of the concentration index has been continuously decreasing for 20 years. The gap between suicide and rural areas is decreasing. Therefore, inter-regional suicide rate is estimated to be leveling up.

• Korean Journal of Psychosomatic Medicine
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• v.20 no.1
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• pp.40-49
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• 2012

Objectives : To examine emotional and psychological characteristics associated with suicide attempts in depressed patients. Methods : A sample of 37 inpatients diagnosed with major depressive disorder or depressive disorder NOS was divided into two groups : lifetime suicide attempters(N=15 ; 40.54%), non-attempters(N=22 ; 59.46%). Beck Depression Scale(BDI), Beck Anxiety Scale(BAI), Hamilton Depression Rating Scale(HDRS), Hamilton Anxiety Rating Scale(HARS), and MMPI-2 were used to evaluate symptoms severity and psychological characteristics. Results : Suicide attempters scored higher on the BDI though there were no group differences on the HDRS and on the both anxiety scales. Also they showed higher scores on the F, Fb, Pa, RC1, DEP, HEA, PK, AAS among MMPI-2 subscales. Our findings suggest that suicide attempters among depressed patients undergo more severe subjective distress and difficulties in adjustment than non-attempters. Also they were more hostile to others and showed lower trust. Lastly, they showed more somatic complaints and substance related problems. Conclusion : The present study showed that suicide attempters among depressed patients have distinct emotional and psychological characteristics. MMPI-2 would be helpful to assess suicidal risk of depressed patients.