• 디지털융복합연구
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• 제16권7호
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• pp.469-478
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• 2018

본 연구의 목적은 성년기, 중년기, 노년기 여성을 대상으로 인구사회학적 요인, 사회적 관계 요인, 건강관련 요인이 위험음주에 미치는 영향을 파악하는 것이다. 본 연구는 제6기(2013-2015) 국민건강영양조사 자료를 이용하여 성년기 여성 1,143명, 중년기 여성 1,306명, 노년기 여성 875명을 대상으로 위험음주에 영향을 미치는 요인을 검증하고자 각 연령집단별로 각각의 로지스틱 회귀분석을 실시하였다. 연구결과, 성년기 여성의 경우, 교육수준, 결혼상태, 경제활동상태, 우울감, 흡연이 위험음주에 유의한 영향을 미치는 것으로 나타났다. 중년기 여성의 경우, 주관적 스트레스 수준과 흡연만이 위험음주에 유의한 영향을 미치는 것으로 나타났다. 노년기 여성의 경우, 교육수준, 자살생각, 주관적 건강상태가 위험음주에 유의한 영향을 미치는 것으로 나타났다. 이러한 연구결과는 생애주기에 따라 여성의 위험음주에 영향을 미치는 요인이 상이하다는 것을 의미한다. 이를 토대로 생애주기별 여성의 위험음주를 감소시키기 위한 융복합적 방안을 논의하였다.

• 한국멀티미디어학회:학술대회논문집
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• 한국멀티미디어학회 2012년도 춘계학술발표대회논문집
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• pp.302-303
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• 2012

최근 급증하고 있는 자살률과 청소년들의 학교폭력, 강력범죄 등은 심각한 사회적 문제가 되고 있다. 또한 컴퓨터의 보급으로 인한 인터넷 중독, 중년의 치매 등도 우리의 정신건강을 해치는 중요한 요인이다. 본 논문은 정신건강 간이선별도구를 활용하여 생활 스트레스로부터 발생되는 우울증과 인터넷 중독 등 정신건강을 헤치는 다양한 요인에 대한 대상자의 위험도를 파악하여 고(高)위험군에 해당되는 대상자의 1차 선별을 가능하게 하며, 정신건강진단에 대한 거부감을 줄이기 위한 놀이형태의 진단방법을 통하여 전문적인 치료로 유도하는 시스템을 구축하는 연구이다.

• 한국간호교육학회지
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• 제20권3호
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• pp.372-381
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• 2014

Purpose: This study aims to investigate the effects of a peer gatekeeper training program on existential spiritual well-being, interpersonal relationship with friends, and suicide probability for middle school students. Methods: The participants were fifty students who were at a vocational middle school in D city from october 13, 2012 to november 10, 2012. To test the effects of the peer gatekeeper training program, the participants were divided into two groups in the way of matching distribution, an experimental group(24) and a control group(26). Data were analyzed by Chi-square test, t-test, and Fisher exact probability test using the SPSS/WIN 12.0 program. Results: After attending the peer gatekeeper training program, significant differences between the experimental group and the control group were found in existential spiritual well-being(t=2.80, p=.007) and interpersonal relationship with friends scores(t=2.67, p=.010). However, there was no statistically significant difference in suicide probability between the two groups. Conclusion: The results indicate that the peer gatekeeper training program enhance existential spiritual well-being and interpersonal relationship with friends of middle school students. Therefore, this program could be a good strategy that teachers and community mental health nurses can use for suicide prevention of middle school students.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권3호
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• pp.149-158
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• 2015

Objectives : The objective of this study was to identify the risky behavior subtypes in adolescents with depression, and the relationship between those subtypes and suicide attempt. Methods : Ninety adolescents who met the Diagnostic and Statistical Manual of Mental Disorders-4th edition criteria for major depressive disorder, dysthymia, or depressive disorder not otherwise specified participated in the study. Participants were interviewed about suicidal attempts, non-suicidal self-injuries. Smoking, drinking behaviors, and searching for the word "suicide" on the internet, negative life events including bulling-bullied experiences, and history of abuse were also included with questionnaires. Results : The results of cluster analysis showed that four risky behaviors were divided into three clusters : non-risky type, characterized by few risky behaviors ; delinquency type, which was characterized by smoking and drinking ; non-suicidal self-injury type. In non-suicidal self-injury type, percentage of girls was higher and clinical symptoms were more severe than delinquency type. In addition, delinquency type members could be a bully, while non-suicidal self-injury type members could be abused by a family member. Logistic regression analysis showed that both risky behavior subtypes were significant predictors of suicide attempt. Conclusion : These results suggest that two types of risky behaviors of depressed adolescents have an effect on the suicide attempts independently. Then, the implications and limitations of the study were discussed and directions for future studies were suggested.

• 생물치료정신의학
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• 제24권3호
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• pp.209-217
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• 2018

Objectives : The purpose of this study was to investigate the prevalence and risk factors of suicidality among community-dwelling elderly. Methods : The participants were 2,201 elderly people whose ages were over 65. The participants were asked to complete questionnaires, including Mini International Neuropsychiatric Interview(MINI), module C, Short Geriatric Depression Scale of Korean version(SGDS-K), Korean Geriatric Anxiety Inventory(K-GAI), The Korean Health Status Measure for Elderly V 1.0, Korean version of Mini-Mental Status Examination for Dementia Screening(MMSE-DS). Their sociodemographic factors were investigated. The data were analyzed using the chi-square test and the logistic regression test to examine the relationship between suicidality and participants' risk factors. Results : The prevalence rate of suicidality was 23.3%. In multiple logistic regression, depressive symptoms (OR=3.301, 95% CI : 2.453-4.440), anxiety symptoms(OR=3.289, 95% CI : 2.515-4.303), low physical function (OR=1.606, 95% CI : 1.229-2.098), no spouse(OR=1.571, 95% CI : 1.037-1.690), elderly aged 80 years or older (OR=1.506, 95% CI : 1.094-1.740) were independently associated with suicidality. Conclusion : Suicidality in community-dwelling elderly was quite high, particularly related to depressive symptoms. The results of this study can be useful for development of community-based prevention and management programs for suicidality.

• 한국콘텐츠학회논문지
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• 제15권4호
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• pp.277-290
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• 2015

본 연구는 비행 청소년이 학교폭력과 가정폭력, 학업중단, 자살이라는 위기로부터 일상의 건전한 청소년으로 회귀시키거나 선제적 개입 또는 사전 예방을 위해 실제로 위기에 내몰린 청소년을 분석하여 위기문제간의 연관된 패턴을 찾아내는데 목적이 있다. 연구 결과, 학업중단에 영향을 미치는 요인으로는 보호관찰, 범법, 흡연, 음주, 가출, 가정폭력_피해, 자살 등이 발견되었다. 특히 청소년이 가출을 해서 음주와 흡연을 하는 경우에는 학업중단의 위험이 그렇지 않은 청소년보다 2.76배 높은 것으로 예측되었고, 흡연보다 음주가 청소년의 학업중단에 더 크게 작용하는 것으로 밝혀졌다. 본 연구는 위기 청소년 문제를 해결하기 위해 당면한 문제에만 초점을 맞추기 보다는 잠재적 위기청소년의 가정과 학교, 지역사회 전반을 아우르는 복합적 위기관리가 필요함을 입증한 과학적 근거자료로서의 활용가치를 가진다.

• 지역사회간호학회지
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• 제21권1호
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• pp.71-81
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• 2010

Purpose: This study was to examine the effects of a depression intervention and suicide prevention program in adolescents with high risk of suicide. Methods: This research was designed as a nonequivalent control group pretest-posttest study. The participants were adolescents with high risk of suicide in mental health screening examination. A total of 40 adolescents (experimental group=21, control group=19) were sampled from C-gun, Chungbuk Province. The experimental group participated in the depression intervention and suicide prevention program for eight sessions while the control group did not participate in the program. Data were collected with a self-reporting structured questionnaire from November to December, 2008. SPSS/Win 12.0 was used for data analyses including chi-square test, t-test, and paired t-test. Results: After this program, there was no statistically significant difference in depression (t=1.498, p=.142) between the two groups, but depression decreased in the experimental group. There was a statistically significant difference in suicide ideation (t=2.058, p=.047). Conclusion: To decrease depression and suicide ideation in adolescents with high risk of suicide, it is necessary to offer this program in a more intensive course and for a longer period. Also, family consultation programs and individual case treatment and consultation programs should be offered.

• 한국노년학
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• 제38권3호
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• pp.767-782
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• 2018

고령화 사회를 맞이하여 학술적인 측면에서도 노년기의 심리를 다룬 연구가 매우 활발하게 이루어지고 있다. 노화의 심리적 과정을 다루는 심리노년학이나 노년기의 심리학을 다루는 노년심리학의 가장 근본적인 관심은 남은 생애 동안 높은 삶의 질과 안녕감을 유지하는 것이다. 이러한 맥락에서 본 연구는 지난 10년 간 "한국노년학"에 실린 심리학 분야 논문 중 자살(우울)의 문제를 다룬 91편의 논문과 노화 및 성공적 노화에 대한 문제를 다룬 31편의 연구를 분석하여 그 연구동향을 검토하고, 또 이를 초기 30년의 연구와 비교하여 분석하였다. 분석결과, 우울이 자살이나 일상생활에 미치는 직접적 혹은 매개적인 효과를 다룬 연구, 우울에 영향을 미치는 위험요인, 노인/노화에 대한 인식이나 그러한 인식에 영향을 미치는 요인을 보여준 연구, 그리고 성공적 노화 및 그것에 영향을 미치는 요인을 다룬 연구들이 주를 이루었다. 또한 이러한 주제를 다룬 연구가 첫 30년에 비해 크게 증가하였다. 이러한 결과를 노년기 여생의 삶의 질의 제고 맥락에서 논의하였다.

• 한국보건간호학회지
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• 제28권1호
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• pp.71-86
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• 2014

Purpose: This study was conducted in order to identify factors that predict suicidal ideation and depression according to gender among Korean adults. Method: From the data base of the fifth Korean National Health and Nutritional Examination Survey(KNHANESV-1, 2010), data on 4,894 adults aged 19~64 were used. Data were analyzed by application of the Rao-Scott Chi-Square test and logistic analysis with SAS 9.2. Results: Overall, 8.5% of men and 18.1% of women had suicidal ideation during the last year; 7.5% of men and 17.0% of women had depression during the last two weeks. Risk factors for suicidal ideation include perceived high stress(OR male 3.649, female 2.941), depression(OR male 10.109, female 6.033), poor cognition of health status(OR male 8.115, female 6.664), low economic status(OR male 1.898), and low educational status(OR female 1.631). Risk factors for depression include perceived high stress(OR male 2.678, female 3.686), suicidal ideation(OR male 9.925, female 6.022), non-employed(OR female 1.525), married(OR female 2.392), and physical discomfort(OR female 1.545). Conclusions: Based on the above mentioned results, risk factors of suicidal ideation and depression differed according to gender. Development of various policies and appropriate intervention programs according to gender, that lessen the risk of suicidal ideation and depression for adults is needed.

• 여성건강간호학회지
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• 제21권2호
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• pp.128-138
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• 2015

Purpose: This cross-sectional study was designed to identify anger-expression types of adolescent women and investigate the relationship between the identified anger-expression types and their problem behaviors and suicide probability. Methods: The participants were 942 students at two female high school located in Gwangju. The data were analyzed using descriptive statistics, cluster analysis, t-test, ANOVA, and $Scheff{\acute{e}}$ multiple comparison test. Results: Cluster analysis revealed 4 distinct anger expression types; Anger-out, Low anger expression, Anger-control, and Anger-in/out types. Female adolescent women had a higher level of trait anger or who frequently used the anger-in/out type reported internalized-externalized problem behaviors and suicide probability more frequently compared to those who frequently used the other three types of anger expression. Conclusion: Female adolescent women who had the low anger expression type and anger control type managed anger most effectively. The findings suggest the necessity of a development of the program for lowering the trait anger level and controlling the unfavorable anger expression types such as the anger-in/out.