• Journal of Korean Academy of Nursing
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• v.46 no.1
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• pp.59-68
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• 2016

Purpose: Increase in suicide rate for senior citizens which has become widespread in our society today. It is not a normal social phenomenon and is beyond the danger level. The contents of this study include Korean senior citizens' suicide related risk factors and warning signs, and the development of a simple Geriatric Suicide Risk Scale. Methods: This study is Methodological Research to verify reliability and validity of the Geriatric Suicide Risk Scale according to the tool development process suggested by Devellis (2012). Results: For predictive validity assessment, high suicide screening accuracy was showed with an Area under the ROC curve (AUC) of .93. For the optimal cutoff point of 11, sensitivity was 93.9%, and specificity, 75.7% which are excellence levels. Cross validity for assessment of generalization possibility showed the Area under the ROC curve (AUC) as .82 and in case of a cutoff point of 11, sensitivity was 73.7%, and specificity, 65.9%. Conclusion: When it comes to practical nursing, it is significant that the Korean Geriatric Suicide Risk Scale has high reliability and validity through adequate tool development and the tool assessment step to select degree of suicide risk of senior citizens. Also, it can be easily applied and does not take a long time to administer. Further, it can be used by health care personnel or the general public.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.116-125
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• 2020

Objectives : Self-poisoning is the leading cause of visits to the emergency departments after a suicide attempts. This study is aimed to compare the patient characteristics according to the category of drugs ingested by the patients who attempted suicide. Methods : All medical charts were retrospectively reviewed from patients who visited the emergency center, at Seoul Medical Center, due to intentional self-poisoning from April of 2011 to July of 2019. We investigated the information regarding the subtype and quantity of the intoxication drug, how it was obtained, suicidal history, and psychiatric history, as well as, sociodemographic information. Variables were compared between prescription drug (PD) and non-prescription drug (NPD) poisoning groups. Results : The mean age of the NPD poisoning group was significantly lower than that of the PD poisoning group. The patient ratio of those enrolled in national health insurance and living with spouses were significantly higher in the NPD poisoning group. Compared to the NPD poisoning group, the PD poisoning group had a higher incidence of mental illnesses, underlying diseases and ratio of involuntary visit to the emergency department. Among the prescription drugs, the benzodiazepine poisoning group had a higher rate of self-prescription than the non-poisoning group, while the zolpidem poisoning group had a higher rate of the using someone else's prescription than other drugs. Each single drug poisoning group (benzodiazepine, zolpidem, and antidepressant single-agent) had a higher rate of no mental illness than each of the mixed-poisoning group. Conclusions : Guidelines for regulating non-prescription drugs are needed as a matter of suicide prevention. Also, this study suggests that clinicians need to be careful when issuing prescriptions and should suicidal risk according to patients' characteristics, duration of follow-up and type of drug packaging.

• Korean Journal of Health Education and Promotion
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• v.10 no.2
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• pp.86-99
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• 1993

본 연구의 목적은 한국청소년들의 건강행동실태를 파악하기 위한 것이다. 본 연구의 의의는 미국에서 행해지고 있는 청소년의 건강유지 및 증진과 아울러 성인병이나 조기사망에 대한 역학적인 접근방식을 한국청소년을 대상으로 하여 응용하는 데 있다. 이 연구에 사용된 연구도구는 미국의 Centers for Disease Control에서 청소년의 건강행동을 역학적으로 연구하기 위해 개발한 Youth Risk Behavior Survey를 한국 사회환경의 요구도에 맞게 수정한 것이다. 본 연구는 한국인 청소년들의 건강행동을 조사하기 위한 타당성있는 연구도구를 개발하기 위해 4개의 단계로 구성되어 있다. 두번의 focus group discussion과 pilot test, 그리고 실제조사로 이루어져 있다. 서울지역의 중.고등학생을 대표할 표본추출은 cluster sampling을 사용하였다. Cluster는 본 연구에서 구분한 서울의 지리적인 구역들, 즉 북부, 남부, 그리고 산업지역을 포함했고, 남자학교, 여자학교, 남녀공학학교를 포함했다. 총38개 중.고교 학생 4,747명이 조사되었다. 약 52.4%의 응답자가 심각하게 자살을 생각해본 적이 있다고 답했다. 그리고 23.6%가 설문조사전 30일 중에 담배를 피운 적이 있다고 응답했으며 49.7%는 설문조사전 30일중에 술을 마신 적이 있다고 답했다. 약 29%가 설문조사전 30일 중에 싸움에 가담한 적이 있다고 응답했다. 본 연구에서 조사된 건강관련행동 (건강위험행동 포함)들은 성, 연령, 성적, 사회경제적 위치, 학교 종류, 그리고 서울의 지리적인 구역에 따라 다양하게 나타났다. 남학생이 여학생보다 더 간강위험행동을 나타내었다. 건강위험행동은 나이가 증가함에 따라 증가했다. 사회경제적 위치가 낮다고 응답한 학생들과 학급에서 성적이 하위라고 응답한 학생들의 경우 건강위험행동은 더 많이 나타났다.

• Journal of Korean Society of Disaster and Security
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• v.15 no.2
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• pp.1-12
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• 2022

Based on major safety-related statistics of cities, provinces, counties, and districts across the country, social disasters manage regional safety index ratings in six areas(traffic accidents, fires, crime, life safety, suicide, and infectious diseases), and natural disasters operate a management system. The current application of the regional safety assessment of natural disasters is very insufficient to evaluate the local risk of natural disasters up to the Eup, Myeon, and Dong level, and it is marked too engineering and difficult for the general public to use. The purpose of this study is to present Korea's natural disaster local risk assessment as an improvement model that extends to the sub-unit of Eup, Myeon, and Dong, using the local risk assessment model mixed with natural and social disasters.

• Journal of Korean Society of Disaster and Security
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• v.12 no.1
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• pp.11-21
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• 2019

This study assessed the risk of disaster by using QRE(Quick Risk Estimation - UNISDR Roll Model City of Basic Evaluation Tool) tools for three natural disasters and sixteen social disasters managed by the Seoul Metropolitan Government. The criteria for selecting 19 disaster types in Seoul are limited to disasters that occur frequently in the past and cause a lot of damage to people and property if they occur. We also considered disasters that are likely to occur in the future. According to the results of the QRE tools for disaster type in Seoul, the most dangerous type of disaster among the Seoul city disasters was "suicide accident" and "deterioration of air quality". Suicide risk is high and it is not easy to take measures against the economic and psychological problems of suicide. This corresponds to the Risk ratings(Likelihood ranking score & Severity rating) "M6". In contrast, disaster types with low risk during the disaster managed by the city of Seoul were analyzed as flooding, water leakage, and water pollution accidents. In the case of floods, there is a high likelihood of disaster such as localized heavy rains and typhoons. However, the city of Seoul has established a comprehensive plan to reduce floods and water every five years. This aspect is considered to be appropriate for disaster prevention preparedness and relatively low disaster risk was analyzed. This corresponds to the disaster Risk ratings(Likelihood ranking score & Severity rating) "VL1". Finally, the QRE tool provides the city's leaders and disaster managers with a quick reference to the risk of a disaster so that decisions can be made faster. In addition, the risk assessment using the QRE tool has helped many aspects such as systematic evaluation of resilience against the city's safety risks, basic data on future investment plans, and disaster response.

• Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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• v.39 no.1
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• pp.29-40
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• 2021

Risk factors that threaten public safety such as crime, fire, and traffic accidents have spatial characteristics. Since each region has different dangerous environments, it is necessary to analyze the spatial pattern of risk factors for each sector such as traffic accident, fire, crime, and living safety. The purpose of this study is to analyze the spatial distribution pattern of local safety level index, which act as an index that rates the safety level of each sector (traffic accident, fire, crime, living safety, suicide, and infectious disease) for basic local governments across the nation. The following analysis tools were used to analyze the spatial autocorrelation of local safety level index : Global Moran's I, Local Moran's I, and Getis-Ord's G⁎i. The result of the analysis shows that the distribution of safety level on traffic accidents, fire, and suicide tends to be more clustered spatially compared to the safety level on crime, living safety, and infectious disease. As a result of analyzing significant spatial correlations between different regions, it was found that the Seoul metropolitan areas are relatively safe compared to other cities based on the integrated index of local safety. In addition, hot spot analysis using statistical values from Getis-Ord's G⁎i derived three hot spots(Samchuck, Cheongsong-gun, and Gimje) in which safety-vulnerable areas are clustered and 15 cold spots which are clusters of areas with high safety levels. These research findings can be used as basic data when the government is making policies to improve the safety level by identifying the spatial distribution and the spatial pattern in areas with vulnerable safety levels.

• Proceedings of the Korean Society of Computer Information Conference
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• 2016.07a
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• pp.157-159
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• 2016

최근 학교폭력 및 묻지마 범죄가 꾸준히 증가추세에 있다. 2011년 12월 학교폭력에 의한 대구중학생 자살사건, 2010년 2월 김길태 사건과 6월 김수철 사건, 2016년 5월 강남역 노래방 살인사건과 6월 섬마을 여교사 사건 등 사회적 약자인 소년, 여성 대상범죄 및 묻지마 범죄가 사회문제로 대두되고 있다. 이에 따라 범죄예방 도구이자 전략으로써 CPTED가 하나의 대안으로 부각되고 있다. 국토교통부는 건축물, 건축설비 및 대지에 관한 범죄예방 기준인 '범죄예방 건축기준 고시'를 2015년부터 시행하고 있는데 적용대상 건물 등은 이 기준에 따라 설계하고 건축해야 한다. 현대 위험사회에서 강력범죄 및 경범죄의 사전예방을 위해서는 사회 안전시스템 구축이 요구되며 그 대안으로 환경설계를 통해 범행기회를 심리적, 물리적으로 차단하는 정책을 모색함으로써 환경범죄학 입장에서 범죄예방에 접근할 필요가 있다.

• Proceedings of the Korea Information Processing Society Conference
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• 2018.05a
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• pp.474-475
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• 2018

전 세계적으로 9.11로 대표되는 자살테러, 비행기테러, 화학가스 테러 등에 의한 인명피해가 늘고 있다. 1986년 김포공항 폭발사고, 1995년 음진리교 지하철 사린가스 사건, 2001년 9.11 사건, 2003년 필리핀 공항 폭탄테러 사건 등의 큰 테러 외에도 작은 사건은 무수히 많다. 이러한 테러 사태를 미연에 방지하기 위한 지능형 영상 보안 감시 시스템이 사회적으로 연구되어왔고 도입되어 왔다. 기존의 지능형 영상 보안 시스템은 모션 디렉션 기반으로 금지구역의 침입자로 판단되는 사람을 찾는 기능 중심으로 발전해왔다. 또한 보안요원의 관찰 모니터를 통해 화면을 계속 주시하는 한계 시간의 존재와 모니터 증가에 따른 한계 시간은 더 급감하게 되는 것으로 판단되었다. 이에 본 연구를 통해 유기물 탐지의 자동화를 추구하고, 보안 요원의 감시 업무를 도와 국가 주요 시설물의 유기물 자동 탐지를 통해 테러로부터 안전하게 보호하고자 한다.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.1
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• pp.16-21
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• 2022

Objectives : The purpose of this study is to investigate depression and suicide ideation according to socioeconomic changes after COVID-19 among Korean adolescent. Methods : Data on the study population were obtained from the 16th Korea Youth Risk Behavior Web-based Survey (KYRBS). The KYRBS is a nationally representative sample of Korean adolescents (aged 12-18 years) that originally included over 103 questions in 15 domains of health-risk behaviors. In the 16th KYRBS, a total 54,948 students from 793 schools responded to the survey. Chi-square test and logistic regression analysis were conducted regarding depression and suicide ideation. Results : This study suggests that changes in the family household before and after COVID-19 pandemic are also affecting the mental health of the adolescents. The study shows that worse change of family household is significant associations with suicidal ideation and depression. Adolescents reporting worse (AOR 1.38; 95% CI 1.38-1.57) and much worse (AOR 2.07; 95% CI 1.87-2.29) were significantly more likely to report depression. Adolescents reporting worse (AOR 1.34; 95% CI 1.34-1.60) and much worse (AOR 2.01; 95% CI 1.76-2.29) were significantly more likely to report suicide ideation. Conclusions : In this study, it was confirmed that young people from socially disadvantaged backgrounds are at high risk of suicide ideation and more depression. The results of this study suggest that we should consider improving the screening and prevention of mental health problems for adolescents with poor socioeconomic changes of COVID-19.

• RED RIBBON
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• s.72
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• pp.9-11
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• 2006

후천성 면역 결핍 증후군(AIDS, Aquired Immune Deficiency Syndrome)과 사람 면역결핍 바이러스 (HIV, Human Immunodeficiency Virus)관련 질환은 1981년 처음 AIDS가 보고된 이래 전 세계적으로 인류의 건강을 위협하고 있는 공중보건학적 문제이다. 그동안 HIV/AIDS 관련 질환에 대한 치료들은 주로 감염 경로 차단 및 관련된 내과적 질환의 치료에 초점이 맞추어져 왔다. 그러나 AIDS 환자 본인뿐만 아니라 가족, 치료진들은 흔히 HIV 감염으로 인한 심리적인 어려움에서부터 HIV 전파 위험을 높이는 물질 오남용 문제, 우울증, 치매 같은 전형적인 정신과 질환 및 자살에 이르기 까지 다양한 종류의 정신건강 상의 문제들에 자주 직면한다. 이와 같은 신경정신과적 문제들은 치료 결과나 예후, 삶의 질 등에 영향을 미칠 수 있기 때문에 환자의 가족들은 AIDS로 인한 정신과적 질환이나 현상들에 대해 잘 이해하고 적절하게 대처할 필요가 있다.