• Korean Journal of Culture and Social Issue
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• v.29 no.1
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• pp.75-99
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• 2023

The current study aimed to explore the suicidal behaviors and risk factors of completed suicides using psychological autopsy and use them as index variables to classify suicidal types. In addition, this study looked into the influential factors that affect each suicidal type. related to suicidal behaviors and suicidal risk factors by psychological autopsy. In addiction, the distinctions among the classes were analyzed. For this, psychological autopsies were conducted on the families and the close ones of 128 completed suicides. Then, the index variables were finally chosen for classifying suicidal types. The selected index variables for suicidal risk factors were mental disorders, suicide/self-harm, significant changes in physical appearance, marital conflict, adjustment and relationship issues at work/school, unemployment/layoff, jobless status and serious financial problems. The selected index variables for suicidal behaviors were expressing their suicidal attempts, writing suicidal notes, asking for help, the time/place/method of suicidal behavior, past suicidal/self-harm experience and the first person who witnessed the suicide. The Latent Class Analysis(LCA) and the 3-step method were used for classifying suicidal types. Then external variables(financial changes, cohabitation, existence of stressors, changes in stress level or relationships and family members with mental disorder/alchohol problems/ physical disorders, and work/school stisfaction) were applied for distinguishing classes. As a result, 5 classes(financial problems, adjustment problems, complex problems, psychiatric problems, and response to event[s]) were revealed on suicidal behaviors and 3 classes(residence- suicidal attempt- found by family, nonresidence- nonsuicidal attempt- found by acquaintances, residence- nonsuicidal attempt- found by family) were presented on suicidal risk factors. External variables such as gender, marital status, cohabitation, changes in relationships significantly differentiated among the 3 classes. Especially, class 3(residence- nonsuicidal attempt- found by family) tended to cohabit with others, were married, and had a significantly high level of interpersonal conflicts. When comparing the 5 classes of suicidal risk factors, auxiliary variables such as economic changes, cohabitation, stress, relationship changes, and family-related problems, and school/work satisfaction significantly differentiated the 5 classes. Especially class 3 (complex problems) experienced comparatively less family-related problems, but showed an aggravating level of personal stress. Suicial prevention strategies should be provided considering the characteristics of each class and the influential factors.

• Journal of the Korea Convergence Society
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• v.10 no.11
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• pp.471-479
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• 2019

The purpose of this study was to investigate the correlations between ADHD, depression, anxiety, suicide risk and suicide risk of university freshmen, and to investigate factors affecting suicide risk of university freshmen. As a result, the correlation between suicide risk and ADHD, depression, and anxiety were statistically significant. The correlation between suicide risk and ADHD (r=-.411) was moderately negative, while depression (r=-.594) and anxiety (r=-.563) were high negative correlations. According to the logistic regression analysis, the significant factors affecting suicide risk of college freshmen were ADHD, depression, and anxiety. In the abnormal group of variables, ADHD (OR=3.17; 95% CI 1.36-7.38), depression (OR=10.80; 95% CI 4.32-27.02) and anxiety (OR=3.39; 95% CI 1.55-7.41) were identified as influencing factors. As such, suicide risk groups of college freshmen are highly associated with ADHD, depression, and anxiety. Therefore, personal counseling and regular psychological tests of college freshmen will be provided to the high-risk suicide program to help students' psychological stability and adjustment to school life.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.3
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• pp.1606-1614
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• 2014

This study aimed to identify the influencing factors of suicidal ideation, suicidal plan and suicidal attempt. The data of 2012 Youth Health Risk Behavior web-based Survey Collected by the Korea Center Disease Control was analyzed by using the SPSS program. The influencing factors of suicidal ideation, suicidal plan and suicidal attempt by general characteristics were gender, grade, school record, socioeconomic status, living with both parents, and subjective health status. The influencing factors of suicidal ideation, suicidal plan and suicidal attempt by health behaviors and emotional characteristics were smoking, drinking, effort for weight, sleep satisfaction, perceived stress and depression. This study suggested that suicidal prevention programs should be developed in preventing and reducing health risk behaviors and depression.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.2
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• pp.236-243
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• 2016

Objectives : The aim of this study was to clarify the role of alcohol use disorders and acute alcohol consumption in suicide attempts by gender. Methods : Data of 1,152 suicide attempters(487 males and 742 females) who had visited an emergency center was gathered. Suicide attempts were categorized into three groups according to alcohol use: an alcohol use disorder group(AUD), an acute alcohol use group(AAU), and a no-alcohol use group(NAU). The intent and lethality of suicide attempts were evaluated by Suicidal Intents Scale and Risk-Rescue Rating Scale. Results : For Suicidal Intents Scale score, the male AUD group revealed a significantly lower mean score than the male AAU one. However, there were no statistically significant differences for female subjects across subgroups. With regard to the Risk-Rescue Rating Scale score, there were no significant differences for males, while the AUD group showed both the lowest highest rescue scores and lowest risk-rescue scores within female groups. Conclusions : AUD in females was more likely regarding impulsive suicide attempts with high rescue chances. Consuming alcohol might have different effect on suicide attempts by gender and our study shows that alcohol use is an important risk factor according to gender, particularly with regard to female suicide attempts.

• The Journal of the Korea Contents Association
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• v.12 no.12
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• pp.261-268
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• 2012

This study investigates suicidal ideation and its associated factors by sex in adolescents, focusing health behaviors and health status. For this study, data of 931 adolescents(11-18years) from the Fifth Korean National Health and Nutrition Examination Survey(KNHANES V-1, 2010) were analyzed. Those who had activity limitation, depression, less exercise showed higher suicidal ideation. For male adolescents, those who were high school student compared with middle school showed lower suicidal ideation and had depression showed higher suicidal ideation. On the other hand, the risk factors of suicidal ideation for female adolescents were activity limitation, smoking experience, depression, less exercise. The development of suicide prevention program for adolescents requires different approaches for each sex.

• Anxiety and mood
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• v.6 no.1
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• pp.45-54
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• 2010

Objective : This study aimed to investigate and compare the prevalence of depression and suicidality among the elderly in a rural city according to their residence type. Methods : Participants were 311 elderly people (109 male and 202 female) in Icheon City, whom trained researchers interviewed and examined Geriatric Depression Scale, Social Support Scale, Instrumental Activities of Daily Living, Activities of Daily Living, Quality of Life Scale, and Mini International Neuropsychiatric Interview (MINI), module C. Using these data, we analyzed participants' risk factors associated with depression and suicidality. Results : The prevalence of depression was 28.0%. The prevalence in the elderly living alone and those admitted to residential facilities was significantly higher than that among the elderly living with family. Suicidality frequency was 19.6%. The suicidality frequency among the elderly living alone and those admitted to facilities was significantly higher than that among the elderly living with family. The risk factors for depression were age, admission to a facility, and low economic status. The suicidality risk factors were living alone, admission to a facility, poor social support, and a history of headache. Conclusion : These results showed the prevalence of depression and frequency of suicidality among the elderly in such a city was quite high. The results of this study remind psychiatrists of the importance of early detection and therapeutic intervention for the elderly with a high risk of depression and suicidality.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.2
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• pp.73-79
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• 2022

Objectives : Suicide is a global social problem. Social burden caused by suicide is gradually increasing. Various efforts have been made to prevent suicide. Lifestyle changes to western style, especially diet changes, have increased the risk for suicide. Therefore, in this study, we discussed diet as an adjuvant treatment for suicide. Methods : In this review, we summarized the biochemical mechanism of suicide, and diet as a risk factor for suicide and diet as a protective factor through a web search. Results : In this study, biochemical mechanisms for suicide were reviewed and diet as a risk factor and diet as a protective factor for suicide were investigated. It was confirmed that neurotoxic effects such as oxidative stress and inflammation in the neural system could increase the risk of suicide. Based on results of previous studies on the relationship between suicide and diet, it was found that heavy use of alcohol, coffee, carbonated soft drink, and fast food were risk factors for suicide. Protective factors for suicide included antioxidants such as vitamin C, carotene, and anti-inflammatory agents such as omega-3 fatty acids found in seafood in large amounts. Conclusions : The only treatment for suicide is prevention. In this context, effectiveness, accessibility, and safety are important for preventing for suicide. Antioxidants and anti-inflammatory agents that are relatively safe and readily available to the public could be effective adjuvant treatments to decrease the risk of suicide. In addition, it is necessary to educate the public on reducing diets that could increase the risk of suicide

• Health and Mission
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• s.24
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• pp.6-8
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• 2011

• 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.