• Title/Summary/Keyword: 자살위험

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Prevalence and Related Risk Factors of Suicidal Ideation in Urban Adolescents (일 도시지역 청소년의 자살사고 유병률과 위험인자에 대한 연구)

  • Lee, Tae Ho;Lee, Yu Jin
    • Sleep Medicine and Psychophysiology
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    • v.21 no.2
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    • pp.61-68
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    • 2014
  • Objective: The aim of the present study is to assess the prevalence and related risk factors of suicide ideation among middle and high school students in an urban area. Methods: We surveyed 3,691 middle and high school students (2,159 male, 1,532 female, 11-19 years of age) using a self-report questionnaire that covered basic socio-demographic data, academic achievements, presence of physical or psychiatric illness, sleep duration on weekdays, time spent at private academies on weekdays and weekends, and subjective needs for counseling. The Beck Depression Inventory (BDI) and Reynolds' Suicidal Ideation Questionnaire (SIQ) were included in the survey. Results: The prevalence of students with high suicide ideation ($SIQ{\geq}62$) was 4.6%. In a logistic regression model, female sex (p = 0.002), younger age (p < 0.001), poor academic achievement (p = 0.043) and higher score of BDI (p < 0.001) were associated with a higher SIQ score. In addition, younger age (p = 0.045) and a higher BDI score (p < 0.001) were associated with a higher SIQ score adolescents having high suicide ideation ($SIQ{\geq}62$). Conclusion: Related risk factors of suicide ideation in adolescents were female sex, younger age, poor academic achievement, and a depressive mood. It would be especially helpful to pay more attention to younger adolescents and a depressive mood as a high-risk group. The understanding of these factors will be helpful for providing an effective suicide screening and prevention program for adolescents.

Health Risk Behavior and Oral Symptoms in Adolescents in Multicultural Families (다문화 가정 청소년의 건강 위험 행동과 구강 증상에 관한 연구)

  • Sim, Seon-Ju;Hong, Min-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.246-252
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    • 2020
  • This study used the raw data of the 15th (2019) Korean Youth Health Risk Behavior Survey to investigate the risk factors of the health-risk behaviors of Korean multicultural adolescents on the subjective oral symptoms. The scope of the multicultural family was limited to children of immigrant women's families married to Korean men and immigrant male families married to Korean women, and 572 were selected as the final study subjects. The sociodemographic variables were surveyed as gender, grade, economic level, and school performance. The health risk behaviors included drinking, smoking, medication, stress, sleep satisfaction, suicidal thoughts, depression, and brushing before bedtime. The oral symptoms examined were toothache, gum pain, and halitosis. As a result, toothache was related to drinking, toothbrushing before sleep, stress, sleep satisfaction, suicidal thoughts, and depression. Gum pain was associated with drug use, sleep satisfaction, suicidal thoughts, and depression. Halitosis was associated with medication, brushing before sleep, stress, suicidal thoughts, and depression. In terms of health risk factors, drinking, stress, and sleep satisfaction were risk factors for toothache. Smoking, sleep satisfaction, and suicidal thoughts were risk factors for gum pain. The presence of toothbrushing and stress were risk factors for halitosis. In conclusion, a policy system is needed to support oral health education programs nationally at times, such as after-school activities or club activities, to promote oral health for teenagers.

The Relationship between Insomnia and Suicidal Idea Through Resilience (회복탄력성을 통한 주관적 불면의 심각도와 자살사고와의 관계)

  • Jung, Saim;Ju, Gawon;Lee, Sang Ick;Shin, Chul-Jin;Son, Jung-Woo;Kim, Siekyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.25 no.2
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    • pp.193-199
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    • 2017
  • Objectives : Insomnia may be one of the risk factor for suicidal ideation, but little is known about the mechanism by which sleep disturbances confer risk for suicide. The aim of this study was to investigate examine whether insomnia severity would be associated with resilience and suicidal ideation, and whether resilience would mediate the relationship between insomnia and suicidal ideation. Methods : A total of 432 community-dwelling adults(227 male, 205 female,) completed the self-report questionnaire that covered basic socio-demographic data. To assess the psychological variables, the following instruments were applied: Insomnia Severity Index(ISI), Korean Version of the Connor-Davidson Resilience Scale(K-CD-RISC), Beck Hopelessness Scale(BHOP) and Scale for Suicidal Ideation(SSI-Beck). People with an ISI score of 8 or higher were defined as insomnia. Results : Greater insomnia symptom severity was significantly associated with higher level of suicidal ideation and lower level of resilience, adjusting for hopelessness, age, sex, presence of family members living together, and household income. Additional analysis revealed that disturbance of sleep initiation and disturbance of sleep maintenance were significantly associated with suicidal ideation. Mediation analyses revealed that resilience significantly accounted for the relationship between insomnia symptom severity and suicidal ideation. Conclusions : These findings suggest that the evaluation and control of insomnia and resilience may be needed to reduce the risk of suicide.

Effect Factors of Adolescences' Suicide risk (청소년 자살위험성에 영향을 미치는 요인)

  • Kim, Hyun-Ju
    • Journal of the Korean Society of Child Welfare
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    • no.27
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    • pp.69-93
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    • 2008
  • The study tried to identify suicidal factors of adolescences by analyzing effect factors of adolescences' suicide. Demographic factor, Self-respect, depression, suicidal ideation, and school adjustment scale, Social support, self-regulation, and problem solving scale were analyzed as effect factors. 307 junior high and high school students in Pusan city were surveyed by community education experts for this research. As a result, there are significant differences between high suicidal risk group and low suicidal group in all subcategories including economic status. As for the correlation analysis between risk factors and preventive factors, variables, it was analyzed that each variable was correlated to other variables. In addition, multiple regression analysis was conducted to find out affecting factors of adolescence suicide categorized into demographic factor, personal factor, school factor, and social factor. As a result, it was founded that the affecting factors of adolescence suicide were school adjustment, problem solving ability, suicidal ideation, depression and neighborsupport, and self-regulation. That is, to prevent adolescence suicide, the adolescence who are exposed to suicidal risk should be identified by measuring the degree of suicidal ideation, strengthened their school adjustment, and then conducted group therapy to strengthen their problem solving ability and self-regulation. In addition, adolescence suicide can be prevented by strengtheningsocial support for adolescences.

Gender difference in the effects of Korean youth mental health on binge drinking (한국 청소년의 정신건강이 위험음주에 미치는 영향에서의 성차)

  • Song, Hee-Seung
    • Journal of Digital Convergence
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    • v.16 no.1
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    • pp.421-430
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    • 2018
  • The purpose of this study is to explore the effects of mental health (stress perception, depression, suicidal ideation) on binge drinking among adolescents according to gender. Data were collected from the 12th (2016) Korea Youth Risk Behavior Web-Based Survey(KYRBWS) and 65,528 middle and high school students, aged 12-18 years, were selected. Data analysis was conducted by using logistic regression analysis for mental health effects on binge drinking. The results showed that the binge drinking due to mental health of female students was higher in that of male students (stress perception: 1,444 times (95% CI: 1,200-1,737), depression: 1,843 times (95% CI: 1.674-2.029), suicidal ideation: 1.656 times (95% CI: 1.464-1.872)). The development of preventive / therapeutic programs for binge drinking should include not only the management of risk factors for mental health but also various approaches depending on gender.

The Current status of attempting suicide using NEDIS registration data and follow-up management (NEDIS 등록자료를 이용한 자살시도 현황 및 사후관리 방안)

  • Chae, Hee-Ran;Jeong, Jin-Wook;Han, So-Hyun;Lee, Sang-Young;Yoon, Han-Duk
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.193-194
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    • 2014
  • 자살시도는 결코 개인만의 문제라고 치부할 수 없는 사회적인 중요한 문제임에도 불구하고 국가차원에서의 관심과 예방계획은 아직도 미비한 수준이다. 본 연구에서는 NEDIS 등록자료를 이용하여 응급의료기관에 내원하는 자살시도자의 규모 및 특성에 대한 현황을 파악함으로써 응급실에서의 자살시도자에 대한 효과적인 관리 방안과 정책 마련 등을 위한 기초자료를 제공하고자 한다. 자살시도자는 여성 비율이 상대적으로 높았고, 연령은 20대~40대에서 많이 발생하였다. 서울특별시와 경기도에서 발생률이 가장 높았고, 자살시도 환자 수가 여름, 일요일에 많은 것으로 나타났다. 자살 시도 후 직접 내원하는 비율이 높았고, 약물 및 농약, 열상으로 인한 내원이 점차 증가하는 추세인 것으로 나타났다. 자살시도에 실패한 사람은 재발 가능성이 높은 것을 고려할 때, 응급실을 내원한 자살시도자들에 대한 지속적이고 전문적인 맞춤형 사후관리 프로그램이 절실히 요구되며, 자살 재발 위험을 방지할 수 있는 포괄적인 국가적 관리프로그램을 적극적으로 모색하는 등 다각적인 정신보건정책이 마련되어야 한다.

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Factors for Completing Case Management of Suicide Attempters: A Coihort Follow-Up Study Based on Data From Case Management of Emergency Room-Based Suicide Attempters (자살시도 환자의 지속적 관리 완수 요인: 응급실 기반 자살시도자 사후관리 사업 자료를 기반으로 한 코호트 추적 연구)

  • Ryou, Jae Hyun;Heo, Yoon Kyung;Kim, Da Seul;Kim, Sun Mi;Han, Doug Hyun;Min, Kyoung Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.176-183
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    • 2021
  • Objectives : The purpose of this study was to find out how demographic factors, suicide attempt patterns, psychiatric history and management of suicide attempters affect the completion of emergency department (ED) based case management program. Methods : Among the patients who attempted suicide and visited the emergency department of Chung-Ang University Hospital from June 1, 2018 to May 31, 2021, 661 patients who agreed to case management were studied. After being discharged from the emergency department, subjects were registered for an eight-week follow-up service program. Hierarchical logistic regression analysis was conducted with demographic factors, suicide attempt patterns, psychiatric history and management as independent variables, and completion of case management program as dependent variables. Results : Suicide attempt pattern had the most significant influence on the completion of case management program, followed by demographic factors, psychiatric history and management. Those who completed the case management program were significantly more likely to have suicide plans in the future, more authentic in suicide attempts, and had higher proportion of past suicide attempts than those who did not complete the program. Conclusions : To ensure that the subjects complete the follow-up project program and get connected to community services, an individualized approach with consideration of suicide attempt patterns, demographic factors, and psychiatric history is needed.

Factors related to Suicide within One year of Diagnosis of Schizophrenia: A Retrospective Cohort Study using National Health Information Database (조현병 진단 후 1년 이내 자살 관련 요인: 국민건강보험공단 자료를 이용한 후향적 코호트 연구)

  • Park, Soonjoo
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.349-356
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    • 2022
  • This study aims to identify factors related to suicide within one year of schizophrenia diagnosis based on data from National Health Information Database. We obtained data of 102,540 patients diagnosed with schizophrenia between 2007 to 2010 from customized database, which was checked using the National Statistics Organization database and schizophrenia cohort was built. The number of suicide within one year of schizophrenia diagnosis was 615(0.60%), and the risk of suicide within one year was high among patients within age group of 25-34 and patients with medium-low to high economic status. The risk of suicide within one year among male patients was high within age group of 45-54 and patients with medium-low to high economic status. The risk of suicide within one year among female patients was high within patients with high economic status. Age and economic status need to be considered during suicide prevention intervention of schizophrenia patients diagnosed within one year and suicide related factors by sex need to be especially considered.

Style for the Journal of Korean Contents Relation between BMI and Suicide Ideation in Adult : Using Data from the Korea Health Panel 2009~2013 (성인의 체질량지수(BMI)와 자살생각의 관계 -2009~2013년 한국의료패널자료를 활용한 연구-)

  • Lee, Jong-Ik
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.616-625
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    • 2018
  • The purpose of this study was to analyze the relationship between the BMI and suicidal ideation using Korean Health Panel data from 2009 to 2013 to identify risk factors for suicide. We conducted a logistic regression analysis using the R statistical package to analyze the relationship between the BMI and the suicidal ideation. The results of this study show that all models with BMI had a statistically significant as a significant variable. It was found that the obese group was more likely to suicide ideation than the other groups. Based on these results, we try to find social implications for suicide prevention and intervention.