• Title/Summary/Keyword: 자살의도

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Psychosocial Characteristics and Factors Associated with Referral to Psychiatric Care in the Suicide Attempters Visiting Emergency Center (응급실에 내원한 자살 시도자들의 정신사회학적 특성과 정신건강의학과 진료 의뢰 관련 요인)

  • Kwon, Jung-Woo;Ko, Young-Hoon;Han, Chang-Su;Lee, Moon-Soo;Yoon, Ho-Kyung;Lee, Hongjae
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.106-113
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    • 2013
  • Objectives: The purpose of this study was to examine the characteristics and the psychosocial factors associated to the referral to psychiatric care in the suicide attempters visiting emergency center. Methods: We conducted a systematic chart review of 377 suicidal attempters visiting emergency center of the Korea University Ansan Hospital between January 2008 and December 2011. We gathered a data contain 20 items including psychosocial characteristics and factors related to suicide and factors related to psychiatric treatment. Multivariate logistic regression models were fitted to data to estimate the unique effects of sex, drunken status, companion, suicidal methods, place of suicide and current use of psychiatric medication on the referral to psychiatric care. Results: The female gender(OR=1.63, 95% CI=0.99-2.69), suicidal attempts at home(OR=3.40, 95% I= 1.21-9.56) and drunken state at visit(OR=2.34, 95% CI=1.10-5.01) are the factors that predict the risk of the non-referral of the patients to psychiatric intervention. Place of suicidal attempt was the most important factor do play a role in determining whether referral to psychiatric care will take place or not. Current use of psychiatric medication showed a trend toward significance(p=0.08, OR=1.67, 95% CI=0.95-2.95). Conclusions: These results suggest that when deciding whether to adapt or to refuse the referral to psychiatric care, the factors such as suicidal intent, lethality of suicide methods, familiar factors and alcohol may contribute onto the referral to psychiatric care. Additional research is required to investigate an association of these factors with referral to psychiatric care.

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The Influence of Adolescents' Cognitive Stress on Their Suicidal Intention: Focusing on Mediating Effect of Physical Activity, Problem Drinking, Cognitive Depression (청소년의 스트레스인지가 자살의도에 미치는 영향: 신체활동, 문제음주, 우울인지를 매개로)

  • Kim, Hyung Tae;Yun, Mi Eun;Chun, Sung Soo
    • Korean Journal of Health Education and Promotion
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    • v.31 no.3
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    • pp.73-81
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    • 2014
  • Objectives: This study examined how adolescents' cognitive stress relates to suicidal thought, thereby offering basic data about social and institutional ways to reduce adolescent suicide. Methods: In this study, data from an online survey on adolescents' health conducted by Korea Center for Disease Control(2013, 9th) was used after altering it to fit the purpose of the study. The data was analysed using the complex sampling method and structural equation model(SEM). Results: Whilst adolescents' cognitive stress had positive effects on suicidal thought, problem drinking and cognitive depression, it had a negative effect on physical activity. The structural equation model from cognitive stress, problem drinking, cognitive depression, physical activity influenced suicidal thought. Problem drinking on the other hand had an influence on cognitive depression. Conclusion: These findings suggest that future intervention programs for prevention of adolescents' suicidal thought should also address problem drinking, cognitive depression, and cognitive stress.

A Study on Development of a View of Life and Death Scale (사생관 척도의 개발)

  • Yoshiyuki Inumiya ;Seong-Yeul Han
    • Korean Journal of Culture and Social Issue
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    • v.10 no.1
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    • pp.31-82
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    • 2004
  • The purpose of this study was development of a synthetic scale to measure young adults' views of life and death. Participants were 610 university students. The authors developed a View of Life and Death Scale including several subscales of afterlife views(belief in afterlife and retribution, belief in souls' effects and transmigration), meanings of death(liberation, nature, integration, collapse, impact, futility), death anxiety, death concern(death acceptance, death awareness) and life respect will(suicide inhibition, abortion inhibition, organ donation intention). The present study contributed to enhance our understanding of view of life and death in young adulthood. This study, therefore, could work as a stepping stone to investigate the structural relationship among elements included in views of life and death in young adulthood and to explore the consequences and determinants of personal view of life and death.

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A Study on the Characteristics of Intentional Self-Poisoning Patients : Comparison between Non-Prescription and Prescription Drugs (일반의약품과 전문의약품 의도적 음독 자살 시도자 특성 분석 연구)

  • Cho, Eulah;Cho, Ji Hyun;Jho, Kyeng Hyeng;Sim, Hyun-Bo
    • 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.

Relationship among Participation Motivation, Self-efficacy, Self-respect & Ceaseless Participation Intention of College Students in Mind Growth Program (마음성장 프로그램에 참여한 대학생의 참여동기와 자아효능감, 자아존중감 및 지속적 참여의도와의 관계)

  • Baek, Hyeon-Gi
    • Journal of Digital Convergence
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    • v.10 no.7
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    • pp.59-67
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    • 2012
  • This study is to investigate the causality of participation motivation, self-efficacy, self-respect and ceaseless participation intention of college students who joined mind growth program. Based on the outcome of previous studies, hypothesis and research model of this article was designed, and subjects of authentic analysis were 88 college students in mind growth program. The conclusion of this survey thru fitness levels of path model and analysis of covariance with hypothesis verification is as follows. The higher participation motivation of college students who joined mind growth program is, the higher self-efficacy and self-respect are getting. The higher participation motivation and self-efficacy thru self-respect are, the higher ceaseless participation intention is getting.

An Exploratory Study on the Relationship between External Causes of Injuries and Regional Safety Grade among Geriatric Injury Patients (노인 손상환자의 손상외인과 지역안전등급 간 관계에 관한 탐색적 연구)

  • Lee, Jeong-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.472-482
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    • 2016
  • The purpose of this study was to determine if a geriatric injury would have a statistically significant relationship with the spatial safety within a specific region. To achieve the objectives of this study, an independent sample t-test and One-way ANOVA were performed to verify difference in mean value of regional safety grade, depending on the injury intentionality, injury location, activities at the time of injury, and injury mechanism, in 6,572 geriatric injury patients by combining the National Hospital Discharge Patients Injury Survey data and regional safety index data. The results of statistical validation suggested that there was no difference in the mean value of regional safety grade by sub-group with respect to the injury intentionality. However, a statistically significant difference was observed in terms of the mean value of regional safety grade in each sub-group with regard to the injury location, activities at the time of injury, and injury mechanism in connection with some areas of the regional safety index. Based on the results of such analysis, we derived and presented 3 implications related to policies and practice for the prevention of geriatric injury and a reduction of its occurrence rate in light of spatial safety after a discussion of the results through a comparison with previous studies that examined individual areas.

Convergence Comparative Analysis of Young-Old and Old-Old Patients Hospitalized Owing to Injury (손상으로 입원한 전·후기 노인의 융복합 비교분석)

  • Suhn, Mi-Ohk
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.75-83
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    • 2020
  • This study aimed to understand the differences in general characteristics, principal diagnosis, injury-related characteristics, and types of transportation accidents between young-old and old-old patients who were hospitalized owing to injury based on data from the Korean National Hospital Discharge In-Depth Injury Surveys. We used a complex sample cross tabulation analysis (chi-square test) and complex sample generalized linear model (t-test). Therefore, the primary focus of healthcare professionals working with the old-old should prevent falls in the home and increase the available medical care, financial aid plans, and psychosocial support for aging. Additionally education on traffic accident prevention and road safety is particularly important for old-old patients.

A Study on Anxiety-Depression in College Freshmen (신불안.우울척도에 의한 대학신입생의 정신건강평가서)

  • Lee, Jong-Bum;Kim, Chang-Su;Park, Hyeung-Bae;Park, Byung-Tak;Lee, Jung-Hoon;Cheung, Seung-Douk
    • Journal of Yeungnam Medical Science
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    • v.4 no.2
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    • pp.29-38
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    • 1987
  • The authors studied anxiety-depression using New Anxiety-Depression Scale (NADS) in the subjects of 2.564 male and 1,252 female college freshmen of Yeungnam University. The authors collected the reports of NADS during the periods from January to February 1987, and applied NAOVA and t-test on anxiety depression scores in order to compare them between various psychosocial factors and sexes. The results are as follows : There was significant difference in the mean average of total scores between male and female students : male students scored $33.41{\pm}8.76$ and female students scored $35.34{\pm}9.02$ (P<0.001). The anxiety-depression scores relating to the items of sleep disturbance, apprehension, facial flushing and fatigue were relatively scored higher in both groups. One hundred and thirty nine male students (5.4%) showed seriously higher degree of anxiety-depression scores of 50 or more, while eighty eight female students (7.0%) showed the sane scores. There was a strong tendency toward higher anxiety-depression scores in the students who were dissatisfied with their home atmosphere, colleges, departments, familiarity of parents am those who had pessimistic views of self image in the past, presents and future in both groups (P<0.001).

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North-Korean-Refugee Women's Experience of Discrimination in South Korea and Reemergence of Trauma Experience (탈북여성들의 남한사회에서의 차별 경험과 트라우마 경험의 재현에 관한 탐색적 연구)

  • Sung, Jung-Hyun
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.117-131
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    • 2014
  • This study aims to explore the reexperience of trauma caused by experience of discrimination and stigma from South Korean. For this purpose of this study, focus group interview methods are used. The participants are five women who escaped from North Korea and they were from 20s to 50s. From the outcomes of this study, I find out that they had experienced to put in prison, to let arrest to let human traffic, and sexual or physical assault. Now they have PTSD(Post Trauma Stress Symptom) of nightmare related with past trauma, avoidance of interpersonal relationships and similar situations, and retrospection and memorization of negative experiences. In that situation, they also have experienced discrimination caused by lack of understanding of their suffering in South Korea. And almost of them suffer from poor situation economically and physically. Participants regret their entry to South Korea and perceive that their hope has gone. And they have anger of Korean's discrimination and stigma and they feel suicide impulse after experiencing very difficult situation. These negative experiences affect their PTSD and make reemergence of trauma experience. In conclusion, the outcomes of this study are discussed and I proposed the practical suggestions which have affected decreasing the PTSD.

A Study on Depression in College Freshmen (우울척도에 의한 대학신입생의 정신건강 평가)

  • Lee, Jong-Bum;Suh, Hye-Soo;Cheung, Seung-Douk
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.151-160
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    • 1986
  • The authors studied depression using Zung's Self-Rating Depression Scale(SDS), in the subjects of 3,499 male and 1,335 female college freshmen of Yeungnam University. The authors collected the reports of SDS during the periods from January to February, 1986, and applied ANOVA and t-test on depression scores in order to compare them between various psychosocial factors, and sexes. The results are as follows : There was significant difference in the mean averages of total depression scores between male and female students: male students scored 35.68+7.46, female students scored 38.93+7.26(P<0.001). The depression scores relating to the items of indecisiveness, psychomotor retardation, decreased libido, and diurnal variation were relatively higher in both groups. One hundred and sixty-one male students(4.6%) showed seriously high degree depression scores of 50 or higher, while one-hundred and seventeen female students(5.8%) showed the same scores. Female students attending in liberal arts showed higher level of depression scores(P<0.01). There was a strong tendency toward higher depression scores in the student who were dissatisfied with their home atmosphere, colleges, department and familiarity of parents, and those who had pessimistic views of self image in the past, present or future in both groups(P<0.001).

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