• Title/Summary/Keyword: 자살 예방

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Intervention of Nonsuicidal Self-Injury in School Counseling (비자살성 자해(NSSI)에 대한 학교상담에서의 개입)

  • Ryu, Shinhye;Bae, Seung Min;Jun, Jin Yong;Im, Woo-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.1-6
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    • 2022
  • Recently, nonsuicidal self-injury (NSSI) has been increasing considerably in school counseling. According to the Youth Counseling and Welfare Development Institute, the number of counseling support for NSSI adolescent in 2018 was more than three times higher than the previous year, and the average time when NSSI behavior first appeared was 12.43 years old. As such, adolesnect NSSI continues to increase in recent years, and the age is also gradually decreasing. Nevertheless, research on the motives and characteristics of NSSI among domestic adolescents is still insufficient. This may be attributed to the difficulty of conducting research because self-injury behavior is secretly performed. However, it is also true that this reality has another limitation in the school field, which urgently requires counseling intervention and prevention of students' mental health problems. In addition, counseling for self-injury in the school scene is the biggest cause of exhaustion for counselors because they are under very great stress to cope with repeated self-harm in the dual role of counselors and teachers in school situations. Therefore, this study examines the causes and characteristics of involuntary self-injury through previous research analysis, and examines various difficulties experienced as a school counselor, as well as the effective intervention method of non suicidal self-injury in school counseling.

The Influence of Mental Health Characteristics upon Drinking and Smoking in Adolescents of Capital Area and Non-capital Area (수도권과 비수도권 청소년들의 정신건강 특성이 음주, 흡연에 미치는 영향)

  • Kim, Hwan-Hui
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.5
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    • pp.175-188
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    • 2021
  • The purpose of this study was to grasp the influence of mental health upon the lifelong drinking experience in adolescents of non-capital area and capital area through using the 2019 Youth Health Behavior Survey Data. The research subjects included total 57,303 adolescents who participated in the survey among 60,100 adolescents at totally 800 schools with 400 middle schools and 400 high schools. Out of these, 29,384 middle school students and 27,919 high school students were selected. As a result of the research, the mental health that has significant influence upon the lifelong drinking and smoking experience in case of non-capital area appeared to be significant in the perceived subjective health (p<.01), cognitive stress(p<.001), relief from fatigue(p<.001), sadness & despair experience(p<.001), suicide ideation(p<.001), suicide plan(p<.01), and suicide attempt(p<.001). In case of capital area, the mental health of having a significant impact on the lifelong drinking and smoking experience was indicated to be significant in cognitive stress(p<.01), relief from fatigue(p<.001), sadness & despair experience(p<.001), suicide ideation(p<.001), and suicide attempt(p<.001). Based on this outcome, adolescents' drinking problem has influence upon mental health characteristic. Hence, an effort is needed for developing the intervention & education program aiming at the more effective youth drinking prevention through establishing direction and revaluing education program in consideration of mental health factors by region in adolescents of capital area and non-capital area.

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.

Preparation to Perform Activities of Suicide Prevention according to Professional Type (지역사회 정신 건강 서비스, 자살 전문직 유형에 따른 자살예방행동 준비도)

  • Park, Kyongran;Lee, Gyungjoo;Kwon, Min;Yeom, Mijung;Yang, Soo
    • Journal of Korean Public Health Nursing
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    • v.29 no.1
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    • pp.40-52
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    • 2015
  • Purpose: This study examined the characteristics of preparation to perform activities of suicide prevention according to professional type. Methods: A structural survey was conducted from Dec. 10, 2012 to Jan. 4, 2013 for 355 participants working at suicide prevention institutions in S city. The data were analyzed in terms of frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS/WIN 18.0. Results: Self-evaluation knowledge of characteristics was a significant distance depending on education and economic status. Participants were classified according to four groups based on professional type; public health nurse, social worker, fire officer, and administrative staff. Significant differences in experiences in suicide, the several items of self-evaluation knowledge, and the preparation to perform activities of suicide prevention were observed according to professional type (p<.05). Correlation among the experience, self-evaluation knowledge and preparation to perform activities of suicide prevention showed a positive correlation in public health nurse, social worker, and administrative staff (p<.05). In all professional types, the variable that predicted preparation to perform activities of suicide prevention was self-evaluation knowledge (p<.001). Conclusion: Tailor-made suicide prevention programs that affect changes in preparation to perform activities of suicide prevention should be developed by professional types.

Youth Crisis Forecasting by Youth Counseling Data Analysis (청소년상담데이터 기반 위기청소년 예측)

  • Lee, Yeon-Hee;Cheon, Mi-Kyung;Song, Tae-Min
    • The Journal of the Korea Contents Association
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    • v.15 no.4
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    • pp.277-290
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    • 2015
  • The main purpose of study is to identify relevance between nature and types of risk factors that delinquent teenagers are exposed and types of methodologies implemented to prevent committing school violence, domestic violence, and suicide or to help recovering from violent activities and suicide attempts. The results show that school dropout has much relevance in risk factors such as probation, lawbreaking, smoking, drinking, runaway, domestic violence victim, and suicidal attempt. Risk rate of school dropout for those teenagers who smoke and drink in the period of runaway is 2.76 times higher than those teenagers who do not smoke or drink. More specifically, drinking increases more risk of school dropout than smoking. Contribution of this study is to identify empirical evidence that calls for comprehensive risk management for delinquent teenagers encompassing home, school, and community rather than focusing on risk itself.

The Effects of a Depression Intervention and Suicide Prevention Program in Adolescents with High Risk of Suicide (자살 위험성이 높은 청소년을 대상으로 한 우울중재 및 자살예방 프로그램의 효과)

  • Yoo, Jae-Soon;Son, Jung-Woo;Nam, Min-Sun
    • Research in Community and Public Health Nursing
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    • v.21 no.1
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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.

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.

Factor Influencing Depression in Eco Boomer (에코붐 세대의 우울에 영향을 미치는 요인)

  • Kim, Ji-In
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.341-352
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    • 2018
  • The purpose of this study was identify the factor affecting depression in eco boomer. This study used the data from the $7^{th}$ Korea National Health and Nutrition Examinations Survey and identified factor affecting depression in adult aged 24 to 37. Data was analyzed using the IBM SPSS 25.0 program. As a result, there were significant differences according to sex, education level, house ownership, health insurance, economic activity status, status of workers, position of servant, working time system, employment condition, perceived health status, smoking, work related physical activity, suicidal plan, suicidal attempt, stress, frequency of meal, companion for meal. As a result of regression analysis, influencing factors of depression in eco boomer were sex, employment condition, perceived health status, smoking, stress, work related physical activity, suicidal plan, companion for dinner. According to the results of this study, depression of the echo boomer should be improved by considering sex, work related characteristics and life style of eco boomer.

Thwarted belongingness: Concept Analysis (좌절된 소속감의 개념분석)

  • Kim, Su-Hyun
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.359-367
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    • 2021
  • The purpose of this study is conceptual analysis study on the thwarted belongingness, and was based on the conceptual analysis method of Walker & Avant to make clear concept. Thwarted belongingness can be defined by the following attributes: distorted beliefs, insufficient need to belong, a sense of alienation, and insufficient interaction and affection needs. The prerequisites for thwarted belongingness were social isolation, experiences of exclusion or conflict in interpersonal relationships, perfectionist tendencies, and sensitivity to rejection. The consequences occurring as a result of thwarted belongingness were suicidal ideation, decreased happiness and life satisfaction, negative emotions such as anxiety about rejection, depression, shame, loneliness, stress or anger, aggression, hostility and self-criticism, despair, suppression of emotional expression, lethargy, self-exclusion from relationships, and identity confusion. This study is valuable to identify the extent of preventable nursing interventions related to individual mental health and suicidal ideation related to interpersonal relationships, and suggests future tool development and field studies of thwarted belongingness.

Examination of Pesticide Poisoning Deaths Statistics in Korea and Precautionary Measures Against Pesticide-Poisoning (국내 농약중독 사망사고 현황분석과 사고 예방대책)

  • Jeong, Mi-Hye;Kim, Jin-Hwa;Park, Kyung-Hun;Lee, Hee-Dong;You, Are-Sun;Kim, Byung-Seok;Choi, Ju-Hyun;Kwon, Oh-Kyung
    • The Korean Journal of Pesticide Science
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    • v.12 no.2
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    • pp.134-140
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    • 2008
  • The data on pesticide poisoning death toll during 2000-2005 was obtained from Korean National Statistical Office and analysed to find out any precautionary measures against pesticide poisonings. Pesticide poisoning death toll showed slightly increasing trend with year up to about 3500 in 2005. Most of the pesticide poisoning death cases were intentional self-poisoning accounting for more than 80% of total pesticide poisoning death. The pesticide most often implicated in poisoning death were paraquat dichloride, a non-selective herbicide and organophosphate/carbamate insecticides. The regional distribution of pesticide poisoning death showed urban 21.6% and rural area 78.4%. As for the occupation of the dead, agricultural, forestry and fishery workers accounted for 27.4% and non-agricultural workers was 72.6% of pesticide poisoning death. Therefore, government need to take some precautionary measures to reduce the number of pesticide poisoning cases. It is strongly recommended that pesticide regulatory authorities encourage and train the agricultural workers to use safe storage boxes and enforce strict regulation for the prevention for the prevention of highly toxic pesticides sales to non-agricultural workers.