• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.26 no.4
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• pp.266-272
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• 2015

Objectives : This study examined the impact of peer's suicide on mental health of middle-school students. The aim of this study was to describe the course of posttraumatic stress and grief reaction, suicide ideation, and depression score among adolescents after exposure to peer's suicide and to examine the relationship between posttraumatic stress and other mental health scores in these subjects. Methods : Thirty seven middle school students who were exposed to the suicidal death of a peer completed self-report measures to assess levels of depression, grief reaction, post-traumatic stress, and suicide ideation at 1 month and 8 months after the peer's suicide. Results : There was no significant change in mental health scores between 1 month and 8 months. Level of posttraumatic stress after 8 months was related to acute grief response. Subjects who experienced a clinically significant level of suicidal ideation and posttraumatic stress showed more mental health problems. Conclusion : The results suggested that peer's suicide strongly impacted mental health issues of adolescents at a critical time of adolescent development. Clinicians should perform a thorough evaluation of mental health problems for youth who experienced peer's suicide and help them in management of their grief reaction.

• Journal of the Korean Society of Child Welfare
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• no.40
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• pp.255-283
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• 2012

The purpose of this study is to examine the pathways of factors that influence adolescent's suicidal ideation of suicide attempters and non-attempters and to compare path coefficients between the two groups. Results from simultaneous analysis of multiple populations suggest that the path model was appropriate for both groups. However, significant differences in path coefficients were found. Parental abuse and peer victimization had direct effects on adolescent's suicidal ideation only among the adolescent suicide non-attempters. Burdensomeness and hopelessness had direct effects on adolescent's suicidal ideation, whereas thwarted belongingness did not have direct effects for both groups. Peer victimization appear to have an indirect effect through burdensomeness for both groups of adolescents. Only among the adolescent suicide non-attempters, parental abuse had an indirect effect on suicidal ideation through burdensomeness, and burdensomeness and thwarted belongingness had indirect effects on suicidal ideation through hopelessness. The results indicate that differentiated approaches are required to prevent suicidal ideation for adolescent suicide attempters and non-attempters.

• Korean Journal of Social Welfare
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• v.64 no.1
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• pp.151-175
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• 2012

This paper designed a mediating pathways model on how parental abuse and peer victimization lead to the development of suicidal ideation through the mediating variables of interpersonal needs and a hopelessness. The development is sure to help reduce adolescent suicidal ideation and, in turn, seek for distinct mediating methods to help teens with suicidal ideas. To validate the suggested model, this paper administered a questionnaire to 768 students in their 10th, 11th and 12th grades of high schools in Incheon, and then analyzed the structural equation model before confirming the research hypothesis by adopting the tools of SPSS 17.0 and AMOS 18.0. The result clearly demonstrates that parental abuse is one of the most influential factors in developing suicidal ideation. Peer victimization, however, had no direct bearing on suicide ideation, only indirectly affecting through the mediating variable of interpersonal needs. In addition, peer victimization had indirect effects on suicidal ideation through a sequential intervention of variables from interpersonal needs to a hopelessness. Based on the above results, this research has following implications: First, this paper analyzed the mediating pathways of youth suicidal ideation resulting from parental abuse and peer victimization. The result could possibly help find preventive measures and effective mediating approaches to save the lives of young people at risk of committing suicide. Secondly, this study proved that the interpersonal needs, a relatively new concept hardly introduced in previous studies, is a significant predictive factor for suicide ideation, serving as an intervening variable of developing suicidal ideation among young people who have suffered parental abuse and peer victimization.

• 한국노년학
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• v.37 no.1
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• pp.173-200
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• 2017

This study is designed to verify the actual effect on the prevention of the elderly suicide of the integrated crisis intervention service which has been widely provided across all local communities in Gyeonggi-province focusing on the integrated crisis intervention model developed for the prevention of elderly suicide. The integrated crisis intervention model for the local communities and its manual were developed for the prevention of elderly suicide by integrating the crisis intervention theory which contains local community's integrated system approach and the stress vulnerability theory. For the analysis of the effect, the geriatric depression and suicidal ideation scale was adopted and the data was collected as follows; The data was collected from 258 people in the first preliminary test. Then, it was collected from the secondary test of 184 people after the integrated crisis intervention service was performed for 6 months. The third collection of data was made from 124 people after 2 or 3 years later using the backward tracing method. As for the analysis, the researcher used the R Statistics computing to conduct the test equating, and the vertical scaling between measuring points. Then, the researcher conducted descriptive statistics analysis and univariate analysis of variance, and performed multi-level modeling analysis using Bayesian estimation. As a result of the study, it was found out that the integrated crisis intervention model which has been developed for the elderly suicide prevention has a statistically significant effect on the reduction of elderly suicide in terms of elderly depression and suicide ideation in the follow-up measurement after the implementation of crisis intervention rather than in the first preliminary scores. The integrated crisis intervention model for the prevention of elderly suicide was found to be effective to the extent of 0.56 for the reduction of depression and 0.39 for the reduction of suicidal ideation. However, it was found out in the backward tracing test conducted 2-3 years after the first crisis intervention that the improved values returned to its original state, thus showing that the effect of the intervention is not maintained for long. Multilevel analysis was conducted to find out the factors such as the service type(professional counseling, medication, peer counseling), characteristics of the client (sex, age), the characteristics of the counselor(age, career, major) and the interaction between the characteristics of the counselor and intervention which affect depression and suicidal ideation. It was found that only medication can significantly reduce suicidal ideation and that if the counselor's major is counseling, it significantly further reduces suicidal ideation by interacting with professional counseling. Furthermore, as the characteristics of the suicide prevention experts are found to regulate the intervention effect on elderly suicide prevention in applying integrated crisis intervention model, the primary consideration should be given to the counseling ability of these experts.

• The Journal of the Korea Contents Association
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• v.16 no.2
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• pp.686-695
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• 2016

In this thesis, girls' suicidal mentality which appears in some adolescent novels was sought. We can conclude like these: first, in the novel, Elegant Lies written by Ryeo-ryung Kim, the girl named Wha-yun leaves out Cheon-ji not to be left out alone by her companies. Wha-yun has succeeded in giving an ugly impression of Cheon-ji to the peer girls around her by exercising relational aggression. As a result, Cheon-ji sees herself as a meaningless being and after recognizing that she can't change the situation, she shows psychology of escape. Second, in the novel, Goodbye, from Kilimanjaro written by Ok-soo Lee, Sung-min Yoon's girlfriend Soo-hee born and grown in Africa lives with trauma from her mother's death. As her step-mother suppressed her not to keep in touch with the pet animals, Soo-hee got depressed and out of energy. Parental oppression and verbal violence can let the girl activates self-punishment and lead to suicide. Third, in the novel, Thursday, in Cyprus written by Chae-ran Park, girls could use suicide as a negotiation agenda. Adolescents could commit suicide even if their trivial requests are rejected. In these situations above we can read anticipation of compensation, retaliation and self-punishment mentality.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.22 no.4
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• pp.271-286
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• 2011

Objectives : The purposes of this study were to develop a mental health screening questionnaire and the practical intervention programs or guidelines which can be used in middle and high schools by students and teachers. Methods : The Adolescent Mental health & Problem behavior Screening Questionnaire II (AMPQ-II) was developed and was tested for reliability and validity using nationwide data from 2,180 middle and high school students and 2,145 teachers. Results : The AMPQ-II was measured by both students and teachers. The correlation coefficient of the test-retest test was 0.567 and internal consistency was high (Cronbach's alpha=0.878). Five factors such as worry and thought, mood and suicide, academic and Internet-related problems, peer problems, and rule violations were proposed. We also developed a practical guideline and manuals which can be easily used by secondary school teachers to screen for and manage mental health problems at school. Conclusion : The AMPQ-II can be a useful and reliable tool to screen for mental health problems in middle and high schools in South Korea.

• Health Policy and Management
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• v.28 no.3
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• pp.195-196
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• 2018

The Korean Academy of Health Policy and Management (KAHPM) has shown remarkable achievements in the field of health policy and management in Korea for the last 30 years. The KAHPM consists of experts in various fields of health policy and management, and has been the leading academic discussion forum for health policy agendas of interest to the public. Health Policy and Management (HPM), the official journal of the KAHPM, published the first issue of volume 1 in October, 1991 and is publishing the second issue of volume 28 as of 2018. Currently, it is one of Korea' main journals in the field of health policy and management. HPM has published a special issue in commemoration of the 30th anniversary of the KAHPM. The HPM invited authors, including former presidents of the KAHPM and current board members, to write about main issues in health policy and management. Although the HPM tried to set up an invited author on all subjects in the health policy and management field, 19 papers are published, that completed the peer review process by August, 2018. The authors of the special issue of the 30th anniversary of the KAHPM include six former presidents, a senior professor, and 12 board members. The subjects of this issue are reform of the healthcare delivery system, health insurance and medical policy, reform of health system governance, the role of National Health Insurance Service (NHIS), the Korea Institute for Health and Social Affairs (KIHASA) and the National Evidence-based healthcare Collaborating Agency (NECA), ethical aspects of health policy change, regional disparities of healthcare, healthcare accreditation, new healthcare technology evaluation system, globalization of the healthcare industry, the epidemiological investigator system, the quarantine system, safety and disaster, and official development assistance. There are some remaining topics to deal with for the KAHPM: aged society, anti-smoking, non-infectious disease, suicide, healthcare resources, emergency medical care, out-of-pocket money, medical fee payment system, medical aid system, long-term care insurance, industrial accident compensation insurance, community-centered health welfare system, and central government and local government of health. The HPM will continue to publish review articles on the main topics in health policy and management. This is because the KAHPM, which has been the leading academic society of Korea's health policy and management for the last 30 years, feels responsible for continuing its mission for the next 30 years.