• Title/Summary/Keyword: People with Mental Illness

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Awareness and Attitude Toward Suicide in Community Mental Health Professionals and Hospital Workers (지역사회 정신보건관련 센터 근무자와 병원 근무자들의 자살에 대한 인식 및 태도)

  • Kim, Soung-Nam;Lee, Kang-Sook;Lee, Seon-Young;Yu, Jae-Hee;Hong, A-Rum
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.3
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    • pp.183-189
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    • 2009
  • Objectives : The purpose of this study was to evaluate community mental health professionals and hospital workers attitude and awareness towards suicide. Methods : This study investigated 264 community mental health professionals and 228 hospital workers. SOQs (Suicidal Opinion Questionnaires) were used from July 2007 to September 2007. After a factor analysis for the attitude towards suicide, the items on ethics, mental illness, religion, risk, and motivation were included in the subsequent analysis. Results : There were significant differences in the attitude towards suicide according to religion, age, educational background, the marriage status, the economic position, and different professional licenses. Hospital workers' view was different from the community workers'. The hospital workers judged that suicide was due to mental illness, and suicide was high for the people in a special environment and who lacked motivation, which caused them to fall in a dangerous situation. For the lower educational group, they thought that suicide was attributable to mental illness. The awareness for suicide was significantly higher in the group with a postgraduate education, unmarried people, mental health professionals and the persons who had concern and experience with suicide. The factors that had an influence on the awareness of suicide were the items of mental illness, religion, risk and motivational factors. Conclusions : This study suggested that the factors to increase the awareness and attitude for suicide were the experience of increased education and case management of suicide. Therefore, education dealing with suicide and reinforcement of crisis management programs should be developed.

The realistic threat and symbolic threat toward people with mental illness: The effect of contact and sense of community (정신장애인에 대한 실질적 위협감 및 상징적 위협감: 접촉경험 및 공동체의식과의 관계)

  • Seungah Ryu;Kyoungmi Kim
    • Korean Journal of Culture and Social Issue
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    • v.25 no.2
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    • pp.119-135
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    • 2019
  • There have been many efforts to reduce prejudice and discrimination against people with mental illness in our community. Studies have shown that the threat to people with mental illness is a important factor. In this study, we focused on contact experience and sense of community that are believed to influence both realistic and symbolic threat We looked the differences in threat depending on the type of contact(family, friends/coworker, public places, no contact) with people with mental illness. Next, if there is contact experience, we questioned that the quality of the experience could influence the threats in all types of contact. Finally, could contact experience and sense of community affect the threats? The total of 465 respondents were surveyed in this study. The result showed that the realistic threat were not different depending on the types of contact, but that the symbolic threat were more higher people with no-contact experience than people with contact experience. The quality of experience had a significant effect on both threats, except in the case of the family contact on realistic threat. Lastly, sense of community was analyzed as a significant variable for both realistic and symbolic threats. Based on these results, we discussed the impact of contact and sense of community and implications of this study.

Factors Influencing Mental Care Facility Workers' Rights Guarantee for People with Mental Disorder (정신요양시설 종사자의 정신장애인에 대한 권리보장 영향요인)

  • Kim, Kyung-Mi;Lee, Jeong-Sook
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.241-248
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    • 2021
  • The purpose of this study was to investigate the factors affecting the rights guarantee of people with mental illness among mental care facility workers. The subjects of this study were 132 mental care facility workers, and the research tools were rights and protection-related characteristics, rights recognition, and rights guarantee. The data were analyzed with descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple linear regression using the SPSS/WIN 24.0 program. The result showed that the difference in rights guarantee relating to general characteristics were significant differences in religion. There were significant positive correlations among rights recognition and rights guarantee. The factors influencing the rights guarantee were rights recognition, recognizing the need to advocate rights, and religion. Based on the research results, it is necessary to improve recognition and actively advocate rights through continuous education in order to strengthen the rights guarantee of people with mental illness. Enhancement of rights guarantee will help people with mental disorder recover.

Methylation Changes in Bipolar Disorder that can be detected through The Epigenetic Clock (후성유전학 시계를 통해 감지될 수 있는 양극성 장애의 메틸화 변화)

  • Yeon-Oh Jeong;Gwang-Won Cho
    • Journal of Integrative Natural Science
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    • v.16 no.3
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    • pp.75-80
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    • 2023
  • Bipolar disorder is a mental illness characterized by extreme mood and behavioral swings, such as highs of euphoria and lows of depression. It is a socially significant disorder in which people with the disorder experience intense mood swings and, for those with severe bipolar disorder, it is even difficult leading a normal life. High stress levels in people with mental illness can lead to neuroendocrine disruption, and it is strongly linked to aging. When the neuroendocrine system becomes vulnerable to these mental illnesses and stress, it is likely to accelerate aging. And it's the epigenetic clock that can measure the extent of this accelerated aging. The Epi clock, a pan tissue clock, measures aging through DNA methylation, and the degree of methylation is modified and changed by environmental conditions in the body. Therefore we wanted to check the changes in the epigenetic age of the patients with bipolar disorder. While we found no significant differences in epigenetic age, we did confirm the possibility that people with bipolar disorder have different methylation than normal people. We also found that the EPIC array data fit better on the Epi clock than on the Horvath clock with age-accelerated data from normal people.

Factors Affecting Public Prejudice and Social Distance on Mental Illness: Analysis of Contextual Effect by Multi-level Analysis

  • Jang, Hyeon-Gap;Lim, Jun-Tae;Oh, Ju-Hwan;Lee, Seon-Young;Kim, Yong-Ik;Lee, Jin-Seok
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.2
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    • pp.90-97
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    • 2012
  • Objectives: While there have been many quantitative studies on the public's attitude towards mental illnesses, it is hard to find quantitative study which focused on the contextual effect on the public's attitude. The purpose of this study was to identify factors that affect the public's beliefs and attitudes including contextual effects. Methods: We analyzed survey on the public's beliefs and attitudes towards mental illness in Korea with multi-level analysis. We analyzed the public's beliefs and attitudes in terms of prejudice as an intermediate outcome and social distance as a final outcome. Then, we focused on the associations of factors, which were individual and regional socioeconomic factors, familiarity, and knowledge based on the comparison of the intermediate and final outcomes. Results: Prejudice was not explained by regional variables but was only correlated with individual factors. Prejudice increased with age and decreased by high education level. However, social distance controlling for prejudice increased in females, in people with a high education level, and in regions with a high education level and a high proportion of the old. Therefore, social distance without controlling for prejudice increased in females, in the elderly, in highly educated people, and in regions with a high education and aged community. Conclusions: The result of the multi-level analysis for the regional variables suggests that social distance for mental illness are not only determined by individual factors but also influenced by the surroundings so that it could be tackled sufficiently with appropriate considering of the relevant regional context with individual characteristics.

Assisted Outpatient Treatment and Crisis Intervention in USA and their Implications for Korea (미국의 외래치료명령제도 및 위기대응과 국내적 시사점)

  • Park, Inhwan;Han, Meekyung
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.23-80
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    • 2018
  • Since the 1960s, the United States' (U.S.) deinstitutionalization policy has reinstated people with mental illness into communities. Unfortunately, when untreated, some people with psychiatric disorders become homeless, and some commit serious crimes during a psychological crisis. Assisted Outpatient Treatment (AOT), also known as Kendra's Law in New York and Laura's Law in California, provides treatment, services and support to people with mental illness in the community. AOT has repeatedly been found effective and is recognized as an evidence-based practice. The response to the mental health crisis (crisis intervention) in the U.S. has also been successful in preventing worsening mental illness and related criminality and other issues. This paper provides an opportunity to create a platform from which to learn how to successfully apply the AOT and crisis intervention of the U.S. to South Korea within the cultural and societal context when establishing social services for people with mental illness in South Korea's communities.

Factors Influencing Suicidal Ideation in Community-dwelling Patients with Chronic Mental Health Problems (지역사회 만성정신질환자의 자살사고에 영향을 미치는 요인)

  • Kim, Jung Sug;Lim, Jung Hee
    • Journal of Korean Academy of Rural Health Nursing
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    • v.10 no.1
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    • pp.31-41
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    • 2015
  • Purpose: The study was performed to identify factors influencing suicidal ideation in patients with chronic mental health problems and who live in the community. Methods: Data were collected using questionnaires and participants were 140 people with mental illness living in Y-si, Gyeonggi-do. The study was carried out from May 15 to September 30, 2014. Data were analyzed using descriptive statistics, Pearson Correlation Coefficients, and Logistic Regression with the SPSS/WIN 18.0 statistical program. Results: The number of persons who attempted suicide was 47(33.6%) and the number who had suicide ideation was 22(15.7%). The mean score for depression was $6.4{\pm}6.45$. The mean score for life satisfaction was $16.5{\pm}8.21$. Depression had a significant negative correlation with life satisfaction. Odds ratio of suicide ideation was 1.19. The significant factor influencing suicidal ideation was depression. Conclusion: The results of this study can be used in the development and practice of programs to decrease suicide in people with mental illness.

Qualitative Study on Services in Vocational Rehabilitation Facilities for People with Mental Illness (정신질환자 직업재활시설 서비스에 대한 질적 연구)

  • Choi, Hee-Chul;Bae, Eun-Mi;Park, Dong-Jin;Shin, Sook-Kyung
    • Journal of Convergence for Information Technology
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    • v.9 no.1
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    • pp.74-85
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    • 2019
  • The purpose of this study was to analyze the vocational rehabilitation service environment of the mentally facilities. Focus group interview (FGI) was conducted for obtain the data. According to the interview results, first, in providing vocational rehabilitation services for people with mental illness, comprehensive services should be provided considering various needs. Second, the facilities are not recognized as vocational rehabilitation facilities for people with disabilities. Therefore, it is operated according to the regulations on mental rehabilitation facilities in the Mental Health Welfare Act. Third, they need management supports. Finally, It raised the necessity of revising laws and systems that are not systematized without reflecting reality. Based on the results of this study, some suggestions are presented.

Effects of the Illness Management and Recovery Program on Recovery, Knowledge of Mental Illness, and Hope of Inpatients with Mental Illness (회복지향질병관리 프로그램이 입원한 정신과 환자의 회복 및 정신질환 지식과 희망에 미치는 영향)

  • Shin, Eun-Sik;Lee, Hyun-Bok;Jeon, Mi-Sook;Kim, Sun-Hee;Yoon, Bo-Hyun;Sea, Young-Hwa;Park, Su-Hee
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.579-591
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    • 2017
  • The Illness Management and Recovery(IMR) Program was designed to improve self-management and recovery of people with mental illness. The purpose of this study was to identify the effects of the Korean version of the IMR program on recovery, knowledge against mental illness, hope among inpatients with severe mental illness. 92 participants diagnosed with schizophrenia, bipolar disorder and schizoaffective disorder were assigned to either an IMR group(n=51) or the control group(n=41) without randomization. Data collection had been conducted from June 2015 to December 2016. Mental Health Recovery Scale, Knowledge Scale, and Hope Scale was administered to participants before and after the intervention. Participants in the IMR program showed significant improvement in progress toward their recovery and knowledge about their mental illness compared with those receiving treatment as usual. However, changes in hope were not significant in both groups. This is the first evaluation of the effects of the Korean version of the IMR program. Our findings support potential benefits of implementing the Korean version of the IMR program.

The Effects of Private Health Insurance on Healthcare Utilization of People with Physical and Mental Illness: According to 2018 Korea Health Panel Survey Data (신체·정신복합질환자의 민간의료보험 가입 여부가 의료이용에 미치는 영향: 한국의료패널 데이터 2018년 자료 활용)

  • Riyoung Na;Seok-Jun Yoon
    • Health Policy and Management
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    • v.33 no.3
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    • pp.264-272
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    • 2023
  • Background: Private health insurance supplements the coverage of national health insurance in Korea. In this situation, the subject of the study is to identify the healthcare utilization of people with physical and mental illnesses according to private health insurance. Methods: This study used data from the Korea Health Panel Survey 2018. The study population consisted of 813 individuals with physical and mental illnesses (PMI). Multiple logistic regression analysis and binominal logistic regression analysis were conducted about the utilization of emergency, inpatient, and outpatient medical services of people with PMI depending on enrollment in private health insurance (PHI). Results: The results of this study indicated that individuals with PHI utilized emergency and outpatient medical services less frequently compared to those without PHI. Conversely, having PHI was associated with a higher utilization of inpatient medical services compared to not having PHI. Binomial logistic regression analysis revealed that individuals with PMI who had PHI exhibited a higher frequency of visits to emergency and outpatient medical services compared to those without PHI. However, the significance of this trend was not observed in the case of emergency medical services. On the other hand, individuals with PMI who had PHI showed a lower frequency of visits to inpatient medical services compared to those without PHI. Conclusion: In conclusion, there was a significant relationship between having PHI and the utilization of medical services in people with PMI. There is a need for a follow-up study considering the type of mental illnesses, length of stay, and health outcome of people with PMI depending on having PHI.