• 정신신체의학
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• 제20권1호
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• pp.40-49
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• 2012

연구목적 : 우울장애 환자군 내에서 과거 자살 시도 여부에 따라 정서적 및 심리적 특성의 차이를 보이는 지 분석하고자 하였다. 방 법 : 정신건강의학과 입원 환자 중 주요우울장애와 달리 분류되지 않는 우울장애로 진단된 37명을 과거 자살 시도 여부에 따라 자살시도군(N=15 ; 40.54%)과 비시도군(N=22 ; 59.46%)으로 분류하였다. BDI, BAI, HDRS, HARS, MMPI-2를 사용하여, 두 집단의 증상 심각도와 심리적 특성을 비교하고자 하였다. 결 과 : 자살시도자들은 우울 증상의 임상가 평정치인 HDRS 상에서는 비시도자들과 유의한 차이를 보이지 않았으나 BDI에서는 유의하게 높은 점수를 나타냈다. 아울러 MMPI-2 소척도 중 F, Fb, Pa, RC1, DEP, HEA, PK, AAS 상에서 비시도자들에 비해 유의하게 높은 점수를 나타냈다. 이는 자살 시도의 과거력이 있는 우울장애 환자들이 현재의 삽화 중에도 객관적인 증상의 심각도와는 별개로 비시도자들에 비해 더 심한 주관적 고통감과 자살 사고를 경험하고 있으며, 타인에 대한 적대감과 불신을 더 많이 호소하고, 신체 증상에 대한 호소와 물질 사용과 관련된 문제도 더 많이 보고하는 것으로 해석될 수 있다. 결 론 : 본 연구 결과는 우울장애 환자 중 자살 시도의 과거력이 있는 환자들이 그렇지 않은 환자들과 구분되는 정서적 및 심리적 특성을 가지고 있음을 시사한다. MMPI-2는 그러한 특성을 변별하여 자살 위험성을 평가하는데 유용성을 가지는 것으로 보인다.

• Journal of Chest Surgery
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• 제6권2호
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• pp.225-230
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• 1973

Five cases of esophageal cancer developed at the site of esophageal lye stricture were reported. Duration of lye stricture was between 13 and 40years, and all 5 cases had taken normal diet without appreciable troubles after recovery from the acute stage of burn till the suspected onset of esophageal malignaney. Outstanding symptoms of this grave condition were rather acute progressive dysphagia and frequent episodes of esophageal foreign bodies, Diagnosis could be confirmed easily by endoscopic biopsy in suspected eases, and all were epidermoid carcinoma histopathologically. Curative resection of this condition was made in neither of the cases, and their prognoses were more grave than other esophageal malignancies in our experience. The development of esophageal carcinoma at the site of corrosive esophagitis with resulting benign stricture has now been suspected as a cause and effect relationship between these two conditions, and Kiviranta: stated that the incidence of esophageal cancer in patients with lye stricture of longer duration is a thousand times higher than normal population. During last one decade the authors experienced 5 cases of esophageal carcinoma developed at the site of lye stricture of the esophagus among about 350 cases of lye burned esophagus at the Department of Thoracic & Cardiovascular Surgery, the National Medical Center in Seoul, Korea. In Korea they still use lye as a detergent in rural area, and there are still many persons ingesting lye for suicidal attempt or on accident. Lye stricture of the esophagus is, therefore, the most common esophageal disease needing surgical procedures, and the authors believe that there will be much more eases of lye stricture complicated by esophageal eareinoma repoted in near future in this Country.

• 정신신체의학
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• 제25권2호
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• pp.95-100
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• 2017

연구목적 탈북 청소년의 정신병리와 자살 관련 특성과의 관계를 알아보고자 이 연구를 수행하였다. 방 법 국내에 입국 후 대안학교에 재학중인 탈북 청소년 104명을 대상으로 연구를 수행하였다. 한글판 역한연구센터 우울척도, 한글판 Revised Children's Manifest Anxiety Scale, 한글판 Rosenberg Self-Esteem Scale와 함께 자살 사고, 자살 계획, 자살 시도에 대한 유무룰 조사하였다. 결 과 자살 사고를 경험한 탈북청소년은 21명으로 전체의 20.19% 이었으며, 우울 증상(Z=-4.050, p<0.001), 불안 증상(Z=-2.076, p<0.05), 자존감(Z=-2.328, p<0.05)은 자살 사고의 유무에 따라 통계학적으로 유의한 차이가 관찰되었다. 로지스틱 회귀분석 결과 우울 증상(p<0.05)이 통계학적으로 유의하게 자살 사고를 예측하였다. 결 론 탈북 청소년의 우울과 불안에 대한 관심이 탈북 청소년의 자살에 대한 도움을 주는데 기여할 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제15권4호
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• pp.277-290
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• 2015

본 연구는 비행 청소년이 학교폭력과 가정폭력, 학업중단, 자살이라는 위기로부터 일상의 건전한 청소년으로 회귀시키거나 선제적 개입 또는 사전 예방을 위해 실제로 위기에 내몰린 청소년을 분석하여 위기문제간의 연관된 패턴을 찾아내는데 목적이 있다. 연구 결과, 학업중단에 영향을 미치는 요인으로는 보호관찰, 범법, 흡연, 음주, 가출, 가정폭력_피해, 자살 등이 발견되었다. 특히 청소년이 가출을 해서 음주와 흡연을 하는 경우에는 학업중단의 위험이 그렇지 않은 청소년보다 2.76배 높은 것으로 예측되었고, 흡연보다 음주가 청소년의 학업중단에 더 크게 작용하는 것으로 밝혀졌다. 본 연구는 위기 청소년 문제를 해결하기 위해 당면한 문제에만 초점을 맞추기 보다는 잠재적 위기청소년의 가정과 학교, 지역사회 전반을 아우르는 복합적 위기관리가 필요함을 입증한 과학적 근거자료로서의 활용가치를 가진다.

• 한국학교ㆍ지역보건교육학회지
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• 제14권2호
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• pp.1-14
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• 2013

Objectives: The purpose of this study was to identify the relationship of internet use time and health risk behaviors among adolescents and provide data to set up a strategy for preventing internet addiction. Methods: The data of the 2011 Youth Health Risk Behavior web-based Survey Collected by Korean Center for Disease Control was analyzed using t-test, ANOVA, Chi-square test for this study. Results: There were significant differences between boys and girls in internet use time. Boy's internet use time was different according to city size(F=13.20, p<.001), grade(F=35.85, p<.001), school record(F=298.95, p<.001), economic state(F=326.75, p<.001), living with parents(t=11.60, p<.001), father's education level(F=147.92, p<.001), and mother's education level(F=110.93, p<.001). Girls' internet use time was also different according to school grade(t=-8.68, p<.001), grade(F=61.03, p<.001), school record(F=233.32, p<.001), economic state(F=185.78, p<.001), living with parents(t=10.81, p<.001), father's education level(F=86.54, p<.001), and mother's education level(F=92.64, p<.001). Regarding the health risk behaviors, present smoking, present alcohol drink, drug use skipping breakfast, eating fast food, drinking soda, sexual behavior, suicidal attempt, engagement time in physical education classes, severe exercise, and sleeping satisfaction made differences in the internet use time. Conclusions: The results suggest that health risk behaviors are influenced by internet use time of adolescents. Thus, these results may be contribute to development of programs to prevent internet addiction.

• 대한불안의학회지
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• 제9권2호
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• pp.101-105
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• 2013

Objectives : This study was conducted to evaluate the association between first episode polarity of pediatric bipolar disorder and prognosis. Methods : We analyzed the clinical records of 66 inpatient subjects with DSM-IV defined pediatric bipolar disorder. The patients were split into 2 groups according to the polarity of the illness onset [depressive onset (DO) vs. manic/hypomanic/mixed onset (MO)]. Clinical feature and prognosis were compared between the two groups of patients. Results : In our sample, 68% of patients experienced a depressive onset. In DO patients, rates of suicidal attempt, episodic illness course and comorbid disruptive behavior disorder were higher than rates in MO patients. Conclusion : Findings from this study suggest that polarity of illness onset may be useful in predicting the prognosis of pediatric bipolar disorder.

• 대한임상독성학회지
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• 제4권1호
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• pp.69-72
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• 2006

Dicamba is a benzoic acid and classified as a chemically related chlorophenoxy herbicide which is widely used for the control of broad-leaved weeds. While the chlorophenoxy herbicide poisoning is known to be uncommon, its ingestion can result in serious or sometimes fatal outcome. A 65-year-old man ingested about 300 ml of dicamba in a suicidal attempt and three hours later he was admitted hospital, complaining abdominal pain, nausea and vomiting. On admission his vital signs were normal and laboratory findings were not remarkable except metabolic acidosis in arterial blood gas analysis. Shortly after the admission endotracheal tube was inserted due to altered mental state and activated charcoal was given after performing gastric lavage. However, his vital signs became unstable 6hrs after the ingestion and mechanical ventilation was started with administration of inotropic agents. In spite of urine alkalization for rapid elimination of the absorbed dicamba, the metabolic acidosis was aggravated with concomitant rhabdomyolysis and acute renal failure, and he died 24 hrs after the ingestion.

• 대한임상독성학회지
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• 제7권2호
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• pp.113-120
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• 2009

Purpose: Though caustic injury of the upper digestive tract can lead to severe sequelae, there are few clinical studies on this subject. This study was undertaken to evaluate the clinical characteristics, the endoscopic findings and the risk factors of the upper digestive lesions in patient with caustic ingestion injury. Methods: We retrospectively reviewed the medical records of 137 patients who ingested caustic materials and who visited to our emergency room from January, 2000 to June, 2009. Results: The most common ingested agent was sodium hypochlorite (44.5%), followed by acetic acid (19.7%), hydrochloric acid (11.7%) and lye (8.0%). Ingestion for suicidal attempt (62.0%) was more frequent than accidental ingestion (30.7%). Grade IIa injury was the most frequent finding on endoscopy of the esophagus and Grade 1 injury was the most frequent finding on endoscopy of the stomach. For the late sequelae, there were 9 cases (6.6%) of esophageal stricture and 2 cases (1.5%) of gastric outlet obstruction. The initial signs and symptoms did not correlate with the development of stricture, but leukocytosis, and grade III injury were related to the risk of developing stricture. Conclusion: Caustic injury of the upper gastrointestinal tract is frequently observed on early endoscopy and it can cause significant late sequelae such as stricture. Therefore, it is necessary to evaluate these patients with regular follow up endoscopic examinations for the management of late sequelae.

• 생물정신의학
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• 제26권2호
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• pp.71-78
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• 2019

Objectives Suicide is a complex phenomenon not only caused by the individual's mental illness and economic situation, but also occurred in sociocultural contexts and relationships around the individual. Therefore, the attitudes, which include collective norms, thoughts and feelings of a population, toward suicide play a fundamental role in the prevention of suicide. Factor structure of Attitudes Toward Suicide (ATTS), developed by Renberg, is also various in different sociocultural contexts. This is the first study to investigate factor structure of ATTS along with nationwide sample of Korean adults. Methods This study analyzed the factor structure and reliability of ATTS in 1500 regionally stratified Korean adults. Exploratory factor analysis was performed by using principal axis factoring and varimax rotation. Results The selection of 33 ATTS items based on internal consistency and communality was conducted. Five factors were analyzed, which were named 'Good reason,' 'Negative gaze,' 'Predictability,' 'Means of escape,' and 'Common secret,' respectively. Explained total variance was 41.94%, and the internal consistency ranged from 0.516 to 0.740. Conclusions Each of the five factors contains different semantic dimensions. Consistent with previous studies, factors containing permissive attitude toward suicide was high in those with history of suicidal thought and of suicide attempt. It is notable that the 'Good reason' showed higher score in elderly. This may be related to socioeconomic or physical adversities which have been considered the major cause of suicide in elderly.

• 대한임상독성학회지
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• 제2권1호
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• pp.1-6
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• 2004

Purpose: A number of reports about the intoxicated patients have been introduced, but there were few multicenter studies. The purpose of this study was to analyse the patients with toxic exposure in the Daejon province. Methods: The patients who were presented to the four academic emergency departments in Daejon with toxic exposure were enrolled from January to June 2003. The collected variables were according to the form which modified from the Toxic Exposure Surveillance System (TESS) of the American Association of Poison Control Centers. Results: The toxic exposure patients were 362 cases which is $0.78\%$ of total patients presented to the emergency department. The most common exposure site was home ($84\%$). Eighteen percent of cases were exposed by two or more substances. The most common substance was the pesticides ($34.8\%$), and the non-prescription drugs ($32.6\%$) was followed. The suicidal attempt was the top reason for exposure ($67.1\%$). The route of exposure other than ingestion was $3.6\%$. Although the most patients left the hospital within a day, the average treatment period was 4.4 days. Thirty-one patients ($8.6\%$) were expired, and 22 among them were exposed to the paraquat. Conclusion: We reported the current status of toxic exposure in Daejon province by modified TESS style.