• 한국학교보건학회지
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• 제28권2호
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• pp.89-98
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• 2015

Purpose: The purpose of this study was to determine the factors that influence suicidal ideation and suicidal attempts of adolescents who had been bullied. Methods: This study used data extracted from Korea Youth Risk Behavior Web-Based Survey of 2014. The data of 1,926 adolescents, in total, who had experienced violence were included in the analysis, The analysis was done using SPSS/WIN. Results: The adolescents with an experience of being bullied were more likely to engage in suicidal ideation and suicidal attempts than the average teenagers in Korea. In addition, suicidal thoughts were affected by gender, experience of habitual drug use, subjective happiness, as well as sadness and despair. Suicidal attempts were influenced by gender, grade, smoking experience, experience of habitual drug use, size of the city of residence, subjective happiness, sadness and hopelessness, existence of people to get counseling, and habit of walking for 10 minutes every day. Conclusion: More attention should be given to the suicidal risk of adolescents having experienced violence. Further studies are required to develop an intervention program for suicide prevention targeting adolescents who have experienced violence and assess the program's effectiveness.

• 한국보건간호학회지
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• 제34권1호
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• pp.87-98
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• 2020

Objectives: The aim of this study was to identify the relation of sexual orientation and suicidal ideation. Methods: The study includes 33,309 Korean high school students: 31,213 of whom had no experience of sexual intercourse, 1,739 had heterosexual sexual intercourse, 191 had homosexual sex, and 166 had bisexual intercourse. The study used the 12th(2016) Korea Youth Risk Behavior Web-based Survey with complex sample logistic regression. Results: Adjusted confounding variables related to suicidal ideation of participants except for sexual orientation were analyzed, and suicidal ideation was higher in the homosexual and bisexual groups. These two groups showed a higher risk of suicidal ideation (homosexual: OR=2.28, 95% CI:1.54-3.39) (bisexual: OR=2.78, 95% CI:1.61-4.81). Conclusions: The study results showed sexual orientation was associated with suicidal ideation. Further studies and evaluations are needed.

• 한국학교보건학회지
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• 제27권1호
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• pp.50-57
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• 2014

Purpose: Smoking is one of the most important global health issues. This study aims to investigate how smoking behavior and the amount of smoking affect the youth's suicidal ideation. Methods: This study utilized the data of the Sixth Online Survey on Youth's Health Behavior. The subjects of the study were 73,238 middle school and high school students. Collected data were analyzed using SAS 9.3. The relationship between general characteristics and suicidal ideation among smokers and nonsmokers was analyzed through the ${\chi}^2$-test. Also, a multiple logistic regression analysis was conducted to investigate how smoking behavior and the amount of smoking affect suicidal ideation. Results: According to the study, adolescent smoking and suicidal ideation had a statistically meaningful relationship. In terms of suicidal ideation, those who smoked more than 20 cigarettes everyday had 1.81times higher odds ratio (95% CI 1.49~2.20) and those smoking 10~19 cigarettes everyday had 1.29times higher odds ratio (95% CI 1.13~1.48) than nonsmokers. Both of the results were found statistically significant. Conclusion: With regard to smoking adolescents, smoking behavior and the amount of smoking affect their suicidal ideation in a statistically meaningful manner. Current smokers are proven to have more suicidal ideation than nonsmokers. In addition, the study shows that the more a person smokes in a daily basis, the more suicidal ideation he/she has. The author recommends this result be utilized as basic data for the prevention of smoking among the Korean youth.

• 보건의료산업학회지
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• 제7권1호
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• pp.155-165
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• 2013

This study aims to identify the significance of adolescent suicidal ideation in a multicultural family, propose suicidal prevention strategies, and provide considerable foundations supporting their secured future. The research results are in the follow. For the results of main factors of relative influence on the suicidal ideation, the relative dangerousness levels were 5.5 times more likely to experience with drugs, 4.5 times more likely to have depressive symptoms, 3.2 times more likely to experience violence at school, and 2.8 times more likely to experience drinking alcohol, 1.4 times more likely to feel unhappiness and 1.3 times more likely to be bad off in economic status, all of which contribute to suicidal ideation. All results turned out to be statistically significant. Therefore, the findings and results of this study indicate that appropriate and practical prevention strategies to address the suicidal behavior of adolescents in a multicultural family need to be carefully considered and designed in a most urgent manner.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권1호
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• pp.39-47
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• 2016

Objectives: The aim of this study was to examine the association between current suicidal or violent behavior and deficits of specific neurocognitive variables in child and adolescent inpatient samples diagnosed with mood disorder. Methods: A retrospective review of the charts of mood disorder patients hospitalized at Samsung Medical Center between April 2004 and April 2015 was conducted. Child and adolescent patients aged between 10 and 18 years old and those who finished neurocognitive function testing during their hospitalization were included. Among them patients whose full scale IQ was between 85 and 115 were selected (N=111). Participants were first divided into two age-groups-group Y ($10{\leq}age{\leq}15$, N=54) and group O ($16{\leq}age{\leq}18$, N=57)-because neurocognitive function test tools were different according to age [Wechsler Intelligence Scale for Children (WISC) for 10 to 15-year-old patients, Wechsler Adult Intelligence Scale (WAIS) for 16 to 18-year-old patients]. They were then divided according to their suicidal or violent behavior-non suicidal/violent group (NG), suicidal group (SG), violent group (VG), and both suicidal/violent group (BG). The Child Behavior Checklist (CBCL) was checked for measurement of participants' behavior and the Gordon Diagnostic System was checked for measurement of their attention efficiency. Kruskal-Wallis Test and Tukey test was used to determine the differences in neurocognitive function between groups. Results: O-SG patients showed lower scores on the comprehension subscale of WAIS-III than O-NG patients (${\chi}^2=8.454$, p=.015). O-VG patients showed lower scores on the block design subscales of WAIS than O-SG patients (${\chi}^2=7.496$, p=.024). Y-VG patients showed higher scores in aggressive behavior, externalizing problems, and total problems scores of CBCL. Conclusion: This study showed relationship between specific neurocognitive deficits and suicidal or violent behavior. These relationships were significant in relatively older adolescents.

• 한국학교보건학회지
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• 제35권2호
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• pp.57-64
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• 2022

Purpose: Adolescent suicide is an important issue worldwide. Although literature on preventing suicide among adolescents tends to focus on suicidal ideation, suicidal planning is also an important issue as a stage leading to suicidal behavior. This study aims to identify suicidal planning-related factors, including generalized anxiety disorder, among adolescents who had suicidal ideation. Methods: This secondary study used data generated from the 16th(2020) Korea Youth Risk Behavior Web-based Survey, which included 5,979 students who had suicidal ideation. Factors related to suicidal planning were identified by performing a logistic regression analysis of the participants. All analyses were performed using SPSS 27.0. Results: Among adolescents who had suicidal ideation, 23.8% had suicide plans. The suicidal plans were significantly related to school level (middle, OR=1.38, 95% CI=1.22~1.55), whether they were living with family (no, OR=1.36, 95% CI=1.06~1.75), perceived body image (normal, OR=1.23, 95% CI=1.05~1.44; Obese, OR=1.33, 95% CI=1.14~1.54), depression (yes, OR=1.47, 95% CI=1.25~1.72), tobacco use (yes, OR=1.31, 95% CI=1.12~1.54), alcohol use (yes, OR=1.21, 95% CI=1.06~1.38), drug use (yes, OR=1.96, 95% CI=1.44~2.66), and/or generalized anxiety disorder (severe, OR=1.76, 95% CI=1.44~2.14). Conclusion: The findings of the study suggest that in addition to the commonly recognized factors for adolescent suicide, generalized anxiety disorder should also be considered when establishing strategies to prevent suicide planning in adolescents who had suicidal ideation.

• 부모자녀건강학회지
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• 제20권2호
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• pp.49-57
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• 2017

Purpose: This study was to compare the health behaviors and factors influencing on suicidal ideation according to the gender among adolescents with asthma and to examine the relationship between them. Methods: The data was obtained from the 2014 youth's risk behavior web-based study in South Korea. The data were analyzed with the SPSS/Win 21.0 program, using descriptive statistics, $x^2$ test and multiple logistic regression. Results: As the result of multiple logistic regression, the factors of health behaviors and risk related to suicidal ideation were subjective happiness, stress, depression, drug use, treatment experience due to violence in both male and female. In female, physical activity and alcohol drinking were factors related to suicidal ideation. Conclusion: Therefore, we have to develop suicide prevention program, to decrease the suicidal ideation of adolescents considering such differences by gender differences.

• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.110-122
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• 2017

본 연구는 갱년기 중년여성의 우울감 경험과 자살행동과의 관계와 이 두변수간의 관계에서 건강관련 삶의 질의 매개효과 및 소득의 조절효과를 검증하고, 이를 토대로 우리나라 중년여성들의 정신건강증진 방안을 모색하는데 목적이 있다. 분석 대상은 국민건강영양조사 제6기 3차년도(2015년) 자료 중 만 40세에서 60세까지 중년여성 1,182명이다. 분석결과, 첫째, 갱년기 중년여성의 우울감 경험은 자살행동과 유의미한 관계가 있는 것으로 나타났다. 둘째, 우울감 경험과 자살행동의 관계에서 건강관련 삶의 질은 부분적인 매개효과가 있는 것으로 나타났다. 셋째, 소득은 우울감 경험과 자살행동의 관계를 조절하는 효과가 있는 것으로 나타났으며, 조절효과는 평균소득 이하의 저소득집단에서 나타났다. 연구결과들을 토대로 갱년기 중년여성의 자살예방 정책마련 필요, 건강관련 삶의 질의 수준 향상 프로그램을 통한 개입의 필요 및 저소득층의 정신건강을 위한 정책지원이 강화될 필요가 있음을 제언하였다.

• 한국인구학
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• 제33권2호
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• pp.61-84
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• 2010

본 연구의 목적은 가까운 사회적 관계의 자살경험이 자살생각과 행동에 미치는 영향을 실증적으로 분석하고 자살의 위험요인이자 보호요인으로서의 가족효과를 검증하는 데 있다. 이를 위해 전국 18세 이상의 남녀를 대상으로 수집된 2009년 한국종합사회조사(KGSS) 자료를 분석하였다. 분석결과는 사회적 관계 내의 자살경험이 응답자의 자살생각과 행동에 유의미한 영향을 미칠 수 있음을 보여준다. 즉, 가까운 사람 중 자살을 생각하거나 자살한 사람이 있는 응답자의경우 그렇지 않은 응답자에 비해 자살을 생각하거나 계획할 확률이 높았다. 또한 가족요인이 응답자의 자살생각 및 행동에 강한 영향을 미치는 것으로 드러났다. 가족스트레스가 높을수록 자살생각, 자해충동, 자살계획 및 자살시도를 할 확률이 높았으며, 반면 가족지지에 대한 기대가 높을수록 자살생각, 자살계획 및 자살시도의 확률은 감소하였다. 본 결과는 사회적 관계를 통한자살확산의 가능성과 자살에 대한 가족의 이중적 효과를 보여준다. 이는 현재 한국사회의 자살률이 계속적으로 증가하고 있는 상황에서 가족 등 가까운 사회적 관계의 건강성에 주목할 필요가 있다는 것을 의미한다. 더불어 사회적 관계 내 자살을 경험하는 사람들이 자살위험에 노출될 가능성이 높다는 사실은 이러한 취약집단에 대한 정책적 배려가 필요하다는 사실을 말해준다.

• 한국융합학회논문지
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• 제9권11호
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• pp.549-559
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• 2018

본 연구에서는 2011년-2013년 청소년건강온라인행태조사에 응한 13세-19세 여학생 중 임신경험자 284명을 대상으로 한국 여성 청소년의 임신경험 위험 요인과 임신 경험과 자살행동과의 관련성을 규명하고자 하였다. 연구 결과 임신경험군의 자살생각은 57.78%, 자살계획 37.7%, 자살시도 37.3%였다. 다변량 로지스틱 회귀분석을 통해, 임신을 경험한 여성 청소년은 자살생각, 계획, 시도가 없는 군에 비해 자살생각 1.44배, 자살계획 2.39배, 자살시도 2.38배 증가된 교차비를 확인할 수 있었다. 이처럼 청소년기의 임신 경험과 자살행동은 높은 관련성을 가지고 있으므로, 추후 청소년기 임신 예방과, 임신경험 이후의 자살 위험 방지를 위해 학교와 교육 당국의 체계적 교육과 대처방안이 필요할 것으로 판단된다. 그리고 무엇보다 가정과 학교 및 지역사회 포괄적 영역에서 융합적 지원과 관심이 뒷받침되어야 할 것이다.