• 한국학교보건학회지
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• 제34권3호
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• pp.179-189
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• 2021

Purpose: The purpose of the study was to investigate health behavior changes in Korean adolescents before and during the COVID-19 pandemic. Methods: A descriptive cross-sectional design was employed. Data were obtained from the 15~16th (2019~2020) Korea Youth Risk Behavior Web-based Survey. Overall, the data of 112,251 students, 57,303 before the COVID pandemic and 54,948 during the pandemic, were included. The data were analyzed using rao-scott 𝝌²-test, t-test, ANCOVA and logistic regression analysis. Results: While sitting time for study decreased, sitting time for leisure increased in the 2020 group compared to the 2019 group. The 2020 group was more likely to skip breakfast and have a higher BMI than the 2019 group. The 2020 group was less likely to consume fruit and engage in moderate and vigorous physical activities than the 2019 group. The 2020 group was less likely to engage in CC, EC, and HTP current smoking and be exposed to secondhand smoke at home, school, and public places than the 2019 group. The 2020 group was more likely to be satisfied with sleep, but less likely to experience stress, depression, suicidal ideation, suicidal plans, and suicidal attempts than the 2019 group. Conclusion: It is necessary to reduce sedentary time, encourage physical activities, manage smoking and drinking rates continuously, and establish a network system to prevent psychological loneliness and isolation for adolescents, which requires participation of experts from the community as a whole.

• 한국심리학회지 : 문화 및 사회문제
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• 제21권2호
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• pp.119-130
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• 2015

본 연구의 목적은 심리부검을 통해 전북지역의 자살실태를 파악하는 것이었다. 연구대상은 2013년 5월부터 2014년 4월까지 1년간 전북지역에서 발생한 자살사망자 중 심리적 부검에 동의한 42건의 사례로, 사망자의 직계가족을 대상으로 반구조화된 심리면담을 실시하였다. 그 결과 자살 사망자중 71%가 과거의 자살시도 경험이 있었으며, 50%에서 자살가족력이 보고되었다. 자살의 추정원인으로는 정신 질환(38%)이 가장 빈번하였으며, 그 다음으로는 대인관계 문제(31%), 가정 문제(11%)순이었다. 사망자가 진단받은 정신 질환은 우울증이 가장 빈번하였는데, 대부분이 과거에 치료를 받았지만 사망 당시에는 치료를 받지 않았던 것으로 나타났다. 이러한 결과는 자살이 정신 질환과 정신질환에 대한 적절한 개입 실패와 연관되어 있음을 시사한다. 또한 과거 자살시도나 자살 가족력이 있는 대상에 대한 집중적 자살예방개입의 중요성을 시사한다. 끝으로 본 연구의 의의, 제한점에 대해 논의하였다.

• 보건행정학회지
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• 제30권1호
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• pp.112-119
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• 2020

Suicide has been a long-standing problem for global public health, along with almost 800,000 deaths from suicide worldwide in 2016, accounting for 1.4% of all deaths. South Korea was ranked first in suicide mortality in 2018 among countries in the Organization for Economic Cooperation and Development. This study aimed to suggest up-to-date information about suicide-related indicators such as the rate of suicidal ideation, suicide attempt, and suicide death, and its trends by applying sampling weight to make it nationally representative. In this study, we used the data sources: Korea National Health and Nutrition Examination (KNHANES, '07-13, '15-18), Korean Community Health Survey (KCHS, '08-09, '13, '17), Korean Wealth Panel Study (KOWEPS, '12-18), Korea Health Panel Survey (KHP, '10-13), and Statistics Korea (1983-2017). The rate of suicidal ideation as recent year was 4.73% (KNHANES, '17), 6.96% (KCHS, '17), 2.29% (KOWEPS, '18), and 5.39% (KHP, '13). That of suicide attempt as recent year was 0.51% (KNHANES, '18), 0.32% (KCHS, '17), and 0.15% (KOWEPS, '18). Annual percentage change (APC) of suicidal ideation was -15.4% (KNHANES, '07-13, '15, '17), -2.5% (KCHS, '08-09, '13, '17), -10.8% (KOWEPS, '12-18), and -10.9% (KHP, '10-13). APC of suicide attempt was -4.4% (KNHANES, '07-13, '15-18), -4.4% (KCHS, '08-09, '13, '17), and -13.6% (KOWEPS, '12-18). APC of death by intentional self-harm was -1.25% (Statistics Korea, '07-18). All suicide-related indicators were found to be decreasing in the overall from 2009. Individuals with lower income level were more likely to experience suicidal ideation and suicide attempts. Even though suicide rate had been continuously decreasing from its highest point in 2011 (suicide rate: 31.7 per 100,000 population) to 2017 (suicide rate: 24.3 per 100,000 population), it increased again in 2018 (suicide rate: 26.6 per 100,000 population). This information would be grounded on policy implementation for suicide prevention, thus continuous data observation is necessary.

• Journal of Yeungnam Medical Science
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• 제41권1호
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• pp.30-38
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• 2024

Background: Although Korea ranks first in the suicide rate of elderly individuals, there is limited research on those who attempt suicide, with preventive measures largely based on population-based studies. We compared the demographic and clinical characteristics of elderly individuals who attempted suicide with those of younger adults who visited the emergency department after suicide attempts and identified the factors associated with lethality in the former group. Methods: Individuals who visited the emergency department after a suicide attempt from April 1, 2017, to January 31, 2020, were included. Participants were classified into two groups according to age (elderly, ≥65 years; adult, 18-64 years). Among the 779 adult patients, 123 were elderly. We conducted a chi-square test to compare the demographic and clinical features between these groups and a logistic regression analysis to identify the risk factors for lethality in the elderly group. Results: Most elderly participants were men, with no prior psychiatric history or suicide attempts, and had a higher prevalence of underlying medical conditions and attributed their attempts to physical illnesses. Being sober and planning suicide occurred more frequently in this group. In the elderly group, factors that increased the mortality rate were biological male sex (p<0.05), being accompanied by family members (p<0.05), and poisoning as a suicide method (p<0.01). Conclusion: Suicide attempts in elderly individuals have different characteristics from those in younger adults and are associated with physical illness. Suicides in the former group are unpredictable, deliberate, and fatal. Therefore, tailored prevention and intervention strategies addressing the characteristics of those who are elderly and attempt suicide are required.

• 대한불안의학회지
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• 제4권2호
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• pp.111-120
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• 2008

Objective : This study investigated the temperament and character traits associated with suicide attempts in patients with mood disorders. Methods : The temperament and character inventory (TCI) was administered to 150 patients who visited psychiatric clinics seeking treatment for mood symptoms. The patients were divided into three groups as follows : non-suicide ideation, suicide ideation and suicide attempt. We also gathered socio-economic data in order to rule out confounding variables. MANOVA was performed to analyze differences in personal temperament and character scores on the TCI between the three groups. Results : The self-directedness and cooperativeness subscales of the TCI are most influenced by the clinical symptoms rated by Beck Suicide Ideation Scale and Hamilton Depression Rating Scale. In the temperament scale, the suicide attempt group scored higher on the novelty seeking and harm avoidance items than the other two groups. The specific temperaments associated with suicidal behavior in patients with depression are impulsivity (NS2) and anticipatory anxiety or pessimism (HA1). Conclusion : In this study, we found that more risky patients who had previously attempted suicide had a temperament of impulsivity or pessimism. This finding suggests that a more cautious approach is needed to assess mood disorder patients with impulsive or pessimistic temperaments in order to prevent suicide attempts.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권4호
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• pp.306-312
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• 2016

Objectives: We aimed to compare the smoking behaviors in adolescents from monocultural and multicultural families and to evaluate the associations between their smoking behavior and number of suicide attempts. Methods: The data used in this study was collected from The Tenth Korea Youth Risk Behavior Web-based Survey. The differences in the sociodemographic characteristics between the adolescents in the multicultural and monocultural families were analyzed through the ${\chi}^2$-test, and a logistic regression was conducted to evaluate the relationships between the smoking behavior and number of suicide attempts of the adolescents in multicultural families. The process involved an analysis using a complex sample design. Results: There was significant difference in the weighted rates of the current smoking behavior (13.3% vs. 8.4%, p<0.001), experience of violence (6.8% vs. 2.3%, p<0.001), and number of suicide attempts (5.4% vs. 2.7%, p<0.001) between the adolescents from the multicultural and monocultural families. In both groups, the current smoking behavior was associated with the number of suicide attempts (multicultural families OR=6.5, p=0.005; monocultural families OR=1.5, p<0.001). Conclusion: Our results showed that the percentage of current smokers in the adolescents from multicultural families was higher than that in the monocultural families and that current smoking behavior is related to the number of suicide attempts in both groups, after adjustment for age, sex, socioeconomic status, academic achievement, current smoking behavior, depressive mood and experience of violence.

• 농촌의학ㆍ지역보건
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• 제38권2호
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• pp.116-129
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• 2013

이 연구는 건강플러스 행복플러스 사업의 기초자료를 활용하여 우리나라 지역사회에서 자살생각 및 자살시도의 수준을 알아보고, 이들과 사회적 참여와 신뢰의 사회적 자본과의 연관성을 규명하고자 수행되었다. 자료는 경상남도에서 표준화사망비가 상대적으로 가장 높은 40개 읍, 면, 동에서 체계적 표본 추출로 선정된 220 가구의 구성원 중 가장 생월일이 빠른 19세 이상 성인을 대상으로 직접 면접 방법으로 수집하였다. 자료 수집 기간은 2010년, 2011년, 그리고 2012년의 8-10월이었으며, 최종 자료 분석 대상자는 8,800명이었다. 사회적 참여는 공식 집단 또는 비공식 집단에 참여하는 여부로, 신뢰수준은 영국의 국립 사회조사센터의 신뢰 설문 3 항목을 번역한 질문에 대한 긍정적 답변의 수로 구하였다. 자살생각은 '최근 1년 동안 죽고 싶다는 생각을 해본 적이 있습니까?' 자살시도는 '최근 1년 동안 실제로 자살시도를 해 본 적이 있습니까?' 라는 질문에 대한 '예', '아니오'의 대답으로 구하였다. 인구사회학적 변수(성, 연령, 결혼상태, 직업, 식생활안정성), 주관적 건강수준, 그리고 건강행태 변수(흡연, 음주, 운동)를 모두 통제한 로지스틱 회귀분석에서 사회적 참여와 신뢰수준은 자살생각 및 자살시도와 유의한 연관성이 있었다. 사회적 참여와 신뢰 변수는 모형의 적합도를 유의하게 개선하였다. 신뢰수준은 0인 경우를 기준으로 할 때 신뢰수준이 1인 경우 자살생각에 대한 교차비는 0.77(95%신뢰구간,0.63-0.94), 신뢰수준 3인 경우 자살생각에 대한 교차비는 0.69(95% 신뢰구간, 0.56-0.85)로 유의하였다. 사회적 참여는 둘 다 미참여하는 경우를 기준으로 할 때 비공식집단만 참여하는 경우 자살시도에 대한 교차비는 0.41(95% 신뢰구간, 0.21-0.80)로 유의하였다. 결론적으로 다른 변수와는 독립적으로 사회적 참여와 신뢰의 사회적 자본은 자살생각 또는 자살시도와 유의하게 연관되어 있었다. 사회적 자본이 자살행동을 예방할 수 있는지에 대해서는 더 많은 연구가 필요하다.

• 한국보건간호학회지
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• 제6권1호
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• pp.62-70
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• 1992

This study was conducted on 334 cases of the acute drug intoxication visited to the emergency room of Gyungsang University Hospital for 3 years from January 1, 1988 to December 31,1990. The results were as follows: 1. The ratio of acute drug intoxicated patients to total patients of the emergency room was $1.9\%$. 2. Male was slightly more than female(1.14 : 1). The highest rate was shown in the age group of 30 years. 3. The monthly incidence was higher at the period from May to September. 4. The suicidal attempts ratio of the patients over 10 years old was $84.9\%$. 5. $74.9\%$ of total cases were intoxicated with pesticides. Among 270 cases who had committed suicide, 220 cases $(81.5\%)$ had ingested pesticides. 6. The fatality rate among cases of pesticides intoxication was $35.2\%$, among chemical intoxication $15.1\%$ and among medical drug intoxication $4.3\%$. 7. 13 cases$(3.9\%)$ of 334 cases showed the psychological problem on chart.

• International Journal of Human Ecology
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• 제17권1호
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• pp.27-37
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• 2016

This study was to understand associated factors with frequent exposure to Internet pornography among Korean adolescents. We used data (N = 45,783) from the 2012 Korea Youth Risk Behavior Web-based Survey to examine demographics, family environmental variables, Internet use time, mental health indicators, sexual behavior, and delinquency among Korean adolescents identified as frequent users of Internet pornography. Multiple logistic regression analysis revealed that frequent users of Internet pornography were more likely to be older males with differences in living arrangements and perceived economic status of the family. They were heavy Internet users with mental health issues, such as a higher likelihood of sadness, suicidal ideation, suicide attempts, high stress, and a lower likelihood of feeling happiness. Their higher probability of exploratory (OR =1.79-4.60), and high-risk sexual behavior (OR = 2.20-7.46), and other delinquencies (OR = 1.74-7.68) requires more attention from public health professionals.

• 한국산학기술학회논문지
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• 제15권7호
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• pp.4157-4164
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• 2014

목적 이 연구는 한국군 병사의 자살사고 예방을 위해 영적안녕, 자기통제, 조직몰입의 상관관계를 밝히는 것이다. 방법 599여명의 한국군 병사를 대상으로 2013년 12월 1일부터 31일까지 조사한 설문지를 통해 영적안녕, 자기통제, 조직몰입의 상관성을 조사한 양적인 설문조사연구이다. 자료는 SPSS 18.0 프로그램을 이용한 t-test, ANOVA, Pearson's correlation coefficient로 처리하였다. 결과 영적안녕, 자기통제, 조직몰입 간에는 정적 상관관계가 있다. 결론 영적안녕과 자기통제는 대상자들의 조직몰입과 정적 상관관계를 갖는다. 조직몰입을 높이기 위해서는, 건강문제로서 영적안녕에 대한 필요성이 중요함을 인식할 필요가 있다. 또한 영적안녕, 자기통제에 대한 교육 프로그램의 도입 및 자체 개발 및 적용이 필요하다. 이는 병사의 삶을 더욱 건강히 하고, 사회적으로 큰 이득이 될 것이다.