• 한국콘텐츠학회논문지
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• 제12권12호
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• pp.261-268
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• 2012

본 연구는 남녀 청소년의 자살생각을 파악하고 여기에 영향을 미치는 건강행위 및 건강상태 요인을 확인하여 청소년 자살을 예방할 수 있는 효율적인 방안을 모색하고자 한다. 이를 위해 제5기 1차년도 국민건강영양조사를 이용하여 만 11-18세 청소년 931명의 자료를 분석하였다. 연구결과 여자 청소년이 남자 청소년에 비해 자살생각을 더 많이 가지고 있었고, 청소년의 자살생각에 영향을 주는 요인으로는 활동 제한, 우울감, 신체 활동의 정도 등으로 확인되었다. 남자 청소년의 경우, 중학생에 비교해 고등학생인 경우가 자살생각 위험성이 감소하는 것으로 나타났고 우울감이 있는 경우에 자살생각 위험성이 높았다. 여자 청소년에서는 활동 제한이 있는 경우와 흡연 경험이 있는 경우, 우울감이 있는 경우, 그리고 1주일 간 신체활동을 전혀 하지 않는 경우가 자살생각 위험 요인으로 나타났다. 본 연구를 통해 남녀 청소년의 자살생각에 영향을 주는 건강행위 및 건강상태 변수들에 차이가 있는 것을 확인하였다. 따라서 청소년 자살예방 프로그램은 성별에 따라 다르게 접근할 필요가 있을 것을 제안한다.

• 한국콘텐츠학회논문지
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• 제14권10호
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• pp.189-197
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• 2014

본 연구의 목적은 청소년의 자살생각에 영향을 미치는 요인을 알아보고 이를 바탕으로 청소년의 자살생각의 감소와 자살예방을 위한 기초 자료를 제공하고자 한다. 연구결과 인구사회학적 특성에서는 유의미한 영향력이 나타나지 않았으며, 우울, 스트레스, 사회적 지지는 자살생각에 유의미한 영향력이 있는 것으로 나타났다. 우울과 스트레스가 높을수록 자살생각이 증가하는 것으로 나타났으며, 다른 요인의 영향력을 통제한 상태에서도 사회적 지지가 낮아질수록 자살생각은 높아지는 것으로 나타났다. 이러한 연구결과를 근거로 정책제언을 하면, 첫째, 가족지지체계는 부모자녀간의 관계증진을 위한 다양한 교육에 참여할 수 있도록 제도적 접근이 필요하다. 둘째, 학교지지체계는 교사와 또래간의 지지적 관계형성 프로그램과 친구지지 자원체계 구축이 필요하다. 셋째, 지역사회지지체계는 다양한 지역네트워크 조성을 통한 통합적 지지체계 구축이 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제55권5호
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• pp.455-463
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• 2022

Objectives: Economic hardship has a serious impact on adolescents' mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents' suicidal behaviors. Methods: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. Results: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. Conclusions: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.

• 가정과삶의질연구
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• 제29권2호
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• pp.127-142
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• 2011

The present study examined the effect of parent-adolescent communication style and school life satisfaction on the relationship between depression and suicidal ideation among adolescents. The participants were 1,099 middle school and high school students in Chungnam province. The instruments used were the 'Parent-Adolescent Communication Inventory', 'The Center for Epidemiological Studies Depression Scale', 'Suicidal Ideation Questionnaire', and 'School Life Satisfaction Scale'. The collected data were analyzed by t test, F test, the Scheff$\'{e}$ test for a post hoc test, Pearson's productive correlation, hierachical multiple regression, and Cronbach's ${\alpha}$ for reliability by SPSS program(18.0 version). The results were as follows: First, there were significant differences in parent-adolescent open communication style, school life satisfaction, and suicidal ideation by school level, and in the relationship with the teacher in school life satisfaction by gender. Second, the more depressed they were, the more they had suicidal ideation by school level and gender. Also, the more they communicated openly with their parents and the more satisfied they were with their school life, the less depressed they were and the lower degree of suicidal ideation they had. Finally, there were significant effects of both parent-adolescent communication style and school life satisfaction on the relationship between depression and suicidal ideation among adolescents.

• 농촌지도와개발
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• 제19권3호
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• pp.617-647
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• 2012

The purpose of this study was to identify the predictors of suicidal ideation of rural residents. This study was based on predictors of suicidal ideation of urban residents. The participants were adolescents, adults, and seniors sampled from 10 provinces all over the country, from May to Aug, 2010. The data for the study were analysed as decision tree analysis. The major results of the study were as follows. First, a main predictor of suicidal ideation for rural residents was high depression. Unlike rural residents, urban residents reporting high depression and influence of mass media showed high suicidal ideation. Second, interaction of depression and family solidarity was important predictor of suicide ideation both rural and urban residents, but a condition that effects the situation differed between rural and urban residents. Rural residents reporting high depression and high family solidarity showed high suicidal ideation, urban residents reporting low depression and high family solidarity showed low suicidal ideation. Stress was also operate differently. Rural residents reporting moderate depression, low family solidarity and high stress showed high suicidal ideation, but stress of urban resident was not a important predictors of suicidal ideation. And rural residents reporting low depression and low stress showed the lowest level of suicidal ideation, urban residents reporting low family solidarity and low depression showed the lowest level of suicidal ideation.

• 한국학교ㆍ지역보건교육학회지
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• 제25권3호
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• pp.1-15
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• 2024

목적: 본 연구의 목적은 청소년의 학업성적별 스마트폰 이용이 자살생각에 미치는 영향을 알아보기 위함이다. 방법: 제19차(2023년) 청소년 건강행태조사 원자료를 활용하여 총 52,875명의 표본을 분석하였다. 학업성적은 상, 중, 하로 분류하였으며, 학업성적별 스마트폰 이용시간, 스마트폰 의존도, 자살생각에 대해 x²검정, ANOVA, 로지스틱 회귀분석을 실시하였다. 결과: 첫째, 학업성적 '하', '중', '상' 순서로 스마트폰 이용시간, 스마트폰 의존도, 자살생각은 비율이 높은 것으로 나타났다. 둘째, 모든 성적 그룹에서 스마트폰 의존도는 자살생각에 영향을 주는 것으로 나타났다. 결론: 청소년의 올바른 스마트폰 이용과 자살 예방을 위하여 맞춤형 교육 및 정신건강프로그램의 개발이 필요하다.

• 지역사회간호학회지
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• 제20권3호
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• pp.343-350
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• 2009

Purpose: The purpose of this study was to examine the effect of a group counseling program on high school students' depression and suicidal ideation. Methods: This research was conducted as a quasi-experimental pretest and posttest control and experimental group methodological comparison study. The subjects were 25 high school students (Exp=12, Cont=13) in U City. The depression and suicide prevention program in this study was based on the Ellis' ABC Model. The experimental group participated in the program through eight sessions, but the control group did not receive treatment. Data were collected from November 4 to November 28, 2008, and analyzed using the SPSS/WIN program by frequency, Mann-Whitney, means, standard deviation and Wilcoxon signed rank test. Results: There was statistically significant difference in depression (z=-2.983, p=.003) between the two groups. Suicidal ideation also decreased significantly(z=-2.847, p=.004) in the experimental group. Conclusions: After the eight sessions of the group counseling program for preventing depression and suicidal ideation, it was found that the program was effective to lower the score of depression and suicidal ideation. The results of this study suggest that a school-based prevention program for adolescents should be developed according to depression and suicidal ideation level.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제29권3호
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• pp.114-121
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• 2018

Objective: Although suicide is a serious public health concern for adolescents, there is a lack of studies that explore its risk factors in the Republic of Korea. The present study aims to investigate risk factors associated with suicidal behaviors in Korean adolescents. Methods: Participants consisted of 2258 middle and high school students who completed a series of questionnaires regarding suicide ideation or attempts, non-suicidal self-injuries, depression, impulsivity, drinking behaviors, and negative life events, including peer bullying. Results: Among the participants, 8.3% of students reported suicide ideation, while 3.2% reported a history of a suicide attempt in the past 12 months. Depression, peer-victimization, internet-related delinquency, and positive attitudes toward suicide were associated with suicidal ideations and attempts. Adverse life events were also associated with suicide ideation, but not attempts, while not living with both parents and poor family relationships were associated with suicide attempts, but not ideations. Non-suicidal self-injuries were associated with both suicide ideations and attempts. Students with suicidal ideations and attempts can be differentiated depending on the presence of self-injury. Conclusion: In addition to depression or behavioral problems, non-suicidal self-injuries and lack of support from family may also play significant roles in suicide attempts in adolescents. To facilitate the prevention of suicide in adolescents, longitudinal studies should be followed to confirm the risk factors identified in this study.

• 대한간호학회지
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• 제39권5호
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• pp.651-661
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• 2009

Purpose: This study was done using meta-analysis to examine 58 studies from studies published in the past eight years (2000 to 2007) that included variables related to adolescents' suicidal ideation. Methods: The materials for this study were based on 32 variables which were selected from masters' thesis, doctoral dissertation and articles from Journals of the Korean Academy of Nursing. Results: The classification consisted of 5 variables groups and 32 variables. In terms of effect size on risk, variables which were significant included psychological variables (0.668), socio-cultural variables (0.511), family environmental variables (0.405), school environmental variables (0.221), and personal characteristics variables (0.147). In terms of effect size on protection, variables which were significant included personal characteristics variables (-1.107), psychological variables (-0.526), family environmental variables (-0.264), and school environmental variables (-0.155). In terms of effect size on risk variables, psychological variables (0.668) were highest. In terms of effect size on protective variables, the variable of personal characteristic (-1.107) was the highest. Conclusion: While the results indicate possible risk and protective variables for suicidal ideation, but prediction is still difficult. Further study to compare adolescents with similar variables but no suicidal ideation and those with suicidal ideation is necessary.

• 한국학교보건학회지
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• 제29권3호
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• pp.189-200
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• 2016

Purpose: The purpose of the study is to examine the factors that influence Korean adolescents' depression and suicidal ideation from individual, social and environmental perspectives by gender. The study used the date of the 2015 Korea Youth Risk Behavior Web-based Survey and the subjects were 68,043 middle and high school students. The levels of depression and suicidal ideation were the dependent variables and the factors influencing the dependent variables included 11 individual factors, 3 social factors and 7 environmental factors. The data were analyzed using odds ratios (OR) from multi-variable logistic regression analysis. As a result, the most significant individual factors that influenced both depression and suicidal ideation were stress and subjective happiness both in boy and girls, the most significant social factor was participation in violence treatment programs, and the most significant environmental factors were economic status, father's educational level, and whether or not they lived with their family. Therefore, programs and policies to improve adolescents' mental health should be developed considering individual, social, and environmental factors.