• Korean Medical Education Review
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• v.26 no.2
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• pp.155-166
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• 2024

This study utilized cohort data, student lifestyle surveys, and mental health examination results from a medical school to investigate the impact of factors such as hometown, alcohol use, smoking, university life adaptation, and aptitude on academic failure, with mental health serving as a mediator. We analyzed data from 409 of the 549 incoming students at Keimyung University School of Medicine, excluding 140 individuals with missing data, from the academic years 2015 to 2021. Significant differences were found according to hometown in feelings of depression, suicidal tendencies, and internet addiction. There were also significant differences based on university life adaptation in feelings of depression, suicidal tendencies, and internet addiction, as well as significant differences according to academic aptitude in feelings of depression and internet addiction. Academic failure showed significant differences based on hometown, university life adaptation, and academic aptitude. Furthermore, students' hometown had a complete mediating effect on academic failure together with feelings of depression, suicidal tendencies, and internet addiction. University life adaptation exhibited a complete mediating effect with suicidal tendencies and a partial mediating effect with feelings of depression and internet addiction. Academic aptitude demonstrated partial mediating effects on feelings of depression, suicidal tendencies, and internet addiction. Based on these results, we suggest establishing counseling programs tailored to the characteristics of medical students, and various programs for university life adaptation are necessary. There is also a need for diverse programs not only for clinical training, but also for different career paths.

• The Journal of Korean Society for School & Community Health Education
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• v.22 no.2
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• pp.1-14
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• 2021

Objectives: The study aimed to analyze the effects of household financial difficulties caused by COVID-19 (2019 coronavirus disease) on suicidal tendencies of adolescents. Methods: We selected 54,948 middle and high school students who were surveyed based on the Korean Youth Risk Behavior Web-based Survey 2020. To analyze the data, we used the STATA 16.0 program to conduct propensity score matching (PSM). Results: After controlling for selection effects by using PSM, the household financial difficulties caused by COVID-19 maintained a significant predictive effect on increasing suicidal ideation, suicide attempts, and decreasing tendency in hospital-treated after suicide attempts. However, depressive symptoms and suicide plan did not show a significant correlation with household financial difficulties associated with COVID-19. Conclusions: It was found that the rate of suicidal ideation and suicide attempts among adolescents who experienced a household financial difficulties due to COVID-19. Therefore, It can provide empirical evidence for estimating the impact of COVID-19 on adolescent suicide rates.

• Korean Parent-Child Health Journal
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• v.12 no.1
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• pp.3-14
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• 2009

Purpose: This study is intended to identify relationship between stress, depression and suicidal ideation in nursing students. Method: The subjects were 213 nursing students in B city. Data was collected from November 1, 2007 to November, 12, 2007 using structured questionnaire surveys and convenience sampling. Measuring instruments collecting data were SSI (scale for suicidal ideation) developed by Beck (1979), BDI (Beck depression inventory) translated by Lee (2001), scale for stress developed by Lee (2001). Collected data was analyzed by frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson correlation coefficients with SPSS/PC 12.0. Result: 1. Mean value of stress (50.69) of nursing students were moderate level, depression (28.06) was high, suicidal ideation was moderate. 2. Relationship of stress, depression, suicidal ideation of nursing students. 3. Stress of nursing students with positive relationship with depression (r=.60 p<.001) and suicidal ideation (r=.27 pp<.001). Depression of nursing students was positive relationship with suicidal ideation (r=.46 p<.001). Conclusion: Stress of nursing students was inclined to increase depression, suicidal ideation. Therefore, development of counseling and guidance program to decrease stress of nursing students is recommended.

• Research in Community and Public Health Nursing
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• v.23 no.4
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• pp.386-394
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• 2012

Purpose: The purpose of this study is to investigate the factors influencing suicidal ideation in middle school students. Methods: Suicidal Ideation Questionnaire (SIQ) results, personal characteristics, child abuse experiences, and stress were obtained from a sample of 657 middle school students from 3 conveniently selected schools in S city. Results: Suicidal ideation of participants was positively correlated with child abuse experience, stress, psychosomatic symptoms, antisocial personality and depressive tendencies, whereas sociability and self-esteem were negatively correlated with suicidal ideation. Significant factors influencing suicidal ideation included an antisocial personality tendency, stress related to the family environment, mental abuse, gender (female), depressive trend, running away from home, sociability, and stress related to academic performance. These factors explained 39.9% of the variance. Conclusion: These results suggest that earlier screening and intervention programs for depression and stress in middle school students will be helpful in reducing suicidal ideation. Further studies are needed in which other strategies that could prevent suicidal ideation in middle school students are examined.

• Korean Journal of Human Ecology
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• v.21 no.3
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• pp.423-437
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• 2012

The purpose of this study was to explore the effects of death education, focusing on death orientation and suicidal ideation, among college students majoring in social welfare. Participation in this study was voluntary. Participants were divided into two groups; an experimental group and a control group, totaling fourteen participants in each group. In exploring the effects of death education, the experimental group was subjected to a total of seven independent sessions dealing with death education over a period of four weeks. As a result of the death education, scores of death orientation and suicidal ideation in the experimental group were significantly lower in the control group. College students majoring in social welfare in the experimental group demonstrated greater comfort with the concept of death, as well as death being the prolongation of one life and new hope for an ensuing life. The experimental group demonstrated a greater appreciation for life, more confidence in setting future goals for their lives, and an awareness of, and ability to deal positively with suicidal tendencies in themselves and others. This research demonstrated a strong practical benefit associated with death education and suicidal ideation awareness.

• Journal of Korean Academy of Nursing
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• v.5 no.2
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• pp.11-22
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• 1975

Suicides have been considered to be one of the grave problems of modern societies. According to recent police statistics of Republic of Korea, 28.6 suicides in every 100, 000 were reported. Psychiatric Patients are believed to be predisposed to suicidal tendencies. This study was performed to investigate the characteristics of suicidal attempts and to analyse the environmental factors involved in the suicidal accidents of patients admitted to psychiatric hospitals. Records of 66 suicidal accidents from three psychiatric hospitals during the period of January 1971 through June 1971 were sampled. Data were analysed by percentile score. Results are as follows; 1. The age group of 21~30yrs. was revealed to be the highest in frequency of suicidal attempts (50.0%) Among the unsuccessful suicides; the age group of 31~40yrs. in men and the age group of 21~30 yrs. in women revealed to be the highest in frequency-Among the unsuccessful suicides; the age group of 21-30 yrs. in both sex revealed to be the highest in frequency. 2. Suicidal accidents occurred more frequently to the unmarried(63.6%)- Among the successful suicides; higher frequency was shown to unmarried in men and the frequency is contrasted in women. Among the unsuccessful; the unmarried in both sex were revealed to be highest in frequency. 3. Schizophrenia was revealed the highest of suicidal attempts in frequency (81.8%). 4, Suicides were most frequently attempted in the spring(46, 9%). Among the successful suicides; highest frequencies were shown in men in tile winter and in women in the summer season. Among the unsuccessful suicides :highest frequencies were shown in men in the winter and in women in the spring. 5. Suicidal attempts were most frequently occurred in hospital wards (40.9%), In women, unsuccessful attempts were found to be the highest on authorized leave at their homes. 6. The hanging was revealed to be the most frequently adopted methods for suicidal attempts (31.8%). Among the successful suicides; hanging was the most frequent method adopted in men white in women the drug over-dose, Among the unsuccessful suicides ; stabbing by sharp devices while in women drug-overdosage was adopted as well 7. The most frequently adopted instrument of different suicidal attempts were: house-hold wrapper (26.3%) in cases of hanging, knives (31.8%) in cases of stabbing, and drugs. 8. The suicidal attempts have occurred most frequently at dawn through early morning (2-6A. M.) (34.8%). Among the successful suicides i most frequent time of occurrence on week-days were revealed to be dawn, while on holidays the occurrence were in the evening as well Among the unsuccessful; the most frequent time of occurrence was the day hours while on holidays at dawn. 9. Suicidal attempts within the hospital ward were first noticed by nurses most frequently (42.2%). 10. Manifestations such as restlessness, depression, self-depreciation were revealed to be the most frequent pre-suicidal attempt behavior characteristics. 11. Among the successful suicides ; manifestations of physical damage were found on the neck while among unsuccessful attempts, the damages were found on exterminates.

• Korean Journal of Human Ecology
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• v.24 no.6
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• pp.795-809
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• 2015

The suicide rate in South Korea has been the highest among the OECD countries for more than 10 years. In addition, the suicide rate among the rural elderly is much higher than that of the elderly in urban areas and that of younger generations. The purpose of this study was to examine the general tendencies of family ties, community consciousness and suicide ideation of the rural elderly in Korea. Also, this study aimed to verify the mediating effect of community consciousness between family ties and suicidal ideation. The data for this study came from 283 elderly people (over 65 years old) living in 11 villages in South Korea. The data was gathered from July to August 2013. Baron and Kenny's (1986) step based regression from the SPSS Win 18.0 program was used to analyze this data. This study also utilized the Sobel-test. The results of this study are as follows. First, the suicidal ideation of the respondents had a lower score than the median score. However, the magnitude of suicidal ideation was still significant. Second, this study found that family ties and community consciousness have both direct and indirect effects on the reduction of suicidal ideation. Lastly, this study examined the mediating effects of community consciousness. The findings of this study are of great significance because they reconfirmed the importance of establishing a social safety net in local communities to replace adult children who have relocated to urban areas.

• Research in Community and Public Health Nursing
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• v.32 no.4
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• pp.477-484
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• 2021

Purpose: Various intervention strategies are needed to reduce the suicide rate among late adolescents. Therefore, we aimed to investigate the factors that can help overcome suicidal tendencies in late adolescents from the perspective of case managers. Methods: This qualitative study explored the reinforcing factors that can help overcome suicidal behaviors in late adolescents, by conducting focus group interviews with case managers from the local community. Interviews with 10 case managers were recorded and transcribed, and the data were analyzed using the content analysis method. Results: The main theme of this study was "a step in a new direction". Three categories were derived: "inner changes", "another possibility opened up by the interest of significant others", and "connecting with community resources to help overcome". Each category had subcategories that influenced the intention and course of action of behaviors to overcome the suicide crises. Conclusion: Our findings, from the exploration of the experiences of case managers, provide an in-depth understanding of the reinforcing factors for overcoming suicide among late adolescents. They provide useful preliminary data for the development of effective suicide prevention programs for the adolescents.

• Journal of the Korea Convergence Society
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• v.12 no.4
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• pp.359-367
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• 2021

The purpose of this study is conceptual analysis study on the thwarted belongingness, and was based on the conceptual analysis method of Walker & Avant to make clear concept. Thwarted belongingness can be defined by the following attributes: distorted beliefs, insufficient need to belong, a sense of alienation, and insufficient interaction and affection needs. The prerequisites for thwarted belongingness were social isolation, experiences of exclusion or conflict in interpersonal relationships, perfectionist tendencies, and sensitivity to rejection. The consequences occurring as a result of thwarted belongingness were suicidal ideation, decreased happiness and life satisfaction, negative emotions such as anxiety about rejection, depression, shame, loneliness, stress or anger, aggression, hostility and self-criticism, despair, suppression of emotional expression, lethargy, self-exclusion from relationships, and identity confusion. This study is valuable to identify the extent of preventable nursing interventions related to individual mental health and suicidal ideation related to interpersonal relationships, and suggests future tool development and field studies of thwarted belongingness.

• Anxiety and mood
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• v.13 no.2
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• pp.93-99
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• 2017

Objective : This study aimed to evaluate the association of exhaustion, ADHD, self-esteem, impulsivity, suicidal tendencies and quality of life as well as depression and anxiety in fire officers in Korea. Methods : This study was undertaken for the first time in Korea, from September 2016 to December 2016. A set of questionnaires was provided to a total of 113 fire officers and 284 other participants as a comparison group. All subjects were evaluated using the Beck's Depression Inventory, Beck's Anxiety Inventory, Malach Burnout Inventory, Korean Adult Attention Deficit Hyperactivity Disorder Scales, Rosenberg's Self-esteem Inventory, Baratt's Impulsivity Scale, Beck's Scale of Suicide Ideation, and Quality of Life Scale. Furthermore, the odds ratio of depression, anxiety, exhaustion, ADHD, self-esteem, impulsivity, suicidal tendency and quality of life were evaluated the fire officer group and control group were compared through logistic regression analysis. Result : The results of this study indicated that the fire officers were more likely to show depression, anxiety, exhaustion, ADHD, low self-esteem and higher impulsivity. Also, the association between the fire officer group and depression, ADHD and impulsivity was confirmed through logistic regression analysis. Conclusion : Timely and effective evaluation and treatment of impulsivity, as well as depression is required for fire officers.