• 보건행정학회지
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• 제29권1호
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• pp.1-3
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• 2019

Suicide is a major problem in Korean health care and a serious social problem. In Korea, 12,463 people (24.3 per 100,000) lost their lives due to suicide in 2017. Although the government has established three National Comprehensive Plan of Suicide Prevention (2004, 2009, 2016), and National Action Plan of Suicide Prevention (2018), the suicide rate is still high. The suicide rate of the elderly is especially high. This is due to the economic vulnerability of the elderly in Korea. Therefore, in order to prevent suicide in Korea, mental health care approach and social welfare approach should be integrated. The intervention of preventing suicide of suicide attempters should include social welfare services as well as mental health program and should be based on community. There are many health problems, including prevention of suicide, which can not be solved only by the efforts of health care. Many health problems are social problems and the integrated approach is needed to solve them. In order to solve many health care problems and improve health, integrated approach of health, social science, and humanities is needed.

• 한국간호교육학회지
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• 제29권1호
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• pp.31-60
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• 2023

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.169-176
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• 2020

Exploring the risk factors of adolescent suicide is important for effective suicide prevention. This study explored the clustering of adolescent suicides based on six risk factors: mental disorder, broken family, depression, anxiety, previous suicide attempts, and deviant behaviors. Using 173 student suicide reports obtained from the Ministry of Education, we evaluated the associations between suicide and variables related to mental disorders; dysfunctional family life; depression and anxiety; previous suicide attempts; deviant behaviors such as drinking and smoking; and school life characteristics, including attendance and discipline, problems within the past year, and incidents prior to suicide. In addition, reports of warning signs just before suicide were included in the analysis. The two-stage cluster analysis classified the students into three clusters: the silent type (cluster 1; 48.55%), in which no risk factors were observed; environmental-risk type (cluster 2: 24.28%), which featured a high frequency of broken households, deviant behaviors such as smoking/drinking and running away from home; and depressive type (cluster 3: 27.17%), which featured a high frequency of mental health problems such as depression, anxiety, and suicide attempts. Identifying the sub-types of adolescent suicide may help to inform tailored suicide prevention and intervention strategies in school.

• 한국인구학
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• 제23권2호
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• pp.167-187
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• 2000

우리사회에서 노인 자살자의 수와 자살율이 지난 십 년간 지속적으로 증가하고 있다. 이는 한국 노인들이 당면하고 있는 문제들(경제적 불안정, 조기퇴직, 건강악화, 가족부양체계의 약화, 정서적 고립 등)의 심각성을 시사하고 있다. 하지만 노인자살에 관한 국내 연구는 거의 없는 실정이다. 노인자살현상에 대한 체계적인 연구를 통하여 자살의 배후에 있는 노인문제 혹은 생활조건을 확인하여 노인복지 차원에서 일차적 예방 대책을 강구하여야 할 것이다. 특히, 자살위험이 높은 특정 노인인구집단을 중심으로 자살예방 대책이 조속히 마련되어야 할 것이다. 따라서 이 연구는 우리 나라 노인문제의 구조적 상황과 노인자살과의 관련성을 사회학적 시각(교환이론과 사회통합이론)으로 조망해 본 후 이를 기초로 노인자살을 유도하는 노인생활의 조건을 개선할 수 있는 노인복지과제를 제시하여 한국노인의 자살율 증가를 예방하고자 하는데 그 주된 목적이 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권4호
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• pp.266-272
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• 2015

Objectives : This study examined the impact of peer's suicide on mental health of middle-school students. The aim of this study was to describe the course of posttraumatic stress and grief reaction, suicide ideation, and depression score among adolescents after exposure to peer's suicide and to examine the relationship between posttraumatic stress and other mental health scores in these subjects. Methods : Thirty seven middle school students who were exposed to the suicidal death of a peer completed self-report measures to assess levels of depression, grief reaction, post-traumatic stress, and suicide ideation at 1 month and 8 months after the peer's suicide. Results : There was no significant change in mental health scores between 1 month and 8 months. Level of posttraumatic stress after 8 months was related to acute grief response. Subjects who experienced a clinically significant level of suicidal ideation and posttraumatic stress showed more mental health problems. Conclusion : The results suggested that peer's suicide strongly impacted mental health issues of adolescents at a critical time of adolescent development. Clinicians should perform a thorough evaluation of mental health problems for youth who experienced peer's suicide and help them in management of their grief reaction.

• 한국콘텐츠학회논문지
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• 제21권3호
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• pp.33-46
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• 2021

본 연구는 우리 사회의 자살현상을 알아보고, 자살예방대책의 사회현상 반영여부 및 적절성에 대해 알아보고자 뉴스 빅데이터를 활용한 네트워크 분석을 실시하였다. 이를 위해 2000년부터 2018년까지 8개 중앙지에서 자살을 키워드로 9,142개의 뉴스기사 제목을 수집하였고, 명사를 중심으로 단어를 추출하여 데이터 정제를 거쳐 네트워크 분석을 실시하였다. 총 기간은 1, 2차 자살예방대책을 기준으로 4개의 구간으로 나누었고, 상위 50개의 빈출 주제어와 CONCOR분석을 통해 각 구간의 자살현상의 특징을 파악하였다. 분석결과 1구간(2000~2003년)은 6개의 군집(군, 인터넷 환경, 경제적 문제, 비관, 학교, 비리), 2구간(2004~2008)은 8개의 군집(사회고위층, 학교, 경제적 문제, 자살시도, 가정문제, 사회적 문제, 군, 책임), 3구간(2009~2013)은 6개 군집(학교, 가정문제, 자살시도, 직업별, 군, 조사), 4구간(2014~2018)은 8개 군집(군, 자살보험금, 가정문제, 자살시도, 직업별, 업무스트레스, 연예인, 비리)이 분석되었다. 이와 같은 네트워크 분석을 통해 우리 사회의 자살현상의 특징을 알아보았으며, 이러한 연구결과를 토대로 2차에 걸쳐 실시된 자살예방대책의 적절성 여부를 논의하였다.

• 보건교육건강증진학회지
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• 제28권5호
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• pp.73-82
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• 2011

Objectives: This study is to gain an understanding of the characteristics of suicides committed by university students in Korea by assessing news reports. Methods: A total of 97 news reports on university student suicides on daily newspapers and TV newscasts from 2000 to 2011 are included in this study. Analyses were performed on sociodemographic characteristics of suicided university students and temporal and other characteristics of the suicides. Results: Suicide rate was higher among males than females. The most frequently used method of suicide was jumping off while the most common place was the students’ residence. Issues related to academic and financial problems topped as the reasons for suicide. There were no differences in the reasons for committing suicide by school year and enrollment, but the location and season of committing suicide differed by reasons for suicide. Conclusions: Implication of this study, discussion on the results and suggestions for suicide prevention are discussed.

• 생물정신의학
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• 제27권2호
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• pp.64-73
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• 2020

Suicidality is the most serious complication of mood disorders and psychosis; effective treatment should reduce suicide rates. The Organization for Economic Cooperation and Development age-standardized suicide rate in Korea was 22.6 in 2018, much higher compared to other countries worldwide. As mental and psychiatric problems are the main reasons for suicide attempts, accounting for 31.6% in 2018, targeting such problems should be the focus of efforts to reduce suicide rates. However, the ability of current pharmacotherapeutic and psychotherapeutic interventions to reduce suicide rates is limited due to their delayed effects. Therefore, electroconvulsive therapy (ECT) has been proposed as an alternative treatment. This approach is effective for treating most mental disorders associated with high suicide rates, including severe depression, bipolar disorder, and intractable psychotic disorders; ECT is also effective for Parkinson's disease, which has the highest suicide rate among all disorders in Korea. The acute, long-term, and prophylactic effects of ECT on suicidality have been reported in the literature, and treatment guidelines outside of Korea recommend that ECT be used at an early stage for rapid reduction of suicide rates, as opposed to being applied as a treatment of last resort. However, only ~0.092 of every 10000 members of the Korean general population received ECT in 2018; this is much lower than the average rate worldwide, of 2.2 per 10000. Elimination of obstacles to the use of ECT, early crisis intervention involving administration of ECT for rapid stabilization, and maintenance ECT to prevent recurrence should reduce suicide rates.

• Child Health Nursing Research
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• 제11권1호
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• pp.34-42
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• 2005

Purposes: The purposes of this study were ① to identify the rate of suicide attempts, and ② to investigate relevant variables(family dynamic environment, personality factors) and risk factors for attempting suicide among Korean adolescents. Method: Data were collected through a questionnaire survey. Internal consistencies for this questionnaire ranged from 0.63 to 0.88. Nine hundred and twenty two adolescents were surveyed (delinquent : 367, student : 555), using a proportional stratified random sampling method. Statistical methods employed were chi-square, t-test, and logistic regression analysis. Results: ① The rate of suicide attempts was 10.8％ for the total sample, and the delinquents(19.6％) had a higher rate of suicide attempts than the students(5.1％). ② Adolescents attempting suicide had a greater dysfunctional family dynamic environment and more maladaptive personality than those who did not attempt suicide. ③ Risk factors for suicide attempts among Korean adolescents were way of coping, psychosomatic symptoms, and parental child-rearing attitudes, in that order. Conclusions: Suicide and suicidal behaviors are multifaceted events. For suicide prevention, there is a need to make an independent assessment of the variables such as familial problems, personality and dynamic environment of the families of the adolescents.

• 대한수사과학회지
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• 제2권1호
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• pp.5-22
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• 2007

자살은 불균형적인 사회발달로 인해 발생된 많은 사회문제들과 사회 전반적인 생명 경시적인 흐름에서 그 원인을 엿볼 수 있다. 이로 인해 기존의 다른 사회문제들에 대한 부수적인 차원에서의 접근이 이루어져 왔던 것이 현 실정이다. 지금까지 자살의 정의와, 자살의 원인 및 자살의 예방법에 관한 이론적인 연구는 활발하게 이루어 왔으나 자살문제는 다른 사회문제와는 달리 치료, 해결이란 거의 불가능하다. 치료, 해결을 할 수 있는 경우는 자살이 실패로 끝난 경우에만 할 수 있기 때문이다. 이에 본 연구에서는 2005년 한 해 동안 발생한 전체 변사사건 중 자살사건이 차지하는 비율을 파악하고 실제적인 원인을 자살수단, 직업, 연령, 학력 등의 연관성에 따라 나타난 특성분석을 실시하여 날로 심각해져만 가는 자살문제에 대한 대안을 제시하고자 하였다. 2005년 전체변사에서 자살이 차지하는 비율은 약 52.4%를 차지하였고 남성이 69%로 31%를 차지하는 여성에 비해 높았으며, 이는 사회활동과 관련이 있는 것으로 판단되며, 자살방법에 있어서도 남성은 투신, 독극물, 목맴 등 적극적인 방법(80%)을 택하는 반면, 여성은 수면제나 손목동맥절단 등의 소극적인 방법(60%)을 선택하는 경우가 높게 나타났다. 원인에서는 비관, 병고, 부정, 정신이상 등이 75% 이상으로 대부분 우울증세를 표출 후 자살을 하는 경우가 많았다. 또한 가정생계형 비관 관련 대학교 이하 저학력의 직접 노동형 종사자 등 무직자들의 자살이 많았으며, 최근 대졸 이상의 고학력자들과 정년 이후의 사회적 위치의 급격한 변화로 인한 신병비관 등의 우울증 관련 자살도 증가하고 있는 추세로 파악되었다. 전체적으로 원인은 여러 가지이나 최종 자살하기까지는 대부분 우울 증세를 표출하는 경우가 많은 것으로 파악돼 정신과적인 자살문제의 심각성을 알 수 있었다. 이러한 본 연구 결과는 현재의 자살추이가 앞으로도 계속 지속될 것이라는 예측을 함으로써 이에 대한 사회 정책을 유도하는 한편, 환경적, 사회적, 정책적 차원의 계속적인 지원으로 개인적인 갈등차원을 떠나 하나의 유행처럼 번질 수도 있으며, 지금보다 더욱 더 큰 형태의 문제로 다가올 수 있는 현실적인 사회문제에 대처할 국가 차원의 대비책 및 관리책 마련과 연구계획 수립의 기초 자료로 활용될 것으로 사료된다.