• 정신신체의학
• /
• 제30권1호
• /
• pp.16-21
• /
• 2022

연구목적 본 연구의 목적은 한국 청소년들의 코로나19이후 사회경제적 변화에 따른 우울 증상과 자살 사고를 조사하는 것이다. 방 법 이 연구는 제 16차 청소년건강행태조사 자료를 사용하였다. 청소년건강행태조사는 건강 위험 행동 15개 영역에서 103개 이상의 질문을 포함하는 한국 청소년(12-18세)의 대표 통계이다. 제 16차 청소년건강행태조사는 793개 학교, 총 54,948명의 학생들이 질문에 응답했다. 설문조사는 한국 청소년의 정신 건강과 관련된 코로나19이후 사회경제적 변화에 관한 것이다. 사회 경제적 변화에 따른 우울 증상과 자살 사고에 대해 교차분석과 회귀분석을 수행하였다. 결 과 코로나19이후 가정 경제의 변화가 청소년의 정신 건강에 영향을 미치고 있음을 시사했다. 가정의 경제 변화가 나빠졌다고 보고한 청소년은 자살 사고와 우울 증상에 높은 연관성이 있다는 것을 보여줬다. 가정 경제의 변화가 나빠졌다고 보고하는 청소년(AOR 1.38, 95% CI 1.38-1.57)과 더 나빠졌다고 보고하는 청소년(AOR 2.07, 95% CI 1.87-2.29)은 우울 증상과 높은 연관성이 있었다. 가정 경제의 변화가 나빠졌다고 응답한 청소년(AOR 1.34; 95% CI 1.34-1.60)과 더 나빠졌다고 응답한 청소년(AOR 2.01; 95% CI 1.76-2.29)은 자살 사고와 높은 연관성이 있었다. 결 론 이번 연구에서 사회 경제적으로 취약한 계층의 청소년이 코로나19와 관련된 사회 경제적 변화와 자살 사고 및 우울 증상의 연관성이 높은 것을 확인할 수 있었다. 본 연구의 결과는 코로나19이후 사회 경제적 변화가 좋지 않는 청소년의 정신건강 문제 선별 및 개입을 적극적으로 고려해야 한다는 것을 시사한다.

• 한국사회복지학
• /
• 제64권1호
• /
• pp.151-175
• /
• 2012

본 연구는 청소년의 자살생각을 감소시키며 자살위험에 처한 청소년을 위한 개입방안을 모색하기 위하여 청소년 자살생각에 미치는 부모학대와 또래괴롭힘의 영향에서 대인관계내재화와 절망감의 매개효과를 살펴보았다. 연구결과, 부모학대는 매개변인을 통하여 청소년의 자살생각에 미치는 영향보다 직접적으로 자살생각에 미치는 영향이 더 큰 것으로 나타났다. 반면, 또래괴롭힘은 대인관계내재화와 절망감에 순차적으로 매개함으로써 청소년의 자살생각에 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 실천적 함의 및 후속연구에 대한 제언을 제시하였다.

• 한국학교ㆍ지역보건교육학회지
• /
• 제18권1호
• /
• pp.13-29
• /
• 2017

Objectives: The purpose of the study was to investigate the effect of stress, depressive mood and suicide ideation with oral health behavior in Korean adolescents. Methods: The subjects were 57,904 adolescents who were selected from the web-based survey of the 10th(2014) Korean Youth Risk Behavior of Korean Center for Disease Control. Data were analyzed by SPSS 18.0. A web-based self-reported questionnaire was completed by 72,060 middle and high school students. The subjects consisted of 28,269 man students(48.8%) and 29,635 women students(51.2%) from 500 middle schools and 400 high schools. Results: Multiple logistic regression analysis after adjustment to demographic characteristics and stress, depressive mood and suicide ideation by man and women of middle, high school students the subjects whose have had different oral health behaviors. low level of stress, do not think about suicide ideation, they were increased their oral brushing frequency of yesterday($$3{\geq_-}$$) with brushing after lunch(p<0.05). alternatively subjects whose do not have depressive mood, they were decreased their oral health behaviors(p<0.05). Conclusions: According to gender by middle and high school students are mental health of the youth, which has direct and indirect effects on physical health, is closely associated with their oral health according to oral health behaviors.

• 한국노년학
• /
• 제38권3호
• /
• pp.767-782
• /
• 2018

고령화 사회를 맞이하여 학술적인 측면에서도 노년기의 심리를 다룬 연구가 매우 활발하게 이루어지고 있다. 노화의 심리적 과정을 다루는 심리노년학이나 노년기의 심리학을 다루는 노년심리학의 가장 근본적인 관심은 남은 생애 동안 높은 삶의 질과 안녕감을 유지하는 것이다. 이러한 맥락에서 본 연구는 지난 10년 간 "한국노년학"에 실린 심리학 분야 논문 중 자살(우울)의 문제를 다룬 91편의 논문과 노화 및 성공적 노화에 대한 문제를 다룬 31편의 연구를 분석하여 그 연구동향을 검토하고, 또 이를 초기 30년의 연구와 비교하여 분석하였다. 분석결과, 우울이 자살이나 일상생활에 미치는 직접적 혹은 매개적인 효과를 다룬 연구, 우울에 영향을 미치는 위험요인, 노인/노화에 대한 인식이나 그러한 인식에 영향을 미치는 요인을 보여준 연구, 그리고 성공적 노화 및 그것에 영향을 미치는 요인을 다룬 연구들이 주를 이루었다. 또한 이러한 주제를 다룬 연구가 첫 30년에 비해 크게 증가하였다. 이러한 결과를 노년기 여생의 삶의 질의 제고 맥락에서 논의하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제32권3호
• /
• pp.104-111
• /
• 2021

Objectives: Adolescent suicide is a serious national issue in Korea. Recently, life satisfaction has been recognized as a major factor related to this issue. The main purpose of this study was to identify the domains of life satisfaction that affect suicidal behavior in adolescence. Methods: Data were collected from eight middle schools in Incheon, Korea. A total of 1297 students answered questions regarding their demographic characteristics, happiness, self-related life satisfaction domains (appearance, leisure time, physical health, and mental health), depressive symptoms, and suicidal behavior. Results: In the Spearman correlation analysis, female sex, perceived socioeconomic status (SES), happiness, and all four self-related satisfaction scores showed significant correlations with depression and suicidality. Multivariate regression analysis suggested that suicidality was significantly affected by perceived SES, satisfaction with appearance, mental health satisfaction, and depression. Finally, depression was identified as a partial mediator of the association between mental health satisfaction and suicidality, and a complete mediator of the association between female sex and suicidality. Conclusion: Perceived SES, satisfaction with appearance, and mental health satisfaction significantly affected students' suicidality, with or without the effect of depression. Health authorities, educators, and family members must be aware of this to identify adolescents at suicide risk earlier.

• 한국노년학
• /
• 제39권4호
• /
• pp.883-893
• /
• 2019

인구 고령화에 따른 노인의 우울장애와 자살의 연관성에 대해 사회적 관심이 높아지고 있는 실정이다. 연구 목적은 고의적 자해로 입원한 노인 우울증 환자 특성을 분석하였다. 질병관리본부(Korea Centers for Disease Control and Prevention, KCDC)의 퇴원손상심층조사자료(Korean National Hospital Discharge In-depth Injury Survey)를 활용하여 3,280명을 대상으로 하였으며, 통계 프로그램 STATA 12.0을 이용하여 빈도분석, 교차분석, 그리고 로지스틱 회귀분석을 실시하였다. 분석결과, 성별[여(OR, 0.694; CI, 0.583-0.827)], 거주지[중소도시(OR, 0.078; CI, 0.648-0.935)], 자해결과[사망(OR, 0.461; CI 0.315-0.674)]의 경우에 우울증이 적었으나, 위험 요인[재정적 문제(OR, 3.485; CI 2.500-4.857), 정신적 문제(CI 2.917; CI 2.356-3.612), 육체적 질병(OR, 2.678; CI 1.869-3.836), 가족구성원과의 갈등(OR, 1.828, CI 1.437-2.325)], 발생장소[거주지 외(OR, 1.416; CI 1.182-1.695)], 자해수단[중독(OR, 1.695; CI 1.345-2.317)]의 경우 우울증이 많았으며, 통계적으로 유의하였다. 이러한 결과를 바탕으로 의료기관은 고의적 자해 환자 입원시 우울증을 사전에 감지하고 이를 최소화 시키는 기초자료로 활용될 수 있을 것이다.

• Environmental Analysis Health and Toxicology
• /
• 제31권
• /
• pp.18.1-18.8
• /
• 2016

Objectives This study aimed to evaluate the risk factors associated with depression and suicidal ideation in a rural population. Methods A survey was conducted with 543 farmers from Chungcheongnam-do Province using the Center for Epidemiologic Studies Depression Scale (CES-D) for depression, Lubben Social Network Scale (LSNS) for social support, Swedish Q16 for neurotoxicity symptoms and a survey tool for farmer's syndrome. Results After adjusting for socioeconomic factors using logistic regression analysis, poor self-rated health, low social support and neurotoxicity were positively associated with the risk of depression (odds ratio [OR], 15.96; 95% confidence interval [CI], 3.11 to 81.97; OR, 3.14; 95% CI, 1.26 to 7.82; and OR, 3.68; 95% CI, 1.08 to 12.57, respectively). The risk of suicidal ideation significantly increased with low social support, neurotoxicity and farmer's syndrome (OR, 2.28; 95% CI, 1.18 to 4.40; OR, 6.17; 95% CI, 2.85 to 13.34; and OR, 3.70; 95% CI, 1.51 to 9.07, respectively). Conclusions Given the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer's syndrome, a monitoring system for depression and suicide must be made available.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제17권2호
• /
• pp.98-105
• /
• 2006

Objectives : To consider which questions are most useful clinically and to find a framework for assessment of suicidality or risk of suicide for adolescents. Methods : Authors reviewed and integrated both clinical works and researches about measures used to evaluate suicidal behaviors in adolescents. Results : The 'cascade approach' for assessment of suicidality was developed; the quality and quantity of 'distress' leads to an entry question to do with the 'quality of life' and whether it is worth living. These two questions lead to examinations of 'thoughts' which may lead to 'plans' which leads to 'threats' which then leads to 'deliberate self injury' and then on to a history of 'past suicide attempts'. Authors also suggested to use a summed score of cascade approach in clinical decisions and showed how to modify it up to different evaluation situations. Focusing on the good things helps not only to qualify suicidality but also to begin the search for solutions. Conclusion : In the clinical assessment process, while scales assist the clinician, there is nothing to supplant a sensitive clinical approach. The 'cascade approach' was proposed as a framework for assessing adolescents for suicidality.

• 한국학교보건학회지
• /
• 제30권2호
• /
• pp.136-145
• /
• 2017

Purpose: This study was conducted to examine the degree of suicidal ideation, social support and self-esteem on depression in middle school students. Methods: The study, based on a correlation study design, selected participants from five middle schools by convenience sampling. Data were collected from April 19 to June 13, 2015 from the 427 participants included in the study. The data were analyzed using SPSS / Win 20.0. Results: There was a significant correlation between depression, self esteem, social support, and suicidal ideation. Depression was negatively correlated with self-esteem(r=-.47, p<.001) and social support(r=-.45, p<.001), while being positively correlated with suicidal ideation(r=.64, p<.001). Conclusion: The findings indicate that depression in middle school students can increase the risk of suicide. Self-esteem and social support of middle school students are also important resources for reduce depression and suicide prevention.

• Human Ecology Research
• /
• 제54권3호
• /
• pp.307-319
• /
• 2016

This study examined the influences of both peer and parent-child relationships on suicidal ideation in adolescents with a focus on interpersonal relationships in adolescence that can act as risks as well as protective factors for youth suicide. This study analyzed 5,440 middle and high school students drawn from data, the seventh Happy Planet Index of children-adolescent in Korea, and conducted a series of logistic regressions. The results are as follows. First, both direct and indirect involvement in the school violence affects suicidal ideation as a risk factor in peer relationships. However, the quality and quantity of close friends of adolescents do not represent a protective role against suicidal ideation insofar as they are exposed to school violence. Second, adolescents who live apart from one of their parents are vulnerable to suicidal ideation than those who live with two parents. Third, very poor parent-child relationships in adolescence are not necessarily associated with suicidal ideation in adolescents. Fourth, shared time or activities between parents and adolescents in terms of family meal times are more likely to reduce suicidal ideation in adolescents than the emotional characteristics (trustworthiness or a close relationship) of parents and adolescents. The findings provide implications that frequent contact and shared activities in terms of family dining may contribute to the prevention of adolescent suicide.