• Research in Community and Public Health Nursing
• /
• v.19 no.3
• /
• pp.388-397
• /
• 2008

Purpose: This study aimed to analyze the relationship between psychosocial factors and subjective symptoms of musculoskeletal diseases. Methods: This study analyzed the data of '2001 National Health and Nutrition Survey' conducted by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. Results: When examining the complaining rate of subjective symptoms of musculoskeletal diseases according to body region, the rate was highest (6.0%) in the knee region, which was followed by the finger lesion (3.4%), the wrist regions (2.3%) and the elbow region (2.1%). All the regions of elbow, wrist, finger and knee had a high complaining rate of subjective symptoms such as stress, sad or depressed mood, and attempted suicide. Conclusion: From the results of this study, it is identified that psychosocial factors such as stress, depression, and attempted suicide have significant influence on the complaining rate of subjective symptoms of musculoskeletal diseases. Consequently, in order to prevent and treat musculoskeletal diseases, we need to manage stress and to prevent feeling depression.

• Korean Journal of Psychosomatic Medicine
• /
• v.30 no.2
• /
• pp.127-136
• /
• 2022

Objectives : The study aimed to identify factors associated with suicidal attempt in Korean adults experiencing thoughts of suicide. Methods : This study analyzed outcomes of suicidal behavior in the Korea National Health and Nutrition Examination Survey (KNHANES) 2015, 2017, and 2019. This survey was administered by the Korea Centers for Disease Control and Prevention (KCDC). The suicidal idea group was divided into individuals who had attempted suicide (n=92) and those who had not (n=831). Complex samples crosstabs analysis was conducted to compare the two groups' sociodemographic, psychiatric, and clinical characteristics. In addition, factors related to attempted suicide were investigated using complex samples logistic regression analysis. Results : The attempted suicide group had significantly higher rates of depression, recent psychiatric counseling, and suicidal plan (p<0.001) than the non-attempting group. In addition, the groups differed significantly in the frequency of binge drinking and smoking (p<0.05). Adjusted multivariate analysis revealed that the presence of a suicidal plan (Odds ratio [OR]=8.46, 95% Confidential Intervals [CI]=4.72-15.00), daily binge drinking (OR=3.14, 95% CI=1.26-7.84), psychiatric counseling within the past year (OR=3.03, 95% CI=1.75-5.23), low income level (OR=2.89, 95% CI=1.17-7.10), and history of depression (OR=2.39, 95% CI=1.29-4.42) were significantly associated with suicidal attempt. Conclusions : Factors associated with suicidal attempt among suicidal ideators in the general Korean population were identified across all sociodemographic, psychiatric, and clinical variables. Assessment of and intervention in suicidal plan, binge drinking, income level, and depression might prevent progression to suicidal attempt among those contemplating suicide.

• Research in Community and Public Health Nursing
• /
• v.24 no.2
• /
• pp.135-142
• /
• 2013

Purpose: The purpose of this study is to explore influencing factors which contribute to the suicidal ideation in community residents who have ever experienced suicidal attempts. Methods: The subjects of this study were a total of 165 local residents with some experiences of suicidal attempts in B City and K Province. The data were collected from May 1st to October 30th, 2012 and self-report questionnaires including Suicidal Ideation Inventory, Self-Esteem Inventory, Depression, Family and Social Support Inventory were used as a measurement tool. The data were analyzed using t-test, ANOVA, Pearson correlation coefficients, multiple regression with the SPSS/WIN 18.0 program. Results: The average score of suicidal ideation in the local residents with experiences of suicidal attempts was $12.7{\pm}6.25$. Predicted factors on suicidal ideation in the local residents with experiences of suicide attempts included self-esteem, depression and physical illness, and the suicidal ideation has a variance explanation power of 54%. Conclusion: The development and application of intervention programs, which can help to increase self-esteem levels and decrease depression levels among community residents with experiences of suicidal attempts, are first needed. Furthermore, nursing services of customized self-management for people with physical disabilities are needed on the basis of their own physical problems.

• Journal of the Korean Society of School Health
• /
• v.29 no.3
• /
• pp.267-276
• /
• 2016

Purpose: This study was conducted to identify the factors of suicidal ideation in middle school students by gender, and to announce the necessity of gaining upon a socio-cultural comprehension-based approach. Methods: Three middle schools were randomly selected from a pool of 21 middle schools in S City, and were stratified by school and grade. A total of 878 students were included in the analysis. Multiple logistic regression analysis was conducted to identify the factors that affect suicidal ideation by gender. Results: Suicidal ideation and depression scores of the female students were over twofold higher than those of the male students. The factor that was found to affect suicidal ideation in the male students was depression while for the female students the factors were visiting suicide-related websites, having friends who attempted to commit suicide, depression, and poor communication with one's parents. Conclusion: The findings in this study support gender differences in suicidal ideation, and suggest that building socio-cultural environments are needed to abate their negative emotions and to help youth find out their reasons to live.

• Research in Community and Public Health Nursing
• /
• v.32 no.3
• /
• pp.292-302
• /
• 2021

Purpose: Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents. Methods: The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis. Results: The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives' home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52). Conclusion: The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

• Journal of The Korean Society of Integrative Medicine
• /
• v.9 no.1
• /
• pp.59-67
• /
• 2021

Purpose : This study examined the factors related to sexual intercourse among adolescents in South Korea. Methods : The study sample was comprised of 65,528 middle and high school students aged 12 to 18 years in 2016. For this study, using the data from the 12th Korea youth risk behavior web-based survey, a chi-squared test, and hierarchical logistic regression analysis we reconducted with the SPSS 22.0 program considering personal, family, school, and regional characteristics. Results : The proportion of adolescents who had sexual intercourse was 6.0 % of boys and 2.7 % of girls, and 6.3 % of high school students and 2.4 % of middle school students. The statistically significant related factors of sexual intercourse were gender, grade, attempted suicide, ever drinking, ever smoking, habitual or purposeful drug use, weekly allowance, and coed school in the final model 4. Adolescents with suicide attempts had 2.49 times more sexual intercourse than adolescents with no experience of suicide attempts. Compared to adolescents without alcohol, smoking, and habitual drug use, those who have experienced alcohol, smoking, habitual or purposeful drug use were 2.22 times, 3.76 times, and 3.39 times more likely to have had sexual intercourse, respectively. Adolescents with a weekly allowance of more than 100,000 won per week and adolescents in coed schools were 2.84 times and 1.40 times more likely to have had sexual intercourse, respectively. Conclusion : Multi-level interventions should be considered in school sexual education programs while considering the substantiality of sex education and the actual adolescents' needs. In addition, sexual health interventions in cyberspace for high-risk groups may be needed to consider the emotional and mental characteristics, given the factors related to sexual intercourse in adolescents.

• Journal of Korean Critical Care Nursing
• /
• v.17 no.2
• /
• pp.1-11
• /
• 2024

Purpose : This study aimed to determine the mortality rate among elderly patients admitted to the intensive care unit (ICU) for acute drug intoxication resulting from suicide attempts. It also compared the characteristics of survivors and decedents to identify factors associated with mortality. Methods : This retrospective descriptive study included 150 patients aged 65 years or older who were admitted to the ICU of a tertiary university hospital in Gwangju due to acute drug intoxication, with the period spanning January 1, 2018 to December 31, 2020. The collected data were analyzed using descriptive statistics, independent t-tests, Chi-squared tests, Fisher's exact test, and multiple logistic regression analysis. Results : The mortality rate among elderly individuals admitted to the ICU for acute drug intoxication was 19.3%. The likelihood of death was significantly higher in patients with an acute physiology and chronic health examination (APACHE) III score of 70 or above (OR=23.75, 95% CI=3.78-149.46, p<.001) and those with metabolic acidosis on initial acid-base results (OR=3.73, 95% CI=1.12-12.43, p=.032). Conclusion : These findings underscore the need for developing and implementing systematic education and targeted nursing interventions for ICU nurses caring for acutely drug-intoxicated elderly adults, particularly considering the APACHE III score and the presence of metabolic acidosis.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.5
• /
• pp.308-317
• /
• 2017

This study aims to determine the current status of experiences of suicidal attempts of Korean women and to evaluate related factors and provide basic sources for distinguishing high risk group. The primary data of the 6th period of national health and nutrition survey by KCDC, between 2013 and 2015,wereutilized in this study.Women were selected;general characteristics, psychological characteristics, and relevant information of daily activities were collected. The collected data wereanalyzed by applying the complex sample analysis method,using the SPSS 20.0 program with an application of weighted values. The resultsof this study revealed that 1% of the study population had previously attempted suicide; the suicidal attempts in subjects with prior psychological counselling within 1 year was 5.25 times higher than those without prior counselling.Subjectswith too much stress were 14.92 times more likely to attempt suicide than those without stress. Moreover, subjects with higher-intensity work in daily lives was 4.85 times more likely to attempt suicide than those with less intense work. In addition, subjects who sat for longer period of time was 3.76 times more likely to attempt suicide. All of these were statistically significant. Therefore, these subjects should be considered as high risk for suicidal attempt.In order to prevent female suicide, guidelines that considers the psychological health status and daily activities are required. In addition, it is necessary to approach this issuewith individualized prevention programs as part of social policies.

• Korean Journal of Bronchoesophagology
• /
• v.13 no.1
• /
• pp.55-58
• /
• 2007

Caustic bums of the upper aerodigestive tract continue to be a significant clinical problem. Wide -field pharyngoesophagectomy is commonly performed as treatment for malignancies of the hypopharynx. A total laryngectomy is often necessary at the time of this procedure because of the anatomical proximity of the cancer or because of the likely compromise of swallowing postoperatively. When preservation of the larynx is attempted, aspirations after surgery frequently require a second-stage laryngectomy. And various flaps are using for reconstruction of esophageal defect. The choice of reconstruction is depended to the patient's status. A 54-year-old women whose symptom was severe dysphagia and X-ray revealed laryngopharyngeal stricuture. She had attempted suicide by swallowing lye liquids 32 years ago. She has entire laryngopharyngeal and esophageal stricutures. Total laryngectomy was performed and reconstruction of theesophagus was carried out with unusual reversed-gastric tube formation. Hence, we report this case with the review of literaturefor proper management in the future.

• Journal of Korean Public Health Nursing
• /
• v.37 no.1
• /
• pp.125-135
• /
• 2023

Purpose: The number of patients suffering from depression is rapidly increasing worldwide, and by 2030, it is expected to pose a severe social and economic burden. Reports suggest that approximately 30% of subjects with symptoms of depression do not attempt treatment. Therefore, predicting the characteristics of subjects with depressive symptoms who have not even attempted counseling treatment is essential to increase the participation rate for such treatment. This study intends to predict the participation rates for psychological counseling treatment for depression among subjects with depressive symptoms. Methods: This study used data from the 2021 Korea Community Health Survey (KCHS). Data analysis was carried out using a decision tree to design a model that predicted participation in psychological counseling for depression. Results: The results showed that subjects aged 65 to 74 had difficulty understanding the explanations of medical staff even though they did not have cognitive impairment. Only 11.1% of this group received psychological counseling, which was the lowest rate among the various age groups. Among the subjects, 62.4% of those aged 19-44 or 45-64, who had suicidal thoughts and attempted suicide, received psychological counseling and this was the highest rate among the age groups surveyed. Conclusion: The identification of people showing depressive symptoms is crucial for encouraging them to undertake treatment. Also, proper depression-oriented medical services should be developed and implemented for people with depressive symptoms who exhibit a blind spot towards attempting treatment.