• 보건교육건강증진학회지
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• 제28권2호
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• pp.109-123
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• 2011

Objectives: The purpose of the present study was to explore the relationships between views on suicide, death, and life and lifetime suicidal attempts in the Korean context. Methods: Multiple logistic regression model was tested using data from Korean General Social Survey of 2009. We utilized the nationally representative survey data obtained via multistage stratified area probability sampling design from 1,599 respondents aged ${\geq}18$ years. Results: The proportion of lifetime suicidal attempts was 12.1% of entire sample in Korea. Some components of views on suicide and death influenced significantly on lifetime suicidal attempts after adjusting for demographic and health-related factors. The positive view on suicide(OR=0.76, 95% CI: 0.62-0.94), the naturalistic view on afterlife(OR=0.37, 95% CI: 0.67-0.99) and death concern(OR=0.67, 95% CI: 0.55-0.83) were risk factors of lifetime suicidal attempts. In contrast, the social responsibility view on suicide(OR=1.17, 95% CI: 1.00-1.37) and the transcendental view on afterlife(OR=1.25, 95% CI: 1.02-1.54) lowered the risk. Conclusions: Practical implications of the findings were discussed exploring policy evidences to screen high risk groups out and to reframe educational programs for suicide prevention. Strategic health messages need to be developed and transmitted for prevention of suicide.

• 대한간호학회지
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• 제38권2호
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• pp.258-269
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• 2008

Purpose: The purpose of this study was to understand and analyze the experience of restoration among Korean elders with suicide ideation. Methods: A phenomenological research method guided data collection and analysis. A total of five elders having had suicide ideation participated. Data were collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. Results: As the results of analysis, the following three constituents have been found as a retrospective focus based on the primary suicide ideation: expanding their view and facing reality, reconstructing their view about life and death as well as self. Conclusion: The results of this study may contribute to health professionals working at various crisis settings to understand Korean elders with suicide ideation.

• 성인간호학회지
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• 제23권1호
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• pp.72-86
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• 2011

Purpose: The purpose of this study was to explore and understand the suicide ideation and survival experience of Korean elders in America. Methods: A phenomenological research method guided data collection and analysis. A total of five elders reported having had suicide ideation participated. Data were collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. Results: The following three constituents have been identified: retrospective focus based on the suicide ideation through the immigrant life, facing reality through comparison between the life in America and in Korea, survival skills and constructing view of life. Conclusion: The result of this study may contribute for health professionals working at various crisis settings to understand Korean immigrant elders with suicide ideation.

• Journal of Preventive Medicine and Public Health
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• 제42권3호
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• pp.183-189
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• 2009

Objectives : The purpose of this study was to evaluate community mental health professionals and hospital workers attitude and awareness towards suicide. Methods : This study investigated 264 community mental health professionals and 228 hospital workers. SOQs (Suicidal Opinion Questionnaires) were used from July 2007 to September 2007. After a factor analysis for the attitude towards suicide, the items on ethics, mental illness, religion, risk, and motivation were included in the subsequent analysis. Results : There were significant differences in the attitude towards suicide according to religion, age, educational background, the marriage status, the economic position, and different professional licenses. Hospital workers' view was different from the community workers'. The hospital workers judged that suicide was due to mental illness, and suicide was high for the people in a special environment and who lacked motivation, which caused them to fall in a dangerous situation. For the lower educational group, they thought that suicide was attributable to mental illness. The awareness for suicide was significantly higher in the group with a postgraduate education, unmarried people, mental health professionals and the persons who had concern and experience with suicide. The factors that had an influence on the awareness of suicide were the items of mental illness, religion, risk and motivational factors. Conclusions : This study suggested that the factors to increase the awareness and attitude for suicide were the experience of increased education and case management of suicide. Therefore, education dealing with suicide and reinforcement of crisis management programs should be developed.

• 한국노년학
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• 제36권3호
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• pp.649-671
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• 2016

본 연구는 노인자살 예방서비스 실천과정에서 경험하는 성과의 의미를 파악하는 데 목적을 두고 있다. 이를 위해 노인자살 예방서비스 제공기관의 기관장, 실무자, 서비스 이용자의 시각에서 나타난 성과를 서비스 제공기관의 측면과 서비스 이용자의 측면, 그리고 다차원적 시각에서 분석하였다. 연구방법은 질적연구의 한 방법으로 사례연구 방법을 활용하였다. 분석결과, 노인자살 예방서비스 제공기관의 기관장과 실무자가 공통적으로 인식하는 성과는 '서비스 실천과정에서 구조적인 장애물을 인식하고, 서비스 이용자와 지역사회의 변화를 경험하는 성취'로 나타났으며, 서비스 이용자는 '서비스 경험에 따른 내면의 인식변화'로 나타났다. 분석 주체별로 살펴본 성과의 의미와 본질은 첫째, 기관장이 인식하는 성과는 '서비스를 통해 기관의 정체성이 재발견되는 과정'으로, 둘째, 실무자가 인식하는 성과는 '지역사회와 조직에서 살아남기 위해 몸부림치는 과정 속에서 서비스 이용자들의 변화를 경험하며 지역사회와 조직에서 인정받기'로, 셋째, 서비스 이용자가 인식하는 서비스 경험의 성과는 '벼랑 끝에서 생명의 끈 부여잡기'로 나타났다. 이러한 분석결과를 토대로, 노인자살 예방서비스 실천현장의 성과측정을 위한 실천적, 정책적 시사점을 제시하였다.

• 의료법학
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• 제9권1호
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• pp.165-196
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• 2008

Recently the Supreme Court held that "in cases in which a patient suffering from a mental disorder attempts to commit suicide, fails, and then succeeds in a subsequent attempt, the following circumstances must be present in order to acknowledge reasonable causation between the negligence of the hospital with regards to taking care of the patient and the death of the patient; there must have existed negligence on the part of the hospital with regards to their failure to stop the 1stsuicide attempt, injurious aftereffects must have been caused to the patient by the1stsuicide attempt, and said aftereffects must have been the main cause for the 2nd successful suicide attemtp." This, in effect, lessens the requirements of past holdings of the Supreme Court which held that "to acknowledge reasonable causation between the negligence of the hospital and the patient that commits suicide, the patient must have experienced such severe physical and mental suffering from the previous attempt so that they could not help but choose to commit suicide". The fact that the Supreme Court did not clearly state such changes in their view on this matter should be corrected. Also, the fact that the court only held the hospital liable for damages of less than 50 million won, only calculating damages up to the point when the deceased passed, is inadequate compared to other cases and should be corrected.

• 성인간호학회지
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• 제23권2호
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• pp.123-134
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• 2011

Purpose: The purpose of the study was to understand and describe the experiences of young Korean women with attempted suicide. Methods: The data were collected by individual interviews from four women who attempted suicide during 2008-2009. A total of 25 hours interviews were audio-recorded and transcribed verbatim. The data were analyzed using feminist phenomenology to reflect and respect the participants' view and experience as much as possible. Results: Five theme clusters and ten themes emerged from the analysis. Five theme clusters include "anger resulting from others-oriented life," "guilt resulting from selfish life," "confusion resulting from unbalanced life between self and others," "attempted suicide resulting from the chaos of life as a whole," and "peace resulting from balanced life between self and others." While these theme clusters represent the phases of life experience, ten themes indicate specific problems or strategies raised during these phases in the context of male-oriented Korean patriarchal society. Conclusion: The results of the study provide insights by deeply understanding of life of young women who attempted suicide in the Korean sociocultural context with the ideology of the subjection of women.

• 유통과학연구
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• 제12권8호
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• pp.91-102
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• 2014

Purpose - Today, the importance of the service industry has increased. Social welfare businesses that follow the non-profit principle have neglected the distribution of the service. However, an intangible service, when produced and consumed, has a similar service delivery system to common service distribution and social welfare. Therefore, the author has assumed the efficiency of the service delivery system of social welfare to be equivalent to the service distribution industry. Hence, various kinds of social welfare services for the prevention of elderly suicide, from the perspective of distribution, are discussed. Studies on generational relations have thus far investigated depression from parent-children conflict, and satisfaction with their lives. Studies on the relationship between family solidarity and elderly suicide by analyzing existing social problems are rare. This study investigated the effects of family solidarity between old parents and adult children upon elderly suicide by analyzing serious psychological and social problems. This study revealed basic measures for elderly suicide prevention through services that could elevate family solidarity from the perspective of social welfare service distribution. Research design, data, and methodology - The subjects were 468 elderly, 65 years or older, at 18 senior welfare centers and halls for the elderly at Seoul and Gyeonggi-do. Questionnaire surveys, excluding invalid answers, were analyzed. Convenience sampling was used from February 5, 2014 to March 5, 2014. The findings were: First, women and those having spouses with advanced educational backgrounds and social activities had primary solidarity such as contact solidarity, affectionate solidarity, functional solidarity (giving help), and functional solidarity (receiving help). In addition, those who had good health, from a subjective point of view, had more solidarity. Second, the elderly who were men and single, and who had poorer educational backgrounds thought of suicide, lacked social activities, and had poor health, from a subjective point of view. Third, family solidarity between old parents and adult children had significantly negative influence on the suicidal ideation of the elderly. Results - The study revealed the following implications. First, the preparation for old age should consider not only economic welfare but also the psychological welfare due to the relationship with children. Second, the phenomenon of elderly suicide because of a lack of family solidarity could increase national loss and have great influence upon welfare in old age. Therefore, planning of welfare services for the elderly should consider the value of relationships with children to improve the psychological welfare of the elderly. Third, the social expenses of government-oriented support for parents should be discussed from the people's point of view. Conclusions - The subjects of the study comprised the elderly at Seoul and Gyenggi-do; therefore, it would be difficult to extrapolate the findings to all the elderly in the nation. The subject visited senior welfare centers as well as halls for the elderly; therefore, it would be difficult to assume that the trends were representative of the elderly in the nation.

• 한국콘텐츠학회논문지
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• 제15권2호
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• pp.552-566
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• 2015

이 논문은 오늘날 우리 사회는 물론 전 세계적으로 심각한 사회적 문제로 대두되는 자살을 기독교적 입장에서 다루고 있다. 자살에 대한 역사적인 입장은 용감하고 명예로운 것으로 생각하는 찬성과 신이 부여한 생명을 버리는 것은 옳지 않다는 반대로 나눠진다. 성경의 자살은 대부분 명예자살이지만 아우구스티누스의 사상의 영향으로 기독교 내에서 부정적으로 자리 잡다가 급기야 '자살자는 지옥행'이라는 생각에까지 이르게 되었다. 그렇다면 왜 사람들은 자살을 할까? 자살의 원인에 대한 학자들의 견해는 대략 생물학적 원인, 정신과적 원인, 그리고 사회학적 원인의 세 부류로 나뉜다. 논자는 이들 각각 혹은 복합적으로 자살에 기여한 것을 인정하면서도 결국은 이들에 대한 개인의 대응이 결정적 요인이라는 입장을 취했다. 자기 해석적 존재인 인간이 자신의 절망적 현 상황을 어떻게 받아들이느냐가 자살의 주된 요인으로 작용한다는 것이다. 이런 이해에 기초하여 논자는 자살 문제에 대한 본질적 해결책으로 자살에 대한 세 가지 새로운 인식과 실제적 제안을 제시함으로써 논문을 매듭지었다. 첫째, 인간의 생명은 하나님의 형상으로 지음 받았고, 하나님께 속한 고귀한 것이란 인식이 필요하다. 둘째, 기독교는 인간이 궁극적으로 영원한 생명이라는 희망의 미래를 조망할 수 있는 존재라는 인식이 필요하다. 셋째, 자살은 살인 금지규정에 대한 위반이지만 범죄행위라기보다는 치료가 필요한 질병이라는 인식의 확산 역시 필요하다. 이 일을 위해 기독교가 실제적으로 할 수 있는 것은 생명존중사상을 확산하는 캠페인을 진행할 뿐 아니라, 자살예방센터를 초 교파적으로 각 지역에서 운영하는 것이다.

• 동의신경정신과학회지
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• 제26권2호
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• pp.171-180
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• 2015

Donguibogam's views on human life provide us with insight into suicide prevention by perceiving life as priceless. In addition to the approaches of modern medicine, we can employ 'mentally and physically integrative treatment' and 'prevention-based treatment' from Korean medicine as a therapeutic point of view. We can also employ 'I-Jeong-Byeon-Gi Therapy' and 'Oh-Ji-Sang-Seung Therapy' as therapeutic methods. In this paper, we consider these approaches and clinical adaptations for suicide prevention from the perspectives of Korean medicine.