• 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.

• Psychiatry investigation
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• v.15 no.12
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• pp.1168-1173
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• 2018

Objective After the Sewol ferry disaster, bereavement with suicidal ideation was a critical mental health problem that was accompanied by various neuropsychological symptoms. This study examined the frontal alpha asymmetry (FAA), heart rate variability (HRV), and several psychological symptoms in bereaved family members (BFM) after the Sewol ferry disaster. Methods Eighty-three BFM after the Sewol ferry disaster were recruited. We assessed FAA, HRV, and psychological symptoms, including depression, post-traumatic stress, post-traumatic growth factor, anxiety, grief, and positive resources, between BFM with the presence and absence of current suicidal ideation. Results Compared to BFM without suicidal ideation, BFM with suicidal ideation showed a higher FAA with right dominance. Significant differences in psychological symptoms were observed between the groups. In BFM with suicidal ideation, the low: high frequency (LF:HF) ratio correlated with social resources and support. Conclusion The FAA and LF:HF ratio may be biomarkers that represent the pathological conditions of BFM with suicidal ideation. If researched further, they may shed light on the interaction between bereavement with suicidal ideation and social resources for therapeutic intervention.

• Human Ecology Research
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• v.57 no.2
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• pp.281-293
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• 2019

This study aimed to examine the effects of socially prescribed perfectionism, sleep duration, and sleep quality on suicidal ideation in Korean high school students and to investigate if sleep duration and quality moderated the relationship between socially prescribed perfectionism and suicidal ideation. The participants of this study were 840 students (544 boys and 296 girls) from six high schools located in Seoul and Gyeonggi-do. The Suicidal Ideation Questionnaire (Reynolds, 1988) was used to measure suicidal ideation. And the socially prescribed perfectionism was assessed by the Multidimensional Perfectionism Scale (Hewitt & Flett, 1991). The students were asked to respond to a question regarding how long they slept a day as well as the Sleep Quality Scale (Yi, 2005). The data were analyzed with descriptive statistics and hierarchical regressions. The moderating effect of sleep duration and quality were investigated using the analysis procedures proposed by Baron and Kenny (1986). The results showed that the level of socially prescribed perfectionism and sleep quality increased the level of suicidal ideation. In addition, sleep quality moderated the relationship between socially prescribed perfectionism and suicidal ideation. The effect of socially prescribed perfectionism on suicidal ideation was greater when sleep quality was poor, compared to when it was good.

• Journal of Preventive Medicine and Public Health
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• v.48 no.3
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• pp.142-150
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• 2015

Objectives: The purpose of this study was to investigate the association between suicidal behavior and patterns of alcohol consumption in Korean adults. Methods: This study was based on data provided by the Korea National Health and Nutritional Examination Survey from 2007 to 2011. A total of 42 347 subjects were included in the study, of whom 19 292 were male and 23 055 were female. Logistic regression analysis was performed to assess the association between patterns of alcohol consumption and suicidal behavior. Results: Among the study subjects, 1426 males (11.3%) and 3599 females (21.2%) had experienced suicidal ideation, and 106 males (0.8%) and 190 females (1.1%) had attempted suicide during the previous 12 months. Alcohol Use Disorders Identification Test (AU-DIT) scores were found to be associated with suicidal ideation in males and associated with both suicidal ideation and suicide attempts in females. Alcoholic blackouts were associated with suicidal ideation and suicide attempts in males, and were also associated with suicidal ideation in females. Conclusions: In this study, we found that certain patterns of alcohol consumption were associated with suicidal behaviors. In particular, only alcoholic blackouts and categorized AUDIT scores were found to be associated with suicidal behavior in males. We therefore suggest that further research is needed to examine this relationship prospectively and in other settings.

• Anxiety and mood
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• v.10 no.1
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• pp.24-29
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• 2014

Objectives : This study aimed to investigate the associations between physical disorders and prevalent/incident suicidal ideation in a community dwelling older population aged 65 years or over. Methods : 1204 people aged 65 years or over evaluated at baseline. Suicidal ideation was identified using the questions from the community version of the Geriatric Mental State Schedule ("GMS B3"). Reported physical disorders covering 11 common and generally chronic health problems were ascertained. Covariates included were depression, age, gender, years of education, accommodation status, past occupation, and current occupation. Of 1066 without suicidal ideation at baseline, 805 (76%) were followed 2 years later, and incident suicidal ideation was evaluated. Results : Prevalent suicidal ideation was significantly associated with 4 of 11 physical disorders: eyesight problems, persistent cough, heart disease and paralysis or weakness in one leg or arm. Incident suicidal ideation was associated with 3 physical disorders: asthma, high blood pressure and paralysis or weakness in one leg or arm. Both prevalent and incident suicidal ideation were significantly associated with increased number of physical disorders. Conclusions : Certain physical disorders were comorbid and precipitating factors of suicidal ideation in elders. And appropriate intervention and treatment of physical disorders might prevent suicidal ideation in elderly.

• Journal of the Korean Society of School Health
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• v.29 no.1
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• pp.1-10
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• 2016

Purpose: The purpose of this study was to identify the mediating effect of stress coping type and self-esteem between life stress and suicidal ideation in nursing college students. The research design was descriptive study. Methods: A set of self-reported questionnaires was completed by 197 nursing college students, including demographic characteristics, life stress, stress coping type, self-esteem, and suicidal ideation. Data was analyzed using t-test, ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, correlation analysis, and regression analysis for mediating effect by SPSS ver. 22. Results: The mean age was 20.9 years. The mean scores were 2.4, 3.6, and 1.7 out of 5 Likert scales for items of life stress, self-esteem, and suicidal ideation, respectively. The mean score for stress coping type was 2.36 out of 4 Likert scales. There was a positive correlation between suicidal ideation and life stress related to tasks, life stress related to interpersonal relationship, and emotion-focused coping of stress coping type (r=.537, p<.01); while a negative correlation between self-esteem and suicidal ideation. emotional-focused coping of stress coping type had a partial mediating effect between life stress related to tasks and suicidal ideation. Also, self-esteem had a partial mediating effect between life stress related to tasks and suicidal ideation as well as between life stress related to interpersonal relationship and suicidal ideation. Conclusion: Based on the finding of this study, it is necessary to apply various program to stress coping skill and self-esteem in order to reduce suicidal ideation in nursing college students.

• Korean Journal of Biological Psychiatry
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• v.27 no.1
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• pp.9-17
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• 2020

Objectives The purpose of this study is to investigate the interest level, perception and attitude of suicide high-risk group toward the media's suicide report, and also to provide the fundamental data in order to strengthen both the standard and the recommendation of media coverage in Korea. Methods We analyzed the data from the 2013 The Korea National Suicide Survey. The study included 1500 participants aged between 19 and 75 years. The participants were selected through the regional multi-layer stratification method using the sampling frame of the 2010 Census. One-on-one face-to-face interviews investigated the interest level, opinions, and attitudes toward suicide reports and collected data on past suicide history and demographic data. The collected data were evaluated using multiple logistic regression analysis. A probability level of p < 0.05 was considered statistically significant. Results The suicide high risk groups with histories of suicidal ideations or attempts showed more interest in suicidal reports [suicidal thought odds ratio (OR) = 1.81, 95% confidence interval (CI) = 1.40-2.34 ; suicidal attempt OR = 3.21, 95% Cl = 1.52-6.78]. However, there was no difference among the groups in thought that suicide reports incite suicide (suicidal thought OR = 1.26, 95% Cl = 0.92-1.73 ; suicidal attempt OR = 0.96, 95% Cl = 0.44-2.09). The suicide high risk groups showed a positive attitude toward suicide reports, but it was not statistically significant (suicidal thought OR = 1.10, 95% Cl = 0.41-2.92 ; suicidal attempt OR = 1.10, 95% Cl = 0.76-1.59). Conclusions We suggest the need of careful attitude of media suicidal reports not to bring about copycat suicides. and also we offer suicide prevention campaign based on media leverage.

• Journal of Korean society of Dental Hygiene
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• v.19 no.5
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• pp.777-789
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• 2019

Objectives: The purpose of this study was to investigate the relationship between oral health factors and suicidal ideation in adolescents in order to provide basic data for adolescent suicide prevention and oral health promotion. Methods: This study used data from the Korea Youth Risk Behavior Web-Based Survey held in 2017, in which a total of 62,276 youth participated. Data were analyzed by SPSS Ver. 22.0. Complex logistic regression analysis was used to analyze oral health factors related to suicidal ideation. Results: The effects of oral health on male students' suicidal ideation were as follows: brushing teeth 2-3 times a day was associated with decreased suicidal ideation (p<0.01), while suicidal ideation was increased in individuals who had experienced scaling within the past year (p<0.001), or, among experiences of oral disease within the last year, had reported prickling and throbbing pain (p<0.001), pain on the tongue and inside the cheeks (p<0.001), or bad breath (p<0.001). The effects of oral health on female students' suicidal ideation were as follows: brushing teeth 2-3 times a day was associated with decreased suicidal ideation (p<0.001), while suicidal ideation was increased in individuals who, among experiences of oral disease within the last year, had reported pain when chewing (p<0.001), pain on the tongue and inside the cheeks (p<0.01), or bad breath (p<0.001). Conclusions: The above results demonstrate that adolescent suicidal ideation and oral health factors are correlated, and it will be necessary to incorporate oral health interventions when planning or developing projects and programs for suicide prevention in adolescents.

• Journal of Digital Convergence
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• v.19 no.1
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• pp.465-474
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• 2021

The purpose of this study is to identify the influence of problem gambling on suicidal ideation and suicidal attempts of school adolescents and out-of-school adolescents. Data were obtained from the 2018 Survey on Youth Gambling Problems and analyzed using logistic regressions. The results of this study were as follows: First, Out-of-school adolescents have more problems with the problem gambling severity, experience a decline in academic performance due to gambling, experience of borrowing money from acquaintances of lenders, suicidal ideation and suicidal attempts than school adolescents. Second, regardless of whether they attended school, experience of borrowing money from lenders was identified as significant variable of suicidal ideation and attempt. Third, problem gambling severity, experience of borrowing money from acquaintances of lenders and a decline in academic performance appeared to influence suicidal ideation and suicidal attempts of school adolescents. Based on this results, we suggested the method to decrease suicide due to problem gambling.

• Journal of The Korean Society of Integrative Medicine
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• v.11 no.1
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• pp.141-148
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• 2023

Purpose : This study examined the relationship between suicidal thoughts, hand grip strength, socioeconomic status, educational level, and disease occurrence. Methods : Korean national health and nutrition examination survey 2017 were used in this study. 5,449 were analysed. For comparison between groups, cross-tabulation analysis and mean comparison were performed. Logistic regression analysis were performed to analyze the influencing factors between grip strength and suicidal ideation. Results : Our results are consistent with the literature on the importance of socioeconomic status in health. The lower the level of education, the higher the suicidal thoughts. Being single or divorced was also significantly associated with suicidal ideation. Moreover, a lower income level was significantly associated with a higher suicide intention. Furthermore, older ages, lower educational levels, and lower income were significantly associated with a higher odds ratio of suicidal thoughts. Interestingly, suicidal thoughts were significantly lower among non-smokers. In contrast, suicide intention did not differ significantly according to gender, age, monthly drinking habit, aerobic physical activity, and disease occurrence. Suicidal thoughts decreased as grip strength increased and this was statistically significant. Socioeconomic status, disease occurrence, and handgrip strength level affected the security of an individual's livelihood and were significant risk factors for suicidal thoughts. These associations remained significant in multiple logistic regression even after controlling for all covariates. Conclusion : Future prevention intervention efforts to reduce suicide risks should consider handgrip strength. Studies to explore the possible proximal risk factors and mediators between handgrip strength and suicidal thoughts are also warranted.