• Korean Journal of Health Education and Promotion
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• v.33 no.2
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• pp.27-37
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• 2016

Objectives: This study investigated the relationship between adolescents' suicidal ideation and their physical health conditions to contribute to lower suicide rates among adolescents. Methods: Secondary analysis of 2108 high school students of $10^{th}$ grade was conducted using the Korean Child and Youth Panel survey in 2013. The association between suicidal ideation and socio-demographic and health characteristics were analyzed using Chi-square tests and regression models. Results: Adolescents' physical health conditions were significantly related to suicidal ideation. In particular, rhinitis and various symptoms such as feeling feverish, low appetite, feeling of nausea, stomachache while studying, and sleeping problem showed statistically significant relationships with suicidal ideation (P < .05). Furthermore, the higher frequency of diseases and body symptoms increases the rate of suicidal ideation. Considering socio-economic characteristics, family structure was also important. Conclusions: Physical health condition is a major contributor to adolescent's suicidal ideation. results suggest that improving social support system for adolescents' physical health conditions across family and school may be important in suicide prevention efforts.

• Child Health Nursing Research
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• v.17 no.4
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• pp.264-271
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• 2011

Purpose: The purpose of this study was to compare self-esteem, perceived life satisfaction, depression and aggression according to the experience of suicidal impulse in adolescents. Methods: Data were collected from 249 middle and high school students in J city. The constructed questionnaires included items on self-esteem, perceived life satisfaction, depression and aggression. Results: Self-esteem, perceive life satisfaction, depression, and aggression differed significantly between the suicidal impulse group and non-suicidal impulse group. The suicidal impulse group experienced lower self-esteem (OR=3.27), higher depression (OR=12.38) and higher aggression (OR=5.72) than the non-suicidal impulse group. Conclusion: The findings indicate that integrated and effective interventions are needed to prevent suicidal attempts by adolescents who had experiences of suicidal impulse. Information on the cognitive, psychological and social characteristics of adolescents must be considered when developing the interventions.

• Research in Community and Public Health Nursing
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• v.25 no.3
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• pp.180-186
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• 2014

Purpose: The purpose of this research is to identify factors affecting suicidal ideation of the low-income elderly. Methods: The study subjects were lowest-income(basic living allowance) and lower-income elders who were registered for home visiting services at five District Health Centers in Seoul. Interview data were collected from 280 elders and analyzed. Using SPSS/WIN 21, $x^2$-test and t-test were conducted to analyze the relationship between the subjects' characteristics and their suicidal ideation, and logistic regression was done to identify factors affecting suicidal ideation. Results: Of the subjects, 48.6% had suicidal ideation for the last one year. Self-evaluated psychological status, quality of sleep, depression, and loneliness were affecting factors to the subjects' suicidal ideation. Conclusion: Psychological and social factors are strongly related to the suicidal ideation of the elderly who are living alone in metropolitan areas. Therefore, home visiting services should supply physical, psychological and social cares continuously to the low-income elderly, especially those who live alone in metropolitan areas.

• Research in Community and Public Health Nursing
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• v.19 no.1
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• pp.5-12
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• 2008

Objectives: The study was to examine major factors that affect suicidal ideation of elderly in urban areas. Methods: The subjects were 302 elders who voluntarily participated in the study. The instruments for this study were scale for suicidal ideation(19 items), family concord (20 items), CED-depression(20 items) and family inventor of life events and changes(FILE, 22 items). Frequency, percentage, t-test, ANOVA, Duncan test, Pearson' correlation coefficient, stepwise multiple regression with SPSS program were used to analyze the data. Results: The average score of suicidal ideation was 14.88. Suicidal ideation was positively related to depression and stress, but negatively related to family concord, depression, family concord, stress and health status accounted for 86.1% of the variance in suicidal ideation. These results suggest that family concord, depression and stress can be potential risk factors for suicide of elderly. Conclusions: These findings may give useful information for developing suicidal prevention program on old age.

• Journal of Korean Public Health Nursing
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• v.27 no.3
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• pp.551-563
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• 2013

Purpose: This study was conducted in order to investigate the incidence and associated factors of suicidal ideation among the elderly according to residence area. Methods: This cross-sectional study used secondary data from the 2011 Korean National Health and Nutrition Examination Survey (KNHANES V-2). A representative sample of 1,464 men and women aged 65 and over was selected. Rao-scott $X^2$-test, multiple logistic regression models based on sampling scheme of the data were used. Results: Of the 1,464 respondents, 22.4% had experienced suicidal ideation during the past year. Higher incidence of suicidal ideation was observed in rural seniors (23.7%) than in urban seniors (21.1%). The incidence of suicidal ideation showed correlation with age, education level, depression, stress, lying in a sick bed, and current smoking status among elderly living in urban areas. However, among elderly living in rural areas, the incidence of suicidal ideation showed correlation with household income, depression, stress, and daily activity. Conclusion: Based on the results, nurses should manage effective and individualized nursing interventions for elders in planning suicide prevention programs with consideration for residence areas, because there were differences in the factors affecting suicidal ideation among elders according to residence area.

• Korean Journal of Health Education and Promotion
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• v.28 no.5
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• pp.105-116
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• 2011

Objectives: The aim of this study was to explore the influence of learning social integration and self-doubt on the suicidal ideation, and to test the mediating effect of self-doubt and the moderating effect of drinking on suicidal ideation. Methods: A cross-sectional survey was administered to a convenience sample of 1,000 freshmen in a university in S city. A total of 803 questionnaires were included in the statistical analysis. To analysed the data, Pearson correlation and structural equation modeling were performed. Results: In this study, self-doubt had a mediating effects in the path way from learning social integration to suicidal ideation. Drinking had a moderating effect between self-doubt and suicidal ideation. Conclusions: The results suggest that the low level of learning social integration increases the level of self-doubt and leads to suicidal ideation. Drinking was a significant moderator of suicidal ideation. Therefore, interventions on various strategies to enhance academic performance and social interaction skill, and to help to stop or not to initiate drinking habit are needed in the early part of the freshman year.

• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.1
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• pp.43-50
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• 2010

Purpose: This study was conducted to identify the effect of family function and self-efficacy on suicidal ideation in university students. Method: The study was designed as a descriptive survey study. Data was collected using a structured questionnaire which included general characteristics, measures of family function, self-efficacy and suicidal ideation. Data collection was done between April 1 and April 30, 2009 with 569 university students. Data was analyzed using descriptive statistics, ANOVA, and Pearson's correlation coefficients. Result: The score of family function showed a significantly negative correlation with suicidal ideation. The score of self-efficacy also showed a significantly negative correlation with suicidal ideation. Family function in university students was significantly influenced by gender. Family cohesion was significantly influenced by religion. Self-efficacy in university students was significantly influenced by gender and age. Suicidal ideation was significantly influenced by religion. Conclusion: The findings suggest that family function and self-efficacy influence suicidal ideation. A strategy for improving family function and self-efficacy should be identified to decrease suicidal ideation.

• Journal of Korean Academy of Nursing
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• v.43 no.2
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• pp.296-303
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• 2013

Purpose: The purpose of this study was to investigate the prevalence of depression and suicidal ideation in elders with dementia and to identify factors influencing their suicidal ideation. Methods: A descriptive and cross-sectional study was conducted from February to March, 2011. The participants were 298 older adults whose MMSE-KC score was 15 to 23. Collected Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: According to the Geriatric Depression Scale (GDS) classification criteria, 86.2% of the elders in this study exhibited depression (GDS=5), and 31.5% manifested severe depression. The mean score of suicidal ideation was 5.70 (range 0-20). The risk factors for suicidal ideation were depression, suicidal attempt experience, present location for care, and activities of daily living. Conclusion: The results of this study can be utilized in the development of suicide prevention programs for older adults with dementia. In particular, depression should be screened and managed to reduce suicidal ideation of older adults with dementia.

• Korean Journal of Child Studies
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• v.37 no.1
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• pp.61-71
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• 2016

Objective: The purpose of this study was to confirm if there are gender differences in influences of parental support, control, and school life adjustment on suicidal ideation of adolescents and to examine the mediating effect of depression on the influences of independent variables on their suicidal ideation. Methods: This study comprised a total of 671 students in seventh and eighth grades in Seoul and Gyeonggi-do. The data were analyzed for frequency, average, and standard deviation, using the t-test, Pearson's correlation analysis, stepwise regression analysis, hierarchical multiple regression analysis, and the Sobel test. Results and Conclusion: First, significant differences among adolescents' gender were shown in fathers' psychological control, mothers' behavior control, and suicidal ideation. Second, in the case of male adolescents, all independent variables were found to have a full mediating effect on their suicidal ideation. Meanwhile, in the case of female adolescents, independent variables except for mothers' psychological control were found to have a full mediating effect on their suicidal ideation. Mothers' psychological control was found to have a partial mediating effect on suicidal ideation of adolescents for both genders.

• Human Ecology Research
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• v.54 no.3
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• pp.307-319
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• 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.