• Journal of Korean Academy of Fundamentals of Nursing
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• v.20 no.1
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• pp.37-45
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• 2013

Purpose: The purpose of this study was to identify suicidal ideation in high school students in urban and rural areas. Methods: For this research two urban and two rural high schools in four cities were chosen. The participants were 713 students (373 in the urban area, 340 in the rural area). The survey was conducted from June 1 to July 31, 2012. Data were analyzed with chi-square test, t-test, ANOVA, and multiple regression using SPSS 18.0. Results: Results showed that 19.5% of respondents had suicidal ideation within the past 1 year. There were significant differences in suicidal ideation and developmental assets between the two areas. Multiple regression analysis revealed that support, school violence, gender, family abuse, constructive use of time, and positive identity were significant predictors and explained 26% of suicidal ideation for high school students in urban areas. On the other hand, in rural areas, family abuse, gender, positive identity, smoking and empowerment were significant predictors and explained 31% of suicidal ideation. Conclusion: The findings indicate that implementation of a suicide prevention program in which consideration is given to these factors, and taking into account differences between urban and rural students would be helpful in reducing suicidal ideation.

• Child Health Nursing Research
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• v.25 no.2
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• pp.175-183
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• 2019

Purpose: This study was conducted to analyze physical symptom-related and life-style factors affecting suicidal ideation of senior grade students in elementary school. Methods: Physical symptom-related and life-style factors were used to investigate suicidal ideation among 663 elementary school students. From February 11 to 15, 2018, data were collected using a structured questionnaire and analyzed using the $x^2$ test, Pearson correlation analysis, and logistic regression analysis in SPSS for Windows version 22.0. Results: The factors affecting suicidal ideation were gender, family structure, economic status, academic performance, exposure to school violence during the past year, physical symptoms, drinking experience, smoking experience, sleeping time, and ramen noodle consumption. The regression analysis showed that exposure to school violence during the past year (odds ratio [OR]: 102.99, 95% confidence interval [CI]: 51.19~207.19, p=.001), number of physical symptoms (OR: 1.25, 95% CI: 1.12~1.41, p=.001), drinking experience (OR: 3.17, 95% CI: 1.66~6.06, p=.001), and game and internet usage time (OR: 2.08, 95% CI: 1.08~4.01, p=.029) affected suicidal ideation. Conclusion: This study revealed that physical symptoms and life-style significantly influenced suicidal ideation. Therefore, interventions to reduce suicidal ideation in children must focus on improving children's physical symptoms and life-style.

• Research in Community and Public Health Nursing
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• v.31 no.spc
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• pp.577-590
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• 2020

Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

• Journal of the Korean Society of School Health
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• v.34 no.3
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• pp.151-160
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• 2021

Purpose: The purpose of this study was to identify predictors of suicidal attempts in adolescents over 5 years after school dropout. Methods: The data of the Panel Survey of School Dropouts (of 2013 to 2017) conducted by the National Youth Policy Institute were analyzed. The analysis used the 2013 survey data as the baseline and examined suicidal attempts from 2013 to 2017. A total of 776 adolescents were included in the analysis. Descriptive statistics, 𝝌² test, t-test, and multiple logistic regression were carried out using SAS 9.2. Results: About 11% (87 out of 776) of the adolescents with an experience of dropout attempted suicide between 2013 and 2017. The risk of suicidal attempts was significantly lower in female (AOR: 0.57, 95% CI: 0.87~0.93) than in male adolescents. The higher the self-esteem, the lower the risk of suicidal attempts (AOR: 0.87. 95% CI: 0.78~0.97). The higher the depression level (AOR: 1.10, 95% CI: 1.05~1.16) and the rate of parental abuse (AOR: 1.09, 95% CI: 1.02~1.18), the higher the risk of suicidal attempts. Conclusion: The findings of the study suggest that those who are male, depressed, have low self-esteem or have been abused by their parents are at high risk of suicidal attempts among the adolescents with dropout experiences. Therefore, early intervention is necessary for those at high risk.

• Human Ecology Research
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• v.60 no.3
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• pp.345-358
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• 2022

This study examined the moderated mediating impact of entrapment and emotional support from peers in the relationship between academic stress and suicidal ideation among middle-school students. The participants consisted of 214 middle-school students in the first to third grades from four middle schools located in Seoul, Gyeong-gi, Chun-cheon, and Jeonnam. The data were analyzed using descriptive statistics, Pearson's correlation coefficients, and the Process Macro Model versions 4, 1, and 14. The results of this study were as follows. First, academic stress did not directly influence suicidal ideation; however, entrapment mediated the relationship between academic stress and suicidal ideation. Second, emotional support from peers moderated the mediating effect of entrapment in the aforementioned relationship. This means that if students perceived emotional support from peers, then academic stress had a smaller impact on suicidal ideation through entrapment. These findings highlight the importance of decreasing levels of academic stress and entrapment to prevent suicidal ideation among middle-school students. They also suggest that enhancing students' emotional support networks with their peers could be an effective way of reducing suicidal ideation when students feel high levels of entrapment and academic stress.

• Human Ecology Research
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• v.60 no.4
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• pp.535-547
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• 2022

This study aimed to examine the effect of parental psychological control on adolescents' non-suicidal self-injury and verify whether this effect is mediated by depression. In the first survey of 647 middle and high school students, only those who had experiences of non-suicidal self-injury were selected (136 adolescents). For data analysis purposes, descriptive statistics for each measured variable and Pearson's correlation coefficients among research variables were calculated. In addition, Process Macro - Model 4 by Hayes (2013) was used to investigate the mediating model. Finally, the bootstrapping method was applied to confirm the significance of the mediating effect. The results of this study were as follows. First, parental psychological control and depression directly affected the frequency of non-suicidal self-injury among adolescents. Second, depression mediated the relationship between parental psychological control and non-suicidal self-injury. In conclusion, the more parents controlled their children's psychological factors, the higher the level of depression among adolescents, and as a result, the higher the frequency of non-suicidal self-injury. These findings suggest that educational intervention on parental psychological control is important to prevent and reduce non-suicidal self-injury; however, psychotherapy intervention that reduces the levels of depression should also be required.

• Journal of Oriental Neuropsychiatry
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• v.34 no.4
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• pp.453-461
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• 2023

Objectives: Major depressive disorder is a severe disease that is associated with suicidal ideation and behavior. In this case, Korean medicine psychotherapy and Korean medicine treatment were used to treat an adolescent patient with major depressive disorder. Methods: The Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale were used as psychological evaluation scales. Korean medicine psychotherapy focuses on Giungoroen-therapy and IiGyeungByunQi-therapy and Korean medicine treatment combined with acupuncture, moxa, and herbal medicine. Results: Comparison before and after treatment showed improvement in clinical symptoms, Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale. Conclusions: As a result of applying Korean medicine, psychotherapy and Korean medicine treatment reduces to an adolescent patient with major depressive disorder, depression, suicidal thoughts, and suicidal behavior.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.4
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• pp.250-257
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• 2023

Objectives: Adolescents are at risk of suicide. As suicide is a multifactorial process, risk and protective factors are relevant constructs for suicide prediction. This study explored the effects of risk and protective factors on suicidal ideation in adolescents on the island of São Miguel (Azores). Methods: A sample of 750 adolescents (male: n=358; 47.7%; mean age=14.67 years; standard deviation=1.85 years) from the island of São Miguel (Azores) completed several measures related to suicidal ideation and associated factors. Using a cross-sectional design, this study conducted descriptive, correlational, predictive, mediation, and moderation analyses. Results: Adolescents generally displayed high levels of risk and protective factors; an indicative proportion exhibited significant suicidal ideation with females presenting the greatest vulnerability. Furthermore, the results highlight that depression is the best predictor of suicidal ideation, however, the association between these variables is mediated. Conclusion: The data corroborate that the suicidal reality of adolescents in the Autonomous Region of the Azores is worrisome. Having substantiated the complexity of the suicidal context in young people in the present research, the need to continue studying risk/protective factors in this area is supported.

• Journal of Korean Public Health Nursing
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• v.30 no.2
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• pp.326-336
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• 2016

Purpose: This study was conducted to help with the development of an intervention program in efforts to prevent suicidal ideation and suicide. The study also sought to generate strategies for improving health conditions by ascertaining and analyzing potential factors that may influence suicidal ideation according to age group in adults. Methods: Data on general characteristics and suicidal ideation from 447 adults aged between 20 and 59 years, living in Y city, Gyeonggi Province, South Korea, were collected based on a structured questionnaire, The data were analyzed using SPSS20.0 statistics program. Results: The results showed that 48.6% of young and older adults have experienced suicidal ideation while 44.5% of middle-aged adults have had suicidal thoughts. With regard to suicidal ideation, young and older adults revealed relevant differences in terms of gender, residential type, degree of stress and subjective physical and mental health, while middle-aged adults revealed relevant differences in terms of marital status and degree of stress. With regard to factors that influence suicidal ideation, it was found that the relevant variables of young and older adults included gender, residential type, depression, degree of stress, and subjective physical and mental health, while for middle-aged adults, relevant variables included marital status and degree of stress. Conclusion: These findings indicate that as stress and depression decreases, subjective physical and mental health improves. Therefore, this study proposes that developing and operating an intervention program can help prevent suicidal ideation in local residents.

• Journal of the Korean Society of School Health
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• v.25 no.2
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• pp.214-221
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• 2012

Purpose: This study was to assess the association of internet addiction and depression, stress and suicidal ideation among adolescents. Methods: The authors have surveyed 2 middle schools and 2 high schools located in Seoul and analyzed 525 questionnaires. The questionnaire included the Internet Addiction Self Diagnosis Index (K-index), Child Depression Index (CDI), Stress Index and Reynold's Suicidal Ideation Index. Structural equational model analysis was done to explore the association between internet addiction and suicidal ideation. Results: The adolescent internet addiction groups were classified as the high risk group 12 (2.3%), the potential risk group 64 (12.2%) and the normal group 449 (85.5%). When classified according to sex, the high risk group is consisted of 8 (3.9%) boys, 4 (1.3%) girls and the potential risk group is consisted of 41 (64.1%) boys and 23 (35.9%) girls which leads to the conclusion that boys are relatively more addicted compared with girls. The group with more addiction showed higher depression scores, stress scores and suicidal ideation scores. The correlation analysis showed the significant relations between internet addiction and depression (r=0.263), stress (r=0.265) and suicidal ideation (r=0.284). According to the structural equation model analysis, internet addiction had direct effects on the depression and indirect effects on suicidal ideation. Stress had the significant direct effects on both internet addiction and depression. Depression had a significant direct effect on suicidal ideation. Conclusion: Internet addiction affects directly and indirectly an depression and suicidal ideation among adolescent.