• 대한통합의학회지
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• 제11권1호
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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.

• 대한통합의학회지
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• 제8권4호
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• pp.67-77
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• 2020

Purpose : Recently, Korea has entered an aging society due to the steadily increasing proportion of the elderly population. Additionally, elderly suicidal rate in Korea is the highest among OECD member countries. Because old age is a time when all functions are weakened physically, mentally, and socially, negative experiences, including depression and poor quality of life in the elderly, may lead to suicidal intentions. This study attempts to understand the relationship between depression and quality of life experienced by the elderly and their suicidal intentions. Methods : The survey was conducted from January 2 to March 31, 2019 by administering a questionnaire targeting people aged ≥ 65 years, who were registered at public health centers located in U-city, Gyeonggi-do. In total, 1,015 copies of data were used for the final analysis. The collected data were analyzed using the SPSS/WIN 23.0 program. The χ2 test was performed to investigate the relationship between the demographic characteristics and the suicidal intentions of the elderly subjects. The t-test was performed to determine the relationship between suicidal intentions, depression, and quality of life in elderly subjects. Results : The study results revealed that 168 people (16.6 %) had thought of suicide and 3.2 % had actually tried to commit suicide. The reasons for suicidal thoughts were family problems in 60 (5.6 %), economic problems in 49 (4.6 %), and physical illness in 44 (4.1 %). Those with suicidal intentions had higher levels of depression (t=11.712, p<.001) and higher quality of life scores (t=-9.565, p<.001). Conclusion : Based on these results, it is proposed that a suicide prevention policy and program that can improve the elderly's depression and quality of life is necessary.

• 정신신체의학
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• 제29권2호
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• pp.199-206
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• 2021

Objectives : This study aimed to compare the characteristics of suicide attempts among Korean patients with mixed and non-mixed depression. Methods : Patients who visited the emergency room due to a suicide attempt and participated in the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior study were included. Using the Montgomery-Asberg Depression Rating Scale (MADRS) and Young Mania Rating Scale (YMRS), 111 patients were classified into the mixed depression (n=46) and non-mixed depression groups (n=65). The Koukopoulos Mixed Depression Rating Scale (KMDRS) score was calculated using the MADRS and YMRS scores. Suicide attempt characteristics were evaluated using the Columbia Suicidal Severity Rating Scale (C-SSRS) and Suicide Intent Scale (SIS). Results : In the mixed depression group, the reason item among the ideation intensity score of the C-SSRS was higher, and the deterrent item score was lower. Scores on the timing and suicide note items of the SIS were higher, and scores for overt communication items were lower in the mixed depression group. The KMDRS score was positively correlated with the C-SSRS ideation intensity and total SIS score. After adjusting for additional variables, the KMDRS scores had a significant effect on the C-SSRS ideation intensity and total SIS scores. Conclusions : The mixed depression group showed a difference in the intensity of suicidal ideation and suicidal intention compared to those in the non-mixed depression group. The overall suicidal ideation intensity and suicidal intention increased according to the degree of mixed depression.

• 보건교육건강증진학회지
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• 제31권3호
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• pp.73-81
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• 2014

Objectives: This study examined how adolescents' cognitive stress relates to suicidal thought, thereby offering basic data about social and institutional ways to reduce adolescent suicide. Methods: In this study, data from an online survey on adolescents' health conducted by Korea Center for Disease Control(2013, 9th) was used after altering it to fit the purpose of the study. The data was analysed using the complex sampling method and structural equation model(SEM). Results: Whilst adolescents' cognitive stress had positive effects on suicidal thought, problem drinking and cognitive depression, it had a negative effect on physical activity. The structural equation model from cognitive stress, problem drinking, cognitive depression, physical activity influenced suicidal thought. Problem drinking on the other hand had an influence on cognitive depression. Conclusion: These findings suggest that future intervention programs for prevention of adolescents' suicidal thought should also address problem drinking, cognitive depression, and cognitive stress.

• 한국콘텐츠학회논문지
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• 제17권11호
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• pp.29-38
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• 2017

자살 위험성이 있는 사람이 주변지지 체계에 도움요청을 하는 행위는 자살예방에 있어서 매우 중요한 요소이다. 본 연구에서는 한국 군 병사를 대상으로 자살생각에 대한 도움요청의도에 영향을 미치는 요인과 그 기제를 파악하는 목적으로 수행되었다. 이를 위하여 총 471명의 한국 군 병사가 이 연구에 참여하였으며, 이들을 대상으로 사회적 낙인과 자기 낙인이 자살생각과 도움요청의도의 관계를 매개하는지를 살펴보았다. 연구 결과, 사회적 낙인과 자기 낙인은 자살생각과 도움요청의도를 부분 매개 하는 것으로 나타나, 자살생각은 낙인을 통해 간접적으로 도움요청의도에 영향을 미칠 뿐 아니라 직접적으로도 영향을 주는 것으로 나타났다. 또한 사회적 낙인은 자기 낙인을 강화시킬 뿐 아니라 직접적으로 도움요청 의도를 약화시키는 것으로 나타났다. 이러한 결과는 한국 군 병사의 자살에 대한 도움요청 행동을 증가시키기 위해서는 사회적 낙인과 자기 낙인 모두를 감소시키는 자살예방개입이 필요하다는 것을 시사한다.

• 한국융합학회논문지
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• 제13권4호
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• pp.469-475
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• 2022

본 연구의 목적은 자살사고를 가진 20-30대 성인의 공식 및 비공식 도움요청 의도에 영향을 미치는 요인을 탐색하는 것이었다. 본 연구의 대상은 온라인 커뮤니티를 통해 모집된 성인 215명으로, 이들은 자신의 자살 사고, 자기 은폐, 자살 낙인, 사회적 지지에 대한 자기보고식 온라인 설문에 참여하였다. 회귀분석 결과 사회적 지지와 자살 낙인은 일반적인 도움요청의도과 유의한 관련성이 있었다. 또한 사회적 지지는 공식 및 비공식적 도움요청 의도에 유의한 관련성이 있었으며, 자살 낙인과 자기 은폐는 비공식적 도움요청 의도와만 유의한 관련성을 보였다. 이러한 결과는 자살 고위험군에서 자살에 대한 도움요청을 증가시키기 위해서는 사회적 지지 증가 및 자기 은폐를 감소시키는 개입의 필요성을 강조한다.

• 한국산학기술학회논문지
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• 제22권3호
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• pp.208-214
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• 2021

도시화 진전으로 도시에서 농림어업에 종사하는 노인들이 증가하고 있다. 따라서 단순히 농촌지역 또는 도시지역으로 구분해 노인들의 자살 대응책을 모색하는 것보다는 직업(농림어업 종사)에 따른 노인들의 자살 문제를 고려할 필요가 있다. 이를 위해 본 연구에서는 순위 프로빗 모형을 이용해 농림어업에 종사하고 있는 노인의 자살 의향에 어떤 요인들이 영향을 미치는지를 살펴보았다. 분석결과, 외로움을 느끼는 농림어업 종사 노인의 자살 의향은 3.0% 증가, 일에 대한 가치를 소중히 느끼는 경우 자살 의향은 1.1% 감소, 지역의 소속감을 강하게 느끼는 경우 자살 의향은 2.7% 감소한다. 그리고 매일 만나는 가족이나 친척이 많을수록 농림어업 종사 노인의 자살 의향은 2.5% 감소한다. 하지만 동거 가족수가 매년 감소하고 있기 때문에, 이러한 가족(또는 친척)의 대면 접촉 확대는 한계가 있을 수밖에 없다. 따라서 농림어업 종사자의 외로움이나 가족(친척) 대면 접촉의 한계를 공공기관의 사회적 가치 증진 활동 노력과 연계하는 정책 수립이 필요하다.

• 지역사회간호학회지
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• 제32권4호
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• pp.477-484
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• 2021

Purpose: Various intervention strategies are needed to reduce the suicide rate among late adolescents. Therefore, we aimed to investigate the factors that can help overcome suicidal tendencies in late adolescents from the perspective of case managers. Methods: This qualitative study explored the reinforcing factors that can help overcome suicidal behaviors in late adolescents, by conducting focus group interviews with case managers from the local community. Interviews with 10 case managers were recorded and transcribed, and the data were analyzed using the content analysis method. Results: The main theme of this study was "a step in a new direction". Three categories were derived: "inner changes", "another possibility opened up by the interest of significant others", and "connecting with community resources to help overcome". Each category had subcategories that influenced the intention and course of action of behaviors to overcome the suicide crises. Conclusion: Our findings, from the exploration of the experiences of case managers, provide an in-depth understanding of the reinforcing factors for overcoming suicide among late adolescents. They provide useful preliminary data for the development of effective suicide prevention programs for the adolescents.

• 대한치위생과학회지
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• 제5권2호
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• pp.73-83
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• 2022

Background: This study was aimed at reducing depression and improving the quality of life and oral health of the elderly Koreans by elucidating the effect of depression on their life quality and oral health. Methods: Original data from the 8th National Health and Nutrition Survey (2019) were analyzed and implemented. The elderly (age≥65years) Koreans were enrolled. The oral health status was determined using the Decayed, Missing, Filled Teeth (DMFT) index and subjective self-report. The quality of life was quantified as the sum of score of each item in the Euro Qol-5 dimension (EQ-5D) and Health-related Quality of Life Instrument with 8 Items (HINT-8). The t-test, one-way analysis of variance, correlation analysis, and multiple regression analysis were performed to statistically compare the quality of life, oral health status, and oral health status according to the depression status. Results: EQ-5D and HINT-8 scores differed significantly with the history of depression, current depression, stress perception, depression for 2 weeks, and annual suicidal intention (p≤0.05). The DMFT index score differed significantly with the depression diagnosis and depression for 2 weeks (p≤0.05). EQ-5D, HINT-8, and DMFT index differed significantly with all oral health behavior variables (p≤ 0.05). Conclusions: The results of this study could serve as a basis to formulate oral health programs for the elderly to reduce depression and improve the quality of life.

• 보건의료생명과학 논문지
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• 제9권2호
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• pp.297-302
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• 2021

자율주행을 위해서 개발된 LiDAR의 가격이 획기적으로 하락하면서 여러 가지 분야에 LiDAR가 적용되기 시작하였다. 청소기 로봇과 자율배송 로봇 그리고 장애물 자동 회피 드론이 대표적인 예이다. LiDAR는 2D 카메라나 3D 카메라가 조명에 취약하다는 단점을 보완하면서 물체의 위치를 실시간으로 파악하는 유일무이의 수단이 되고 있다. 본 논문에서는 병실에 2D Lidar를 설치하여 환자의 움직임을 모니터링하는 방법을 제안하다. 심리적으로 불안정하거나 자살을 시도하려는 의도가 있거나 정신병적인 소견이 있어서 집중적인 감시가 필요한 환자가 홀로 병실에 있을 경우 2D LiDAR로 환자의 움직임을 감시하고 적절한 알람을 관리실에 보냄으로써 환자를 효율적으로 감시할 수 있는 방법을 고안하였다.