• The Journal of the Korea Contents Association
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• v.13 no.3
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• pp.240-250
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• 2013

The early detection of suicidal ideation is essential for the prevention of suicide. This study aimed to develop a brief screening tool that can be easily administered in medical settings. The Suicide Risk Screening Tool was designed for use by physicians to provide a screening process that would be reliable, standardized, quick and feasible to implement. A 2-item screening tool was derived from the Screening for Depression and Thoughts of Suicide in the Norton Sound region of Alaska, USA. The scale was modified to reflect the current situation in Korea including the elimination of the personal identification number, and was labeled the Korean Suicide Risk Screening Tool. Its reliability and applicability for medical setting were examined by explanatory study of 7 clinicians. Its validity was examined among a further 325 patients of four different medical institutions, using the results of interviewer-administered survey included demographic, clinical characteristics, and present mental status as the external criterion. A brief 2-item suicide risk screening tool can be used by mental and non-mental health clinicians to accurately detect suicidality in patients.

• Journal of Preventive Medicine and Public Health
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• v.41 no.1
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• pp.51-60
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• 2008

Objectives : We examined the effect of sociodemographic factors, cancer, and psychiatric disorders on suicide by gender and age-specific patterns in South Korea. Methods : The study is a case-control study. Claim data was obtained from the national health insurance database and national death registration database. The number of people who committed suicide was 11,523, which was matched with a control group consisting of ten times as many people at 115,230 selected from the national health insurance and medical aids beneficiaries. The medical utilization of the case group was one year before death and that of the control group was from July 1,2003 to June 30, 2004. Four variables-address, economic status, presence of a psychiatric disease, and cancer-were used in multiple logistic regression analyses. Results : Living in cities or in rural areas showed a greater risk for suicide than living in a metropolitan city. Low economic status, the presence of a psychiatric disorder, and cancer were also statistically meaningful risk factors for suicide. The three major psychiatric diseases, schizophrenia, alcohol abuse, and bipolar disorder, were meaningful in all age groups, but the scale of the odds ratio differed by the age group. Only the psychiatric disorder variable was meaningful in the adolescent group, whereas a psychiatric disorder and economic status were meaningful for the young adult group, and all variables were meaningful for the middle-aged group. A psychiatric disorder and cancer were meaningful in the elderly group, economic status was meaningful for male subjects, and address was meaningful for female subjects. Conclusions : Factors such as living in city or rural areas, low economic status, the presence of a psychiatric disorder, and cancer were statistically meaningful risk factors in suicide. These factors also differed by age group. Therefore, policymakers should establish policies for suicide prevention that are relevant for each age group.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.11
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• pp.5752-5761
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• 2013

This study was performed to propose the developmental direction of the elderly suicide study by analyzing the trend of study in elderly suicide. A literature search was conducted using RISS, KISS, Nanet. A total of 184 research articles which were published on elderly suicide in Korea from 1996 to 2013 were analyzed with structured analysis forms. For statistical analysis, frequency and percentage were used with EXCEL program. As a results, a study on elderly suicide in the social welfare sector was actively and a survey of general elderly proportion of the study was high. In addition, most concepts of research were associated with suicidal ideation, depression, social support, and stress of the elderly. Therefore, existing in previous studies classified as high-risk elderly people living alone, poor elderly, a man who attempted suicide risk in elderly subjects research through a variety of research methods will be made.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.22 no.4
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• pp.294-301
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• 2011

Objectives : This study investigated factors related to suicide in high school students and focused on perceived academic performance. Methods : We surveyed 293 grade 10 high-school students in Jeju and Gyeonggi provinces and gave them self-assessment questionnaires. To evaluate the suicide risk, the questionnaire included questions about suicidal thoughts, plans, threats, deliberate self-injury, and suicide attempts from the Scale for Suicide Ideation (SSI). Also, it included the Beck Depression Inventory (BDI), Beck Hopelessness Scale (BHS), Locus of Control Scale (LOC), Rosenberg's Self Esteem Scale (RSE) and Perceived Academic Performance (PAP) to identify factors related to suicide in high school students. Results : Depression, hopelessness, and low self-esteem were related with suicidal thoughts, plans, attempts, and severe suicidal ideation (SSI score${geq}$16). In the multivariate analysis, a low level of PAP (OR=3.796, 95%CI 1.280-11.257) was significantly associated with severe suicidal ideation (SSI score${geq}$16). Deliberate self-injury was most prevalent in failing the PAP group and also having a high level of PAP (OR=6.161, 95%CI 1.474-25.760). Conclusion : The authors found that the suicide risk of high school students is related to depression, hopelessness, low self-esteem and a low level of PAP. These results provide significant indicators in planning an adolescent suicide prevention program.

• Journal of Korean Academy of Nursing
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• v.32 no.2
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• pp.231-242
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• 2002

The purpose of this study was to identify the rate of suicidal attempts, investigate difference of rate of suicidal attempts between students and delinquents, and examine correlation between personality, family dynamics, environment, and suicidal attempts among Korean adolescents. Method: Data were collected through questionnaire surveys. Internal consistencies for this questionnaire ranged from 0.63 to 0.88. The subject used in this study consisted of 922(delinquent : 367, student : 555), using the proportional stratified random sampling method. Statistical methods employed were Chi-square and t-test. Results: \circled1 The rate of suicidal attempts were 10.8%, and the highest peak age of suicidal attempt was 17-18 year old (16.9%). \circled2 Delinquents(19.6%) showed a higher rate of suicidal attempts than students (5.1%). Among the students, girls (43.3%) showed a higher rate of suicidal attempt than boys (19.1%). Whereas, boys (80.9%) showed a higher rate of suicidal attempt than girls (56.7%) among delinquents. \circled3 Those who attempt suicide have more familial problem such as incest, psychosis, depression, attempted suicide, committed suicide, and alcoholism in their family. They also have more dysfunctional family dynamics, environment, and maladaptive personalities than non-attempters. Conclusions: Suicide and suicidal behaviors are multifaceted events. For suicide prevention, independent assessments of variables such as familial problems, personality, family dynamics, and environment must be considered.

• The Journal of the Korea Contents Association
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• v.18 no.2
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• pp.616-625
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• 2018

The purpose of this study was to analyze the relationship between the BMI and suicidal ideation using Korean Health Panel data from 2009 to 2013 to identify risk factors for suicide. We conducted a logistic regression analysis using the R statistical package to analyze the relationship between the BMI and the suicidal ideation. The results of this study show that all models with BMI had a statistically significant as a significant variable. It was found that the obese group was more likely to suicide ideation than the other groups. Based on these results, we try to find social implications for suicide prevention and intervention.

• Health Policy and Management
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• v.30 no.2
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• pp.211-220
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• 2020

Background: This study aimed to demonstrate the importance to recognize subjective body image on their mental health on adolescents. Methods: We used the chi-square test and the multiple logistic regression model to analyze the data of the "Korean Youth Health Behavior Survey in 2018" (n=42,259) conducted by the Korea Centers for Disease Control and Prevention. Results: As a result of the analysis, suicide ideation increased when the subject body image is thin and fat. Especially, the suicide ideation who recognized the subjective body image as thin is higher (odds ratio [OR], 1.666; 95% confidence interval [CI], 1.050-1.295), and who recognized the subjective body image as fat is higher (OR, 1.134; 95% CI, 1.032-1.245) than the group who recognized the subjective body image as normal. Conclusion: When preparing a health policy on adolescent suicide issues, we need to consider the association between subjective body image and suicide ideation.

• Journal of Korean Academy of Nursing
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• v.40 no.4
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• pp.524-532
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• 2010

Purpose: This study was done to explore the relationship of social support and meaning of life to suicidal thoughts among patients with cancer. Methods: Data were collected by questionnaires from 138 patients who had been in cancer treatment at medical clinics and 8 patients who were members of an internet cancer association. The data were collected between August and November 2009 and analyzed using SPSS 12.0. Results: Of the participants, 47.3% reported having had suicidal thoughts and 16.4% had attempted suicide since the diagnosis of cancer. The study participants received most support from family members, but 73.3% reported experiencing an existential vacuum. The suicide attempt group had significantly higher scores according to gender, age, level of education, diagnosis, treatment modality, level of activity, caregiver and social support compare to the suicide thought group. Suicidal thoughts were negatively related to social support and meaning of life was positively associated with social support. Support from family and friends and diagnosis explained 50.0% of variance for suicidal thoughts with 36.0% of variance being explained by family support. Conclusion: Nurses should be able to identify risk factors for suicide in cancer patients. Prevention and intervention efforts need to be directed toward improving social support, family support in particular, and assisting patients finding meaning in life after a diagnosis of cancer.

• The Journal of the Korea Contents Association
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• v.20 no.4
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• pp.553-563
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• 2020

Suicide is one of the major social problems in Korea, and its suicide rate is highest among the OECD countries. It has been reported that employment instability in labour market is causal factor of suicide ideation. Because the unemployed and temporary or part-time workers are reported to have high level of suicide ideation due to unstable job security, and they are likely to be a high risk group for suicide, it is necessary to do in-depth research on the effect of job stability on suicide ideation and the protective factors. For this purpose this study investigates the relationship between employment status and suicide ideation, and examine the moderating effect of family function. Data of 1,235 adults from the national-wide 'Longitudinal Study of Suicide Survivors' Mental Health were analyzed. Employment status were associated with the level of suicide ideation(B=-.904, p<.001), and the level of suicide ideation was the highest in the unemployed group. And the moderating effect of family function was statistically significant(B=-.218, p<.05), and good family function buffers the effect of unstable job status on suicide as a protective factor. Based on these findings, policy and practical implications for suicide prevention for precarious employment from the family dimension are discussed.

• Journal of The Korean Society of Clinical Toxicology
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• v.19 no.1
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• pp.8-16
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• 2021

Purpose: This study was conducted to analyze the social factors influencing the 'authenticity of suicidal ideation' based post-suicidal care programs in emergency departments (EDs). Methods: This retrospective study was an analysis using the data of patients who had attempted suicide and visited the ED in tertiary urban hospitals from January 1, 2016, to December 31, 2018. The variables examined included gender, age, history of previous psychiatric disease, suicide method, and the number of previous attempts. Univariate and multivariate logistic regression analyses were conducted to identify factors influencing the registration rate for the community-based post-suicide care program. Results: Overall,1,460 suicides were analyzed, 177 (1.16%) showed a high authenticity of suicide. The social factors influencing the authenticity of suicide intent were the unmarried status of men and women, joblessness, history of mental illnesses, more than two previous suicide attempts, the influence of alcohol, and an attempt to commit suicide after midnight more specifically between 24:00 to 6:00 hours in the morning (p<.05). The factors influencing the severity of the condition of high authenticity suicide patients were low Glasgow coma scores (12 points or less), lactate levels, and oxygen saturation observed in the patients who were admitted to the intensive care unit for treatment and died (p<.05). Conclusion: The need for evidence-based preventive measures and early assessment tools at the emergency medicine level is emphasized to reduce the rate of suicide attempts. If the results of this study are used in the management of suicide prevention, the evaluation of the authenticity of suicide intent will be more likely to be made at the emergency medicine level, allowing the severity to be assessed earlier.