• 한국지역사회생활과학회지
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• 제22권3호
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• pp.429-444
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• 2011

The objective of this study was to identify the risk factor and protection factor related to suicide ideation in each life course based on an ecological-system perspective. A questionnaire was carried out for 393 adolescents, 473 adults and 376 aged men living nationwide. The results are as follows. First, the suicide ideation was low with 1.78 points in the full mark of 5 points. Second, the difference in suicide ideation, depression, hopelessness, stress in the organic system variables, family solidarity in the micro system variables, intermediate system variables, residence, the existence/inexistence of counselling center and the influence of mass media in mezo system variables in each life course were significant. Third, the relative influence of organic system variables on the suicide ideation were largest in all life courses. Further, the depression and the influence of mass media in all life courses were a risk factor of suicide ideation and stress was also a risk factor of suicide ideation in the case of adolescents and the aged. When examining protection factors of suicide ideation, family solidarity, minute as it is, works as the protection factor of suicide ideation in the case of adolescents. For the adults, living in a metropolis was a protection factor from suicide ideation. For the aged, family solidarity, family history of suicide and adult children's attention to their friends and neighbors (intermediate system variable) were protection factors from suicide ideation. I suggested that policy, service, counseling and educational program proper to each life course were necessary to lower risk factors of suicide ideation and to improve protection factors.

• 벤처창업연구
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• 제8권1호
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• pp.223-233
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• 2013

학교의 안전과 질서를 유지하기 위한 관리활동은 학교경영의 주요활동 중에 하나이다. 본 연구는 효과적인 학교 경영을 위하여 청소년들의 자살생각 영향요인을 규명하여 청소년 자살생각의 위험요인을 차단하고 보호요인을 강화할 수 있는 방안을 모색하고자 하는 목적으로 진행되었다. 이를 위하여 청소년 자살생각에 미치는 위험요인으로 청소년의 우울과 스트레스 정도를 분석하고 자살생각으로부터의 보호요인으로 추정되는 사회적 지지의 효과성을 검증하였다. 분석결과 첫째, 일상생활 스트레스 전체와 자살생각 간의 상관관계는 정적 상관관계로서 일상생활에서 스트레스를 많이 받을수록 자살생각이 많아짐을 나타내었다. 둘째, 우울과 자살생각과는 정적 상관관계를 보여 우울이 심할수록 자살에 대한 생각이 많아짐을 나타내었다. 셋째, 사회적 지지와 자살생각은 부적인 관계성을 보여 사회적 지지가 높을수록 자살생각이 낮은 것으로 나타났다. 연구결과에 의하면 청소년의 자살은 예방적 차원에서의 접근이 무엇보다 중요하다. 또한 분석결과는 청소년 자살을 예방하기 위해서는 청소년의 자살생각 위험요인을 완화시킬 수 있는 사회적 지지가 필요함을 보여준다. 따라서 본 연구에서는 사회적 지지를 강화할 수 있는 사회적 관심과 지지체계의 형성, 이를 통한 예방적 접근의 필요성, 자살생각 강화요인에 대한 대안적 프로그램의 접근, 사례관리 및 집단프로그램의 방법활용 등 청소년 관련기관과 전문가의 개입과 통합적 관리, 학교환경의 개선과 변화가 필요함을 제언하였다.

• 한국환경보건학회지
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• 제46권4호
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• pp.388-397
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• 2020

Objectives: The aim of this study was to assess the association between the use of heated tobacco products (HTP) and suicidal behaviors such as suicidal ideation, suicide planning, and suicide attempts among adolescents in South Korea. Methods: The study used a cross-sectional design. Data was from the 15th Korea Youth Risk Behavior Web-based Survey (KYRBS) performed in 2019 by the Ministry of Education, Ministry of Health and Welfare, and Korean Center for Disease Control and Prevention. Heated tobacco product use was used as a main independent variable and suicide-related behaviors such as suicidal ideation, planning, and attempts were applied as dependent variables. Out of 60,100 students, 57,303 responded. Results: HTP use significantly increased the odds of a suicide attempt and suicide planning among adolescents. After controlling for confounders, when comparing 'current HTP users' with 'never HTP users', the adjusted odds ratio (OR) was 1.78 (95% confidence interval (CI): 1.38-2.30) for suicide attempts among adolescents. After controlling the confounders, comparing 'current HTP users' with 'never HTP users', the adjusted OR was 1.36 (95% CI: 1.06-1.73) for suicide planning among adolescents. For sadness/despair among adolescents, when comparing 'current HTP users' with 'never HTP users', the adjusted OR was 1.29 (95% CI: 1.11-1.50). However, HTP use had no significant association with suicidal ideation among adolescents. Conclusions: Current HTP users were more likely to attempt to commit suicide, and more likely to plan to commit suicide than never HTP users among adolescents. These results may be useful in developing a scientific basis for designing suicide prevention programs targeting adolescents.

• 보건행정학회지
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• 제29권3호
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• pp.312-322
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• 2019

Background: Since 2003, Korea has consistently shown the highest suicide rate among the Organization for Economic Cooperation and Development countries, and suicide remains the major cause of death. In particular, men are 2-3 times more likely to commit suicide than women, which called the 'gender paradox of suicide.' The areas with frequent suicide have spatially clustered patterns because suicide with a social contagion spreads around the neighborhood. The purpose of this study was twofold. The first was to estimate the hotspot areas of age-standardized male suicide mortality from 2008 to 2015. The second was to analyze the relationship between the hotspot areas and the regional characteristics for study years. Methods: The data was collected through the Korean Statistical Information Service. The study areas were 227 si gun gu administrative districts in Korea. The hotspot area was used as a dependent variable. Socio-demographic variables (number of marriages per 1,000 population, number of divorces per 1,000 population, and urbanization rate), financial variables (financial independence and social security budget), and health behaviors (EuroQol-5 dimension [EQ-5D], and depression experience rate) were used as independents variables. Results: The hotspot areas were commonly located in Gangwon-do, Chungcheongnam-do, Gyeongsangbuk-do, and Chungceongbuk-do. According to the results of panel logit regression, the number of divorces per 1,000 population, social security budget, and EQ-5D were statistically significant variables. Conclusion: The results of hotspot analysis showed the need for establishing a prevention zone of suicide using hotspot areas. Also, medical resources could be considered to be preferentially placed in the prevention zone of suicide. This study could be used as basic data for health policymakers to establish a suicide-related policy.

• 정신신체의학
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• 제29권2호
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• pp.144-152
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• 2021

연구목적 본 연구는 응급실에 내원한 졸피뎀 음독 자살시도군과 다른 방법을 사용한 자살시도군을 비교하여 차이를 확인하고자 하였다. 방 법 2009년부터 2018년까지 응급실에 내원한 총2734명의 자살시도자를 대상으로 졸피뎀 음독 자살시도군, 졸피뎀 외 약물 음독 자살시도군, 비약물 자살시도군으로 분류하였으며, 세 군에 대하여 사회인구학적 특성, 자살시도와 관련된 임상적 특성들에 대해 교차분석과 회귀분석을 수행하였다. 결 과 졸피뎀 음독 자살시도군과 비약물적 자살시도군에서 차이를 보인 변수들에 대한 회귀 분석 결과에서, 안정제/수면제의 사용과 치명도가 낮거나 의도의 심각성이 높지 않은 경우가 졸피뎀 음독 자살시도의 발생과 연관성이 있었다. 유사한 특성을 보인 음독군 내에서도 안정제/수면제의 사용은 졸피뎀 음독 자살시도의 발생과 연관성이 있었다. 결 론 본 연구에서는 응급실에 내원한 졸피뎀 음독 자살시도군과 다른 방법을 사용한 자살시도군의 사회인구학적, 임상적 특성의 유의한 차이를 확인하였다. 이러한 결과는 추후 졸피뎀을 사용하는 것에 대한 약물적 치료를 계획하는데 도움이 될 수 있다.

• 보건행정학회지
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• 제24권2호
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• pp.143-152
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• 2014

Background: Previous studies showed that the characteristics of population and regions were related to the suicide rates. This study purposed to analyze the relationships between regional factors and suicide rates with spatial analysis model. Methods: This is a cross sectional study based on the statistics of 2011 which was extracted from the 229 City Gun Gu administrative districts in Korea. Cause of death statistics on each district was used to produce the age-, sex-adjusted mortality rates resulting from suicide. Regional characteristics were measured by the number of doctors engaged in medical institutions per 1,000 population, divorced people's rate per 1,000 population, number of marriages per 1,000 population, and percent of welfare budget in general accounting. Statistical analysis was performed by using SAS ver. 9.3 and ArcGIS ver. 10.2 was used for geographically weighted regression (GWR). Results: In ordinary least square (OLS) regression, divorced people's rate per 1,000 population had a significant positive relationship with the standardized mortality rate per 100,000 population. Marriages per 1,000 population and the proportion of welfare budget in the general accounting had significant negative relationships with the mortality rates. Meanwhile, GWR provided that the directions of variable, divorced people's rate per 1,000 population, were varied depending on regions. The adjusted $R^2$ was improved from the 0.32 in OLS to the 0.46 in GWR. Conclusion: Results of GWR showed that regional factors had different effects on the suicide rates depending on locations. It suggested that policy interventions for reducing the suicide rate should consider the regional characteristics in obtaining policy objectives.

• 식품보건융합연구
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• 제7권2호
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• pp.25-35
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• 2021

The purpose of study is to study the influence of elderly's family harmony reflects on suicidal tendency among the mental health. The study was a survey of 323 elderly people aged 65 years or older in the elderly welfare center located in S city. The variables of this study consisted of the independent variable emotional intelligence, the dependent variable suicide tendency and the mediating effect family harmony. As a result of the study. In the mediating effect of family harmony on the influence of emotional intelligence on suicidal thoughts, it was found that emotional intelligence had a positive (+) effect on family harmony (t=9.389, p<0.001), and emotional intelligence was related to suicidal thought It was found to have a negative (-) effect (t=-7.358, p<0.001). The mediating effect, family harmony, had negative (-) influence on suicidal thoughts (t=-3.956, p<0.001), and emotional intelligence also showed that suicidal thoughts had negative (-) influence (t=-4.828, p<0.001). In Conclusions, it was found that family harmony had a partial mediating effect on the influence of emotional intelligence on suicidal thoughts. Emotional intelligence, which can accept one's own emotions and feel the emotions of others in the position of others, is an important variable for family harmony.

• 대한간호학회지
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• 제39권5호
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• pp.651-661
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• 2009

Purpose: This study was done using meta-analysis to examine 58 studies from studies published in the past eight years (2000 to 2007) that included variables related to adolescents' suicidal ideation. Methods: The materials for this study were based on 32 variables which were selected from masters' thesis, doctoral dissertation and articles from Journals of the Korean Academy of Nursing. Results: The classification consisted of 5 variables groups and 32 variables. In terms of effect size on risk, variables which were significant included psychological variables (0.668), socio-cultural variables (0.511), family environmental variables (0.405), school environmental variables (0.221), and personal characteristics variables (0.147). In terms of effect size on protection, variables which were significant included personal characteristics variables (-1.107), psychological variables (-0.526), family environmental variables (-0.264), and school environmental variables (-0.155). In terms of effect size on risk variables, psychological variables (0.668) were highest. In terms of effect size on protective variables, the variable of personal characteristic (-1.107) was the highest. Conclusion: While the results indicate possible risk and protective variables for suicidal ideation, but prediction is still difficult. Further study to compare adolescents with similar variables but no suicidal ideation and those with suicidal ideation is necessary.

• 기본간호학회지
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• 제23권3호
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• pp.310-319
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• 2016

Purpose: This study was done to examine whether risk of suicidal ideation in nursing students as related to social support and ego-resilience, and whether subjective wellbeing mediated the relationships. Methods: Structural equation modeling was applied to test the model in which ego-resilience and social support from family, friends, and others were considered as exogenous variables and subjective wellbeing as a mediating variable. The participants were 285 nursing students who completed self-report measures including the Suicidal Ideation Questionnaire, the Multidimensional Scale of Perceived Social Support, the Ego-Resiliency Scale, and the Index of Wellbeing. Results: Results show that higher scores on family support and ego-resilience were positively associated with subjective wellbeing and negatively with suicidal ideation. Subjective wellbeing mediated the relationships between family support and suicidal ideation, and also ego-resilience and suicidal ideation. Among the three social supports, only family social support had both direct and indirect effects on suicidal ideation. Conclusion: Findings suggest that family support is a useful resource in the prevention of suicidal ideation in nursing students and building supportive relationship with family should be considered as the first step in suicide prevention strategies. Also enhancing ego-resilience could play an important role to reduce suicide risk through promoting well-being.

• 보건행정학회지
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• 제23권1호
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• pp.59-65
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• 2013

Background: The purpose of this study was to analyze the related factors which decide the percentage of health care expenditure of the total fiscal expenditure of local governments and to provide the basic data to contribute for the efficient allotment of healthcare budget. Methods: This study was conducted by the percentage of health care expenditure for 3 years by classifying a total of 230 local governments into the metropolitan cities (gu, 69), the counties (si, 75), and the boroughs (gun, 86) all over the country. With the collected data, the general characteristics of independent variables and the dependent variable were analysed using SPSS ver. 18.0, The correlation analysis and multivariate regression analysis were conducted for the characteristics of variables according to regions by year. Results: In correlation between health care expenditure by year and other variables, there was a significant positive correlation with unemployment rate, metropolitan cities (gu) and other regions, the percentage of health center personnel, health care expenditure in last year as a independent factors. On the other hand there was no correlation with social assistance recipients and the percentage of aging population, financial self-reliance, industrialization rate, suicide rate, cardiac disease mortality, cerebrovascular mortality on health care expenditure. Conclusion: The study clearly shows that health care expenditure of local governance was not correlated with health care need factors comparing social welfare expenditure.