한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제21권8호
  • /
  • Pages.315-324
  • /
  • 2020
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

대학생의 자살생각 영향요인

Factors Influencing Suicide ideation in College Students

  • 변은경 (경남정보대학교 간호학과) ;
  • 김미영 (경남정보대학교 간호학과) ;
  • 강은희 (경남정보대학교 간호학과)
  • Byun, Eun-Kyung (Department of Nursing, Kyungnam College of Information & Technology) ;
  • Kim, Mi-Young (Department of Nursing, Kyungnam College of Information & Technology) ;
  • Kang, Eun-Hee (Department of Nursing, Kyungnam College of Information & Technology)
  • 투고 : 2020.05.19
  • 심사 : 2020.08.07
  • 발행 : 2020.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 대학생을 대상으로 정서적 외상경험, 스트레스, 우울, 불안이 자살생각에 미치는 영향요인을 확인하고자 시도되었다. 자료수집은 B시에 소재한 4개 대학의 보건계열 대학생을 대상으로 설문지를 이용하여 최종 289부를 분석에 사용하였다. 수집된 자료는 SPSS/WIN 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, t-test와 ANOVA, multiple regression analysis로 분석하였다. 연구결과 연구대상자의 일반적 특성에 따른 정서적 외상은 성별에서 유의한 차이가 있었으며(p=.005), 스트레스는 학년에서 유의한 차이를 보였다(p=.029). 우울은 성별(p=.020)과 종교(p=.022)에 대해서, 불안은 성별(p=.047)에 대해 유의한 차이를 보였다. 자살생각은 일반적 특성과 유의한 차이가 없었다. 대상자의 자살생각은 정서적 외상(p<.001), 스트레스(p<.001), 우울(p<.001), 불안(p<.001)과 유의한 상관관계를 나타내었다. 대상자의 자살생각에 영향을 미치는 요인은 정서적 외상(t=4.117, p<.001), 스트레스(t=2.909, p=.004), 우울(t=3.421, p=.001), 불안(t=2.875, p=.004)으로 나타났고, 설명력은 34.1%였다. 본 연구는 대학생의 자살생각과 관련성이 높은 정서적 외상경험, 스트레스, 우울, 불안과의 상관관계를 규명하고 자살생각에 미치는 요인을 확인함으로써 자살예방 프로그램 개발을 위한 기초자료로 활용할 수 있을 것이며, 대학생 자살률을 감소시키기 위한 프로그램의 개발이 필요하다.

The purpose of this study was to examine the relationship between emotional traumatic experience, stress, depression, and anxiety and to identify factors influencing suicide ideation. Data collection was carried out using a questionnaire survey administered to students from four health colleges in B city and a total of 289 questionnaires. Collected data were analyzed by frequency and percentage, mean, standard deviation, t-test, ANOVA, and multiple regression analysis using the SPSS/WIN program. The results show that there were significant differences in emotional trauma according to the general characteristics of the study subjects (p=.005) and stress related to grades (p=.029). Depression showed significant differences for gender (p=.020), religion (p=.022), and anxiety related to gender (p=.047). Suicidal thinking was not significantly different from the general characteristics. The suicidal ideation of the subjects was significantly correlated with emotional trauma (p<.001), stress (p<.001), depression (p<.001) and anxiety (p<.001). Factors affecting the suicidal ideation of the subjects were emotional trauma (t=4.117, p<.001), stress (t=2.909, p=.004), depression (t=3.421, p=.001), and anxiety (t=2.875, p=.004), and the explanatory power was 34.1%. This study can be used as basic data for the development of a suicide prevention program by identifying correlations between emotional traumatic experience, stress, depression, and anxiety related to suicide ideation and identifying factors affecting suicide ideation. Based on these results, the development of programs to reduce the college student suicide rate is necessary.

키워드

참고문헌

  1. Statistics Korea. http://kostat.go.kr 2018 Cause of death on the statistical results on the statistical results. (accessed Sep. 20, 2019)
  2. W. T. Jeon, Y. Y. Nam, J. Y. Park, Y. K. Eoh, H. S. Lee, "Study on development of suicide prevention policy : foreign national suicide prevention strategy and analysis of domestic activities", Seoul: Ministry of Health Welfar . p. 439, 2014.
  3. J. N. Sohn, "Discriminating power of suicidal ideation by life stress, coping strategy, and depression in college students", Journal of Korean Academy Psychology Mental Health Nursing , Vol. 16 No. 3, pp. 267-275, 2007.
  4. G. S. Kim, Y. S. Jeon, "The effects of depression, anxiety, and impulsiveness on suicidal thoughts among adolescents", Korean Journal of Human Ecology, Vol. 21, No. 5, pp. 903-913, 2012. DOI : http://dx.doi.org/10.5934/KJHE.2012.21.5.903
  5. D. E. Cole , H. O. Protinsky, L. H. Cross, "An empirical investigation of adolescent suicidal ideation", Adolescence , Vol. 27, No. 108, pp. 813-818, 1992.
  6. Y. H. Park, "Effects of depression, self-esteem, and social support on suicidal ideation in college students", Child Health Nursing Research , Vol. 23, No. 1, pp. 111-116, 2017. DOI : https://doi.org/10.4094/chnr.2017.23.1.111
  7. Y. S. Chong, Y. J. Jeong, "A review on variables related to suicide of the korean youth and elderly : An application of vulnerability stress model to suicide", The Korean Journal of Developmental Psychology , Vol. 28, No. 3, pp. 227-254, 2015.
  8. G. J. Kim, N. W. Jung, "Relationship among life stress, depression, and suicidal ideation of university students : moderated mediating effect of self-compassion", The Korean Journal of Health Psychology, Vol. 24, No. 1, pp. 249-271, 2019. https://doi.org/10.17315/kjhp.2019.24.1.012
  9. S. Y. Ahn, J. H. Kim, B. Y. Choi, "Meta-analysis on variables related to suicidal ideation among college students", Korean Journal of School Psychology, Vol. 12, No. 3, pp. 385-405, 2015. https://doi.org/10.16983/kjsp.2015.12.3.385
  10. M. S. Yoon, S. H. Kim, "Mediating Effect of Relationship Satisfaction on the Relationship between Traumatic Experiences and Suicidal Ideation among College Students", Mental Health & Social Work, Vol. 40, No. 2, pp. 5-31, 2016.
  11. J. S. Lee, H. S. Park, "An analysis of research trends of the resilience focusing on journal of home economics department and psychology in Korea(2000-2013)", Korean Journal of Chiildren Psychotheraohy , Vol. 8, No. 2, pp. 23-41, 2013.
  12. M. K. Nock, G. Borges, E. J. Bromet, C. B. Cha, R. C. Kesslerand, S. Lee, "Suicide and suicidal behavior", Epidemiologic Reviews , Vol. 30, pp. 133-154, 2008. https://doi.org/10.1093/epirev/mxn002
  13. K. Krysinska, D. Lester, "Post-traumatic stress disorder and suicide risk: a systematic review", Archives of Suicide Research, Vol. 14, pp. 1-23, 2010. DOI : https://doi.org/10.1080/13811110903478997
  14. J. Y. Heo, Y. D. Yoo, "Influences of childhood emotional trauma on mental health and life satisfaction of university students : mediated by self-esteem", Family and culture , Vol. 24, No. 1, pp. 178-212, 2012. https://doi.org/10.21478/family.24.1.201203.006
  15. H. W. Yoon, The association between health risk behavior and suicidal ideation in korean youth, master's thesis. Korea University Graduate School of public health, pp. 1-58, 2011.
  16. H. C. Choi, O. J. Kim, "Exposure to stress, stress generation, and reciprocal effects in adolescent stress and depression", Studies on Korean Youth, Vol. 20, No. 3, pp. 401-429, 2009.
  17. J. S. Kim, "A converged study on the influence on the suicide of idea the elderly living alone", Journal of Convergence for Information Technology, Vol. 8, No. 5, pp. 11-17, 2018. DOI : https://doi.org/10.22156/CS4SMB.2018.8.5.011
  18. Y. H. Yu, S. H. Lee, Y. G. Cho, "The relationships between self-compassion, life stress, social support, and psychological symptoms", Cognitive Behavior Therapy in Korea, Vol. 10, No. 2, pp. 43-59, 2010.
  19. E. H. Lee, "Life stress and depressive symptoms among college students: testing for moderating effects of coping style with structural equation", The Korean Journal of Health Psychology, Vol. 9, No. 1, pp. 25-48, 2004.
  20. Y. J. Kim, H. J. Kang, "The Buffering Effect of Family Cohesion in the Relationship between Depression and Suicidal Risk", The Journal of the Korea Contents Association Vol. 14 No. 3, pp.241 - 249, 2014. DOI : http://dx.doi.org/10.5392/JKCA.2014.14.03.241
  21. E. J. Oh, The effects of a depression prevention program on the reduction of depression, suicidal ideation, dysfunctional attitude and negative automatic thought of adolescents, Doctoral dissertation, Chonnam National University, pp. 1-2, 2010.
  22. J. H. Kim, B. J. Kim, D. W. Jang, "A Study about suicidal attitude and self-image in adolescent school girls : focused on industrial and cultural women's high school faction", Korean Academy of Child and Adolescent Psychiatry, Vol. 10, No. 2, pp. 220-235, 1999.
  23. Y. J. Choi, M. K. Lee, E. A. Kim, E. H. Seo. "Effectiveness evaluation of depression and suicide prevention program based on community for home elderly", Journal of community welfare, Vol. 65, pp. 1-29, 2018. DOI : http://dx.doi.org/10.15300/jcw.2018.65.2.1
  24. S. Y. Bang, "Loneliness and suicidal ideation according to character type in elderly", Journal of the Korea Contents Association , Vol. 14, No. 5, pp. 319-327, 2014. DOI : http://dx.doi.org/10.5392/JKCA.2014.14.06.319
  25. G. S. Yoo, H. G. Son, "Effects of risk & protective factors on suicidal ideation in undergraduate students : focusing on the interpersonal needs & reasons for living" Journal of family relations , Vol. 20, No. 2, pp. 75-100, 2015.
  26. M. K. Kim, "Relationship between university students' family stress, negative emotion and suicide ideation - the mediating effect of ego resilience", Forum For Youth Culture, Vol. 29, pp. 34-57, 2012.
  27. H. S. Kim, K. M. Chae, "The study of the mediating efffects of the early maladaptive schemas on the relationships between job-seeking stress and suicidal ideation" Korean journal of Youth Studies, Vol. 21 No. 2, pp. 1-26, 2014
  28. S. Y. Moon, The relationship between the perceptive of college students's father-adolescent communication and suicidal risk : by the mediation of ego-resilience . master's thesis. Soongsil University, pp. 1-77, 2014.
  29. Y. K. Lee, The relationship between childhood trauma and psychological symptom, interpersonal problems-focusing on the mediating effect of attachment . master's thesis, Ewha Womans University, pp. 78-79, 2006.
  30. D. P. Bernstein, L. Fink, Childhood trauma questionnaire : a retrospective self-reportmanual, San Antonio, TX: HarcourtBrace, 1998.
  31. J. O. Park, Y. S. Seo, "Validation of the Perceived Stress Scale(PSS) on samples of Korean university students", The Korean Journal of psychology:General, Vol. 29, No. 3, pp. 611-629, 2010.
  32. S. Cohen, T. Kamarck, R. Mermelstein, "A global measure of perceived stress", Journal of health and Social Behavior , Vol. 24, pp. 385-396, 1983. https://doi.org/10.2307/2136404
  33. H. S. Kang, K. J. Kim " The Correlation between Depression and Physical Health among the Aged". Korean Public Health Research, Vol. 26, No. 14, pp. 451-459, 2000.
  34. H. J. Cho, The effect of depression, self-depression and meaning of life on suicidal ideas , master's thesis, Seoul University. pp. 1-77, 1990.
  35. M. S. Lee, The relation between attachment classification of Anxiety disorder children and their mother's experiences during their childhood . master's thesis, Hanshin University, pp. 17. 2008.
  36. S. P. Yook, Z. S. Kim, "A clinical study on the Korean version of Beck Anxiety Inventory : comparative study of patient and non-patient", The Korean Journal of Clinical Psychology, Vol. 16, No. 1, pp. 185-197, 1997.
  37. S. S. Lim, The Analysis of Relationship between Adolescents' Alienation Depression Purpose in life and Suicide Ideation. master's thesis, Hankuk University, pp. 21-22, 2006.
  38. L. L. Harlow, M. D. Newcomb, P. M. Bentler, "Depression, self-derogation, substance use and suecide ideation : Lack of Purpose in Life as a Mediational Factor", Journal of Clinical Psychology , Vol. 42, pp. 5-21, 1986. https://doi.org/10.1002/1097-4679(198601)42:1<5::AID-JCLP2270420102>3.0.CO;2-9
  39. Y. N. Ko, "The effects of emotional trauma in childhood on the depression and anxiety level for college students : Focusing on the moderating effects of ego-resilience", Journal of Youth Welfare, Vol. 18, No. 1, pp. 105-132, 2016. DOI : http://dx.doi.org/10.19034/KAYW.2016.18.1.05
  40. G. H. Jung, M. H. Park, "The moderating effect of interpersonal skills on the relationship between childhood emotional trauma and depression in nursing students", The Journal of Korean Academic Society of Nursing Education, Vol. 25, No. 2, pp. 263-272, 2019. DOI : https://doi.org/10.5977/jkasne.2019.25.2.263
  41. K. R. Lim, "The effect of childhood emotional trauma experience and ego-resilience on the adolescent aggression - the moderated mediation effect of peer attachmen-", Korean Journal of Youth Studies, Vol. 26, No. 5, pp. 251-276, 2019. DOI : https://doi.org/10.21509/KJYS.2019.05.26.5.251
  42. M. H. Bae, Y. A. Cho, "The relationship between undergraduates' childhood trauma and interpersonal problems : the mediating effects of optimism", Korean Journal of Counseling, Vol. 15, No. 5, pp. 1849-1870, 2014. DOI : https://doi.org/10.15703/kjc.15.5.201410.1849
  43. K. H. Yoo, "A study on the stress and adjustment to college life among nursing students", The Journal of Korean Academic Society of Nursing Education, Vol. 24, No. 3, pp. 269-278, 2018. DOI : http://dx.doi.org/10.5977/jkasne.2018.24.3.269
  44. S. H. Park, J. N. Yang, E. J. Choi, "The relationship among stress, depression, and suicidal ideation in adolescents residing in low-income areas-focused on the mediating effect of depression-", Korean Journal of Youth Studies , Vol. 22, No. 5, pp. 301-323, 2015.
  45. J. R. Kim, The effect factors on suicidal ideation of middle aged adults. master's thesis, Korea University, pp. 42-44, 2020.
  46. E. A. Lee, The Study of influences of experiences of discrimination, sense of loss and depression. master's thesis, Sungkyul University, pp. 73-75, 2015.
  47. K. E. Choi, Relationship of stress, social support, hope and suicidal ideation in hemodialysis patients. master's thesis, Kwangju University, pp. 20, 2020.
  48. E. M. Lee, "Association between body shape perception and stress, depression, suicidal ideation", Journal of the Korean Data Analysis Society, Vol. 19, No. 6, pp. 3331-3343, 2017. DOI : https://doi.org/10.37727/jkdas.2017.19.6.3331
  49. S. J. Kim, H. S. Sohn, Y. H. Kim, "Association suicidal ideation and suicidal attempt with parent configuration, violent victimization, and residence area in adolescents : based on the data from 2013 Korea youth risk behavior web-based survey", Journal of the Korean Data Analysis Society, Vol. 18, No. 5, pp. 2787-2800, 2016.
  50. M. S. Yoon, S. H. Kim, "Mediating Effect of Relationship Satisfaction on the Relationship between Traumatic Experiences and Suicidal Ideation among College Students", Mental Health & Social Work, Vol. 40, No. 2, pp. 5-31, 2016.
  51. Y. S. Kim, H. G. An, "Analysis of stressful life event factors related to suicidal ideation in specialized and academic high school female students", Journal of the Korean Data Analysis Society, Vol. 13, No. 2, pp. 1293-1309, 2011.
  52. Y. S. Kim, "The effects of stress, coping, depression, hopelessness on suicide ideation in the adolescents", Journal of the Korean Data Analysis Society, Vol. 11, No. 4, pp. 1907-1921, 2009.
  53. D. S. Park, "Effects of life stress and depression of health college students on their suicidal ideation :control effects of social support", Journal of the Korea Academia-Industrial cooperation Society , Vol. 14, No. 2, pp. 728-736, 2013. DOI : https://doi.org/10.5762/KAIS.2013.14.2.728
  54. J. Y. Park, S. W. Jeon, E. J. Kim, D. W. Shin, K. S. Oh, Y. C. Shin, S. W. Lim, "The characteristics of symptoms of depression and anxiety associated with suicidal ideation in Korean employees", Anxiety and Mood, Vol. 13, No. 2, pp. 148-155, 2017. https://doi.org/10.24986/anxmod.2017.13.2.148