• Title/Summary/Keyword: Suicide

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The Relations among Attitude, Competency, and Appropriateness of Work on Student Suicide in Health Teachers (일 지역 보건교사의 자살에 대한 태도와 학생 자살 관련 업무 적합도 및 업무수행 역량과의 관련성)

  • Yoo, Jae Soon;Han, Dallong;Kim, Chul-Gyu
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.4
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    • pp.473-484
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    • 2016
  • Purpose: The purpose of this study was to identify the relations among appropriateness of work, competency on student suicide and attitude toward suicide in health teachers. Methods: This study was a cross-sectional descriptive one. The subjects were 193 health teachers. Self-administered questionnaires were used to measure the variables of this study. Descriptive statistics, independent t-test, one way ANOVA, Pearson correlation, and stepwise multiple regression with SAS 9.3 software were used for the data analysis. Results: The attitude score toward suicide ranged from 1.47 to -1.03. The average score of appropriateness of work and competency related to student suicide were 2.34 and 2.81 respectively. Associated factors with competency related to student suicide among health teacher were appropriateness of work related to student suicide, two items of attitude toward suicide(suicide is an acceptable means to end an incurable illness and people who commit suicide are usually mentally ill), education level, education experience on suicide prevention and management, and the adjusted $R^2$ of the regression model was 34.3%. Conclusion: Health teachers were not tolerable to student suicide. However, they evaluated themselves as low in the appropriateness and competency to the work on student suicide, especially in screening and counselling of high risk groups. The results of this study suggest that it is necessary to develop education programs about counseling and intervention on student suicide for health teachers.

Influence of the Werther Effect: An Increase of Intentional Carbon Monoxide Poisoning (베르테르 효과의 영향; 의도적 일산화탄소 중독의 증가)

  • Heo, In-Young;Choi, Sang-Cheon;Lee, Chung-Ah;Ahn, Jung-Hwan;Min, Young-Gi;Jung, Yoon-Seok;Cho, Joon-Pil;Kim, Jin-Sook
    • Journal of The Korean Society of Clinical Toxicology
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    • v.7 no.2
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    • pp.143-149
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    • 2009
  • Purpose: Suicide attempts are known to be influenced by mass media reports. The purpose of this study was to evaluate the effects of mass media reporting celebrity suicides on an increase of intentional carbon monoxide (CO) poisoning and suicide attempts. Methods: We retrospectively reviewed the medical records of the consecutive patients who presented with suicide attempts to the Emergency Department of Ajou University Hospital during a 24 month period. We obtained the demographic data, any past history of suicide attempt and the methods of suicide attempts from the medical records of the suicide attempters. Time series analysis was conducted for evaluating the influence of mass media reporting of celebrity suicide on the suicide rates. Results: We finally enrolled 770 patients during the study period. The total number of suicide attempts by CO poisoning was 18 and the average number of suicide attempts by CO was $0.33{\pm}0.73$ per week. All of the suicide attempts by CO poisoning occurred after a celebrity committed suicide using CO from burning charcoal. Conclusion: This study showed that celebrity suicide by CO poisoning resulted in the Werther effect, which made the rate of intended CO poisoning increase, and the study provided further evidence for the need to actively restrain mass media reporting of suicide to decrease the Werther effect.

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A Study of Attitudes Toward Suicide Report among Individuals with and without Suicidal Thoughts and Suicide Attempts (자살 사고와 자살 시도가 있거나 없는 개인의 자살 보도에 대한 태도 연구)

  • Koh, Kyoung-Nam;Lee, Sang-Uk;Park, Jong-Ik
    • Korean Journal of Biological Psychiatry
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    • v.27 no.1
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    • pp.9-17
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    • 2020
  • Objectives The purpose of this study is to investigate the interest level, perception and attitude of suicide high-risk group toward the media's suicide report, and also to provide the fundamental data in order to strengthen both the standard and the recommendation of media coverage in Korea. Methods We analyzed the data from the 2013 The Korea National Suicide Survey. The study included 1500 participants aged between 19 and 75 years. The participants were selected through the regional multi-layer stratification method using the sampling frame of the 2010 Census. One-on-one face-to-face interviews investigated the interest level, opinions, and attitudes toward suicide reports and collected data on past suicide history and demographic data. The collected data were evaluated using multiple logistic regression analysis. A probability level of p < 0.05 was considered statistically significant. Results The suicide high risk groups with histories of suicidal ideations or attempts showed more interest in suicidal reports [suicidal thought odds ratio (OR) = 1.81, 95% confidence interval (CI) = 1.40-2.34 ; suicidal attempt OR = 3.21, 95% Cl = 1.52-6.78]. However, there was no difference among the groups in thought that suicide reports incite suicide (suicidal thought OR = 1.26, 95% Cl = 0.92-1.73 ; suicidal attempt OR = 0.96, 95% Cl = 0.44-2.09). The suicide high risk groups showed a positive attitude toward suicide reports, but it was not statistically significant (suicidal thought OR = 1.10, 95% Cl = 0.41-2.92 ; suicidal attempt OR = 1.10, 95% Cl = 0.76-1.59). Conclusions We suggest the need of careful attitude of media suicidal reports not to bring about copycat suicides. and also we offer suicide prevention campaign based on media leverage.

Suicide Attempt Behavior among Secondary School Students in Peru through PRECEDE Model (PRECEDE 모형을 통한 페루 중・고등학교 학생들의 자살시도 경험요인)

  • Kim, Ha Yun;Nam, Eun Woo
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.2
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    • pp.1-25
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    • 2017
  • Objectives: There is higher rates of experience of suicide ideation and suicide attempt of adolescents in the Lima and Callao region compared with the results of the epidemiological study (2013) conducted by Peru National Institute of Mental Health and the Global School-based Student Health Survey (2010) which is was conducted among adolescents across all regions of Peru. Based on the PRECEDE model, this study analyzed the prevalence and the factor associated with the suicide attempt among the adolescent in a poor urban area in Peru. Methods: A stratified random sampling was used for the survey to select study participants from the 6 secondary schools based in Comas or Callao. The survey was conducted November 25th and December 4th in 2015 and a total of 738 individuals included in the analysis. In order to analyze factors influencing suicide attempt, comparison of predisposing factor, reinforcing factor, enabling factor, behavioral factor, environmental factor, psychological factors by suicide attempt and suicide risk group were identified through the chi-square test and hierarchical logistic regression. Results: Results showed that those who reported having less parental understanding, less time spent with parents, and 'almost none/none' for parental affection had more experience of suicide attempt and were more likely to sort into the high suicide risk group. Also, a greater proportion of those with the experience of suicide attempt had more experience of smoking and alcohol consumption, and experience of physical abuse and feeling insulted and depression in comparison to that of those without experience of suicide attempt. Variables that had a significant effect on suicide attempt included depression, subjective happiness, smoking experience, sexual intercourse, involvement in fight, parental affection, and gender (male). Conclusions: The results of the current study can serve as grounds for the necessity of acknowledging that adolescent suicide does not simply depend on a couple of factors, but arises from situations in which individual, home, school, social factors influence one another, and therefore adolescent suicide should be prevented and addressed through a multi-dimensional and integrated approach.

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Suicide Related Indicators and Trends in Korea in 2017 (2017년 자살 관련 지표들과 추이)

  • Kwon, Junhyun;Yang, Jieun;Ju, Yeong Jun;Park, Eun-Cheol;Jang, Sung-In
    • Health Policy and Management
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    • v.29 no.1
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    • pp.77-81
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    • 2019
  • Suicide is a major public health issue that causes over 800,000 deaths each year globally. Korea ranks high in suicide rates, in which around 24.3 per 100,000 individuals are reported to have died by intentional self-harm in 2017 according to Statistics Korea. The aim of this study was to examine the current status and trend of suicide ideation and attempt using data from the following five sources: Korean National Health and Nutrition Examination (KNHANES, '07-13, '15-17), Korean Community Health Survey (KCHS, '08-09, '13, '17), Korean Wealth Panel Study (KOWEPS, '12-17), Korea Health Panel Survey (KHP, '10-13), and Statistics Korea (1983-2017). Suicide ideation and attempts were also further examined based on equalized household income levels. Data published by Statistics Korea were used to show the updated suicide rate and number of deaths by intentional self-harm. The rate of suicide ideation at the recent year was 4.73% (KNHANES, '17), 6.96% (KCHS, '17), 1.63% (KOWEPS, '17), and 5.39% (KHP, '13). That of suicide attempts as recent year was 0.71% (KNHANES, '17), 0.32% (KCHS, '17), and 0.09% (KOWEPS, '17). Annual percentage change of suicidal ideation was -15.4% (KNHANES, '07-17), -2.5% (KCHS, '08-17), -8.6% (KOWEPS, '12-17), and -10.9% (KHP, '10-13). Annual percentage change of suicide attempts was -4.0% (KNHANES, '07-17), -4.4% (KCHS, '08-17), and -14.9% (KOWEPS, '12-17). Individuals with lower income levels were more likely to experience suicide ideation and attempts. Considering that Korea still shows a high suicide rate despite the continuously decreasing trend of suicide ideation and attempt, continuous observation and appropriate policy implementation regarding suicide related problems are necessary.

Suicide Related Indicators and Trends in Korea in 2020 (2020년 자살 관련 지표들과 추이)

  • Hurh, Kyungduk;Kim, Seung Hoon;Lee, Doo Woong;Park, Eun-Cheol;Jang, Sung-In
    • Health Policy and Management
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    • v.32 no.2
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    • pp.228-236
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    • 2022
  • The aim of this study was updating suicide-related indicators, including the number of suicidal deaths, suicide rate, and the prevalence of suicidal ideation and suicide attempts. We observed trends in suicide-related indicators based on up-to-date information. This study used five data sources to evaluate the trends of suicide-related indicators: Statistics Korea (1983-2020), Korean Wealth Panel Study (KOWEPS, 2012-2020), and Korea Health Panel Survey (KHP, 2010-2013, 2016-2018), Korean National Health and Nutrition Examination (KNHANES, 2007-2013, 2015-2020), and Korean Community Health Survey (KCHS, 2008-2009, 2013, 2017). The suicide rate per 100,000 population decrease from 26.9 in 2019 to 25.7 in 2020. Based on recently available data, the rates of suicidal ideation were 1.48% (KOWEPS, 2020), 2.61% (KHP, 2018), 4.62% (KNHANES, 2019), and 6.96% (KCHS, 2017). Those of suicide attempt as were 0.07% (KOWEPS, 2020), 0.44% (KNHANES, 2020), and 0.32% (KCHS, 2017). Annual percentage change (APC) of suicide rate was -1.87% (Statistics Korea, 2011-2020). APC of suicidal ideation was -10.7% (KOWEPS, 2012-2020), -11.5% (KHP, 2010-2013, 2016-2018), -14.7% (KNHANES, 2007-2013, 2015, 2017, 2019), and -2.5% (KCHS, 2008-2009, 2013, 2017). APC of suicide attempt was -11.3% (KOWEPS, 2012-2019), -5.2% (KNHANES, 2007-2013, 2015-2020), and -4.4% (KCHS, 2008-2009, 2013, 2017). Although the suicide rate in Korea has decreased compared to 10 years ago, it is still at a high level. Thus, continuous observation and appropriate suicide prevention policies are needed.

An Analysis on the Suicide Concept, its Religious Circuit and Construction Way: Focused on the cases of the Korean Catholic and Protestant Churches (자살 관념의 종교적 회로와 구성 방식에 관한 분석: 한국 가톨릭교회와 개신교를 중심으로)

  • Park, Sang Un
    • The Critical Review of Religion and Culture
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    • no.31
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    • pp.255-287
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    • 2017
  • This paper analyzes the religious circuit of suicidal concept based on verbal expression and ritual acts, which are found in the suicide discourse of Korean Catholic Church and Protestant Church. In the relationship of suicide and religion, it is easily overlooked the religious circuit and its construction that forms the concept of suicide among the religious laymen. It is assumed that the belief system of traditional religions prohibits suicide and the laymen accordingly construct a perception or concept of suicide along with this belief system. Various studies on this subject have proved it. However, in order to understand the religious way of constructing the concept of suicide on a personal level, it is necessary to pay attention to the religious environment in which the concepts and emotions of suicide circulate. The laymen do not passively and perfectly accept the finely established suicide concept provided by the doctrine or the theology. Rather, the laymen tend to collect the pieces of concept over the suicide that are drifting in the religious environment of his/her daily routine life and to make an concept of suicide in an incomplete form. We can find the unstable and imperfect traits of such a suicide concept through the experience of suicide survivors who have a religious background. For the suicide survivors with religious beliefs, they resist the formal doctrinal and theological provisions to suicide, or try to understand the notion of suicide in their own contexts. In terms of linguistic expressions and ritual acts relating to suicide, the attentions are differently directed in the public and the private domain among the religious groups. Considering on the high rates of suicide in Korean society, the Korean Catholic Churches are increasingly tolerant over the suicide and accept it in the public sphere. It is unlikely when comparing to the negative attitudes of the suicide in the past. However, such tolerance does not go beyond the doctrinal and ethical judgment that defines suicide as a serious sin. The once-committed lay believer's speech and gestures usually contain the various emotions, such as sadness, grief, anxiety, regretfulness, eagerness, and pain in the private spheres. The language and gestures with these emotions have been activated in the religious circuits of suicide, being extended to the religious apparatus for the person who died of suicide. In case of Protestantism, the institutional organizations, such as the particular denominations and the individual-churchism of the Korean Protestant Churches, and their own interpretations of the Bible have in the private sphere strongly effected on the linguistic expressions and the rituals related to the suicide. The religious-ethical judgment of the suicide is varied how the suicide is interpreted by the theologians and the pastors. And the ritual acts for healing the complex feelings and the psychological wounds of the suicide survivors are not actively explored and adopted yet. It makes harder to approach and heal the protestant followers since they emphasize the innermost belief and the salvation assurance faith.

A Study on School Crisis Management Capabilities - Focus On Effects to Teenage's Suicide Thinking (학교위기관리경영 능력향상에 관한연구 - 청소년 자살 위기관리 시스템 중심으로)

  • Kang, Sung Ok;Ha, Kyu Su;Yang, Young Mi;Lim, Hyun Sung
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.8 no.1
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    • pp.223-233
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    • 2013
  • The purpose of this study is to analyze the factors giving effects to juvenile's suicide thinking and search for the method to protect juveniles from the risk factors of suicide thinking and reinforce protective factors. For this purpose, juvenile's depression and stress degree were analyzed as the factors giving effects to juvenile's suicide thinking and the effect of social support, which was assumed as a protective factor from suicide thinking, was verified. Analysis results are as follows. First, juvenile's daily stress showed significant deference from suicide thinking. There was a significant positive correlation between juvenile's daily life stress and suicide thinking. Therefore, it was found that the juveniles who suffer from stress have a lot of suicide thinking. Second, juvenile's depression gave a significant effect to suicide thinking. There was a significant positive correlation between juvenile's depression and suicide thinking. it was proved that the juveniles who suffer from depression have a lot of suicide thinking. Third, There was a significant negative correlation between social support and suicide thinking. The more the juveniles get social support, the less they have suicide thinking. The study results above reveal that juvenile's suicide shall be approached from the preventive aspect, for preventing juvenile's suicide, social support which mitigates suicide thinking factors is very important. Therefore this study proposed social attention on the juvenile's suicide thinking, and formation social support system that reinforce social support. Moreover, for preventing the factors reinforcing suicide thinking, preventive approach, alternative program such as case management and group program, and integrated management inined with juvenile related organizations and specialists are required. At the same time school environment shall be improved and changed.

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Attitudes of Elderly Koreans toward Suicide - a Q-Methodological Approach - (한국 노인의 자살에 대한 태도 - Q 방법론적 접근 -)

  • Jo, Kae-Hwa;Lee, Hyun-Ji
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.905-916
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    • 2006
  • Purpose: The purpose of this study was to analyze the types of suicide attitudes among the Korean elderly. Method: The Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty-four selected Q-statements from 38 subjects were classified into a shape of normal distributionusing a 9 point scale. The collected data was analyzed using a QUANL PC program. Result: Three types of suicide attitudes for research subjects in Korean elderly were identified. Type I is understanding suicide-self conquest and labor type, Type II is opposing suicide-family band foundation type, and Type III is sympathizing with suicide-painful situation escaping type. Conclusion: The results of the study indicate that different approaches of suicide prevention programs are recommended based on the three types of suicide attitudes among Korean elderly.

Predictors of Suicide Attempts in the Korean Adolescent Population (청소년의 자살 시도 예측 요인 - 수도권과 광역시 거주 청소년을 대상으로 -)

  • Kim Hyun Sil
    • Child Health Nursing Research
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    • v.11 no.1
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    • pp.34-42
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    • 2005
  • Purposes: The purposes of this study were ① to identify the rate of suicide attempts, and ② to investigate relevant variables(family dynamic environment, personality factors) and risk factors for attempting suicide among Korean adolescents. Method: Data were collected through a questionnaire survey. Internal consistencies for this questionnaire ranged from 0.63 to 0.88. Nine hundred and twenty two adolescents were surveyed (delinquent : 367, student : 555), using a proportional stratified random sampling method. Statistical methods employed were chi-square, t-test, and logistic regression analysis. Results: ① The rate of suicide attempts was 10.8% for the total sample, and the delinquents(19.6%) had a higher rate of suicide attempts than the students(5.1%). ② Adolescents attempting suicide had a greater dysfunctional family dynamic environment and more maladaptive personality than those who did not attempt suicide. ③ Risk factors for suicide attempts among Korean adolescents were way of coping, psychosomatic symptoms, and parental child-rearing attitudes, in that order. Conclusions: Suicide and suicidal behaviors are multifaceted events. For suicide prevention, there is a need to make an independent assessment of the variables such as familial problems, personality and dynamic environment of the families of the adolescents.

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