• Title/Summary/Keyword: suicide attempt

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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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Comparison of Suicide-Related Behaviors between Depressive Disorder Patients and Anxiety Disorder Patients (우울장애와 불안장애 환자들에서 자살관련 행동의 비교)

  • Shin, Ho-Chul;Lim, Se-Won;Oh, Kang-Seob
    • Anxiety and mood
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    • v.3 no.1
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    • pp.46-51
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    • 2007
  • Objectives : By comparing the prevalence rates of suicide-related behaviors (suicide ideation, plan and attempt) between depressive disorder and anxiety disorder patients, we tried to find the characteristics of suicide-related behaviors in these patients. Methods : Four hundred-three patients participated in the study and the prevalence rates of suicide-related behaviors were investigated using Korean version of Mini International Neuropsychiatric Interview plus. Pearson Chi-Square test was used to find the association between depressive or anxiety disorders and suiciderelated behaviors. Results : Statistically significant differences were found between depressive disorder group and anxiety disorder group in terms of suicide ideation ($X^2$=6.173, df=1, p=0.013) and suicide attempt ($X^2$=8.008, df=1, p=0.005). We also found that patients in depressive disorder group were more likely to have suicide ideation (Odds Ratio=2.049, 95% Confidence Interval=1.155-3.635), and attempt suicide (Odds Ratio=4.970, 95% Confidence Interval=1.466-16.845) than patients in anxiety disorder group. Conclusion : These findings suggest that suicide ideation and suicide attempt rates are higher in depressive disorders than in anxiety disorders.

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Factors Affecting Suicide Attempt of the Elderly (노인의 자살 시도에 영향을 미치는 요인)

  • Bae, Jinhee;Um, Kiwook
    • 한국노년학
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    • v.29 no.4
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    • pp.1427-1444
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    • 2009
  • The purpose of this study was to examine the prevalence of the suicide ideation, plan and attempt and to examine factors affecting the suicide attempt of the elderly. For these purposes, 1,110 elderly in Chonbuk province were interviewed using structured questionaire. Logistic regression analyses were used to test the association among factors. Major finding of this study are as follow : First, the prevalence of the suicide ideation, plan and attempt was 20.2%, 5.7%, 3.6%. Second, factors for suicide attempt were male sex, the living alone aged, loss of role as a worker, emotional abuse and neglect from family. On the basis of these results, implications for policy and practice are suggested for prevention the suicide of the elderly.

Comparison of the Response Inhibitory Event Related Potential between Suicide Attempt and Ideation (자살 시도와 자살 사고 간 반응억제 사건유발전위 비교 연구)

  • Kim, Ji Sun;Kwon, Young Joon;Shim, Se-hoon
    • Anxiety and mood
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    • v.16 no.1
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    • pp.41-48
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    • 2020
  • Objective : There have been limited scientific studies differentiating those who attempt suicide from those who think about suicide but do not attempt suicide. Altered event-related potential (ERP) performance, such as GoNogo ERP has been regarded as the neurocognitive processes associated with behavioral inhibition and poor impulse control. The purpose of this study was to investigate the association between Nogo ERP and suicide attempt. Methods : A total of 63 participants (33 participants with suicide ideation and 30 with suicide attempt) were recruited, and performed GoNogo tasks during the electroencephalogram measurement. Depression, anxiety, emotional regulation and impulsivity were evaluated by self-rating scales. The clinical measures and Nogo P3 component were compared between the groups. The correlational analyse was conducted to evaluate the relationship between the clinical characteristics and the Nogo P3 component. Results : Participants with suicide attempt significantly decreased the Nogo P3 amplitudes at the frontal-central electrode than participants with suicide ideation (p=0.004, FDR adjusted p=0.032). In the correlation analysis, the Nogo P3 amplitude at frontal-central electrode was correlated with the total score of the Barrett impulsivity scale (r=-0.383, p=0.002), attentional impulsivity (r=-0.365, p=0.003) and motor impulsivity (r=-0.389, p=0.002) subscales of the Barrett impulsivity scale. Conclusion : These findings suggest that the decreased Nogo P3 amplitude may be one of the candidates of biological marker for poor impulse control in those who attempt suicide.

The Risk Factors Analysis of Adolescent Suicide due to Depression Experience (우울경험에 따른 청소년들의 자살 시도 위험 요인 분석)

  • Kwon, Young Mo;Kim, So Youn;Baek, Jong Il
    • Journal of Applied Reliability
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    • v.15 no.2
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    • pp.76-83
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    • 2015
  • This study is implemented to find out the risk factors of adolescent suicide due to depression experiences and the factors that have effect on adolescent suicide attempt. Also it tries to figure out that if hospital treatment is enforced after a suicide attempt and the importance of prevention and therapy for adolescent suicide attempt. To analyze, used SPSS 22.0 and raw data made by online survey for adolescent health status is used. The factors effect on suicide attempt of adolescents who have had depression experience and who have not appear differently and hospital treatment is not being done well after attempting suicide. In conclusion, this study tries to show the factors that affect suicide attempts in adolescents, and to propose basis for the measures that can reduce suicide attempts in adolescents.

The Influencing Factors on Suicide Attempt among Adolescents in South Korea (청소년의 자살시도에 영향을 주는 요인)

  • Park, Eun-Ok
    • Journal of Korean Academy of Nursing
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    • v.38 no.3
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    • pp.465-473
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    • 2008
  • Purpose: Suicide has been considered a large public health concern in recent years because suicide mortality has been increasing rapidly. This study was done to investigate the prevalence and risk factors of a suicide attempt among adolescents in South Korea. Methods: The data of the 2006 Youth Health Risk Behavior web-based Survey collected by the Korean Center for Disease Control was analyzed using logistic regression for this study. Results: The prevalence of a suicide attempt was 5.2% in South Korea. The risk factors of a suicide attempt were suicidal ideation (odds 31.83), depression (odds 7.98), drug use (odds 4.67), currently smoking (odds 3.19), feeling unhappiness (odds 2.77), stress (odds 2.60), currently drinking alcohol (odds 2.39), sexual activity (odds 2.33), living with neither parent (odds 2.24), initial alcohol drinking by age 9 (odds 1.80), health status (odds 2.15), skipped breakfast (odds 1.75), disease (odds 1.65), and school records (odds 1.22). Conclusion: Suicide screening and prevention programs should be developed, considering these risk factors. Suicide prevention programs should be applied to the at risk population prior to a suicide attempt.

Effects of Variables Related to Suicide Attempt on the Types of Youth Suicide Attempt (청소년 자살시도 관련 변인이 자살시도 유형에 미치는 영향)

  • Lee, Seung Jin;Yu, Nan Sook
    • Journal of Korean Home Economics Education Association
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    • v.32 no.4
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    • pp.67-79
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    • 2020
  • The purpose of the study were to analyze the patterns of adolescent suicide attempts, and to explore the effects of personal psychology (subjective depression, subjective stress), health status (BMI, subjective health perception), and subjective academic performance on the types of youth suicide attempts. For this research, data of 'The 15th Korea Youth Risk Behavior Survey' were analyzed employing a hierarchical logistic regression analysis. The findings are as follows. First, out of 1,731 youth suicide attempts 156 (9%) were impulsive and 1,575 (91%) were planned. Girls(67.3%) attempted suicide more than boys (32.5%), and middle school students (62%) attempted suicide more than high school students (38%). Second, the variables that significantly affect suicide attempt types were subjective depression, subjective stress, and subjective health perception, after controlling for gender, grade level, school type, and SES. The rate of planned suicide attempts was higher among those who experienced depression than among those who did not. In the case of subjective stress, adolescents who felt stressed were likely to commit planned suicide attempts. Those who attempted impulsive suicide showed 1.32 times higher subjective health perception scores than those who attempted planned suicide, indicating adolescents who perceived they were not healthy were more likely to attempt planned suicide. BMI and subjective academic performance did not have a significant effect on the types of youth suicide attempts. These findings suggested the necessity of systematic intervention in Home Economics classes or extra-curricular programs, to prevent potential youth suicide attempts.

Self-poisoning as a Target Group for Prevention of Suicide (자살 예방을 위한 집중관리 대상으로서의 중독)

  • Kwak, Moon Hwan;Kang, Hyun Young;Lee, Si Jin;Han, Kap Su;Kim, Su Jin;Lee, Eu Jung;Lee, Sung Woo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.2
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    • pp.93-101
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    • 2018
  • Purpose: The Korean government has tried to decrease the suicide death rate over the last decade. Suicide attempts, particularly non-fatal attempts, are the most powerful known risk factor for a completed suicide. An analysis of suicide attempt methods will help establish the effective preventive action of suicide. Fit prevention according to the method of suicide attempt may decrease the incidence of suicide death. Self-poisoning is suggested as a major method of both suicide attempts and suicide death. The aim of this study was to determine if a self-poisoning patient is a suitable target for the prevention of the suicide. Methods: This was retrospective analysis of a prospective cohort, which included patients who presented to the emergency department (ED) after a self-harm or suicide attempt from Jan 2013 to Dec 2017. The proportion of methods in suicide attempts, psychological consultation, and fatality according to the suicide attempt method were analyzed. The types of poison were also analyzed. Results: Poisoning was the most common method of suicide attempts (52.1%). The rate of psychological consultations were 18.8% for all patients and 29.1% for poison patients (p<0.001). The rate of mortality in poisoning was 0.6%. Psychological consultation was performed more frequently in admission cases than discharged cases. The most common materials of poisons was psychological medicines and sedatives that had been prescribed at clinics or hospital. Conclusion: Self-poisoning is a major method of suicide attempt with a high rate of psychiatric consultation, low mortality rate, versus others methods. The prevention of suicide death for suicide attempts may focus on self-poisoning, which is the major method of suicide attempts. A suitable aftercare program for self-poisoning may be an effective method for preventing suicide if an early diagnosis and management of psychiatric disorders through psychiatric consultation can be made, and early connection to social prevention program for non-fatal patients are possible.

A Mediating Effect of Embitterment on the Effects of Anxiety & Depressive Symptoms on Suicide in Patients with Depressive and Anxiety Disorders (우울과 불안 증상이 자살에 미치는 영향에서의 울분의 매개효과)

  • Ryu, Namgil;Oh, Jihoon;Shim, Hyeon-Hee;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.16 no.2
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    • pp.76-82
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    • 2020
  • Objective : Previous studies have shown that depression, anxiety and embitterment are highly related to suicide. This study aims to investigate the mediating effect of embitterment between depression, anxiety and suicide. Methods : A total of 174 participants with depressive and anxiety disorders were evaluated with STAI-S, STAI-T, PHQ-9, PTED scale, SSI and suicide attempt history. A mediation analysis using bootstrapping was utilized in order to estimate the indirect effects of depression and anxiety on suicide through embitterment. Results : Embitterment significantly mediated the relationship between depression and suicidal ideation [b=0.291, 95% CI(0.18, 0.40)], and also it mediated the relationship between depression and suicide attempt [b=0.066, 95% CI(0.02, 0.16)]. Although a direct effect of anxiety on suicide attempt was not significant, but embitterment significantly mediated the relationship between anxiety and suicide attempt Conclusion : This suggests that embitterment may be a significant important factor to consider in the relationship between depression, anxiety and suicide. Understanding the mediating role of embitterment on suicide may helpful to prevent suicide.

Analysis of Suicide Research on Multicultural Youth in Korea

  • Oh, Youngsub
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.8 no.5
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    • pp.269-277
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    • 2018
  • As multicultural population has been drastically increasing over the decade in Korea, their quality of life needs to be studied. This study focuses on multicultural youths' suicidal issue in Korea. Suicide is one of the most obvious indicators to show the current status of mental health. Unfortunately, suicide attempt rate of multicultural youths was two-times more than that of non-multicultural youths in Korea during the past two years(2014-15). Through the literature review in Korea as well as the United States, this study explores the related variables to their suicide attempt. Research result says that multicultural youth's suicide is related to a variety of variables, including physical, psychological, educational, socio-economical, and cultural variables. Research implications are as follows: First, these variables can be utilized as predictive or protective factors to prevent their suicide. Second, theoretical framework for comprehensively understanding their suicidal issues needs to be developed. Third, both emergent and normal suicidal interventions need to be provided for multicultural youth in Korea.