힐링캠프에 입소한 관심보호병사의 자살인식 요인에 대한 연구

이명희 단국대학교 특수교육연구소 2018 특수교육논총 Vol.33 No.2

Purpose: The purpose of this study is to explore ways to help raise the level of mental health by analyzing the suicidal risk factors of the soldier who need intensive care considering suicide, in terms of individual, family, and social environmental characteristics. Method: To investigate the causes of suicide perception of the soldier who need intensive care, 59 papers listed in the journal were selected from a total of 235 papers. based on academic journals and theses related to suicide. suicide attempt, suicidal thoughts, suicidal behavior, suicide risk, suicidal tendency, and suicide risk factors of youth and college students from 2006 to 2017. The factors affecting suicide perception were divided into personal, family, and social environmental characteristics, and the analytical framework was set up to investigate suicide risk factors of the soldier who need intensive care. Results: The results are as follows. First, personal characteristics in personal, family, and social environmental factors, were the highest risk factors for suicide. Second, negative emotions were the most common subfactors among suicide risk factors. Third, family environment of sub-factors of family characteristics. was the highest factor of suicide risk factors. Fourth, social support was the most important subfactor in the sub-factors of social environmental characteristics of suicide risk factors. Conclusion: In this study, it can be seen that suicide risk factors of the soldier needing intensive care who think or attempt to commit suicide appear not in their own but in a mutual combination. Using the results of this study, It is necessary to take measures to improve the level of mental health by effectively managing the soldier who need intensive care and to prepare measures to help the mental health management continuously after the discharge. 연구목적: 본 연구에서는 자살을 인식하고 있는 관심보호병사를 대상으로 자살위험요인을 개인적, 가족 적, 사회 환경적 특성으로 나누어 분석함으로써 관심보호병호병사의 정신건강 수준을 높이는데 도움을 줄 수 있는 방안들을 강구하고자 한다. 연구방법: 본 연구는 관심보호병사의 자살인식 요인에 영향을 미 치는 원인을 분석하기 위하여 2006년부터 2017년까지 청소년과 대학생의 자살과 관련된 학술지, 학위논 문들을 바탕으로 자살, 자살충동, 자살생각, 자살사고, 자살시도, 자살관련, 자살행동, 자살위험성, 자살성, 자살위험요인의 관련 주제어를 검색하여 총 235편의 논문 중 학술지에 등재된 59편의 논문을 선정하였 다. 자살인식에 미치는 요인을 개인적, 가족적, 사회 환경적 특성으로 나누어 분석틀을 설정하여 관심보 호병사들의 자살 위험요인을 살펴보았다. 연구결과: 첫째, 자살위험요인인 개인적, 가족적, 사회 환경적 특성 중 개인적 특성이 가장 높은 비율을 차지하였다. 둘째, 자살위험요인 중 개인적 특성의 하위요인으 로는 부정적 정서가 가장 높은 비율을 차지하였다. 셋째, 자살위험요인 중 가족적 특성의 하위요인으로 가족환경이 가장 높은 비율을 차지하였다. 넷째, 자살위험요인 중 사회 환경적 특성의 하위요인으로는 사 회적 지지가 가장 높은 비율을 차지하였다. 결론: 이처럼 본 연구를 통해 자살을 생각하거나 시도하는 관 심보호병사들의 자살위험요인은 하나만 나타나는 것이라 상호 결합하여 나타난다는 것을 알 수 있다. 이 러한 점을 활용하여 자살을 인식하는 관심보호병사들을 효과적으로 관리하여 정신건강 수준을 높이기 위 한 다양한 방안들을 강구할 수 있을 것이며, 제대 후에도 지속적으로 정신건강에 대한 관리를 받을 수 있도록 돕는 방안들을 마련할 필요가 있을 것이다.

한국사회의 우울증과 자살예방을 위한 동태분석 연구: 청소년층을 중심으로

김정기 ( Kim Jung-ki ),박상만 ( Park Sang-mahn ),김강훈 ( Kim Gang-hoon ) 한국시스템다이내믹스학회 2017 한국시스템다이내믹스 연구 Vol.18 No.1

The purpose of this study is to examine the risk factors directly affecting the suicide of the adolescent and to point out the limitation of existing protection factors. We also seek ways to reduce risk factors and strengthen protection factors. The summary and implications of this study are briefly described as follows. Previous studies have shown that suicide risk factors of the adolescent are largely divided into individual factors, family factors, school factors, social factors respectively. And, most studies have found the answer to suicide risk factors as a protective factor for the prevention of adolescent suicide. However, the previous studies looking at the protection factors are too abstract and tried to find the answer in a one - way relationship between the factors. Therefore, in this study, we provide a comprehensive understanding through the dynamic analysis of the occurrence process of the adolescent suicide in order to prevent the suicide of the adolescent. In particular, it provide a new causal relationship and solution for the prevention of suicide prevention through the application and expansion of psychology, policy, and science and technology. In summary, first, psychological stability of the adolescent is allowed to be brought through the use of positive psychological capital. Second, the establishment of infrastructure to prevent suicide by using science and technology will provide another opportunity to prevent suicide of the adolescent. Third, the establishment of suicide prevention system using science and technology can overcome the limit of budget and manpower. In addition, through objective data analysis and data sharing, we will be able to provide more efficient and effective policy formulation and improvement of relevant laws and institutions.

한국사회의 자살예방을 위한 인과지도 분석연구: 노년층을 중심으로

김훈 ( Kim Hoon ) 한국시스템다이내믹스학회 2020 한국시스템다이내믹스 연구 Vol.21 No.4

The purpose of this study is to examine the risk factors directly affecting the suicide of the elderly and to point out the limitation of existing protection factors. We also seek ways to reduce risk factors and strengthen protection factors. The summary and implications of this study are briefly described as follows. Previous studies have shown that suicide risk factors of the elderly are largely divided into social factors, family factors, and individual factors respectfully. And, most studies have found the answer to suicide risk factors as a protective factor for the prevention of elderly suicide. However, the previous studies looking at the protection factors are too abstract and tried to find the answer in a one - way relationship between the factors. Therefore, in this study, we provide a comprehensive understanding through the dynamic analysis of the occurrence process of the elderly suicide in order to prevent the suicide of the elderly. In particular, it provide a new causal relationship and solution for the prevention of suicide prevention through the application and expansion of psychology, policy, and science and technology. In summary, first, psychological stability of the elderly is allowed to be brought through the use of positive psychological capital. Second, the establishment of infrastructure to prevent suicide by using science and technology will provide another opportunity to prevent suicide of the elderly. Third, the establishment of suicide prevention system using science and technology can overcome the limit of budget and manpower. In addition, through objective data analysis and data sharing, we will be able to provide more efficient and effective policy formulation and improvement of relevant laws and institutions.

힐링캠프에 입소한 관심보호병사의 자살인식 요인에 대한 연구

이명화(Lee, Myung-Hwa) 단국대학교 특수교육연구소 2018 특수교육논총 Vol.33 No.2

연구목적: 본 연구에서는 자살을 인식하고 있는 관심보호병사를 대상으로 자살위험요인을 개인적, 가족적, 사회 환경적 특성으로 나누어 분석함으로써 관심보호병호병사의 정신건강 수준을 높이는데 도움을 줄 수 있는 방안들을 강구하고자 한다. 연구방법: 본 연구는 관심보호병사의 자살인식 요인에 영향을 미치는 원인을 분석하기 위하여 2006년부터 2017년까지 청소년과 대학생의 자살과 관련된 학술지, 학위논문들을 바탕으로 자살, 자살충동, 자살생각, 자살사고, 자살시도, 자살관련, 자살행동, 자살위험성, 자살성, 자살위험요인의 관련 주제어를 검색하여 총 235편의 논문 중 학술지에 등재된 59편의 논문을 선정하였다. 자살인식에 미치는 요인을 개인적, 가족적, 사회 환경적 특성으로 나누어 분석틀을 설정하여 관심보호병사들의 자살 위험요인을 살펴보았다. 연구결과: 첫째, 자살위험요인인 개인적, 가족적, 사회 환경적 특성 중 개인적 특성이 가장 높은 비율을 차지하였다. 둘째, 자살위험요인 중 개인적 특성의 하위요인으로는 부정적 정서가 가장 높은 비율을 차지하였다. 셋째, 자살위험요인 중 가족적 특성의 하위요인으로 가족환경이 가장 높은 비율을 차지하였다. 넷째, 자살위험요인 중 사회 환경적 특성의 하위요인으로는 사회적 지지가 가장 높은 비율을 차지하였다. 결론: 이처럼 본 연구를 통해 자살을 생각하거나 시도하는 관심보호병사들의 자살위험요인은 하나만 나타나는 것이라 상호 결합하여 나타난다는 것을 알 수 있다. 이러한 점을 활용하여 자살을 인식하는 관심보호병사들을 효과적으로 관리하여 정신건강 수준을 높이기 위한 다양한 방안들을 강구할 수 있을 것이며, 제대 후에도 지속적으로 정신건강에 대한 관리를 받을 수 있도록 돕는 방안들을 마련할 필요가 있을 것이다. Purpose: The purpose of this study is to explore ways to help raise the level of mental health by analyzing the suicidal risk factors of the soldier who need intensive care considering suicide, in terms of individual, family, and social environmental characteristics. Method: To investigate the causes of suicide perception of the soldier who need intensive care, 59 papers listed in the journal were selected from a total of 235 papers. based on academic journals and theses related to suicide. suicide attempt, suicidal thoughts, suicidal behavior, suicide risk, suicidal tendency, and suicide risk factors of youth and college students from 2006 to 2017. The factors affecting suicide perception were divided into personal, family, and social environmental characteristics, and the analytical framework was set up to investigate suicide risk factors of the soldier who need intensive care. Results: The results are as follows. First, personal characteristics in personal, family, and social environmental factors, were the highest risk factors for suicide. Second, negative emotions were the most common subfactors among suicide risk factors. Third, family environment of sub-factors of family characteristics. was the highest factor of suicide risk factors. Fourth, social support was the most important subfactor in the sub-factors of social environmental characteristics of suicide risk factors. Conclusion: In this study, it can be seen that suicide risk factors of the soldier needing intensive care who think or attempt to commit suicide appear not in their own but in a mutual combination. Using the results of this study, It is necessary to take measures to improve the level of mental health by effectively managing the soldier who need intensive care and to prepare measures to help the mental health management continuously after the discharge.

응급실에 내원한 자살 시도자의 특성과 반복 자살 시도에 영향을 미치는 요인

최진희,서완석,구본훈,김혜금,이영지,천은진 대한생물치료정신의학회 2020 생물치료정신의학 Vol.26 No.1

Objectives:Suicide attempt history is one of the major suicide risk factors and the suicide mortality rate increases with the number of suicide attempts. This study aimed to compare demographic and clinical factors between first and multiple suicide attempters and investigate risk factors for multiple suicide attempts. Methods:Participants were 537 patients who were admitted to an emergency room after attempting suicide and divided into two groups (393 first attempters and 144 multiple attempters). Demographic factors, clinical characteristics, and suicide-related characteristics were compared between the two groups. Variables with a p-value lower than 0.1 were included in a multivariate logistic regression analysis. Logistic regression models were considered to identify independent risk factors for multiple suicide attempts. The significance level was set to 0.05. Results:Among demographic factors, the two groups differed in age, sex, education, occupation, and marital and cohabitation status. Multiple attempters were more likely to have a mental disorder, current use of psychiatric medication, interpersonal and psychiatric motivation for suicide, current suicidal thoughts, help seeking behavior, awareness of suicide, and agreement with psychiatric follow up. In the regression analysis, unmarried status, mental disorder, interpersonal or psychiatric stress, help seeking behavior, and antidepressant use emerged as significant risk factors of multiple suicide attempts. Conclusion:The study’s findings suggested that there are differences in the demographic and clinical characteristics of first and multiple suicide attempters. Specific strategies that consider unmarried status, mental disorder, interpersonal or psychiatric stress, help seeking behavior, and antidepressant use may be valuable for future suicide prevention.

중학생의 자살과 DAS반응 특성 연구 - 위험요인과 보호요인을 중심으로 -

박치홍,김갑숙 한국미술치료학회 2014 美術治療硏究 Vol.21 No.4

This study investigated the correlation between the DAS test and suicide-related scales to see if the DAS could be used as a tool to predict suicide. The correlation between the characteristics of the DAS drawings and suicidal risk factors and protective factors was investigated with 821 middle school students as the study participants. The risk factors and protective factors were compared. The instruments to measure risk factors included a depression scale, school alienation scale, suicidal thoughts scale. The instruments to measure protective factors included a self-esteem scale, friend support scale, family support scale, teacher support scale, and an additional questionnaire about DAS drawings. Data were analyzed using the SPSS 19.0 program. Cronbach's α was computed to check the internal consistency of the question items. Pearson's correlation coefficient, one way ANOVA, and cross-tabulation were conducted. This study found the following findings. First, risk factors such as depression, school alienation, suicidal thoughts were negatively correlated with the DAS scores. A DAS score of 1 was highly associated with school alienation and suicidal thoughts. In self-image, risk factors were high when the scores were 1 and negative 5. Second, a positive correlation was found between protective factors such as self-esteem, friend support, family support, and teacher support and the participants' DAS scores. In addition, when a DAS emotion contents score was 1, protective factors such as self-esteem, friend support, family support, and teacher support were low. In self-image, protective factors were low when self-image scores were 1 and negative 5. 본 연구의 목적은 DAS와 자살관련 척도와의 관계를 파악하여 자살의 위험을 예측할 수 있는 검사로써의 유용성을 파악하는 것이다. 이를 위해 중학생 821명을 대상으로 자살 위험요인 및 보호요인과 DAS에 나타난 반응특성의 차이를 살펴보았다. 위험요인의 측정도구로는 우울 척도, 학교 따돌림 척도, 자살생각 척도를 사용하였고, 보호요인의 측정도구로는 자기존중감 척도, 친구지지 척도, 가족지지 척도, 교사지지 척도를 사용하였으며, DAS와 그림에 대한 추가 질문지를 사용하였다. 자료 분석은 문항내적 일치도(Cronbach‘s α)에 의한 신뢰도 검증, Pearson‘s 상관분석, 일원변량분석 및 교차분석을 실시하였다. 본 연구결과는 다음과 같다. 첫째, 자살 위험요인과 DAS의 상관관계는 모두 유의미한 부적 상관이 있었으며, DAS 점수에 따른 위험요인의 수준차이는 DAS의 정서내용 점수가 1점일 경우 우울, 학교 따돌림, 자살생각이 높았고, 자기상에서는 1점과 부정 5점인 경우 위험요인이 높았다. 둘째, 자살 보호요인과 DAS의 상관관계에서 보호요인은 모두 유의미한 정적 상관이 있었으며, DAS 점수에 따른 보호요인의 수준차이는 DAS의 정서내용 점수가 1점일 경우 자기존중감, 친구지지, 가족지지, 교사지지가 낮았고, 자기상에서는 1점과 부정 5점의 경우 보호요인이 낮았다.

청소년 자살 관련 현황 및 위험요인

전홍진,배주미,우종민 대한의사협회 2013 대한의사협회지 Vol.56 No.2

Youth suicide is like the tip of an iceberg; while many adolescents have died from suicide,many more adolescents have been harmed by suicide attempts and self-injury. Suicide influences not only the victims, but also their family members, friends, teachers, and neighbors. Witnesses can suffer from posttraumatic stress disorder. Suicide is the second leading cause of death among adolescents worldwide and the first cause of death among Korean adolescents. The number of suicides in Korea, especially among high school students and female students, is rapidly increasing when compared with Western countries. Suicide accounted for 28.2% of deaths among Korean adolescents in 2010. There were 4.44% and 18.97% of adolescents who had attempted suicide and had experienced suicidal ideation in their lifetime, which shows that many adolescents have a potential risk for suicide. Previous studies in Western countries have revealed that risk factors for adolescent suicide consist of three categories: sociodemographic factors (male and low socioeconomic and educational status), mental health factors (depression and drug abuse), and individual negative life events and family diversity (family history of suicidal behavior, parental death, and child abuse). In conclusion, suicide is common and rapidly increasing in Korean adolescents. However, the risk factors of suicide and suicide behaviors in Korean adolescents are yet to be determined. A well-designed nationwide survey is needed to investigate the prevalence and risk factors of suicide behaviors and mental disorders among Korean adolescents.

기독 청소년의 자살위험 프로파일 탐색 및 예측

권재기(Jae-ki Kwon),오태균(Taekyun Oh) 한국기독교교육정보학회 2020 기독교교육정보 Vol.0 No.67

본 연구는 기독 청소년의 자살 프로파일을 탐색·분류하여 동질 한 특성을 가진 이들의 개인 특성, 가정 특성, 그리고 자살 특성의 차이를 살펴보았다. 이를 통하여 기독 청소년의 자살에 영향을 미치고 위험도를 높이는 요인들을 탐색하고, 조사함으로 청소년 자살을 예측하고 예방하기 위한 기초자료를 확보하고 제공함으로 한국사회와 교회의 미래인 청소년들의 심리 내외적인 건강증진과 신앙지도를 위한 도구를 제공함에 그 목적이 있다. 기독 청소년의 자살위험 프로파일을 탐색한 결과, 보통형(42.1%), 자살 위험형(27.2%), 건강형(30.7%)이 도출되었다. 둘째, 분류된 세 집단별 개인 및 가정환경특성의 차이를 분석한 결과, 건강형이 신앙 년 수가 높고, 성경공부, 기도, 찬양을 많이 하고, 학업성적이 우수하고, 친한 친구의 수가 많고, 가정환경에서 부와 모의 종교가 기독교이고, 부모의 신앙 년수가 높은 가정이 많았고, 가정예배를 많이 하고, 부모와의 의사소통도 원활한 것으로 나타났다. 특히 신앙활동과 부모의 신앙활동이 건강형이 되기 위한 중요요건으로 나타났다. 반대로 자살위험형은 건강형과 보통형 보다 신앙활동(신앙년수, 성경공부, 기도, 찬양)이 가장 낮은 것으로 나타났다. 셋째, 도출된 자살위험 프로파일에 따른 세 집단의 자살특성을 예측한 결과, 자살사이트를 방문한 경험이 있을수록 자살 위험형을 예측하였다. 본 연구의 결과를 토대로 교회 안에서, 그리고 기독 가정 안에서 기독 청소년의 자살위험을 막기 위한 예방과 개입 방안을 마련할 필요가 있다. This study explored and categorized the suicide profiles of Christian adolescents to examine the differences in personal characteristics, family characteristics, and suicide characteristics of those with homogeneous characteristics. Through this, by exploring and investigating factors that affect suicide of Christian youth and increasing the risk of youth suicide, we secure and provide basic data for predicting and preventing youth suicide. Its purpose is to provide tools for guidance. As a result of searching the suicide risk profile of Christian adolescents, normal type(42.1%), suicide risk type(27.2%), and healthy type(30.7%) were derived. Second, as a result of analyzing the differences in personal and family environment characteristics by the three classified groups, the healthy type has a high number of years of faith, a lot of Bible study, prayer, and praise, excellent academic performance, and a large number of close friends. In the environment, it was found that the religion of the father and mother was Christianity, and there were many families with a high number of parents, worshiping at home, and communication with parents was smooth. In particular, faith activities and parental faith activities were found to be important requirements for becoming a healthy type. On the contrary, the suicide risk type showed the lowest religious activity (years of faith, Bible study, prayer, praise) than the healthy type and the normal type. Third, as a result of predicting the suicide characteristics of the three groups according to the derived suicide risk profile, the more experienced they visited the suicide site, the more the suicide risk type was predicted. Based on the results of this study, it is necessary to prepare prevention and intervention measures to prevent suicide risk of Christian youth in churches and in Christian families.

도시지역 동단위 자살위험요인 탐색 -2015년 서울시 423개 행정동 데이터를 중심으로

정은희,채철균,최명민 한국정신건강사회복지학회 2019 정신보건과 사회사업 Vol.47 No.1

This study aims to explore the small-area characteristics that determine the relative risk of suicide of administrative districts in a city. The study unit is basic administrative districts, 'Dong's, in Seoul. Data on the socio-demographic and physical environment factors and suicide rates of 423 administrative districts were collected by 2015. Data were analyzed using one-way analysis of variance with follow-up contrast statements and multinomial logistic regression. Results are follows. First, the small-area characteristics in dong level were significantly different by suicide risk area groups even in one city. Second, the determinants of suicide-moderately risk area in comparison to the suicide - low risk area were the number of basic livelihood recipients and the number of elderly population. The higher the number of recipients, the higher the odds ratio that belongs to the suicide-moderately risk area, while the number of elderly population with the lower odds ratio. Third, the determinants of suicide-high risk area in comparison to the suicide - low risk area were the number of basic recipients and the number of divorce, the number of hospitals and the area of the park. The influence of suicide risk factors was found to be more variable and stronger in the high - risk suicide area. Based on the results, practical and policy implications were discussed. 본 연구의 목적은 일 도시 행정동 단위의 상대적 자살위험도를 결정하는 특성을 탐색해봄으로써 지역사회 차원의 자살예방을 위한 근거자료를 도출하는 것이다. 연구대상은 2015년 기준 서울시 행정동별 인구사회학적 요인과 물리적 환경요인에 관한 데이터가 있는 423개 행정동이며 분석방법으로는 일원분산분석과 다항로지스틱 분석 등을 활용하였다. 주요 분석결과는 다음과 같다. 첫째, 같은 서울시 내에서도 동지역 자살위험도 집단 간 지역특성에 유의한 차이가 있는 것으로 나타났다. 둘째, 자살 저위험지역 대비 자살 중위험지역 결정요인은 기초수급자와 노인인구수로 나타났다. 셋째, 자살 저위험지역 대비 자살 고위험지역의 결정요인은 기초수급자수, 이혼건수, 병의원수, 조성공원면적 등으로 도출되었으며 자살 저위험 대비 고위험지역 결정요인들이 중위험 지역 결정요인보다 더 다양하고 그 영향력도 큰 것으로 나타났다. 이러한 결과를 바탕으로 행정동 단위의 자살예방을 위한 정책적, 실천적 함의를 제시하였다.

영화 ‘박하사탕’을 통한 중년 남성의 자살 위험 요인 분석 - 주인공 ‘김영호’의 자살을 중심으로

한명자,이현심 한국문화융합학회 2018 문화와 융합 Vol.40 No.1

This study is to identify behaviors and dialogues of a main character called Kim Young-Ho in order to analyze risk factors of middle-aged men through a movie called ‘Mint Candy’, so that it tries to raise consciousness of the general public on the suicide of middle- aged men and ultimately it makes plans for suicidal prevention. In order for the research, this study found ‘the risk factors of suicide and depression symptom’ displayed in important scenes through main text analysis by utilizing a Matrix classification system. Also, as this study defined meaning of terms related to ‘the risk factors of suicide’ and ‘the depression symptoms, this study synthesized related contents of suicide and depression from the main character, Kim Young-Ho. As the result of analysis, the main character, Kim Young- Ho, spent the most of his life in depression due to trauma caused by bullet wound at emergency repression during military service, and he started thinking of suicide. Then, this study found that after he was faced with near elements such as ‘divorce’, ‘business failure’, ‘suicide infection’, and ‘accessibility of suicide’ direct trigger factors, he committed suicide. Therefore, this study suggested strategies for suicidal prevention and limitations of this research.