청소년의 자살사고에 따른 Bridge Drawing검사 반응의 특징

허소임,주리애 한국미술치료학회 2010 美術治療硏究 Vol.17 No.3

This study was to identified the relationship between adolescents’ suicidal ideation and the response of the Bridge Drawing Assessment. The subjects were male and female high school students aged 15-18 living in Seoul. Based on 693 adolescents, 128 of high and low suicidal ideation groups were selected and their drawings were analyzed. There were 13 variables for analysis, all of which were suggested by Hays and Lyons, except one. Chi-square test was carried out for data analysis. The findings obtained in this study were as follows: First, the four variables showed significant differences between the high suicidal ideation group and low suicidal ideation group: the evaluation on the risk of drawn situation, the solidarity of bridge attachments, the bridge materials, and the type of bridges. The high suicidal ideation group drew much more dangerous situations with drawing negative factors, such as high cliffs, or strong wind and waves. Also, the solidarity of bridge attachments might be a reliable factor for screening suicidal ideation. The ratio of solid materials for a bridge was higher in the low suicidal ideation group than the high suicidal ideation group. The high suicidal ideation group drew elevated bridges with weak strength and stepping stones, while the low suicidal ideation group selected land bridges and overpasses. This study suggested the possibilities of the Bridge drawing assessment as a tool for diagnosing suicidal ideation. 본 연구는 청소년의 자살 사고와 Bridge drawing검사의 반응 특성 간의 관계를 알아보고자 하였다. 연구 대상은 서울시내 고등학교에 재학 중인 만 15세~18세의 남, 여 청소년들이며 총 693명의 그림 중 자살사고가 높은 집단과 낮은 집단 128명을 선별하여 Bridge drawing검사 반응을 분석하였다. 그림의 분석은 Hays와 Lyons가 제시한 12가지 변인들과 추가 변인 한 가지를 포함하여 총 13가지의 변인을 사용하였다. 자료의 분석은 카이스퀘어 검증을 이용하여 분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 자살 사고 상위집단과 하위집단 간의 유의미한 차이를 보인 변인은 그림 상황의 위험 여부 평가, 다리 연결 부위의 강도, 다리의 소재, 다리의 종류 등 네 가지였다. 자살 사고가 높은 집단의 경우, 깊은 절벽, 거센 바람 혹은 높은 파도 등의 부정적인 요소들을 표현함으로써 똑같은 장소일지라도 자살 사고가 낮은 집단에 비해 위험도가 훨씬 높은 그림을 그렸다. 또한, 다리 연결 부위의 강, 약이 자살 사고의 정도를 예측해 볼 수 있는 변인인 것으로 밝혀졌다. 자살 사고가 낮은 집단은 다리를 그릴 때 견고한 소재를 이용한 비율이 더 높았다. 자살 사고가 높은 집단에서는 육교나 도로교에 비해 상대적으로 다리 자체의 강도가 약한 고가교와 징검다리를 표현한 그림이 더 많았다. 본 연구는 Bridge drawing검사가 자살 사고를 평가할 수 있는 도구로서의 가능성을 시사한다.

기혼 직장인의 우울과 자살생각, 그리고 음주의 관계

김희진,송인한 한국정신건강사회복지학회 2010 정신보건과 사회사업 Vol. No.

Suicide is currently one of the most serious social problems in Korea. To understand the factors associated with suicidal ideation, this study investigated the relationship between depressive mood and suicidal ideation, and the moderating effect of alcohol drinking behavior on the relationship between depressive mood and suicidal ideation. Data were collected from the workplaces in the Seoul Metropolitan area and Kyounggi Providence, Korea. 653 married worker participants were included for the analysis. Descriptive analysis was used to investigate the characteristics of depressive mood, suicidal ideation, and alcohol drinking behavior among the participants, and moderated multiple regression analysis was used to examine the moderating effects of alcohol drinking behavior on the relationship between depressive mood and suicidal ideation. The results show that, (1) the participants were at risk of their depressive mood and alcohol drinking behavior, (2) the gender factor was associated with the patterns of suicidal ideation and drinking behavior, (3) the participants' depressive mood significantly affects their suicidal ideation, and (4) the interaction effect of depressive mood and alcohol drinking behavior was significant in predicting the level of suicidal ideation (F=6.900, p<.001) after controlling for socioeconomic variables including age, income, education, and employment status. The findings suggest that alcohol drinking behavior plays an important role in increasing suicidal ideation among married workers. Depressive mood was positively associated with suicidal ideation, while people with more frequent drinking behavior had more increase in suicidal ideation. Based on the findings, special intervention efforts need to be directed at decreasing alcohol drinking behavior of people suffering from depressive mood to reduce suicidal ideation. Several social welfare implications were suggested such as development of psycho-education programs emphasizing the risk factors of depressive mood and alcohol drinking, and utilization of employee assistance programs (EAP) to promote worker's mental health status in the workplace in efforts of reducing the risk of suicide. 본 연구의 목적은 기혼 직장인의 우울이 자살생각에 미치는 부정적 영향을 살펴보고 그 양자 관계에서 나타난 음주행태의 조절효과를 검증하는 것이다. 본 연구에서 음주행태는 1회 음주량과 음주빈도를 포함한다. 본 연구를 위해 서울시와 경기도에 위치한 직장에서 근무하는 기혼 남녀를 대상으로 설문조사를 실시하여 653부를 최종분석에 사용하였다. 주요변수의 특성을 파악하기 위하여 기술분석을 실시하였고 우울과 자살생각 간의 관계에서 음주가 가지는 조절효과를 파악하기 위하여 조절 회귀분석을 사용하였다. 분석 결과, 첫째 우리나라 직장인의 정신건강과 음주행태가 매우 심각한 수준으로 나타났다. 둘째, 자살생각의 연속적 패턴과 음주행태에 있어 남녀가 다소 다른 양상을 보인다는 것이 확인되었다. 셋째, 기혼 직장인의 우울이 자살생각에 유의미한 영향을 미친다는 것이 확인되었다. 넷째, 직장인의 우울과 자살생각의 관계에서 음주행태의 조절효과가 확인되었다. 즉, 직장인의 음주빈도 및 음주량이 증가할수록 직장인의 우울이 자살생각에 미치는 부정적 영향이 더 강화된다는 것이 검증되었다. 직장인의 우울과 자살생각을 감소시키고 음주문화를 개선하기 위한 실천적 개입으로서 정신보건교육과 근로자지원프로그램(EAP) 등의 활성화 방안을 제시하였다.

Factors Related to Suicidal Ideation by Gender and Age Group in Korean Adults

Kim Eun Young,Jeong Yong Whi,Lim Jihye,Kang Dae Ryong 대한의학회 2023 Journal of Korean medical science Vol.38 No.49

Background: According to the results of the age-standardized suicide rate (suicide deaths per 100,000 population) published by Organization for Economic Cooperation and Development countries from 2003 to 2019, the suicide rate in Korea is ranked first almost every year, so it should be managed at the national level. To reduce the suicide rate, many scholars are studying suicide. The suicidal process begins with suicidal ideation, progresses through suicide attempts, and ends with suicide. Among them, the frequency of suicidal thoughts was found to be highly correlated with suicide plans and attempts, and it is said that 60% of those who change from suicidal ideation to attempts appear within one year. Therefore, research related to suicidal ideation to lower the suicide rate will contribute to preventing suicide at an early stage. Methods: This study used data from the Korea National Health and Nutrition Examination Survey (KNHANES). Among them, data from 2013, 2015, 2017, and 2019 surveyed adults were compared for suicidal ideation among 18,339 adults. Considering the characteristics of the KNHANES data, complex sample analysis was performed considering the primary extraction unit (region), stratification variables, and weights. The Rao-Scott χ2 test was stratified by age group to confirm the distribution of suicidal ideation according to general characteristics. Univariate and multiple logistic regression analyses were performed to understand the effect on suicidal ideation. Results: Among all subjects, the rate of suicidal ideation was 4.75%, and among the age groups, the rate of suicidal thoughts was the highest among those over 80 years old (10.39%). Compared to those who were 50s, those in their 30s had the lowest suicidal ideation (odds ratio [OR], 0.52; 95% confidence interval [CI], 0.39–0.70), and those in their 80s had the highest rate of suicidal ideation (OR, 1.97; 95% CI, 1.38–2.82). Except for those in their 20s, the rate of suicidal ideation tends to increase with age. Overall, the lower 25% of the Euro Quality of Life–5 Dimensions (EQ-5D) index, depression lasting more than two weeks, and subjects with poor subjective health or high stress were more likely to have suicidal ideation. In particular, EQ-5D Index (OR, 5.86; 95% CI, 3.73–9.20), depressive symptoms (OR, 19.65; 95% CI, 9.94–38.83) in 20s, and stress in 80s (OR, 10.87; 95% CI, 5.63–20.96) was the highest, and those had the good subjective health perception in 30s (OR, 0.10; 95% CI, 0.05–0.20) was lowest. Participants in their 30s, 40s, and 60s who were divorced or widowed and those in their 50s and 60s who had never married or lived together were more likely to consider suicide ideation. Except for those in their 20s and 80s, the rate of suicidal ideation tends to increase with lower household income levels. Conclusions: In the results of this study, it can be seen that a combination of factors such as a person’s personality traits, stress or coping ability to various events, social support, and mental or physical limitations influence suicidal behavior. Suicidal ideation is not simply affected by a single factor but may be influenced by multiple factors.

고등학생의 자살생각에 대한 생활사건 스트레스와 사회적 지지 및 우울의 효과

차미영,강승호 한국교육학회 2010 敎育學硏究 Vol.48 No.2

The purpose of this study was to compare the effect of negative environment, life event stress and positive environment, social support on suicidal ideation of high school students, and communicate the mediation effects of depression in the relationship among them, and inquire into the structural relationship among life event stress, social support and depression, and suicidal ideation. A survey of life event stress, social support, depression and suicidal ideation was made on 959 second year students of 12 high schools located in the Seoul Metropolis, Inchon Metropolitan City, Gyeonggi Province and Gangwon Province to collect data. The covariance structure analysis using LISREL 8.54 was made to analyze data. The results of this study were as follows: First, the suicidal ideation(school life, home life, social relationship, ego-sphere) of high school students had not a significant direct effect on the suicidal ideation, but the social support(parents support, friends support, teachers support) had a directly significant negative effect(-.12) on the suicidal ideation. Second, both life event stress and social support had a direct effect on the depression. And the standardized path coefficient of life event stress and social support factors on depression was .45 and -.41, which all of them were statistically significant. The explained variance of life event stress and social support on depression was 47%. Third, the depression of high school students had a direct positive effect on the suicidal ideation, and the standardized path coefficient of depression on suicidal ideation was .70. Fourth, the life event stress had a positive effect(.31) on the suicidal ideation by a carrier of depression, while the social support had a negative effect(-.28) on the suicidal ideation by a carrier of depression. Total explained variance of life event stress, social support and depression on whole variance of suicidal ideation was 58%. 본 연구의 목적은 고등학생의 자살생각에 영향을 미치는 부정적인 환경인 생활사건 스트레스와 긍정적인 환경인 사회적 지지의 효과를 비교하고, 이들 간의 관계에서 우울의 매개효과를 밝히며, 생활사건 스트레스, 사회적 지지, 우울과 자살생각 간의 구조적 관계를 구명하는데 있다. 본 연구의 대상은 서울특별시, 인천광역시, 경기도, 강원도에 위치한 12개 고등학교의 2학년 학생 959명으로서 생활사건 스트레스 검사, 사회적 지지 검사, 우울 검사와 자살생각 검사를 실시하여 자료를 수집하였다. 자료 분석을 위하여 LISREL 8.54를 이용한 공분산구조분석을 실시하였다. 본 연구결과는 다음과 같다. 첫째, 고등학생의 생활사건 스트레스(학교생활, 가정생활, 대인관계, 자아영역)는 자살생각에 유의한 직접적인 영향이 없는 것으로 나타났으나 사회적 지지(부모지지, 친구지지, 교사지지)는 자살생각에 유의한 직접적인 부적 영향(-.12)을 미치는 것으로 나타났다. 둘째, 생활사건 스트레스와 사회적 지지는 모두 우울에 직접적인 영향을 주었으며 우울에 대한 생활사건 스트레스 요인의 표준화 경로계수는 .45, 사회적 지지 요인은 -.41로 모두 통계적으로 유의하였다. 고등학생의 생활사건 스트레스와 사회적 지지의 우울에 대한 설명변량은 47%로 나타났다. 셋째, 고등학생의 우울은 자살생각에 직접적인 정적 영향을 주었으며 자살생각에 대한 우울의 표준화 경로계수는 .70이었다. 넷째, 생활사건 스트레스는 우울을 매개로 자살생각에 정적인 영향(.31)을 주었고, 사회적 지지는 우울을 매개로 자살생각에 부적인 영향(-.28)을 주었다. 자살생각 전체변량에 대한 생활사건 스트레스, 사회적 지지, 그리고 우울의 총 설명변량은 58%였다.

성인기 자살생각 관련 변인에 관한 연구

김윤정 ( Yun Jeong Kim ),강현정 ( Hyun Jung Kang ) 한국가족관계학회 2011 한국가족관계학회지 Vol.16 No.3

This study was intended to apply Kemp`s ecosystem model to inclusively understand the variables that relate to adults` suicidal ideation. This study had three objectives: first, to understand the level of suicidal ideation in adulthood; second, to analyze the difference in adults` suicidal ideation according to ecosystem variables and third, to understand the impact of ecosystem variables on suicidal ideation. This study surveyed 500 adults between 30 and 55 years of age in 10 regions of Korea from May through August in 2010 and a total of 307 were used for the analysis. The findings of this study are threefold: first, the overall level of suicidal ideation was low at 1.425 point, but there were 16.9% of adults who answered they have thought about suicide, about 9.6% of adults have thought about it recently, 6.9% of adults have told someone about committing a suicide, 7.5% of adults have thought about ending their lives by suicide, and about 3.9% of adults have attempted suicide. Therefore, the risk of suicidal ideation to which adults are exposed should not be overlooked. adults with greater depression and frustration had higher level of suicidal ideation in micro-system variables, adults with lower family cohesion had higher level of suicidal ideation in intermediate variables, and adults with greater occupational stress had higher level of suicidal ideation in macro-system variables. Third, in result of performing hierarchical regression analysis, all of the ecosystem variables explained adult`s suicidal ideation by 42.7% and depression had the greatest relative impact on adults` suicidal ideation. Greater depression and lower family cohesion increased the level of suicidal ideation. The conclusion of this study is first, micro-system variables had the greatest impact on adults` suicidal ideation. Second, depression had the greatest impact on adults` suicidal ideation and family cohesion also impacted adults` suicidal ideation.

기혼 직장인의 우울과 자살생각, 그리고 음주의 관계

김희진(Hee Jin Kim),송인한(In Han Song) 한국정신건강사회복지학회 2010 정신보건과 사회사업 Vol.36 No.-

본 연구의 목적은 기혼 직장인의 우울이 자살생각에 미치는 부정적 영향을 살펴보고 그 양자 관계에서 나타난 음주행태의 조절효과를 검증하는 것이다. 본 연구에서 음주행태는 1회 음주량과 음주빈도를 포함한다. 본 연구를 위해 서울시와 경기도에 위치한 직장에서 근무하는 기혼 남녀를 대상으로 설문조사를 실시하여 653부를 최종분석에 사용하였다. 주요변수의 특성을 파악하기 위하여 기술분석을 실시하였고 우울과 자살생각 간의 관계에서 음주가 가지는 조절효과를 파악하기 위하여 조절 회귀분석을 사용하였다. 분석 결과, 첫째 우리나라 직장인의 정신건강과 음주행태가 매우 심각한 수준으로 나타났다. 둘째, 자살생각의 연속적 패턴과 음주행태에 있어 남녀가 다소 다른 양상을 보인다는 것이 확인되었다. 셋째, 기혼 직장인의 우울이 자살생각에 유의미한 영향을 미친다는 것이 확인되었다. 넷째, 직장인의 우울과 자살생각의 관계에서 음주행태의 조절효과가 확인되었다. 즉, 직장인의 음주빈도 및 음주량이 증가할수록 직장인의 우울이 자살생각에 미치는 부정적 영향이 더 강화된다는 것이 검증되었다. 직장인의 우울과 자살생각을 감소시키고 음주문화를 개선하기 위한 실천적 개입으로서 정신보건교육과 근로자지원프로그램(EAP) 등의 활성화 방안을 제시하였다. Suicide is currently one of the most serious social problems in Korea. To understand the factors associated with suicidal ideation, this study investigated the relationship between depressive mood and suicidal ideation, and the moderating effect of alcohol drinking behavior on the relationship between depressive mood and suicidal ideation. Data were collected from the workplaces in the Seoul Metropolitan area and Kyounggi Providence, Korea. 653 married worker participants were included for the analysis. Descriptive analysis was used to investigate the characteristics of depressive mood, suicidal ideation, and alcohol drinking behavior among the participants, and moderated multiple regression analysis was used to examine the moderating effects of alcohol drinking behavior on the relationship between depressive mood and suicidal ideation. The results show that, (1) the participants were at risk of their depressive mood and alcohol drinking behavior, (2) the gender factor was associated with the patterns of suicidal ideation and drinking behavior, (3) the participants` depressive mood significantly affects their suicidal ideation, and (4) the interaction effect of depressive mood and alcohol drinking behavior was significant in predicting the level of suicidal ideation (F=6.900, p<.001) after controlling for socioeconomic variables including age, income, education, and employment status. The findings suggest that alcohol drinking behavior plays an important role in increasing suicidal ideation among married workers. Depressive mood was positively associated with suicidal ideation, while people with more frequent drinking behavior had more increase in suicidal ideation. Based on the findings, special intervention efforts need to be directed at decreasing alcohol drinking behavior of people suffering from depressive mood to reduce suicidal ideation. Several social welfare implications were suggested such as development of psycho-education programs emphasizing the risk factors of depressive mood and alcohol drinking, and utilization of employee assistance programs (EAP) to promote worker`s mental health status in the workplace in efforts of reducing the risk of suicide.

여고생의 학대 경험과 자살사고의 관계에서 문제 해결, 우울의 매개효과

박경,김혜은 서울여자대학교 여성연구소 2006 여성연구논총 Vol.20 No.-

This paper addresses the mediating effects of problem solving and depression on the relationship between child abuse experience and suicidal ideation of girl senior highschool students. Experimental group was 206 girl senior highschool students. The instruments of the study were scale for experiences of child abuse, Problem Solving Inventory(PSI), Beck's Depression Inventory(BDI), and Scale for Suicidal Ideation(SSI). The instruments were surveyed using self reported questionnaires for the experimental group. Correlation analysis was implemented to explore the relationship between these variables. As the results, four sub-variables of child abuse except sexual abuse showed some significant positive correlation with suicidal ideation. Overlapped experiences over two sub-variables also have some significances with suicidal ideation. Among the five sub-variables, emotional abuse had the strongest relation with suicidal ideation. For problem solving inventory that has three sub-variables, problem solving confidence and personal-control showed significant negative relation with suicidal ideation, while Beck's depression inventory showed very high positive correlation with suicidal ideation. In the next, hierarchical multiple regression analysis was applied to examine the mediating effects of problem solving, and depression in the relation between experiences of child abuse and suicidal ideation. In case of problem solving confidence, it was identified that the confidence rolled partially as mediating factors on the relationships between emotional abuse and suicidal ideation, and overlapped abuse experiences and suicidal ideation. Personal-control also showed partial mediating effect on the suicidal ideation caused by emotional abuse. It was confirmed that depression mediated the relationship between suicidal ideation and emotional abuse because the emotional abuse effect on suicidal ideation was reduced significance statistically under control of depression. This means that depression mediated girl senior highschool students' suicidal ideation with child abuse experiences.

청소년 자살생각의 영향요인에 관한 연구

홍명숙(Myung-Sook Hong) 한국정책개발학회 2017 정책개발연구 Vol.17 No.1

본 논문은 청소들의 자살생각에 영향을 미치는 요인을 분석하고 그러한 요인들이 자살생각에 이르는 영향력의 정도를 밝히려고 하였다. 청소년은 자기자신과 환경적 여러 요인의 상호작용과 주관적 해석 결과에 따라 반응하므로청소년의 자살을 이해하기 위해서는 상황적·환경적 맥락의 이해가 중요하다. 청소년의 자살을 예방하기 위해서는 자살에 대한 심각성을 경고한다거나 자살행동 억제에 대한 관심만으로는 비효과적이다. 왜냐하면, 자살은 자살생각-자살계획-자살시도-자살행동의 일련의 과정을 거쳐 진행되는 현상이므로 가장 선행단계인 자살생각을 지니고 있는지의 유무를 알아보는 것이 중요하다. 본 논문은 청소년의 자살생각에 영향을 미치는 가족요인, 학교요인, 사회요인 중에서 가족요인에는 부모학대·폭력, 친인척자살경험을, 학교요인에는 학교폭력, 학교부적응을, 사회요인에는 자살사이트 방문, 연예인 자살보도로 구성하고, 우울과 사회적 지지가 매개요인으로서의 역할을 하는지, 이들 요인들이 어느 정도나 영향력을 미치는지를 규명하였다. 이 모형은 R2=0.475, (adjR2=0.462), F=76.460 로 설명력이 비교적 높았으며, 독립변수인 부모학대 및 폭력, 친인척 자살, 학교폭력, 학교부적응, 자살 사이트 방문, 연예인자살 보도 등 모두 1 ~ 5 % 유의수준에서, 매개변수인 우울과 사회적 지지는 1 ~ 5 % 유의수준에서 통계적으로 유의한 것으로 판단되었으며, 우울은 자살생각의 강화요인, 사회적 지지는 자살생각의 완화요인으로효과가 있었으며, 성별 더미변수도 5 % 유의수준에서 통계적으로 유의하였다. This paper is to examine determinants of youth suicidal ideation. This study also attempts to identify depression and social support as a mediated variable. First, It is found that school violence and visit to internet suicide sites affect directly on suicidal ideation. Depression is a most significant variable predicting the suicidal ideation. Depression appears to have a direct effect on suicidal ideation. While depression is treated as a intervening variable, parental mistreatment and violence are meaningful factors affecting suicidal ideation, though indirectly. And school violence and suicidal reports of people in entertainment land follows. Social support is also found to have direct effect on suicidal ideation. School maladjustment indirectly affects youth suicidal ideation. The analysis of data shows that the factors relating to suicidal reports of people in entertainment land have a direct and significant effect on suicidal ideation. Experience having suicidal acts of relatives, parental maltreatment and violence, and school violence are also found to have relationships with youth suicidal ideation. Second, depression and social support as a mediated variable appear to have direct effect on suicidal ideation. Social support as a controling factor is confirmed to alleviate youth suicidal ideation. Third, it appears that the girl students seems to spend more time on suicidal ideation than the male students. As a whole, this study suggests that determinants affecting suicidal ideation must be curved in order to prevent youth suicidal ideation. In this model, 9 independent variables explained 47.5 % of total variance of dependent variable which is youth suicidal ideation (R2= 0.475, adjR2=0.462).

Effects of Health-Related Quality of Life on Suicidal Ideation and Depression among Older Korean Adults: A Cross-Sectional Study

Jinyoung Jang,Hyun-Sung Jung,Jumee Wang,Sukil Kim 대한신경정신의학회 2021 PSYCHIATRY INVESTIGATION Vol.18 No.1

Objective The aim of this study was to investigate the prevalence of depression and suicidal ideation among older Korean adults and the predictors of suicidal ideation. Methods We analyzed data from 5,604 Koreans aged 65 or older collected by the Korea National Health and Nutrition Examination Survey in 2012-2016, an annual national, cross-sectional, epidemiologic study of the Korean population. A chi-square test was used to assess differences in socio-demographic characteristics by suicidal ideation. Psychological variables, self-rated physical health, and the five dimensions of the Korean version of the EQ-5D (EuroQoL) were compared between four subgroups categorized according to the presence/absence of suicidal ideation and depression. Multiple logistic regression was used to estimate the predictive power of health-related quality of life variables, as well as physical and psychological factors regarding suicidal ideation. Results Overall, 11.5% of the sample reported suicidal ideation, and 20.0% of the suicidal ideation group were diagnosed with depression. Respondents with suicidal ideation had significantly lower levels of health-related quality of life than those without suicidal ideation. EQ-5D self-control (OR=1.42), anxiety/depression (OR=2.32), depression (OR=2.07), and self-rated physical health (OR=1.36) were found to significantly predict suicidal ideation. Conclusion Suicidal ideation without depression was prevalent among older Koreans. Self-control, anxiety/depression of EQ-5D, selfrated physical health, and depression predicted suicidal ideation. Interventions to screen older Koreans for early detection of suicide risk and prevention strategies should consider evaluating each EQ-5D dimension.

대학생의 생활스트레스와 자살생각과의 관계: 내적속박감과 외적속박감의 매개효과

김정호,홍혜영 한국상담학회 2016 상담학연구 Vol.17 No.1

This study verified the mediating effects of Internal entrapment and External entrapment on the relation between Life stress and Suicidal ideation of university students. A total of 378 university students in Seoul and Gyeonggi-do completed Life Stress Scale, Internal Entrapment Scale, External Entrapment Scale, Suicidal Ideation Questionnaire. The data were examined by the statistics software SPSS 22.0 and AMOS 22.0, utilizing descriptive statistics, factor analysis, and structural equation modeling(SEM). Results are as follows. First, after analyzing the correlation between Interpersonal Stress, Facing Stress, Internal Entrapment, External Entrapment, Suicidal Ideation, both Interpersonal Stress and Facing Stress were positively related to Internal Entrapment, External Entrapment and Suicidal Ideation. Internal Entrapment and External Entrapment, mediators, were positively related to each other and to Suicidal Ideation, dependent variable. Second, after verifying the mediating effects of Internal Entrapment and External Entrapment between Life stress and Suicidal Ideation, when deviding Life stress into sub factors, the mediating effects of Internal Entrapment between Interpersonal stress and Suicidal Ideation was not significant. On the other hand the mediating effects of External Entrapment between Interpersonal stress and Suicidal Ideation was significant. The mediating effects of Internal Entrapment between Facing stress and Suicidal Ideation was not significant. On the other hand the mediating effects of External Entrapment between Facing stress and Suicidal Ideation was significant. Finally, both Interpersonal Stress and Facing Stress were significant predictors of Suicidal Ideation. Accordingly the present study verified that Life stress influenced suicidal ideation and External Entrapment was a mediator of the relationship between Interpersonal stress, Facing Stress and Suicidal Ideation. Based on the findings, implications for therapeutic interventions were discussed. Limitations of the current study and the suggestion for further research were also discussed. 본 연구는 대학생의 생활스트레스와 자살생각과의 관계를 살펴보고, 내적속박감과 외적속박감의 매개효과를 검증하였다. 이를 위해 서울과 경기도 4년제 대학교에 재학 중인 대학생 378명을 대상으로 생활스트레스, 내적속박감, 외적속박감, 자살생각에 대한 설문을 실시하여 자료를 수집하였다. 자료분석을 위해 SPSS 22.0과 AMOS 22.0을 사용하여 기술통계분석, 상관분석, 구조방정식 등을 실시하였다. 연구의 주요 결과는 다음과 같다. 첫째, 대인관계 스트레스, 당면과제 스트레스, 내적속박감, 외적속박감, 자살생각 간의 상관관계를 분석한 결과, 대인관계 스트레스와 당면과제 스트레스 모두 내적속박감, 외적속박감, 자살생각과 정적으로 유의한 상관을 나타냈다. 두 매개변인인 내적속박감과 외적속박감 또한 유의한 정적 상관을 나타냈고, 종속변인인 자살생각과도 유의한 정적 상관을 나타냈다. 둘째, 생활스트레스와 자살생각과의 관계에서 내적속박감과 외적속박감의 매개효과를 검증한 결과, 하위요인별로 나누어 보았을 때, 대인관계 스트레스가 내적속박감을 매개로 하여 자살생각에 영향을 미치는 경로는 유의하지 않게 나타났다. 반면 외적속박감을 매개로 하여 자살생각을 높이는 경로는 정적으로 유의하게 나타났다. 당면과제 스트레스의 경우 매개변인인 내적속박감을 거쳐 자살생각을 예측하는 경로 역시 유의하지 않았고, 외적속박감을 거쳐 자살생각을 높이는 간접효과만이 유의하게 나타났다. 마지막으로, 대인관계 스트레스와 당면과제 스트레스가 자살생각을 예측하는 총효과는 모두 정적으로 유의하게 나타났다. 이에 따라, 본 연구는 대학생의 생활스트레스가 자살생각에 영향을 주며, 대인관계 스트레스, 당면과제 스트레스와 자살생각과의 관계에서 외적속박감이 중요한 매개요인임을 밝혔다는데 의의가 있다. 연구결과를 토대로 학교현장과 상담현장에서의 본 연구의 시사점과 제한점을 제시하였다.