준ㆍ고령층과 청ㆍ장년층 자활사업 참여자의 자활의지 영향요인 비교분석

송인한(Song, In Han),박장호(Park, Jang-Ho),김리자(Kim, Lija) 한국노년학회 2013 한국노년학 Vol.33 No.1

본 연구는 준ㆍ고령층과 청ㆍ장년층 자활사업 참여자 집단 간에 자활의지에 영향을 미치는 요인의 연령별 차이를 규명하기 위하여, 전국 지역자활센터 자활사업 참여자 중 자활근로사업에 참여하고 있는 368명으로부터 수집된 자료를 분석하였다. 연령에 따른 주요 변수들의 차이를 확인하기 위해 Chi-square 검정과 t-test를 실시하였으며, 준ㆍ고령층과 청ㆍ장년층 자활사업 참여자 두 집단에서 각각 다중회귀모델을 통해 자활의지에 영향을 미치는 요인을 분석하여 비교하였다. 그 결과 청ㆍ장년층 자활사업 참여자의 자활의지에 영향을 미치는 요인으로 성별, 구직희망이 유의하게 발견되었으며, 준ㆍ고령층 자활사업 참여자의 자활의지에 영향을 미치는 요인으로 성별, 구직희망, 주관적 건강, 참여기간이 유의하게 나타나는 차이가 발견되었다. 청ㆍ장년층과 준ㆍ고령층 자활사업 참여자 집단 모두에서 여성과 구직희망이 높은 참여자에게서 높은 자활의지가 발견되었으며, 청ㆍ장년층 참여자에게서는 다른 영향요인이 없는 반면 준ㆍ고령 자활사업 참여자의 경우 주관적 건강이 높을수록, 참여기간이 짧을수록 자활의지가 증가하는 결과가 발견되었다. 이러한 근거로 자활의지를 증진시키기 위한 정책적 및 미시적 접근에 있어 성별 특성을 고려하고 구직희망을 고취하기 위한 프로그램의 설계가 필요하고, 연령 특성을 고려하여 건강증진 프로그램과 연계하고 단기적 접근으로 설계된 준ㆍ고령층 자활사업 및 일자리 참여프로그램을 운영할 필요가 있음을 제시하였다. In order to examine the age difference in factors affecting willingness for self-sufficiency between the aged self-sufficiency program participants and non-aged participants, this study analyzed the level of willingness for self-sufficiency from 368 labor program participants from the local self-sufficiency centers nation-wide in Korea. Chi-square test and t-test were conducted to verify the differeces in major factors by age groups, and multiple regression models were used to analyze and compare the differences in factors affecting willingness for self-sufficiency between the aged self-sufficiency program participant group and non-aged participant group. The results show that, in the aged participants, gender, employment hope, self-rated health, and participation periods were statistically significantly associated with willingness for self-sufficiency while gender and employment hope were significantly associated in the non-aged participants. While non-aged's willingness for self-sufficiency was found to be higher in female and higher employment hope, aged's willingness for self-sufficiency was found to be higher when they felt higher self-rated health and participated the program in more short term besides female and higher employment hope. Based on these findings, it is necessary to consider age factors and to design programs to increase employment hope in planning policy and micro-level intervention to improve willingness for self-sufficiency. In addition, it seems necessary to develop short-term self-sufficiency and employment programs for the aged which are linked with health promotion programs in promoting willingness for self-sufficiency for the aged.

자살예방을 위한 인식개선 캠페인의 국가 간 비교

송인한(In Han Song),권세원(Se Won Kwon),김정수(Jung-Soo Kim),유정원(Jung-Won You),박장호(Jang Ho Park),김리자(Lija Kim),김우식(Woosik Kim),김현지(Hyunjee Kim),김현진(Jeniffer Hyunjin Kim),김지은(Ji Eun Kim),안상민(Sangmin An) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.7

자살예방을 위한 인식개선 캠페인은 국가적 자살예방대책의 핵심사업 중 하나이다. 본 연구는 자살예방 국가전략을 성공적으로 수행하고 있다고 평가되는 뉴질랜드·미국·아일랜드·스코틀랜드·호주의 5개국과 우리나라의 캠페인을 비교·분석하였다. 미국 보건복지부가 제시한 보건커뮤니케이션 캠페인 가이드라인을 토대로 각국의 캠페인을 (1) 목표의 명확성, (2) 표적화 전략의 적절성, (3) 메시지 전략의 적합성, (4) 이행의 효율성 측면에서 살펴보았다. 그 결과, 해외 캠페인들의 공통적 요소로 (1) 분명한 목표가 포함된 캠페인 명칭, (2) 사회 맥락을 고려한 캠페인 대상의 표적화, (3) 구체적인 행동지침을 포함한 슬로건, (4) 정부와 민간의 유기적 협력이 발견되었다. 이를 근거로 우리나라 캠페인이 발전하기 위해서는 보다 전략적 체계를 갖추고, 구체적인 대상에게 메시지가 전달될 수 있도록 하며, 보다 대중적인 매체를 활용하고, 민간 및 지방조직과의 유기적 협력을 강화하며, 체계적인 효과성 평가를 병행할 것을 제언하였다. Public awareness campaign is the core factor of the national suicide prevention strategies. Korea’s current campaign needs to be more systematically developed. This study analyzed the national-level campaigns for suicide prevention of New Zealand, USA, Ireland, Scotland, and Australia whose campaigns were known to be successful, and compared them with those of Korea. With the analysis framework based on the ‘Guideline for Effective Health Communication Campaigns’ by the U.S. Department of Health and Human Services, we examined the campaigns from the dimensions of (1) clarity of goals, (2) appropriacy of targeting strategies, (3) suitability of messaging strategies, and (4) efficiency of performance. The results show that effective campaigns for suicide prevention have the following common factors: (1) campaign appellations which include clear goals, (2) targeting at risk groups considering social contexts, (3) slogans which contains specific action guidelines, and (4) close relationships between public and private sectors. On this basis, future directions for more effective suicide prevention media campaigns in Korea are discussed.

가족과 동료의 자살시도가 청소년의 자살생각에 미치는 영향:

송인한(In Han Song),권세원(Se Won Kwon),김지은(Ji Eun Kim) 연세대학교 사회복지연구소 2016 한국사회복지조사연구 Vol.49 No.-

Impact of suicide attempts by family members or peers negatively affects suicidal ideation among survivors. In South Korea, where its suicide rate is the highest among OECD countries, exposure to suicide attempts in relationships may be a serious factor associated with suicide. This study examined the impact of suicide attempts by family members and peers on survivors’ suicidal ideation, and the mediating effect of depressive mood in the relationship between suicide attempts by family members and peers and suicidal ideation among adolescents. Data were analyzed which was collected through a survey of a total of 549 students from five middle schools that agreed to participated out of six schools randomly selected from 6 school districts of the Seoul and Inchon Metropolitan areas. Multiple linear regression and Z mediation test analyses were used for analysis. The results show that exposure to suicide attempts by family members and peers had a significant effect on suicidal ideation (p=.001), and that there found a partial mediating effect of depressive mood was observed, that is, there is the direct impact of exposure to suicide attempts on suicidal ideation without being mediated by depressive mood. These findings suggest that special attention needs to be given to adolescents who were exposed to significant other’s suicidal attempts regardless of having depressive mood. 가족과 동료의 자살시도는 자살생존자의 자살생각에 부정적인 영향을 미친다. OECD 국가중 가장 높은 자살률을 보이고 있는 한국에서, 사회적 관계 내의 자살시도에 노출되는 것은 자살과 관련된 심각한 요인이 될 수 있다. 본 연구는 가족과 동료가 시도하는 자살시도가 청소년의 자살 생각에 미치는 영향을 조사하였고, 가족과 동료의 자살시도와 청소년 자살생존자의 자살생각 사이에서 우울감의 매개효과를 검증하였다. 서울특별시와 인천광역시의 6개 학군에서 무작위로 선정된 6개 중학교 중 참여에 동의한 5개 학교의 549명의 데이터를 분석하였다. 중다 회귀분석과 Z 매개효과 검증을 사용하였다. 연구 결과, 가족과 동료의 자살시도는 통계적으로 유의하게 청소년의 자살생각에 영향을 미쳤으며 (p=.001), 우울감의 부분매개효과가 발견되었다. 즉, 자살시도에 대한 노출이 우울감을 매개하지 않고 직접적으로 청소년의 자살생각에 미치는 영향이 부분적으로 존재 하였다. 이러한 발견은 청소년에게 중요한 타자의 자살시도에 노출되었을 때 우울감을 느끼는 여부와 관계 없이 청소년 자살생존자의 자살생각에 대해 특별한 관심과 개입이 주어져야 함을 함의한다.

친구의 자살시도가 청소년의 자살생각에 미치는 영향 사회적 지지의 조절효과 분석

송인한(In Han Song),권세원(Se Won Kwon),박단비(Dan Bi Park) 한국정신건강사회복지학회 2012 정신보건과 사회사업 Vol.40 No.1

우리사회의 심각한 사회문제인 자살은 타인에게도 부정적 영향을 미치는 것으로 알려져 왔다. 특히, 또래집단의 영향에 민감하게 반응하는 청소년기에 친구의 자살관련 행동은 심각한 영향력을 가질 수 있다. 이에 본 연구는 친구의 자살시도 경험이 중학생의 자살생각에 미치는 영향을 조사하고, 친구의 자살시도 경험과 청소년의 자살생각 사이의 관계에서 사회적 지지가 가지는 조절효과를 검증하였다. 이를 위해 서울과 인천 지역에서 권역별로 선택된 5개 학교의 중학생 549명의 자료를 활용하여 다중회귀분석을 실시하여 다음의 결과를 발견하였다. 첫째, 친구 자살시도경험이 중학생의 자살생각을 통계적으로 유의하게 증가시키는 것으로 나타났다. 둘째, 사회적 지지는 친구 자살시도 경험이 자살생각에 미치는 영향의 관계에서 조절효과를 가졌다. 즉, 친구의 자살시도 경험이 있는 청소년의 경우 자살생각 수준이 더 높게 나타났으며, 사회적 지지 자원을 가지는 경우 친구의 자살시도 경험이 자살생각에 미치는 영향력을 감소시킴으로써 자살생각을 낮추는 것으로 검증되었다. 이러한 연구결과는, 청소년의 자살관련 행동 발생의 위기상황에서 주변 청소년에게 미치는 자살생각의 증가를 막기 위한 즉각적인 개입이 필요하며, 가정, 학교 및 지역사회에서 사회적 지지체계 구축을 위한 노력이 필요함을 시사한다. Suicide, one of the most serious social problems in our society, has been known to negatively influence other people. Especially, in the adolescent period when sensitively influenced by peer group members, friends` suicide-related behaviors may have a serious impact on adolescents. Therefore, this study is to investigate the influence of friends` suicide attempts on adolescents` suicidal ideation, and to examine the moderating effect of social support on the relationship between friends` suicide attempts and adolescents` suicidal ideation. For these purposes, data were collected from 549 middle school students of 5 schools selected from each regional districts of Seoul and Incheon metropolitan areas. The results of multiple regression analyses are as follows: First, it is found that friends` suicidal attempts statistically significantly increases adolescents` suicidal ideation. Second, social support has a moderating effect on the relationship between friends` suicide attempts and adolescents` suicidal ideation. In other words, students who have friends with suicide attempts reported a greater level of suicidal ideation; and having social support resources reduced the effects of friends` suicide attempts resulting in lowered level of suicidal ideation. These findings suggest that, at the crisis occurrence of suicidal-related behaviors among adolescents, prompt crisis intervention should be made to prevent from increasing the negative influence on peer members, and efforts should be directed at constructing social support systems in families, schools, and communities.

경제적 자활 척도(ESS)와 근로희망 척도(WHS)의 국내 적용

송인한(In Han SONG),김태형(Tae-Hyeong Kim),권세원(Sewon Kwon),이한나(Hanna Lee),박장호(Jang Ho Park) 한국사회복지행정학회 2013 한국사회복지행정학 Vol.15 No.3

사회경제적 박탈이 주관적 건강에 미치는 영향

송인한(In Han Song),이한나(Han Na Lee) 서울연구원 2011 서울도시연구 Vol.12 No.3

성폭력피해자 지원기관 전문인력 양성 교육 콘텐츠 개발을 위한 기초 연구

송인한(In Han Song),김지은(Ji Eun Kim),신수민(Soo Min Shin),이상혁(Sang Hyuk Lee) 한국콘텐츠학회 2016 한국콘텐츠학회논문지 Vol.16 No.9

최근 급격하게 증가하는 성폭력 피해자 지원을 위한 전문인력 양성 교육 콘텐츠 개발의 필요성이 시급한시점이다. 이에 본 연구는 (1) 성폭력 피해자 지원 종사 인력에 대한 교육프로그램의 현황을 조사하고, (2) 종사자 19명을 대상으로 포커스 그룹 인터뷰를 실시하여 교육 내용의 요구에 대해 심층적으로 조사하고, (3) 이를 바탕으로 설문을 개발하여 전국의 종사자 800명을 대상으로 설문조사를 실시하였고, (4) 성폭력 분야 전문가 20명을 대상으로 양성교육 주제와 방법에 대해 델파이 조사를 실시하였다. 종사자 설문조사 결과 내담자의 특수성에 대한 이해와 다학제적 접근의 훈련 및 기본교육의 강화가 가장 필요한 것으로 나타났으며, 전문가 델파이 조사에서는 상담기술과 피해자 심리이해 및 정서적 지원에 대한 교육이 필요성이 제기되었다. 이를 바탕으로 다양한 집단의 피해자 유형과 특성을 고려한 맞춤형 지원서비스를 제공할 수 있는 전문 인력의 양성을 위한 교육 프로그램 콘텐츠를 제언하였다. Considering the recent increase in the number of sexual violence survivors, there is an urgent need to develop content for the training of professional workers to support victims. The purposes of this research are: (1) to investigate the status of existing training programs designed to produce workers to support sexual violence victims; (2) to conduct focus group interviews with 19 workers regarding their training needs; (3) to conduct a national-wide survey with 800 workers; and (4) to carry out a delphi study with 20 sexual violence professionals in regard to the topics and methods of training. According to the survey of practice workers, the areas of greatest need include the understanding of client characteristics, multidisciplinary approaches in training, and strengthening of basic training. The delphi study of professionals revealed the need for counseling skills, understanding the psychology of sexual violence victims, and skills to provide emotional support for victims. Based on these findings, this research suggests training content designed to provide support services customized to the types and characteristics of individual survivors.

《정신보건과 사회사업》 게재 논문 동향 분석 (1994~2013년)

송인한(In Han SONG),이은정(Eun Jung Lee) 한국정신건강사회복지학회 2014 정신보건과 사회사업 Vol.42 No.4

As an official journal of the Korea Academy of Mental Health Social Work, Mental Health & Social Work is one and only academic journal of this field in Korea. First established in 1994, Mental Health & Social Work is now 20 years old after being selected as a candidate journal of accrediation by the Korean Research Foundation in 2000 and promoted as an accredited journal in 2004. Since its establishment, many systematic changes in the field of mental health have been made: Korean Mental Health Law was legislated in 1995, community mental health has been enhanced, metropolitan and local mental health centers were established, certification system of professional mental health social worker was built. Meanwhile, there are also changes such as transition from medical-centered approach to integrated approach, development of strengths-perspective and evidence-based practice, publication of the Diagnostic and Statistical Manual for Mental Disorders, 5th Edition. In terms of research, large-sized panel data such as Korea Welfare Panel Study and Seoul Welfare Panel Study have been constructed and utilized for research, advanced statistical methods have been more applied, research collaboration and interdisciplinary research have increased, establishment of Institutional Review Board was regulated to increase research ethics. Editorial committee analyzed a total of 411 research articles published in Mental Health & Social Work and reviewed the trend of research. From the formality aspects, the number of published articles in journals has increased; while collaborative research between academia and clinical field has continuously increased, the number of research papers solely by clinical practitioners has significantly decreased. In terms of authors’ majors, the number of papers by other majors than social work and collaboration between social work majors and other majors have somewhat increased. While sole author publication has obviously decreased, collaborative publication has markedly increased. In terms of research method, while survey study increased, non-intervention study including review study has obviously decreased. For survey research, the sample size has sharply increase in mid-2000, and the number of studies by funding sources sharply increase around 2010, which shows the general trend of academia in Korea.

자살사건에의 노출과 자살생각의 관련성 : 자살노출, 자살 외 사망노출, 사망 비노출 집단 간 비교

김지은,송인한,Kim, Ji Eun,Song, In Han 대한불안의학회 2020 대한불안의학회지 Vol.16 No.1

Objective : This study aims to examine the association between exposure to suicide events and suicide ideation by analyzing the levels of suicide ideation among the groups with exposure to suicide death, non-suicide death, and no death in their social relationships. Methods : Data were derived from Wave I of the Longitudinal Study of Suicide Survivors' Mental Health. 1,998 adults nationwide selected using a stratified sampling method based on the Korean Census Data, were categorized into 3 groups with exposure to suicidal death, non-suicidal death, and no death. The levels of depression (Brief CES-D), subjective health status, and suicidal ideation (SSI) were measured. To examine the association between exposure to suicide and the level of suicide ideation, multiple regression analysis was used after controlling the socio-demographic and clinical factors including subjective health status and depression. Results : 32% reported their exposure to suicide. Compared to the other groups, the suicide-exposed group's level of depression and suicide ideation were significantly higher but the subjective health status was lower. Multiple regression model revealed that suicide exposure had a statistically significant association with suicidal ideation at p=0.000 even after controlling the clinical characteristics. Conclusion : HThe findings suggest that exposure to suicide is a risk factor for suicidal ideation. In the clinical field, it is necessary to consider patients' experience in exposure to suicide while treating and intervening in suicide-related cases. At the policy level, a mental health system for suicide prevention should consider this risk factor for those exposed to suicide in their family and social relationships.

청장년층 공황장애와 준·고령층 공황장애 사이의 조기외상 경험 비교

김지은(Ji Eun Kim),송인한(In Han Song),이강수(Kang-Soo Lee),이상혁(Sang-Hyuk Lee) 대한노인정신의학회 2016 노인정신의학 Vol.20 No.2

Objective:To investigate the early trauma history between young/middle adulthood patients and earlier/later older adulthood patients with panic disorder (PD). Methods:216 patients with PD and 76 healthy controls (HCs) were included for analysis. Patients with PD were operationally dichotomized into two groups of young/middle adulthood (age below 50 years) and earlier/later older adulthood (age 50 years or over) to compare the early trauma history between two groups. Data of sociodemographic factors, self-reported shortened form of the Early Trauma Inventory (ETI), and the Albany Panic and Phobia Questionnaire (APPQ) were analyzed. Results:Patients with PD showed higher scores of ETI than HCs. Young/middle adulthood PD showed statistically significantly higher levels of general trauma (t=-2.088, p=0.041), physical abuse (t=-2.456, p=0.014), emotional abuse (t=-3.690, p=0.000), and total scores of trauma (t=-3.534, p=0.001) except sexual abuse. In the young/middle adulthood PD group, ETI scores were significantly correlated with APPQ scores while no significant correlation with ETI was found in earlier/later older adulthood PD. Conclusion:These results show that PD is statistically associated with early trauma history and that early trauma history is more significantly related with PD in young/middle adulthood than earlier/later older adulthood. These findings suggest that the age factor should be considered in clinical practice for patients with PD.