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        자살 평가의 위험도- 구조가능도 측정치에 대한 고찰

        박유문,석재호 大韓神經精神醫學會 1983 신경정신의학 Vol.22 No.1

        The authors intended to evaluate the suicidal intentionality of suicide attempters more objectively with risk-rescue rating. We studied 100 suicide attempters that were randomly sampled from those who visited Han Gang Sacred Heart Hospital due to suicidal attempt form March Ist. 1981 to Aug. 31Th. 1982. The risk-rescue rating revealed higher scores in the fifth decade and the male group. The rating also revealed higher scores in the divorced and second attempt group. The group that attempted suicide at late evening and early morning revealed higher scores than others. Middle and High school graduates showed relatively higher scores and those with schizophrenia and depression also revealed higher scores.

      • KCI등재

        금주 동맹의 참여에 영향을 미치는 주정 중독환자의 변인에 관한 예비적 연구

        석재호,박유문,윤정섭 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.3

        The author investigated the background of alcoholic patients which seemed to influence the participation of alcoholic patients to Alcoholics Anonymous. The subject of this study were 59 patients with alcoholic patients who had been admitted to Kangdong Sacred Heart Hospital from July, 1988 to September, 1990. This study was performed by the review of inpatient records and interview through telephone. The results were as follows : 1. As we compared the group of maintaining sobriety with the alcoholic group which had drank alcohol continusously after discharge. 1) The alcoholic patients who had professional job were more difficult to be abstinent than the other group(p=0.046). 2) There was a tendency that the continuously drinking group had significantly domineering mother and weak father(p=0.037). 2. As we compared participating group with non-participating group. 1) Alcoholic patients with drinking history over 15 years revealed resistance to participate in alcoholic anonymous(p=0.034). 2) Well-educted alcoholic patients attended alcoholic anonymous more than patients with lower educational level(p=0.0389). 3) Alcoholic patients in higher socioecconomic status had higher tendency to participate alcoholic anonymous than those in lower socioecconomic status(p=0.031). 4) those who eagerly participated alcoholic anonymous seems to maintain sobreity more than those who did not showed interest in alcoholic anonymous(p=0.0045).

      • KCI등재

        자살에 대한 일반인의 태도에 관한 예비적 조사

        반영진,박유문,석재호 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.1

        The authors examined test-retest reliability of a questionnaire about the attitude toward suicide, originally designed by Domino and then investigated the attitudes toward suicide of 123 normal subjects by using the questionnaire. 1) Many of normal subjects thought that suicide is an abnormal behavior which should be prevented, and suicidal attempters are lonely and depressed and should undertake treatment to understand thelr inner motivations. They saw suicide as a very serious moral transgression and a behavior against the laws of God and/or nature. They did not believe that suicide occurs only in civilized societies and most suicide victims are older persons. They also denied the unconscious motivation of individuals to kill themselves out of patriotism or by dangerous sports. 2) Three factors from total 58 items were extracted by factor analysis after elimination of 9 items which revealed relatively Bow test-retest reliability. The first factor was consisted of 10 items about religious and ethical attitudes toward suicide. The content of the second factor, consisted of 5 items, was suicidal risk. The third factor was made of 5 items about whether suicide is a normal behavior or is a result of mental illness. 3) The religions of subjects exerted influences on the differences of the total scores of items related to the first factor and theme related to the third factor. 4) The test-retest reliability of the second factor and the third factor was significantly low as compared with the first factor.

      • KCI등재

        자살기도자들에 관한 임상적 특징

        석재호,기백석,김경식,박유문 大韓神經精神醫學會 1982 신경정신의학 Vol.21 No.1

        1981년 4월 부터 8월 31일 까지 한강성심병원에 자살을 기도하여 내원한 환자 106명을 대상으로 하여 자살기도에 대한 임상적 조사를 한 결과를 요약하면 다음과 같다. 1. 자살기도자들의 연령분포는 20대에 집중되어 있으며 20대 이하가 60.4%로 젊은 사람에게 많았다. 2. 자살기도자의 학력은 남자에서는 국졸,여자에서는 고졸이 가장많았으며 전체적으로 무학이 가장 적었다. 3. 결혼상태는 남자에서는 미혼이 여자에서는 기혼이 많았다. 4. 자살기도자의 진단은 우울신경증, 히스테리신경증, 인격장애의 순위를 나타냈다. 5. 자살기도자의 처음 진료받은 과는 내과가 83.0%로써 가장 많았으며 특히 여자 기도자는 대부분이 처음으로 내과 치료를 받았다. 6. 정신과 진료권유에 대한 반응은 67.0%에서 거부하였으며 그 이유는 경제적 빈곤이 47.9%, 정신과에 대한 인식부족이 36.6%이었다. 7. 자살기도후 삶에 대한 정서상태는 우울신경증에서 "살고 싶다"가 63.3%였으며 히스테리신경증에서는 "가족을 위협할 의도였을 뿐"이 44.4%였다. 8. 자살기도자의 유발요인은 가정불화가 40.6%, 경제적 빈곤이 19.8%로 대부분을 차지하였다. 9. 히스테리신경증의 66.7%에서 보호자는 자살기도전 사살에 대해 예지를 했으나 자살기도자는 자살기도 직전 74.1%나 자살의사를 알리지 않았다고 하였고 우울신경증에서는 95.9%에서 알리지 않았다는 결과로 밝혀졌다. This study was designed investigate some clinical characteristics of 106 suicide attempters(male;47,female;59) who visited the Han Gang Sacred Heart Hospital from Apr. 1st. 1981. to Aug.31th.1981. The results were as follows; 1. The highest sate was seen in the third decade of age and 60.4% of ass were in their teens and twenties. 2. Elementary school graduates were mast frequent among the male group and high school graduates occupied the largest part in the female group. 3. In view of marital status, the highest rate occured among the single in males whereas females were mostly married. 4. The data indicated that the high suicide attempt rates appear to occur among depressive neurotics, hysterical neurotics and those with personality disorders in that order. 5. Most attempters(83.0%) were treated initially at the department of internal medicine and 91.5% of the females received primary care from internal medicine. 6. The psychiatric care was refused in 67.0% of attempters and the reasons for the refusal were financial difficulty (47.9%) and lack of understanding (36.6%). 7. Sixty three% of the depressive neurotic attempters said that they wanted to live and 44% of the hysterical neurotic attempters expressed their intention of threatening their family, not of killing themselves. 8. The precipitating events of the suicide attempts were marital discord in 40.6% and financialdifficalty in 19.8%. 9. The family of the attempters with hysterical neurosis noticed the premonitory signs of the attempts in 66.7% of the subjects. But 74.1% the attempters with hysterical neurosis insisted that they had never threatened their family, whereas 95.9% of the attempters with depressive neurosis had not shown any sign.

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