대중매체의 자살보도 및 사회적 지지가 대학생의 자살생각에 미치는 영향

한수미,Han, Su-Mi 한국학교보건학회 2012 韓國學校保健學會誌 Vol.25 No.1

Purpose: The purpose of this study is to identify the effects of suicide reports by mass media and social support on suicide ideation for college students. Methods: Participants are 350 undergraduate students in one university. This study uses three questionnaires: Perception and Attitude toward Suicide Reports, Social Support, and Suicidal Ideation. The SPSS/WIN 12.0 program is used to analyze the data. In particular, the participants' biographical data are analyzed into frequency and percentage. The degrees of suicide reports, social support, and suicide ideation are calculated into Mean and SD. Moreover, the suicide ideation by suicide report and social support are analyzed by the two-way analysis of variance (ANOVA). Results: This study reveals that college students have an average of 30 minutes to one hour news time a day (38.9%) and have at least one suicide report in a month (30.3%). 79.7% participants believe that the suicide report of mass media results in the cause of the copycat suicide. In terms of suicide report and suicide ideation, the types of mass media (F (4,340)=2.41, p<.05) and suicidal urge (F (1,340)=31.23, p<.01), respectively, have significant influences on suicide ideation. On the other hand, the social support and suicide ideation, whether college students have their mentors (F (1,328)=13.26, p<.001) and/or careres (F (1,328)=26.84, p<.001) have significant influences on suicide ideation. Conclusion: College students have higher suicide ideation at news by internet site rather than by radio, TV, and so on. Moreover, college students who have a suicide feeling in the last one year, have more suicide ideation than who have not. On the other hand, college students who have a mentor and carer tend to have less suicide ideation.

Prevalence and Risk Factors Associated with Suicide Ideation and Attempts in Korean College Students

Hong-Seok Lee,Sukil Kim,Inyoung Choi,Kyuong-Uk Lee 대한신경정신의학회 2008 PSYCHIATRY INVESTIGATION Vol.5 No.2

Objective: Suicide is a leading cause of death in college age students. Identification of the associated risk factors has important implications for how to prevent and respond to this population; however, few studies have been performed on this topic in this age group. The purpose of this study was to evaluate the prevalence and risk factors associated with suicide ideation and attempts in college students. Methods: Three hundred sixty-eight college students participated in this cross-sectional observational study. The recent (over two weeks) suicide ideation and lifetime suicide attempts were defined according to Moscicki’s suicide behavior index. Sociodemographic variables were assessed and psychopathology measured using the Beck Depression Inventory, the Bipolar Spectrum Diagnostic Scale and the Alcohol Use Disorders Identification Test. A hierarchical multiple logistic regression analysis was used to identify the significant risk factors related to suicide ideation and attempts. Results: The two-week prevalence of suicidal ideation was 9.8%, and the lifetime prevalence of suicide attempts was 3.3%. The univariate analysis showed that students who had more severe depression (p<0.001), a higher probability for bipolar disorder (p<0.001) and decrement of academic achievement (p<0.005) were more likely to have suicide ideation. Those with factors such as severe depression (p<0.05), a higher probability of bipolar disorder (p<0.001), a low socioeconomic status (p<0.001), who lived alone (p<0.01), and were female (p<0.05) had a higher risk for suicide attempts. The most important predictors of suicide ideation, by the logistic regression analysis, were depression, probability for bipolar disorder and academic achievement, and the risks identified for suicide attempts were socioeconomic status and probability of bipolar disorder. Conclusion: Suicide ideation and attempts were common in college students. The results of this study suggest that early identification and management of mood disorders and other sociodemographic risk factors may have implications for intervention and prevention. Objective: Suicide is a leading cause of death in college age students. Identification of the associated risk factors has important implications for how to prevent and respond to this population; however, few studies have been performed on this topic in this age group. The purpose of this study was to evaluate the prevalence and risk factors associated with suicide ideation and attempts in college students. Methods: Three hundred sixty-eight college students participated in this cross-sectional observational study. The recent (over two weeks) suicide ideation and lifetime suicide attempts were defined according to Moscicki’s suicide behavior index. Sociodemographic variables were assessed and psychopathology measured using the Beck Depression Inventory, the Bipolar Spectrum Diagnostic Scale and the Alcohol Use Disorders Identification Test. A hierarchical multiple logistic regression analysis was used to identify the significant risk factors related to suicide ideation and attempts. Results: The two-week prevalence of suicidal ideation was 9.8%, and the lifetime prevalence of suicide attempts was 3.3%. The univariate analysis showed that students who had more severe depression (p<0.001), a higher probability for bipolar disorder (p<0.001) and decrement of academic achievement (p<0.005) were more likely to have suicide ideation. Those with factors such as severe depression (p<0.05), a higher probability of bipolar disorder (p<0.001), a low socioeconomic status (p<0.001), who lived alone (p<0.01), and were female (p<0.05) had a higher risk for suicide attempts. The most important predictors of suicide ideation, by the logistic regression analysis, were depression, probability for bipolar disorder and academic achievement, and the risks identified for suicide attempts were socioeconomic status and probability of bipolar disorder. Conclusion: Suicide ideation and attempts were common in college students. The results of this study suggest that early identification and management of mood disorders and other sociodemographic risk factors may have implications for intervention and prevention.

우리나라 중·고등학생의 자살 생각 관련요인 분석

곽수진,이윤정,정혜선 韓國學校保健學會 2009 韓國學校保健學會誌 Vol.22 No.2

Purpose: By analyzing factors related to suicide ideation of Korean middle and high school students. the purpose of this study was to multi-dimensionally understand suicide ideation of Korean middle and high school students and arrange the plans to prevent suicide. Methods: This study used and analyzed the data on 'The 3rd (Year2007) Korea Youth Health Risk Behavior We based Survey (KYHRBWS)' conducted by the Korea Centers for Disease Control and Prevention. In this study we analyzed 74,698 respondents in total. SPSS 12.0 Program was used to analyze the survey. Descriptive statistics, Chi-Square Test and multivariate logistic regression were also used as research methods. Results: 23.8% of the Korean middle and high school students had suicide ideation during the last one year. Girls had higher possibility of suicide ideation by 1.51 times compared to boys. Students with poor academic achievement had more suicide ideation. In terms of health characteristics. students who perceived. themselves as not healthy. and students with short weekday sleeping hours. more drinking experience and more smoking experience had more suicide ideation than others. Furthermore. students who perceived themselves as overweight or obese had more suicide ideation than other students. In terms of mental characteristics, students with high level of stress. low level of happiness and depression had more suicide ideation. Conclusion : As a resuit of this study. we fa found out that the factor that had the biggest influence on suicide ideation of Korean middle and high school students was depression. Consequently, active supports and policies to decrease suicide ideation of Korean middle and high school students are necessary. Therefore, active interviews' education for suicide prevention, and periodical screening inspection should be introduced in schools

부모로부터 학대받은 경험이 청소년 자살에 영향을 미치는 경로에서 중학생과 고등학생 집단 간 차이

박재연 ( Jae Yeon Park ) 한국가족사회복지학회 2010 한국가족복지학 Vol.28 No.-

This study is aimed at examining the effects of child abuse on adolescent suicide, where both the mediating effects of family resiliency and social support, and the age differences are considered between middle school student and high school student. The data, collected from 664 high and middle school students, were examined by the statistics software SPSS 17.0 and AMOS 17.0 in which descriptive statistics, factor analysis, structural equation model analysis, and multi-group simultaneous analysis are utilized. The results of multi-group simultaneous analysis imply that depending on age factors, the child abuse has different effects on suicide, family resiliency and social support. The structural equation model shows that child abuse has positive effects on suicide both to middle and high school student. Middle school students are affected more strongly than high school students. In contrast, the child abuse has negative effects on family resiliency and social support. Similiarly, Middle school student are affected more strongly than high school student. But to only high school student, family resiliency and social support act as mediating factors, negatively affecting the suicide. To middle school student, both family resiliency and social support have no effects on adolescent suicide. Therefore, social workers need to make efforts to exterminate child abuse and pay attention more to middle school student`s suicidal risk. Family resiliency and social support should be enhanced to prevent suicide of high school student. Further research needs to explore more various mediating factors to prevent middle school student`s suicide

대학생의 취업스트레스, 진로결정자기효능감, 대학생활적응, 우울 및 자살생각 간의 구조적 관계분석

박선영,김종운 한국청소년상담복지개발원 2021 청소년상담연구 Vol.29 No.2

The purpose of this study was to examine structural relationships among college students’ job-seeking stress, career decision-making self-efficacy, adjustment to college life, depression, and suicidal ideation, and to determine direct or indirect effects that those variables have on one another. To achievw these goals, this study used a survey questionnaire with 600 students from four universities located in Busan Metropolitan City. Of those participants, responses from 560 students were used for data analysis. Data were analyzed using the structural equation modeling analysis with SPSS 21.0 and AMOS 20.0. Study finding are as follows. First, college students’ job-seeking stress had a direct effect on their adjustment to college life and depression while. The effects of job-seeking stress on career decision-making self-efficacy and suicidal ideation was not direct but just indirect. Second, college students’ depression had a direct effect on their suicidal ideatioN. Neither of students’ career decision-making self-efficacy or adjustment to college life had a direct effect on their suicidal ideation. Instead, adjustment to college life had an indirect influence on suicidal ideation. Third, college students’ job-seeking stress had an indirect effect on their suicidal ideation through depression as a mediator. College students’ job-seeking stress, adjustment to college life, and depression indirectly influenced their suicidal ideation as the three variables mediated one another in subsequent manners. However, college students’ job-seeking stress had no indirect effect on their suicidal ideation via career decision-making self-efficacy. These findings indicate that job-seeking stress not only makes it more difficult for college students to adapt themselves to college life, but also increase their depression that has much influence on suicidal ideation. Findings also suggest that college students’ adjustment to college life can be a protective factor which reduces their suicidal ideation as the former has an indirect effect on the latter. This findings are meaningful in that why colleges, counselors. and government agencies related to employment should work together to develop and implement year-based customized programs that help prevent college students’ job-seeking stress from leading to their suicidal ideation. 본 연구의 목적은 대학생의 취업스트레스, 진로결정자기효능감, 대학생활적응, 우울 및 자살생각 간의 구조적 관계를 알아보고, 직․간접효과를 규명하는 것이다. 이를 위해 부산광역시에 소재한 국립 BS, BK 대학교 및 사립 DA, DM, SL 대학교에 재학 중인 학생 600명을 대상으로 설문을 실시하였으며, 560명의 자료를 최종 분석에 사용하였다. 수집된 자료는 SPSS 21.0과 AMOS 20.0 프로그램을 사용하여 구조방정식 모형 분석을 실시하였다. 본 연구의 결과 및 논의를 통해 얻어진 결론은 다음과 같다. 첫째, 대학생의 취업스트레스는 대학생활적응, 우울에 직접적인 영향을 미친다. 그러나 진로결정자기효능감, 자살생각에는 직접적인 영향을 미치지 않고 간접적인 영향을 미친다. 둘째, 우울은 대학생의 자살생각에 직접적인 영향을 미친다. 그러나 진로결정자기효능감은 대학생의 자살생각에 직접적인 영향을 미치지 않고, 대학생활적응만 대학생의 자살생각에 간접적인 영향을 미친다. 셋째, 대학생의 취업스트레스는 우울을 매개로 자살생각에 간접적인 영향을 미치며, 대학생의 취업스트레스는 대학생활적응과 우울을 순차적으로 매개하여 자살생각에 간접적인 영향을 미친다. 그러나 대학생의 취업스트레스는 진로결정자기효능감을 매개하여 자살생각에 간접적인 영향을 미치지 않는다. 이는 대학생의 취업스트레스가 대학생활적응을 어렵게 하고 자살생각에 많은 영향을 미치는 우울을 증가시킴으로써, 대학생의 자살생각을 높일 수 있는 중요한 작용을 한다는 것을 의미한다. 뿐만 아니라 대학생활적응이 자살생각에 간접효과가 있으므로 자살생각을 완화하는 보호요인임을 검증하였다. 대학생의 취업스트레스가 자살생각으로 이어지는 것을 예방하기 위해서 대학, 상담 및 취업 관련 정부 산하 공공기관들이 심리․정서 지원과 학년별 맞춤형 취업․진로 프로그램 개발 및 보급 등의 지원이 필요하다는 것을 검증하였다는 점에서 본 연구의 의의가 있다.

COVID-19 팬데믹 시기 간호대학생의 사회접촉과 자살사고: 우울, 외로움의 매개효과

김남이,김지은 한국학교보건학회 2023 韓國學校保健學會誌 Vol.36 No.2

Purpose: Over the past two years, most Korean nursing students had to go through distance learning due to the COVID-19 pandemic. During the pandemic, amental health crisis has emerged among nursing students in South Korea. The study aimed to examine the relationships among social contact, depression, loneliness, and suicidal ideation. Methods: A cross-sectional survey design was used to collect data from nursing students. The survey was conducted onlinein South Korea. A total of 184 nursing students were recruited from December 2021 to April 2022. For data analysis,the frequency, percentage, mean and standard deviation of the general characteristics of the subjects were calculated using IBM/SPSS Statistics 25.0. To examine the mediating effect of depression and loneliness on the relationship between social contact and suicidal ideation, multiple linear regression was used to analyze associations among social contact, depression, loneliness, and suicidal ideation. Results: The average age was 22.69±5.66 years (range=18~54), and the sex distribution was 155 females among 184 nursing students. Lower social contact among nursing students was significantly associated with higher depression and loneliness. Loneliness significantly mediated the relationship between social contact and suicidal ideation innursing students. Conclusion: The findings suggest that strategies for enhancing social contact and reducing depression and loneliness should be considered to improve suicidal ideation among nursing students. Purpose: Over the past two years, most Korean nursing students had to go through distance learning due to the COVID-19 pandemic. During the pandemic, amental health crisis has emerged among nursing students in South Korea. The study aimed to examine the relationships among social contact, depression, loneliness, and suicidal ideation. Methods: A cross-sectional survey design was used to collect data from nursing students. The survey was conducted onlinein South Korea. A total of 184 nursing students were recruited from December 2021 to April 2022. For data analysis,the frequency, percentage, mean and standard deviation of the general characteristics of the subjects were calculated using IBM/SPSS Statistics 25.0. To examine the mediating effect of depression and loneliness on the relationship between social contact and suicidal ideation, multiple linear regression was used to analyze associations among social contact, depression, loneliness, and suicidal ideation. Results: The average age was 22.69±5.66 years (range=18~54), and the sex distribution was 155 females among 184 nursing students. Lower social contact among nursing students was significantly associated with higher depression and loneliness. Loneliness significantly mediated the relationship between social contact and suicidal ideation innursing students. Conclusion: The findings suggest that strategies for enhancing social contact and reducing depression and loneliness should be considered to improve suicidal ideation among nursing students.

한국 대학생 자살의 특성

장창민(Chang Min Jang),최지영(Ji Young Choi) 한국보건교육건강증진학회 2011 보건교육건강증진학회지 Vol.28 No.5

Objectives: This study is to gain an understanding of the characteristics of suicides committed by university students in Korea by assessing news reports. Methods: A total of 97 news reports on university student suicides on daily newspapers and TV newscasts from 2000 to 2011 are included in this study. Analyses were performed on sociodemographic characteristics of suicided university students and temporal and other characteristics of the suicides. Results: Suicide rate was higher among males than females. The most frequently used method of suicide was jumping off while the most common place was the students’ residence. Issues related to academic and financial problems topped as the reasons for suicide. There were no differences in the reasons for committing suicide by school year and enrollment, but the location and season of committing suicide differed by reasons for suicide. Conclusions: Implication of this study, discussion on the results and suggestions for suicide prevention are discussed.

중학교 학생들의 자살에 대한 인식도 조사

정승호(Seung-Ho Jung),이상은(Sang-Eun Lee),박판순(Pan-Soon Park),이순득(Soon-Deuk Lee),최혜진(Hye Jin Choi),이희원(Hee Won Lee),김철응(Chul-Eung Kim) 대한소아청소년정신의학회 2013 소아청소년정신의학 Vol.24 No.1

Objectives:The aim of this study was to examine attitudes of middle-school students toward happiness, suicide, and factors associated with suicide. Methods:A self-administered questionnaire was used in a cluster sample of 1,319 middle-school students (male 793, female 526). Data were obtained on a wide range of constructs regarding their attitude towards happiness, suicidal ideation and attempts, and factors associated with suicide. Results:Middle-school students choose ‘love within family’ as most important factor for their happiness. Subjective mental health status was mostly associated with happiness. Subjects in lower socioeconomic status tended to respond their mental health status was not good and have more suicidal idea. 48.7% of subjects had permissive attitudes toward suicide, especially, girls. However, 65.0% responded that suicide was preventable problem. Compared to older people, middle-school students perceived that environmental factors were more important than innate and personal factors for suicide. Conclusion:Results of the study indicate that middle-school students have permissive attitudes toward suicide, but positive attitudes for the prevention of suicide. This suggest that education in these age group could be effective for the prevention of suicide. Also, approaches to suicide prevention programs should be developed based on the family intervention. Especially, we should care about girls and adolescents in lower socioeconomic status.

도시·농촌지역 고등학생들의 자살에 대한 인식 및 태도 비교

송성호(Song, Sung-Ho),강창렬(Kang, Chang-Yeol) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.4

본 연구는 도시․농촌지역 고등학생들의 자살에 대한 인식 및 태도를 알아보고, 그에 관련된 요인을 파악하기 위하여 우리나라 중부권에 소재한 K시의 도시지역 학생 1,114명, 농촌지역 학생 968명을 대상으로 2009년 7월 1일부 터 7월 31일까지 구조화된 자기기입식 설문지를 이용하여 설문조사하였다. 연구결과 최근 1년간 자살생각을 갖은 고 등학생은 38.8%였으며 도시와 농촌 간에 유의한 차이가 없었다. 자살에 대한 인식 및 태도는 농촌지역학생이 도시지 역학생보다 높았으며, 자살 인식도에 영향을 미치는 관련요인으로 도시지역학생은 부모와 동거유무, 학교계열, 최근1 년 간 자살생각유무, 자살태도가 유의한 변수로 선정되었으며(설명력 22.3%), 농촌지역학생에서는 성별, 부모와 언쟁 유무, 최근1년 자살생각유무, 자살태도가 유의한 변수로 선정되었다(설명력 37.1%). 자살태도에 영향을 미치는 관련요 인으로 도시지역학생은 학교계열, 자살 인식도가 유의한 변수로 선정되었으며(설명력 20.6%), 농촌지역학생은 성별, 흡연유무, 자살 인식도가 유의한 변수로 선정되었다(설명력 38.8%). 따라서 자살에 대한 인식과 태도에 영향을 주는 가정환경 및 학교생활 변인을 적극적으로 관리하는 프로그램 개발 및 자살예방을 위한 지속적인 관심과 지도가 필요 하다. This study was performed to determine the levels of suicide awareness and attitudes among the high school students in urban and rural areas, and to reveal its related factors. The interviews were performed, during the period from July 1, to July 31, 2009, to the 2,082 students in urban and rural areas. As a results, the suicide awareness rate of subjects was 38.8%, and they were not significant between urban and rural areas. The levels of suicide awareness and attitudes were significantly higher in rural students than that of urban students. The factors affecting suicide awareness in urban areas were living with parents, academic speciality, suicide ideation, suicide attitudes, and sex, argument with parents, suicide ideation and suicide attitudes were affected in rural areas. The factors affecting suicide attitudes in urban areas were academic speciality, suicide awareness, and sex, smoking and suicide awareness were affected in rural areas. In conclusion, the development of suicide prevention programs would required to keep under management of the factors affecting suicide awareness and attitudes such as the factors family and school lifes.

졸업예정 여대생의 자살 관련 요인이 도움 행동에 미치는 영향: 도움 추구와 도움 제공을 중심으로

김혜성 한국사회복지교육협의회 2013 한국사회복지교육 Vol.21 No.-

The purpose of this study is to examine the association between suicide related variables and helping behaviors among female senior university students. 390 female college students from three universities located in Seoul and Gyeonggi province participated in this study. Participants completed self report survey. Independent variables were comprised with suicide related variables which included suicide resilience(internal protective factor, emotional stability, external protective factors), suicide risks, and knowledge about suicide. Socio-demographic variables included physical health status, mental health status, and economic status. As dependent variables, help-seeking and help-giving variables were included. Results of logistic regression analysis indicated that emotional stability and suicide risks decreased the probability of help-seeking, while external protective factor increased the probability of help-seeking. Results of regression analysis indicated that internal protective factor, external protective factor, suicide risks, and knowledge about suicide increased help-giving. Based on the findings, implications and future directions were discussed. 20대 여성의 자살사망률은 지속적으로 증가해왔으나, 자살예방에서 사회적 관심은 낮았다. 이에 연구자는 기존의 연구에서 제시하고 있는 자살관련 요인과 도움 행동에 대하여 살펴보아, 20대 여성을 위한 효과적인 자살예방 전략의 기초 자료와 함의를 제공하고자 하였다. 서울과 경기 지역에 위치한 중간 규모 남녀공학 3개 대학교에서 졸업예정 여대생을 조사 대상자로 선정하였다. 최종 분석에는 390명을 포함하였다. 독립변인에는 자살관련 요인인 ‘자살레질리언스’(내부 보호요인, 정서적 안정성, 외부 보호요인), ‘자살위험’, ‘자살에 관한 지식’을 포함하였다. 종속변인은 도움행동으로 도움 추구와 도움 제공 등의 두 변인을 포함하였다. 개인적 특성 변인으로는 주관적으로 인식한 신체건강과 정신건강, 그리고 경제적 지위를 포함하였다. 로지스틱 회귀분석과 회귀분석 결과, 자살레질리언스의 하위 영역 중 ‘정서적 안정성’이 낮을수록, ‘외부 보호요인’이 높을수록, 그리고 ‘자살위험’이 낮을수록, 도움추구를 할 가능성이 증가하는 것으로 나타났다. 도움제공의 경우는, 자살레질리언스의 하위 영역 중 ‘내부보호요인’과 ‘외부보호요인’, 자살위험, 그리고 자살에 관한 지식이 높을수록 도움제공 수준이 증가하는 것으로 나타났다. 연구 결과를 바탕으로 자살예방의 실천 전략을 논의하였다.