청소년 우울증에서 비자살적 자해에 영향을 주는 심리사회적 요인 = Psychosocial Factors that Influence on Non-Suicidal Self-Injury in Depressed Adolescents

다국어 초록 (Multilingual Abstract)

Objective : The object of our study was to compare the psychosocial and clinical characteristics between depressed adolescents with a history of Non-suicidal self-injury (NSSI) and those without a history of NSSI. Method : We recruited 63 subjects, age 13-18 adolescents who were diagnosed as depressive disorders with Korean version of Kiddie-Schedule for Affective Disorder and Schizophrenia Present and Lifetime Version. Adolescents completed Beck depression inventory, Revised children’s manifest anxiety scale, Beck suicidal ideation Scale, physical abuse and emotional abuse scale. Results : Results showed that suicidal ideation score (21.88, p=0.01), emotional (32.62, p=0.003) and physical (31.70, p=0.001) abuse score were higher in adolescents with a history of NSSI than those without a history of NSSI. Regression analysis indicated that suicidal ideation have a small but significant influence on NSSI event (beta=0.144, p=0.017). Conclusion : Our findings suggested that clinicians should consider the possibility of abuse history and suicidality in adolescents with a history of NSSI.

참고문헌 (Reference)

1 이동훈, "청소년 자해의 이해 및 특성에 대한 고찰" 한국청소년상담복지개발원 18 (18): 1-24, 2010

2 Harris L, "Value of measuring suicidal intent in the assessment of people attending hospital following self-poisoning or self-injury" 186 : 60-66, 2005

3 Kwon J, "The effects of physical abuse to the emotions and behaviors in children" 3 : 73-83, 1992

4 Favazza AR, "The coming of age of self-mutilation" 186 : 259-268, 1998

5 김영신, "The Reliability and Validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version (K-SADS-PL-K)" 연세대학교의과대학 45 (45): 81-89, 2004

6 Park M, "The Effects of emotional abuse by mother on children’s selfefficacy and tendency of interpersonal relations" Sookmyung women’s university 2003

7 Whitlock J, "Self-injurious behaviors in a college population" 117 : 1939-1948, 2006

8 Haw C, "Psychiatric and personality disorders in deliberate self-harm patients" 178 : 48-54, 2001

9 Park K, "Perceived stress and suicidal ideation of high school stidents" 10 : 298-314, 1991

10 Lipschitz DS, "Perceived abuse and neglect as risk factors for suicidal behavior in adolescent inpatients" 187 : 32-39, 1999

11 John P, "Nonsuicidal Self injury in Adolescents" 5 : 20-26, 2008

12 Laye-Gindhu A, "Non-suicidal self-harm among community adolescents: Understanding the ‘whats’ and ‘whys’ of selfharm" 34 : 447-457, 2005

13 The Korea national statistical office, "Mortality statistics" 2010

14 Suominen K, "Mental disorders and comorbidity in attempted suicide" 94 : 234-240, 1996

15 Straus MA, "Measuring Intra-family Conflict and Violence: The Conflict Tactics Scale" 36 : 13-29, 1979

16 Paris J, "Does childhood trauma cause personality disorders in adults?" 43 : 148-153, 1998

17 Turell SC, "Differentiating incest survivors who self-mutilate" 24 : 237-249, 2000

18 Peterson AC, "Depression in adolescence" 48 : 155-168, 1993

19 McGee R, "DSM-III disorders from age 11 to 15 years" 31 : 50-59, 1992

20 Posner K, "Columbia Classification Algorithm of Suicide Assessment (C-CASA): classification of suicidal events in the FDA’s pediatric suicidal risk analysis of antidepressants" 164 : 1035-1043, 2007

21 Van Harmelen AL, "Child abuse and negative explicit and automatic self-associations: the cognitive scars of emotional maltreatment" 48 : 486-494, 2010

22 Muehlnkamp JJ, "Borderline personality symptoms differentiate non-suicidal and suicidal self injury in ethnically diverse adolescent outpatients" 52 : 148-155, 2011

23 Choi J, "Assessment of Anxiety in Children" 29 : 691-702, 1990

24 Burke KC, "Age at onset of selected mental disorders in five community populations" 47 : 511-518, 1990

25 Son S, "Adults do not know that we suffer from anxiety and depression" 811 : 66-67, 2011

26 Kim Y, "A study of the relationship among parent’s characteristics, family environment of low income family children and the child neglect" Chungnam national university 2002

27 Ross S, "A study of the frequency of self-mutilation in a community sample of adolescents" 31 : 67-77, 2002

28 Hahn H, "A standardization study of Beck Depression Inventory in Korea" 24 : 487-500, 1986