Earticle

본 연구는 좌절된 소속감에 대한 개념분석 연구로 개념의 속성을 확인하고 명확히 정의하기 위해 Walker & Avant의 개념분석 방법을 근거로 하였다. 좌절된 소속감의 속성은 왜곡된 신념, 소속욕구 불충족, 소외감, 상호교류와 애정욕구의 불충족으로 도출되었다. 선행요인은 사회적 고립, 대인관계에서 배제 또는 갈등 경험, 완벽주의적 성향, 거 부민감성이며, 결과는 자살생각, 행복 및 삶의 만족 감소와 거부에 대한 불안, 우울, 수치심, 외로움, 스트레스 또는 분노, 공격성, 적대감 같은 부정적 정서 및 자기비난, 절망감, 자포자기, 정서표현 억제, 무기력, 관계에서 스스로 배제, 정체성 혼란이다. 본 연구는 대인관계와 관련된 개인의 정신적 건강 및 자살생각과 관련된 예방 가능한 간호중재의 범 위를 파악할 수 있었다는 것에 의의가 있고, 향후 좌절된 소속감을 측정할 수 있는 도구개발 및 현장연구를 통해 본 연구의 속성을 검증해 볼 수 있는 후속 연구를 제언한다.

The purpose of this study is conceptual analysis study on the thwarted belongingness, and was based on the conceptual analysis method of Walker & Avant to make clear concept. Thwarted belongingness can be defined by the following attributes: distorted beliefs, insufficient need to belong, a sense of alienation, and insufficient interaction and affection needs. The prerequisites for thwarted belongingness were social isolation, experiences of exclusion or conflict in interpersonal relationships, perfectionist tendencies, and sensitivity to rejection. The consequences occurring as a result of thwarted belongingness were suicidal ideation, decreased happiness and life satisfaction, negative emotions such as anxiety about rejection, depression, shame, loneliness, stress or anger, aggression, hostility and self-criticism, despair, suppression of emotional expression, lethargy, self-exclusion from relationships, and identity confusion. This study is valuable to identify the extent of preventable nursing interventions related to individual mental health and suicidal ideation related to interpersonal relationships, and suggests future tool development and field studies of thwarted belongingness.

본 연구는 일반 성인 399명을 대상으로 자살사고의 심각도를 측정할 수 있는 자살사고 속성척도(Suicidal Ideation Attributes Scale; SIDAS)를 타당화하는 데 목적이 있다. 이를 위해 2020년 7월~8월까지 약 2주간 온라인으로 수집된 자료를 사용하였다. 첫째, 연구참여자의 인구사회학적특성과 우울, 불안, 자살사고, 자살계획, 자살준비, 자살시도 집단에 따른 SIDAS 점수의 차이를 확인한 결과, 성별과 거주형태, 우울과 불안 증상 유무, 자살사고, 자살계획, 자살준비, 자살시도의 유무에 따라 집단 간 SIDAS 점수의 차이가 있는 것으로 나타났다. 둘째, SIDAS의 타당도를 확인하기 위해 SIDAS 문항과 컬럼비아 자살심각도 척도(C-SSRS) 자살사고 강도 문항, 로젠버그 자아존중감 척도(RSE) 문항 간의 상관을 확인한 결과, 문항 간 상관과 C-SSRS의 자살사고 강도 문항과는 모두 유의한 상관이 나타났으며, RSE의 문항과는 부정 상관이 나타나거나 상관이 유의하지 않게 나타났다. 셋째, SIDAS 척도의요인구조를 확인하기 위해 전체 응답자와 자살사고를 보고한 응답자를 대상으로 확인적 요인분석을 실시한 결과, 두 집단 모두에서 단일요인 구조가 적절한 것으로 나타났으며 내적일치도 또한 양호한 것으로 나타났다. 마지막으로, 연구참여자의 지난 1년간 자살계획 여부에 영향을 미치는 변인을 확인한 결과 자살사고에 대한 통제가능성과 연령이 유의한 예측 변인으로 확인되었다. 본 연구에서는 웹 기반으로 사용하도록 설계된 SIDAS 척도를 한국에서도 적절하게 사용할 수 있음을 확인할 수 있었다. 본 연구는 추후 온라인 심리치료에 활용 가능한기초자료를 제공하고, 국내 일반 성인에게 적용가능한 신뢰롭고 타당한 자살사고 측정도구를 제시하였다는 점에서 의의가 있다

The purpose of this study was to validate the Suicidal Ideation Attributes Scale(SIDAS) which can measure the severity of suicidal ideation in a sample of 399 Korean adults. For this purpose, an online survey was conducted for two weeks from July 2020 to August 2020. First, there were differences in SIDAS scores among groups divided by gender, residence status, depression and anxiety symptoms, suicidal ideation, suicidal plan, suicidal preparation, and suicidal attempt. Second, correlations between SIDAS, C-SSRS suicidal ideation intensity question(3 items), and the Rosenberg Self-efficacy (RSE) were examined to confirm the validity of SIDAS. As a result, correlations between the SIDAS and suicidal ideation intesity items of C-SSRS were significant in all items, while correlations between the SIDAS and RSE items were negative or insignificant. Third, as a result of the confirmatory factor analysis of SIDAS on all respondents and respondents with suicidal ideation, a single factor structure was appropriate for both groups. Internal consistency of SIDAS was also good. Lastly, as a result of identifying the variables affecting the suicidal plan over the past year, controllability and age were identified as significant predictive variables. SIDAS which was designed to be administered through web, can be appropriately used in Korea. It was confirmed that SIDAS is a reliable and valid suicidal ideation scale which is applicable to adults in Korea.

Purpose. The purposes of this study were 1) to examine the differences in suicidal ideation and psychological variables by gender, 2) compare the contribution of demographic-behavioral variables and psychosocial variables in explaining the variance in suicidal ideation, and 3) identify the most important predictors of suicidal ideation for male adolescents and female adolescents. Methods. The subjects consisted of 271 male adolescents and 230 female adolescents. Data were collected through self-report questionnaires, which were constructed to include SSI-C, DEP subscale of the SCL-90-R, PACI, and SWLS. The data were analyzed by the SPSS/WIN program. Results. Suicidal ideation differed by gender. Depression and family communication differed by gender. The unique contribution of demographic-behavioral variables and psychosocial variables in explaining the variance in suicidal ideation differed between male adolescents and female adolescents. The significant predictors of suicidal ideation for male adolescents were life satisfaction, depression, and family communication, explaining $28\%$ of the variance in suicidal ideation. The significant predictors of suicidal ideation for female adolescents were depression, smoking, and life satisfaction, explaining $38\%$ of the variance in suicidal ideation. Conclusion. The findings of this study suggest that the approach to effective suicide prevention program for adolescents should consider gender differences.

Purpose: This study aimed to identify factors influencing suicidal ideation among workers using data from the 2021 Korea National Health and Nutrition Examination Survey (KNHANES VIII-3), providing foundational data for workplace suicide prevention programs.Methods: This descriptive correlational study analyzed data from 2,287 employed workers using hierarchical logistic regression to examine relationships between general characteristics, health behaviors, physical and mental health, and suicidal ideation.Results: The prevalence of suicidal ideation among workers was 3.6%. The primary influencing factors were lower educational level (≤ middle school; OR = 3.33), depression (OR = 10.77), generalized anxiety disorder (OR = 4.63), mild anxiety (OR = 2.51), and stress (OR = 1.82). Mental health variables significantly increased explanatory power from 8% to 37%.Conclusion: These findings highlight the critical role of mental health, particularly depression and anxiety, in predicting suicidal ideation among workers. Workplace mental health management programs should include comprehensive mental health assessments and early intervention strategies addressing not only severe conditions but also mild anxiety symptoms.

This cross-sectional design study was undertaken to determine the factors associated with suicidal ideation in human immunodeficiency virus (HIV)-infected older adults. Data from a city-wide representative sample collected by the Seoul Metropolitan Government were used. The cross-sectional survey was conducted between February and March 2013. Participants selected and included in the analysis were HIV-infected adults living in Seoul, and aged 50 years and older. The overall adjusted model showed that being unemployed (adjusted odds ratio [aOR], 3.34; 95% confidence interval [CI], 1.16-9.57), a history of depression treatment (aOR, 4.61; 95% CI, 1.02-20.66), perceived belongingness (aOR, 0.63; 95% CI, 0.41-0.99), and psychological functioning (aOR, 0.85; 95% CI, 0.73-0.99) were significantly related to suicidal ideation. Psychosocial features were found to be strongly associated with suicidal ideation among HIV-infected older adults. The findings could be useful for HIV nursing consultants to identify HIV-infected older adults who are vulnerable to suicidal ideation. Comprehensive mental health services should be provided as coping resources for HIV-infected older adults who have suicidal ideation.

Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

Objective: In this study, we examined the relationships among activity limitations, mental health (depression and generalized anxiety disorder), and suicidal ideation among Korean adults aged 20-64 years, and identified those factors associated with suicidal ideation. Methods: In this cross-sectional study, we used 2022 KNHANES data to examine the associations among activity limitation, depression (PHQ-9), anxiety (GAD-7), and suicidal ideation in Korean adults aged between 20 and 64 years of age, focusing on general characteristics, health behaviors, and mental health variables. Data were analyzed using t-tests, chi-square tests, and logistic regression, accounting for the complex survey design. Results: Compared with adults without activity limitations, those with limitations were found to have significantly higher rates of depression (16.8% vs. 3.1%), generalized anxiety disorder (16.0% vs. 3.5%), and suicidal ideation (13.6% vs. 3.1%). After adjusting for covariates, activity limitations remained independently associated with suicidal ideation (AOR = 1.91, 95% CI = 1.19-3.05), with depression (AOR = 5.15) and anxiety severity showing the strongest associations with suicidal ideation. Adults who performed strength training five or more days per week were found to have lower odds of suicidal ideation compared with those who performed no strength training (AOR = 0.39, 95% CI = 0.19-0.79). Highly perceived stress (AOR = 3.29) and a middle school education or less (AOR = 2.35) were also identified as significant risk factors. Conclusions: Activity limitations are independently associated with suicidal ideation among working-age adults in Korea. Integrated interventions addressing both physical function and mental health, including tailored strength training programs, could make a valuable contribution to preventingsuicide in this population.

Purpose: This study aimed to categorize the factors related to suicidal ideation among elderly individuals living alone into social and psychological levels. By gradually incorporating these levels, the study aimed to clarify the influence of significant factors. Methods: This study adopted cross-sectional correlational methods. The study sampled 154 elderly people aged over 65 years and living alone. Using hierarchical regression analysis, SPSS 26.0 analyzed the impact of sociological factors (social support, experiences of elderly discrimination, social participation) and psychological factors (self-esteem, depression, sense of isolation) on suicidal ideation among elderly individuals living alone. Results: The results of the significance tests for the regression coefficients in the final model indicated that social support (β=-.17, p<.05), self-esteem (β=-.39, p<.001), depression (β=.22, p<.001), and sense of isolation (β=.39, p<.001) significantly impacted suicidal ideation. This regression model had an explanatory power of about 59.2%. Conclusion: This study suggests the importance of identifying various social resources for elderly individuals living alone and exploring supportive measures tailored to individual circumstances. By predicting social risk factors that elderly individuals may face and preventing exposure to negative psychological states, early detection and intervention may reduce suicidal ideation, ultimately contributing to integrated community care policies that enhance the quality of life for elderly individuals living alone.

Purpose: This study is to identify how the meaning in life, depression, and social support influences the suicidal ideation of old adult hemodialysis patients. Methods: A cross-sectional design was used. A descriptive correlative study was conducted through an organized and structured self-administrated questionnaire survey for 120 sampled old adult renal dialysis patients. The collected data were analyzed by t-tests, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis using the Stata 13.0 program. Results: The suicidal ideation of participants was positively correlated with the meaning in life, and social support, and the depression was negatively correlated with the suicidal ideation. Significant factors influencing the suicidal ideation included the meaning in life, depression, social support, age, caregiver, monthly income, and smoking. These factors explained 68% of the variance. Conclusion: The depression of old adult hemodialysis patients was a major risk factor that increased suicidal ideation, and the meaning in life and social support was a protective factor that reduced the suicidal ideation. These results suggest that health professionals should provide old adult hemodialysis patients with proper management of suicidal ideation, and depression as well as its meaning in life, and social support.

Suicide among young adults is global social issue. Suicidal ideation is recognized to be a key predictor of suicide. According to the interpersonal theory of suicide (IPTS), suicidal ideation is associated with perceived burdensomeness. In interpersonal relationships, perceived burden-someness as a distorted evaluation of one’s value leads to self-criticism. Suicide is described as “arrested flight” in an evolutionary context and is explained as a way to escape from self-criticism. Thus, self-criticism may be a necessary risk factor for suicidal ideation. This study verified whether self-criticism (self-criticizing and self-attacking) mediates the relationship be-tween perceived burdensomeness and suicidal ideation among young adults. The results showed that self-criticizing and self-attacking partially mediated the relationship between per-ceived burdensomeness and suicidal ideation, with self-attacking having a greater effect. Ther-apeutic interventions appropriate for the degree of self-criticism are required in clinical inter-ventions and suicide prevention programs for young adults.

Purpose: Suicide is a global public health concern, significantly affecting young adults across the world. Studies have shown that nursing students exhibit a higher propensity for suicidal ideation in comparisonto students from other academic disciplines. Personality traits have been recognized as a significant andcomparatively consistent risk factor for suicidal ideation. However, the specific pathways through whichpersonality traits influence suicidal ideation are not yet fully understood. Based on the Interpersonal-Psychological Theory of Suicide, this study aimed to examine the serial mediation effects of depressivesymptoms, thwarted belongingness, and perceived burdensomeness in the relationship between the BigFive personality traits and suicidal ideation among nursing students. Methods: A descriptive cross-sectional survey was conducted. A sample of 435 nursing studentsparticipated in the online survey. Participants completed Chinese versions of questionnaires of theSuicidal Behaviors Questionnaire-Revised, Big Five Personality Inventory-15, Patient HealthQuestionnaire-9, and Interpersonal Needs Questionnaire. SPSS version 27.0 and the PROCESS 4.3 macromodel 6 were used for statistical analyses. Results: The prevalence of suicidal ideation among nursing students was 17.5%. Neuroticism (b ¼ 0.26,p < .001), conscientiousness (b ¼ -0.10, p ¼ .001), agreeableness (b ¼ -0.14, p < .001), openness (b ¼ -0.11,p < .001), and extraversion (b ¼ -0.19, p < .001) had a statistically significant total effect on suicidalideation. Furthermore, significant indirect effects were found between Big Five personality traits andsuicidal ideation, serially mediated by depressive symptoms, thwarted belongingness, and perceivedburdensomeness. Conclusions: The findings indicate that nursing students exhibit high levels of suicidal ideation, whichare influenced by their Big Five personality traits. This relationship appears to be serially mediated bydepressive symptoms, thwarted belongingness, and perceived burdensomeness, aligning with theInterpersonal-Psychological Theory of Suicide. Therefore, interventions focused on reducing depressivesymptoms in nursing students with vulnerable personality traits may help mitigate feelings of thwartedbelongingness and perceived burdensomeness, ultimately reducing suicidal ideation.

This study aimed to investigate the factors influencing suicidal ideation among underutilized workers during the COVID-19 pandemic, using the stress process model as a framework. Data from 717 underutilized adults in South Korea were purposively sampled through an online survey and analyzed using multiple logistic regression to examine the sequential impact of labor underutilization context, cognitive appraisal, negative life experiences during the pandemic, psychological factors (such as depression and embitterment), and coping resources. The analysis showed that 30.7% of respondents reported suicidal ideation. Elevated levels of depression and embitterment were significantly associated with suicidal ideation, with embitterment showing a stronger and relatively independent association. Additionally, more negative life events, perceived difficulty in reemployment, and low self-efficacy were also associated with a heightened risk of suicidal ideation. Our study highlights the importance of effective emotion and stress management strategies to reduce suicide risk among the unemployed, taking a broader perspective on labor underutilization.

이 연구는 장애아동을 둔 어머니들의 우울과 자살생각사이에서 자아탄력성의 역할을 검증하고자 하였다. 본 연구 대상자들은 특수교육기관을 통해 표본 추출을 하였다. 234명의 장애아동을 둔 어머니 대상으로 연구를 실시하였다. 연구결과 장애아동을 둔 어머니들의 우울증이 증가할수록 자살생각도 높아지는 것으로 확인되었다. 다중회귀분석 결과 우울증은 자살생각에 중요 변수인 것으로 확인되었다. 또한 자아탄력성도 자살생각에 강력한 영향을 주는 변수로 확인되었다. 본 연구는 자아탄력성의 완충효과를 검증하고자 하였다. 연구 결과, 자아탄력성은 우울과 자살생각 사이에서 완충효과가 있는 것으로 나타났다. 본 연구 결과를 토대로 향후 장애아동을 둔 어머니들의 자살예방을 위한 사회복지 실천적 함의와 정책적 함의에 대하여 토론하였다.

This study examines the role of resilience on the relationship between depression and suicidal ideation among mothers of children with mental retardation. The sample for this study was drawn from several special education schools in South Korea. A total of 234 mothers of children with mental retardation completed the survey. The finding indicated that increased depression is associated with a high level of suicidal ideation. The results of hierarchical regression analysis showed that depression was a significant predictor of suicidal thought. After controlling for the effects of demographic variables, resilience made a significant contribution in changing suicidal thought. This study also examined whether resilience moderates the effects of depression on suicidal ideation. There was evidence in favor of the moderating roles of resilience. Implications of social work practices and social work policy for preventing suicide among mothers of children with disability will be discussed.

본 연구는 우울감있는 성인의 나이에 따른 자살생각에 영향을 주는 요인을 파악하여 자살시도를 사전에 예방하기 위한 간호중재 시 기초자료를 제공하고자 시도되었다. 본 연구대상자는 보건복지부와 질병관리본부에서 시행한 2013-2015 년도 국민건강영양조사 대상자 총 15,568명 중 ‘2주 이상 연속 우울감 여부’ 문항에 ‘있음’으로 명확하게 응답한 30세 이상 1,202명을 대상으로 하였다. IBM SPSS 23.0 프로그램을 이용하여 복합표본계획파일을 생성한 후 가중치를 부여하여 분석 하였으며, 유의수준은 .05로 하였다. 본 연구결과는 다음과 같다. 자살생각에 유의한 영향을 준 요인으로는 소득(50-60대), 가구원수(50-60대), 결혼상태(40-50대), 주관적 건강(30-50대, 70대 이상), 스트레스(30대, 50대 이상), 경제활동상태(50대), 당뇨(60대 이상), 음주량(60대), BMI(40대)로 나타났다. 따라서, 자살예방 계획 및 중재 시 대상자의 일반적ㆍ건강관련 요인 들을 고려한 맞춤식 중재가 필요하다.

The purpose of the study was to provide basic data for planning and offering nursing intervention to prevent suicide attempts by identifying the factors influencing the suicidal thoughts of depressed adults. The subjects of this study were 1,202 individuals who answered clearly in 2013–2015 National Health and Nutrition Survey. A composite sample plan file was generated using the IBM SPSS 23.0 program, and then the data were weighted and analyzed. Suicidal ideation was influenced by income (50–60s), number of family members (50–60s), marital status (40–50s), subjective health (30–50s, over 70s), stress (30s, over 50s), economic activity status (50s), diabetes (60s or older), alcohol consumption (60s), and Body Mass Index (BMI) (40s). These results suggest that tailor-made interventions for the prevention of suicide need to take into account the general and health-related factors of the subjects.

Purpose: This study was conducted to identify the factors of suicidal ideation in middle school students by gender, and to announce the necessity of gaining upon a socio-cultural comprehension-based approach. Methods: Three middle schools were randomly selected from a pool of 21 middle schools in S City, and were stratified by school and grade. A total of 878 students were included in the analysis. Multiple logistic regression analysis was conducted to identify the factors that affect suicidal ideation by gender. Results: Suicidal ideation and depression scores of the female students were over twofold higher than those of the male students. The factor that was found to affect suicidal ideation in the male students was depression while for the female students the factors were visiting suicide-related websites, having friends who attempted to commit suicide, depression, and poor communication with one’s parents. Conclusion: The findings in this study support gender differences in suicidal ideation, and suggest that building socio-cultural environments are needed to abate their negative emotions and to help youth find out their reasons to live.

본 연구는 한국의료패널 2022년도 연간 통합 데이터를 활용하여 밀레니얼 세대의 자살생각의 현황을 살펴보고, 자살생각과 관련된 요인을 분석함으로써 자살을 예방하기 위한 전략을 개발하는데 근거를 제공하고자 시행되었다. 한국의료패널 2022년도 연간 통합 데이터는 SPSS WIN version 26.0을 이용하여 카이제곱(chi-square), Fisher’s exact test 및 다중로지스틱 회귀분석(multiple logistic regression)을 실시하였다. 연구대상은 최근 1년 동안 자살생각 경험에 대한 질문에 응답한 밀레니얼 세대 1,304명이었으며, 자살생각 경험은 4.9%로 나타났다. 밀레니얼 세대의 자살생각은 우울한 경우 49.41배(CI=12.31-104.75, p<.001), 의료급여자 9.83배(CI=1.01-95.56, p=.049), 주관적 건강상태가 나쁜 경우 4.76배(CI=1.59-14.29, p=.005), 보통인 경우 2.86배(CI=1.22-6.67, p=.016), 불안한 경우 3.55배(CI=1.11-11.31, p=.032)로 그렇지 않은 경우보다 자살생각을 많이 하는 것으로 나타났다. 따라서 밀레니얼 세대의 특성과 자살생각에 관련된 요인을 고려한 자살예방 프로그램의 개발이 요구된다.

This study was conducted to examine the current status of suicidal ideation among the millennial generation using the Korea Health Panel Data 2022 and to provide a basis for developing strategies to prevent suicide by analyzing factors related to suicidal ideation. The Korea Health Panel Data 2022 were analyzed by chi-square, Fisher’s exact test, and multiple logistic regression using SPSS WIN version 26.0 program. The study subjects were 1,304 millennial generations and the rate of experiencing suicidal ideation was found to be 4.9%. The odds of suicidal ideation were significantly higher among Millennials who were depressed (49.41 times, CI=23.31–104.75, p<.001), medicaid recipients (9.83 times, CI=1.01–95.56, p=.049), reported poor (4.76 times, CI=1.59–14.29, p=.005) and fair (2.86 times, CI=1.22–6.67, p=.016) self-rated health status, and were anxious (3.55 times, CI=1.11–11.31, p=.032) compared to their respective counterparts. Therefore, the development of suicide prevention programs that consider the characteristics of the Millennial generation and factors related to suicidal ideation is required.

본 연구는 국민건강영양조사 2010년, 2015년, 2021년 원시자료를 활용하여 한국 20대 청년층의 자살생각에 영향을 미치는 요인을 시계열적으로 분석하고자 시도되었다. 본 연구는 서술적 조사연구이자 이차자료 분석연구로 총 2,126명의 데이터를 분석 대상으로 하였다. 자살생각 영향 요인을 분석한 결과, 2010년에는 성별, 교육 수준, 주관적 건강 상태, 인지된 스트레스, 정신문제 상담 여부가 유의미한 변수로 나타났다. 2015년에는 교육 수준, 주관적 건강 상태, 정신문제 상담 여부, 스트레스 인지정도, 보험의 유형이 유의미한 영향을 미쳤으며, 2021년에는 교육 수준, 주관적 건강 상태, 인지된 스트레스, 정신문제 상담 여부가 통계적으로 유의미한 차이를 보이는 변수로 확인되었다. 교육수준, 주관적 건강 상태, 정신문제 상담여부가 지속적으로 연관성이 있는 것으로 판단되었다. 본 연구는 대규모 국가 데이터를 활용하여 20대 자살생각의 변화 양상과 핵심 요인을 파악하였다는 데 의의가 있다. 분석된 영향 요인들을 바탕으로 자살예방을 위한 효과적인 개입 전략을 수립함으로써 향후 청년층 자살률 감소에 기여할 수 있을 것으로 기대된다.

This study aimed to identify factors associated with suicidal ideation among young adults in South Korea through a time-series analysis using data from the Korea National Health and Nutrition Examination Survey (KNHANES) conducted in 2010, 2015, and 2021. This study employed a repeated cross-sectional study design using secondary data analysis. The study sample included 2,126 young adults aged 20–29 years. The results indicated that several variables were significantly associated with suicidal ideation across the three survey periods. In 2010, gender, educational level, subjective health status, perceived stress, and experience of mental health consultation were identified as significant factors. In 2015, educational level, subjective health status, and experience of mental health consultation, type of insurance, perceived stress were significant variables. In 2021, educational level, subjective health status and perceived stress, and experience of mental health consultation showed statistically significant associations with suicidal ideation. Among these factors, educational level, subjective health status, and experience of mental health consultation consistently demonstrated significant relationships with suicidal ideation across all three time points. This study identified temporal trends and key determinants of suicidal ideation among young adults using nationally representative data. The findings provide empirical evidence for developing targeted suicide prevention strategies and mental health intervention programs aimed at improving the psychological well-being of young adults.

This study examined differences in suicidal ideation and sleep-related characteristics according to co-residence status with a family member with dementia and identified factors associated with suicidal ideation. Using data from the 2024 Community Health Survey (N = 184,468; weighted N = 30,229,946), complex-sample analyses compared individuals residing with a family member with dementia, individuals not residing with a family member with dementia, and individuals without a family member with dementia. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Suicidal ideation was most prevalent among individuals residing with a family member with dementia, who also exhibited significantly poorer sleep quality. Depression emerged as the strongest predictor of suicidal ideation across all groups. After adjustment, multiple sleep components of PSQI —including sleep disturbance, use of sleep medication, and daytime dysfunction—were independently associated with suicidal ideation. Tailored suicide prevention strategies incorporating sleep assessment may be particularly valuable for individuals residing with a family member with dementia.

Background: Although housing poverty, family conflict, and depression have been identified as significant predictors of suicidal ideation (SI) among people with disabilities (PWDs), especially in the COVID-19 situation, little attention has been paid to the mechanisms among these determinants. Objective: This study examined the mediating roles of family conflict and depression between housing poverty in the COVID-19 situation and SI. Methods: We analyzed the 15th 2020 Korean Welfare Panel Study, conducted during the implementation of social distancing measures in response to the COVID-19 pandemic. A final sample was 666 PWDs living with families, and two serial mediation analyses were conducted to examine the serial effects of housing poverty on SI, mediated via negative family conflict resolution and depression. Results: housing poverty was found to be a significant predictor of higher levels of negative family conflict resolution, consequently triggering depression, which, in turn, was associated with greater SI. Conclusion: The findings underscore the importance of addressing family conflict between PWDs and their family caregiver in cramped spaces amid the COVID-19 lockdown to prevent SI among PWDs.

본 연구는 장애인의 장애수용, 우울, 자아존중감, 가족건강성, 장애 관련 일상생활 제한 정도, 경제생 활 관련 어려움, 현재 삶의 만족도 정도와 자살생각 간의 관계를 확인하고자 장애인삶 패널조사를 이용한 이차 자료분석 연구이다. 본 연구는 SPSS/WIN 21.0 프로그램을 이용하여 장애인의 자살생각 에 미치는 영향 요인을 파악하기 위해 로지스틱 회귀분석을 실시하였다. 연구결과, 장애인의 자살생 각에 가장 큰 영향을 미치는 요인으로는 우울로 나타났으며, 자살생각이 없는 장애인에 비해 자살생 각이 있는 장애인의 우울이 5.59배 높게 나타났다. 반면, 가족건강성(0.63배), 자아존중감(0.66배)과 현재 삶의 만족도(0.89배)가 자살생각이 있는 장애인이 낮게 나타났다. 본 연구결과는 국내 장애인의 자살생각에 영향을 미치는 변인에 대한 기초적인 자료를 제공하였다는 데에 의의가 있다. 또한, 결과 변인을 이용한 자살예방 프로그램 개발 및 적용과 정책개선의 근거를 마련하였다.

This study is a secondary data analysis study using the panel survey on the life of the disabled to determine the relationship between disability acceptance, depression, self-esteem, family strengths, disability-related daily life restrictions, economic difficulties, current life satisfaction, and suicidal ideation. In this study, logistic regression analysis was performed to identify factors affecting suicidal ideation of disabled people using the SPSS/WIN 21.0 program. As a result of the study, depression was found to be the most influential factor in suicidal ideation of the disabled, and the depression of the disabled with suicidal ideation was 5.59 times higher than that of the disabled without suicidal ideation. On the other hand, family health (0.63 times), self-esteem (0.66 times) and current life satisfaction (0.89 times) were statistically significant. The results of this study are significant in that they provided basic data on the factors affecting suicidal ideation of the disabled in Korea. In addition, the basis for the development and application of suicide prevention programs using outcome variables and policy improvement was prepared.