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Original Articles
Association between Suicidal Ideation and Blood Cadmium Levels Based on the 3rd to 7th Korea National Health and Nutrition Examination Surveys
Sunmi Kim
STRESS. 2024;32(1):46-52.   Published online March 28, 2024
DOI: https://doi.org/10.17547/kjsr.2024.32.1.46
  • 823 View
  • 4 Download
Abstract PDF
Background
This study aimed to determine the association between blood cadmium levels and suicidal ideation.
Methods
Using data from the 3rd to 7th Korea National Health and Nutrition Examination Surveys, the geometric mean of blood cadmium levels according to suicidal ideation was compared using multiple linear regression analyses in male and female adults. The frequency of suicidal ideation according to the blood cadmium levels was also compared using multiple logistic regression models.
Results
In total, 6,877 men and 6,698 women were included in the study. When adjusting for all potential confounding factors, the geometric mean of blood cadmium levels was significantly higher in participants with suicidal ideation than in those without suicidal ideation in both men (0.92 ng/ml [95% confidence interval 0.87∼0.97 ng/ml] vs. 0.86 ng/ml [0.84∼0.88 ng/ml]; p=.026) and women (1.05 ng/ml [95% confidence interval 1.01∼1.10 ng/ml] vs. 0.99 ng/ml [0.98∼1.02 ng/ml]; p=.006). After adjusting for potential confounders, the frequency of suicidal ideation significantly increased as blood cadmium levels increased in men (p for trend=.014) and women (p for trend=.034).
Conclusions
Results revealed an association between blood cadmium levels and suicidal ideation in Korean adults.
Preliminary Validation of the Korean Version of the Alexian Brothers Urge to Self-Injure Scale (ABUSI-K)
Min-kyeong Kim, Myoung-Ho Hyun, Seo Jeong Lee
STRESS. 2023;31(4):182-188.   Published online December 28, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.4.182
  • 703 View
  • 38 Download
Abstract PDF
Background
This study aimed to validate the Korean version of the Alexian-Brothers Urge to Self-injure Scale (ABUSI) for measuring non-suicidal self-injury urges.
Methods
Analysis was conducted on a sample of 389 adult men and women who had inflicted self-harm without suicidal intent within three years. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was conducted to confirm the single factor of the scale, and convergent validity was assessed to establish the relationship between ABUSI-K and Negative Urgency (UPPS-P), Self-Criticism/Attacking and Reassurance (FSCRS), and Self-Injurious Thoughts and Behaviors Interview (SITBI).
Results
The Korean version of the Alexian-Brothers Urge to Self-Injure Scale (ABUSI-K) showed high internal consistency and, like the original scale, was confirmed to be a single-factor scale measuring the urge to self-injure. Convergent validity with negative urgency, self-criticism/self-attacking and self-reassuring, the NSSI module of self-injurious thoughts and behaviors, and depression and anxiety were also significant, indicating that ABUSI-K’s psychometric benefits are confirmed.
Conclusions
The results of this study will provide a multifaceted understanding of self-injury without suicidal intent and the urges that occur before self-injury. They are expected to be useful in clinical interventions for individuals who have engaged in non-suicidal self-injuries.
The Effects of Risk-Taking Trait and Thwarted Interpersonal Need on Suicidality of Illicit Drugs Abusers: Focusing on Acquired Capability for Suicide
Ki-Yeon Nam, Young-Sil Kwon
STRESS. 2023;31(4):168-174.   Published online December 28, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.4.168
  • 647 View
  • 26 Download
Abstract PDF
Background
This study aimed to examine the effects of trait and situational factors on suicidality among illicit drugs abusers.
Methods
Data were collected from 185 illicit drugs abusers in Korea who completed a survey to measure the risk-taking trait, impulsive behavior, acquired capability for suicide, thwarted interpersonal need, and suicidality. Multiple regression and hierarchical regression analyses were conducted for data analysis.
Results
The risk-taking trait affected the acquired capability for suicide by partially mediating the impulsive behavior. Additionally, the interaction effect between thwarted interpersonal need and acquired capability for suicide on suicidality was identified.
Conclusions
The higher risk-taking trait of illicit drugs abusers induced higher acquired capability for suicide, which actuates the suicidal desire. Additionally, the repeated exposure of impulsive behavior mediated the path. Furthermore, acquired capability for suicide moderated the relationship between thwarted interpersonal need and suicidality. This study examined the effects of trait and situational factors on suicidality of illicit drugs abusers.
Test Linking of Suicide Risk Assessment Instruments: Comparing Cut-Off Scores for Suicide Risk
Hwajeong Yu, Yuhwa Han, Sungeun You
STRESS. 2023;31(1):25-36.   Published online March 31, 2023
DOI: https://doi.org/10.17547/kjsr.2023.31.1.25
  • 4,269 View
  • 142 Download
Abstract PDF
Background
Communicating the objective meaning of the cut-off criteria for high-risk among suicide risk assessment tools is challenging because they measure different aspects of suicide risk. This study aimed to provide comparable scores among widely used suicide assessment instruments by using test linking.
Methods
Linking was performed using the equipercentile method with the data of 400 adults. Then, for an independent sample of 165 adults, the validity of linking was tested by providing an overall percent agreement of group classification.
Results
Linking results indicated that the score of 4 on the C-SSRS corresponded to 8 on the DSI-SS and 16 on the SBQ-R, respectively. The overall percent agreement of group classification based on the cutoff score of 4 on the C-SSRS was high in both scales, supporting the validity of linking.
Conclusions
The study results provide comparable criteria for the high-risk group among the three measures. Mental health practitioners could utilize our results in identifying people at high suicide risk.
Qualitative Study on Experiences of Suicidal Ideation and Behavior among College Students
Donghee Jeong, Eun-Jung Shim
STRESS. 2022;30(4):204-212.   Published online December 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.4.204
  • 1,334 View
  • 97 Download
Abstract PDF
Background
Suicide is a major cause of death among young adults, and elucidating their experiences of suicidal behavior is important in suicide prevention. This study aimed to explore the factors related to suicidal ideation and behavior in college students. Students’ responses and coping strategies for distress caused by these factors were also explored.
Methods
The study conducted semi-structured interview with 24 college students (mean age=21.3, 75% female) who were at elevated risk of suicide. The transcripts were analyzed based on the consensual qualitative research method.
Results
The participants reported experiencing repeated frustrations in pursuing academic and career paths, as well as social isolation, conflict, or social comparison. In response to these stressors, they experienced negative emotions, such as depression and feeling of being a burden. Negative thoughts about the self and future also emerged. A lack of understanding of why they experienced distress and how to manage the distress led the participants to engage in maladaptive responses, such as avoidance. These factors contributed to increasing their risk of suicidal ideation and behavior. Meanwhile, the factors that deterred them from making a lethal suicide attempt were their lack of capability, their concern about their family and friends, and social support from the latter.
Conclusions
Repeated frustration and interpersonal distress were major factors related to increased suicidal ideation and behavior in college students. Suicide prevention in young adults may benefit from addressing negative impact of these factors.
Relationship between Stop Drinking Controllability, Hopelessness, Social Activity and Suicidality for Alcohol Use Disorder
Hye-Young Lee, Young-Sil Kwon, Myoung-Ho Hyun, Na-Rae Lee
STRESS. 2022;30(3):172-178.   Published online September 30, 2022
DOI: https://doi.org/10.17547/kjsr.2022.30.3.172
  • 1,213 View
  • 61 Download
Abstract PDF
Background
This study aimed to examine the relationship between suicidality, stop drinking controllability, hopelessness, and social activity in a population sample of individuals with alcohol use disorder (AUD) and to determine how AUD contributes to suicidal behavior.
Methods
A total of 252 participants diagnosed with AUD were surveyed, and multiple regression analysis and hierarchical regression analysis were used to analyze the data.
Results
Hopelessness fully mediated the relationship between the ability to stop drinking and suicidality. At low levels of social engagement, the relationship between hopelessness and suicidality was significantly modified by social activity.
Conclusions
The results of this study suggest that patients with AUD who were unable to successfully address their drinking problem and abstain from drinking were more likely to experience hopelessness. In addition, we concluded that hopelessness can lead to suicidal ideation or suicide attempts.
A Study on Attitude toward Suicide, Suicidal Ideation, Suicidal Behaviors in People with Mental Disorders in Community
Keun Young Park, Ji Young Kim
STRESS. 2021;29(1):60-67.   Published online March 31, 2021
DOI: https://doi.org/10.17547/kjsr.2021.29.1.60
  • 1,250 View
  • 60 Download
Abstract PDF
Background

This study aimed to examine the correlations among attitudes toward suicide, suicidal ideation, and suicidal behaviors in people with mental disorders.

Methods

A descriptive research design was used. The participants were 172 patients with mental disorders selected from 12 mental health care facilities located in J and C Provinces in Korea. The study employed Attitudes Toward Suicide, the Scale for Suicide Ideation, and the Columbia-Suicide Severity Rating Scale, using the SPSS WIN 23.0 program for data analysis.

Results

Attitudes toward suicide obtained 2.56 points out of five on average, 7.21 points out of 38 on suicidal thoughts, and 1.91 points out of four on suicidal behaviors. A attitudes toward suicide of people with mental disorders were significantly correlated with suicidal ideation and suicidal behavior.

Conclusions

This study suggested that the development of education programs for reducing suicidal ideation and behaviors should be based on the appropriate attitudes toward suicide of people with mental disorders in the community.

Development and Evaluation of a Self-Empowerment Intervention Program for Inpatient at High Risk of Suicide
Hee-Yeon Kim, Kuem-Sun Han
STRESS. 2019;27(3):240-250.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.240
  • 3,035 View
  • 179 Download
  • 1 Citations
Abstract PDF
Background:

The purpose of this study, which uses an nonequivalent control group non-synchronized design, was to develop of a self-empowerment intervention program for for inpatient at high risk of suicide, and to assess its effects on positive emotions (subjective well–being, psychological well–being, gratitude, optimism, Self-esteem), empowerment and suicide ideation.

Methods:

Data were collected from January to December, 2016. The experimental group participated in 8 sessions of self-empowerment intervention program. The control group was granted general intervention program to the psychiatric ward. The collected data were analyzed in SPSS Win 20.0.

Results:

The results of this study showed the proposed self-empowerment intervention program for inpatient at high risk of suicide had the effect of improving positive emotions (subjective well–being, psychological well–being, gratitude, and optimism, self-esteem), empowerment and reducing the suicide ideation.

Conclusions:

The program, developed in accordance with King’s theory of goal attainment, will serve as a useful reference in developing standard guidelines for nursing intervention program suicide prevention in psychiatric department. The results are expected to contribute to the practice of intensive nursing care for inpatient at high risk of suicide.

Citations

Citations to this article as recorded by  
  • Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
    Bom-Mi Park
    Healthcare.2021; 9(6): 699.     CrossRef
Risk Factors Influencing Frequency of Suicidal Ideation in Korean Middle School Students: Applying Zero-Inflated Negative Binomial Regression Model
KyungIm Kang, Chanhee Kim, Jaewon Joung
STRESS. 2019;27(3):232-239.   Published online September 30, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.3.232
  • 1,234 View
  • 61 Download
Abstract PDF
Background:

Suicide among Korean middle school students is a growing social concern. Exploring factors associated with suicide ideation is important for suicide prevention in middle school adolescents. The purpose of this study was to identify risk factors influencing frequency of suicidal ideation among middle-school students in Korea.

Methods:

The study was a cross-sectional descriptive study. The participants were 391 middle school students and data were obtained from the 13th wave of Korean Welfare Panel Study in 2018. Zero-inflated Negative Binomial Regression model was employed to identify risk factors.

Results:

Among participants, 67.3% reported they did not have current suicidal ideation. By zero- inflated negative binomial regression analysis, gender, grade, and peer attachment were found to be significant predictors in the count model, and depression/anxiety and parental neglect were found to be significant predictors in the logistic model. These findings suggest that middle school adolescents who were female, 3rd grade students, or had lower peer attachment were associated with increased severity of suicidal ideation. Also, depression/anxiety and parental neglect were identified as risk factors affecting the future likelihood of suicidal ideation among middle school adolescents.

Conclusions:

Identified risk factors affecting severity and possibility of suicidal ideation may help health care providers to tailor effective suicide prevention interventions for middle school students.

A Systematic Review of the Suicide Prevention Program for the Elderly
Taekyun Gwon, Heeseung Choi
STRESS. 2019;27(1):53-63.   Published online March 31, 2019
DOI: https://doi.org/10.17547/kjsr.2019.27.1.53
  • 2,076 View
  • 156 Download
  • 4 Citations
Abstract PDF
Background:

This study is a systematic review of literature to analyze the characteristics and effects of suicide prevention programs for the elderly.

Methods:

We systematically reviewed literature published from 2007 to 2018 in 8 domestic and foreign databases (KISS, NDSL, Koreamed, RISS, Pubmed, CINAHL, EMBASE, CENTRAL). The main search terms were ‘elderly’, ‘suicide’, ‘intervention program’, and included 8 articles matching the selection criteria in the final analysis. The program was divided into activities, counseling, and community support programs.

Results:

Most of the programs effectively reduced suicidal ideation and depression by reducing suicide risk factors and improving protective factors.

Conclusions:

As a result of the analysis, it was found that it is necessary to develop a specialized program for the prevention of suicide in the elderly considering social, environmental, personal and community characteristics.

Citations

Citations to this article as recorded by  
  • Dual mediating effects of changes in daily life and anxiety on the relationship between occupation and depression in Korea during the COVID-19 pandemic
    Soo-bi Lee, Ye-bin Jeon, Myeong-Sook Yoon
    BMC Public Health.2022;[Epub]     CrossRef
  • The Double Mediating Effect of Family Support and Family Relationship Satisfaction on Self-Compassion and Meaning in Life among Korean Baby Boomers
    Yu-soo Jeong, Young-soon Lee
    International Journal of Environmental Research and Public Health.2022; 19(16): 9806.     CrossRef
  • An Exploratory Study on How and Why Young and Middle-aged Adults Disclose Depressive Feelings to Others: Focusing on the Influence of Perception of Social Norms
    Soontae An, Hannah Lee
    Journal of Korean Academy of Community Health Nursing.2021; 32(1): 12.     CrossRef
  • Influence of socio-economic deprivation on the change patterns of depression in young adults: Focusing on seven areas of deprivation
    Soo-Bi Lee, Yoonjoo Choi, Hyunok Lee
    Korean Journal of Health Education and Promotion.2021; 38(5): 45.     CrossRef
Moderating Effects of Reasons for Living and Impulsivity on the Relationship between Stress and Suicidal Ideation among College Students
Sung Hye Kim
Korean J Str Res. 2016;24(3):103-113.   Published online September 30, 2016
DOI: https://doi.org/10.17547/kjsr.2016.24.3.103
  • 2,259 View
  • 99 Download
  • 3 Citations
Abstract PDF

The purpose of this study was to examine moderating effects of relationship reasons for living between stress and suicidal ideation among college students. The subject of this study were 608 college students and subjects completed a test of stress, reasons for living, Impulsivity, suicidal ideation. The data were analyzed by corrlation analysis, hierarchical analysis. The results of this study can be summarized as follows. First, stress were significantly affected to the suicidal ideation. Second, reasons for living, Impulsivity moderated the association between stress and suicidal ideation. Based upon these findings we suggested to develop comprehensive suicidal prevention program and the implications and limitations of these findings were discussed, and directions for future studies were also proposed.

Citations

Citations to this article as recorded by  
  • Mediating Effect of Quality of Sleep Moderated by Meaning in Life on the Relationship between Hwabyung and Suicidal Ideation in Middle-Aged Korean Women
    Goo-Churl Jeong, Jae-Sun An, Sun-Hwa Shin
    Behavioral Sciences.2023; 13(6): 509.     CrossRef
  • A Study on Attitude toward Suicide, Suicidal Ideation, Suicidal Behaviors in People with Mental Disorders in Community
    Keun Young Park, Ji Young Kim
    STRESS.2021; 29(1): 60.     CrossRef
  • Psychosocial factors affecting sleep quality of pre-employed firefighters: a cross-sectional study
    MyeongSeob Lim, Solam Lee, Kwanghyun Seo, Hyun-Jeong Oh, Ji-Su Shin, Sung-Kyung Kim, Hee-Tae Kang, Kyeong-Sook Jeong, Sung-Soo Oh, Sang-Baek Koh, Yeon-Soon Ahn
    Annals of Occupational and Environmental Medicine.2020;[Epub]     CrossRef

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