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8 "Suicide"
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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
  • 203 View
  • 3 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.
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
  • 585 View
  • 24 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
  • 3,873 View
  • 126 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
  • 1,282 View
  • 93 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.
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
  • 1,225 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
  • 2,978 View
  • 174 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
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
  • 2,024 View
  • 151 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

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