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Analysis of the Influence of Hopelessness, Psychosocial Stress and Depression on Suicide Ideation Among Middle School Students Using the Structural Equation Model

구조방정식모형을 이용한 중학생의 절망감, 사회심리적스트레스 및 우울이 자살생각에 미치는 영향 분석

  • Bae, Sang-Yun (Department of Health Administration, Vision University of Jeonju) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 배상윤 (전주비전대학교 보건행정학과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2014.02.04
  • Accepted : 2014.06.12
  • Published : 2014.06.30
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Abstract

This study was performed to determine the suicide ideation and its association with hopelessness, psychosocial stress and depression among some middle school students. The survey was administered to 975 middle school students in Gyeongin area during the period, May $1^{st}$ to June $30^{th}$, 2013. Structured self-administered questionnaires were delivered and collected without the respondents' personal information. As a result, concerning the correlation of depression with various factors, the level of suicide ideation was positively correlated with hopelessness, psychosocial stress and depression. Multiple linear regression analysis showed that the factors influencing the suicide ideation included sex distinction, experience of alcohol drinking, hobbies and leisure life, subjective health status, grade, school violence experience, hopelessness, psychosocial stress and depression. An analysis of the covariance structure, hopelessness (BHOP) was more influential on the suicide ideation than psychosocial stress (PWI) and depression (CES-D). The study found that higher hopelessness, severe distress and higher depression tends to increase the suicide ideation.

본 연구는 중학생들의 절망감, 사회심리적 스트레스 및 우울수준과 자살생각 간의 관련성을 파악하며, 또한 자살생각에 유의하게 영향을 미치는 요인들을 규명하고자 시도하였다. 조사대상은 경인 지역의 4개 중학교에서 임의로 선정된 재학생 975명으로 하였으며, 자료 수집은 2013년 5월 1일부터 2013년 6월 30일까지의 조사기간 동안에 구조화된 무기명 자기기입식 설문지(self-administrated questionnaire)를 통해 이루어졌다. 연구결과, 자살생각과 관련 요인들 간의 상관관계를 보면, 자살생각은 절망감, 사회심리적 스트레스 및 우울수준과 유의한 양의 상관관계를 보였다. 다중회귀분석결과, 조사대상자의 자살생각에 관련된 요인으로는 성별, 음주경험여부, 취미 및 여가의 충분성, 주관적 건강상태, 학년, 학교폭력 경험, 절망감의 수준, 사회심리적 스트레스의 수준, 우울수준이 유의한 변수로 선정되었다. 공분산 구조분석 결과, 절망감은 사회심리적 스트레스나 우울수준보다는 자살생각에 더 큰 영향을 미쳤으며, 사회심리적 스트레스, 우울수준 및 절망감이 높아질수록 자살생각을 증가시키는 효과가 있는 것으로 나타났다.

Keywords

References

  1. Ministry of Health and Welfare. Korea youth risk behavior web-based survey, mental health, the prevalence of suicide plans, ideation and attempts. 2012.
  2. Beck AT, Weissman A, Lester D, Trexler L. The Measurement of Pessimism: The Hopelessness Scale. J Consult Clin Psychol. 42(6):861-865, 1974. DOI: http://dx.doi.org/10.1037/h0037562
  3. Lee YJ. The effects of suicidal risk factors on suicidal behavior and the moderating effect of ego resiliency. The Korean Journal of Counseling. 9:659-673, 2008. https://doi.org/10.15703/kjc.9.2.200806.659
  4. Lee ES. Construction of a structural model about male and female adolescents' alienation, depression, and suicidal thoughts. Journal of Korean Academy of Nursing. 37(4):576-585, 2007. https://doi.org/10.4040/jkan.2007.37.4.576
  5. Yoon MS. Suicidal ideation among alcoholics moderating effect of alcohol use. Mental Health & Social Work, 38:113-140, 2011.
  6. Baumaster RF, Suicide as escape from self. Psychological Review. 97:90-113, 1990. DOI: http://dx.doi.org/10.1037/0033-295X.97.1.90
  7. Oh EJ. The effects of a depression prevention program on the reduction of depression, suicidal ideation, dysfunctional attitude and negative automatic thought of adolescents. Chonnam National University graduate school doctoral dissertation. 2010.
  8. Yoon HW. The association between health risk behavior and suicidal ideation in korean youth. Korea University Graduate School of public health master's thesis. 2011.
  9. Kim HS, Kim BS. A comparative study on suicidal ideation in the elderly and the adolescents. Journal of the Korea Gerontological Society, 28(2):325-343, 2008.
  10. Kang SH, Moon ES, Cha MY. The structural relationships among life event stress, social support, depression, and suicidal ideation: A comparison of boy and girl high school students. Journal of Educational Psychology. 25(2):277-293, 2011.
  11. Choi HC, Kim OJ. Exposure to stress, stress generation, and reciprocal effects in adolescent stress and depression. Studies on Korean Youth. 20(3):401-429, 2009.
  12. Sim MY, Kim KH. Risk and protective factors for suicidal ideation of korean adolescents: Moderating effect of sex and developmental period. Korean Journal of Health Psychology, 10(3):313-325, 2005.
  13. White JL, The troubled adolescent, New York: Pergamon Press. 1989.
  14. Beck AT, Steer, Kovacs M, Garrison B. Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. Am J Psychiatry. 142:559-563, 1985. https://doi.org/10.1176/ajp.142.5.559
  15. O'Connor RC, Connery H, Cheyne WM, Hopelessness: The role of depression, future directed thinking and cognitive vulnerability. Psycho. Health Med. 5(2):155-161, 2000. DOI: http://dx.doi.org/10.1080/713690188
  16. Rifai AH, George CJ, Stack JA, Mann JJ, Reynolds CF. Hopelessness in suicide attempters after acute treatment of major depression in late life. Am J Psychiatry. 151(11):1687-1690, 1994. https://doi.org/10.1176/ajp.151.11.1687
  17. Uncapher H, Gallagher-Thompson D, Osgood NJ, Bongar B. Hopelessness and Suicidal Ideation in Older Adults. The Gerontologist, 38(1):62-70, 1998. DOI: http://dx.doi.org/10.1093/geront/38.1.62
  18. Gibbs L, Dombrovski AY, Morse J, Siegle GJ, Houck P R, Szanto K. When the solution is part of the problem: problem solving in elderly suicide attempters. Int J Geriatric Psychiatry. 24(12):1396-1404, 2009. DOI: http://dx.doi.org/10.1002/gps.2276
  19. WHO. The Asia-Pacific Perspective: Redefining Obesity and Its Treatment. Sydney, Australia, Health Communications Australia Pty Ltd, 2000.
  20. Shin MS, Park KB, Oh KJ, Kim ZS. A study of suicidal ideation among high school students: The structural relation among depression, hopelessness, and suicidal ideation. The Korean Journal of Clinical Psychology, 9(1):1-19, 1990.
  21. Beck AT, Steer RA, Manual for the Beck Hopelessness Scale. San Antonio, TX: Psychological Corp. 1988.
  22. Goldberg D. Manual of the General Health Questionnaire. Nfer-Nelson, 1978.
  23. Chang SJ. Standardization of collection and measurement of health statistics data. The Korean Society for Preventive Medicine. Seoul, p92-143, 2000.
  24. Weissman MM, Locke BZ. Comparison of a self-report symptom rating scale(CES-D) with standardized depression rating scales in psychiatric populations. Am J Epidemiol, 102:430-431, 1975. https://doi.org/10.1093/oxfordjournals.aje.a112183
  25. Cho MJ, Kim KH. Diagnostic validity of the CES-D(korean version) in the assessment of DSM-III-R major depression. Journal of the Korean Neuropsychiatric Association. 32(3):381-399, 1993.
  26. Beck AT, Kovacs M, Weissman A. Assessment of Suicidal Intention: the Scale for suicide Ideation. J Consult Clin Psychol. 47:343-352, 1979. DOI: http://dx.doi.org/10.1037/0022-006X.47.2.343
  27. Park BS. The path analysis for mutual relationship of stress and depression that affect the suicidality : comparison of sex and age group. Health and Social Welfare Review, 32(3):485-521, 2012. https://doi.org/10.15709/hswr.2012.32.3.485
  28. Kwon JD, Um TY, Kim YJ. A study on factors affecting suicide risk among seniors who live alone : The effect of loneliness and the mediating effect of hopelessness. Health and Social Welfare Review, 32(1):89-114, 2012. https://doi.org/10.15709/hswr.2012.32.1.89
  29. Hong YS, Jeon SY. The effects of life stress and depression for adolescent suicidal ideation. Mental Health & Social Work. 19:25-149, 2005.
  30. Beck AT. The Psychology of depression. Contemporary theory and research NY: John Wiley and Sons. 1974.

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