대한민국 군간부에서의 자살 위험성에 대한 위험 요인과 보호 요인
Risk and Protection Factors for Suicidality in Korean Military Officers
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Objectives The aim of this study was to identify risk and protective factors of suicidality among Korean military officers. Methods This study was conducted on 3162 military officers. Data were collected by online survey after obtaining informed consent. Demographic characteristics, depression, anxiety, suicidality, social support, stress, and attitude toward suicide were evaluated using structured instruments and self-report questionnaires. Suicidality was defined as having a suicidal idea, a suicide plan, or attempting suicide. Statistical analysis was performed using logistic regression to investigate associations between potential risk and protective factors and suicidality. Results Depression (odds ratio [OR]=16.313, 95% confidence interval [CI]=10.028–26.539), anxiety (OR=14.377, 95% CI=8.680–23.812), and stress (OR=8.116, 95% CI=4.637–14.207) were positively associated with suicidality. On the other hand, good social networks and an unaccepting attitude toward suicide were negatively associated with suicidality (OR=0.131, 95% CI=0.072–0.240). No significant correlation was observed between living status and suicidality (OR=0.991, 95% CI=0.598–1.642). Conclusion Depression, anxiety, and stress were found to be risk factors of suicidality among Korean military officers. In contrast, good social networks and unaccepting attitudes toward suicide acted as protective factors. Hence, preventive interventions that place focus on risk and protective factors should be developed and implemented to mitigate suicidality.
Abstract
Objectives The aim of this study was to identify risk and protective factors of suicidality among Korean military officers. Methods This study was conducted on 3162 military officers. Data were collected by online survey after obtaining informed consent. Demographic characteristics, depression, anxiety, suicidality, social support, stress, and attitude toward suicide were evaluated using structured instruments and self-report questionnaires. Suicidality was defined as having a suicidal idea, a suicide plan, or attempting suicide. Statistical analysis was performed using logistic regression to investigate associations between potential risk and protective factors and suicidality. Results Depression (odds ratio [OR]=16.313, 95% confidence interval [CI]=10.028–26.539), anxiety (OR=14.377, 95% CI=8.680–23.812), and stress (OR=8.116, 95% CI=4.637–14.207) were positively associated with suicidality. On the other hand, good social networks and an unaccepting attitude toward suicide were negatively associated with suicidality (OR=0.131, 95% CI=0.072–0.240). No significant correlation was observed between living status and suicidality (OR=0.991, 95% CI=0.598–1.642). Conclusion Depression, anxiety, and stress were found to be risk factors of suicidality among Korean military officers. In contrast, good social networks and unaccepting attitudes toward suicide acted as protective factors. Hence, preventive interventions that place focus on risk and protective factors should be developed and implemented to mitigate suicidality.
참고문헌 (37)
- "The rate of suicide"[URL]
- 이혜선, "군 자살 예방프로그램의 효과검증", 한국심리학회지: 상담 및 심리치료, 22(3), pp.653~672 (2010), 한국상담심리학회
- "2019 national defense statistical yearbook"[URL]
- "2020 national defense statistical yearbook"[URL]
- 정신영, "자살 위험 병사들의 심리특성 연구", 상담학연구, 12(3), pp.897~914 (2011), 한국상담학회[DOI]
- 고동진, "군내 장병의 자살원인 분석 및 예방대책에 대한 연구 : 장병 신상관리를 중심으로", 석사, 국방경영학과 국방경영전공, pp.2014
- 현명선, "군인들의 군 적응에 영향을 미치는 관련 요인", 정신간호학회지, 18(3), pp.305~312 (2009), 한국정신간호학회
- 권명훈, "군인의 자살보호요인과 자살위험요인에 대한 메타분석", 청소년학연구, 26(12), pp.335~353 (2019), 한국청소년학회[DOI]
- 정진섭, "군 병사들의 수면부족이 우울, 스트레스, 자살생각에 미치는 영향", 한일군사문화연구, 26, pp.185~216 (2018), 한일군사문화학회[DOI]
- 박승일, "군(軍) 초급간부의 직무만족, 직무스트레스, 분노표현, 우울, 무망감이 자살생각에 미치는 영향", 한국심리학회지: 상담 및 심리치료, 26(2), pp.545~571 (2014), 한국상담심리학회
- Park CB, "Military suicide rate analysis, the first step in prevention", KIDA Defense Issues & Analyses, (1788), pp.1~10 (2020)
- 신복기, "한국 노인들의 은퇴이후 자살생각, 자살계획, 자살시도까지의 기간에 영향을 미치는 요인", 사회복지정책, 43(2), pp.1~33 (2016), 한국사회복지정책학회[DOI]
- Nock MK, "Suicide and suicidal behavior", Epidemiol Rev, 30, pp.133~154 (2008)
- "2016 the survey of mental disorders in Korea" (2017)[URL]
- 조맹제, "한국어판 Composite International Diagnostic Interview(K-CIDI)의 개발", 신경정신의학, 41(1) (2002), 대한신경정신의학회
- Cho MJ, "Diagnostic validity of the CES-D (Korean version)in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 32, pp.381~399 (1993)
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
- Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
- The study on facilitating factors of suicide and strategies for suicide prevention in Korean army executive members, "Chuncheon Mental Health Welfare Center", Armed Forces Medical Research Institute, ~ (2015)
- Lubben J, "Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations", Gerontologist, 46, pp.503~513 (2006)
- Limbacher M, "Attitudes toward suicide among attempters, contemplators, and nonattempters", OMEGA-J Death Dying, 16, pp.325~334 (1986)
- 박종익, "한국판 자살 태도 설문지(ATTS-20)의 요인구조", 정신건강과 사회복지, 42(1), pp.91~113 (2014), 한국정신건강사회복지학회
- Lee JI, "Prevalence of suicidal ideation and associated risk factors in the general population", J Formos Med Assoc, 109, pp.138~147 (2010)
- 김효창, "성인 자살의 특성과 자살유형에 관한 연구", 한국심리학회지: 문화 및 사회문제, 12(1), pp.15~33 (2006), 한국문화및사회문제심리학회
- 문호석, "육군 간부의 스트레스에 대한 평가 및 원인 연구", 한국군사학논집, 72(2), pp.29~55 (2016), 화랑대연구소[DOI]
- 박일, "직업군인이 군 생활을 힘들어 하는 이유는?: 장교들의 인식 유형과 심리적 특성", 한국심리학회지: 산업 및 조직, 26(4), pp.625~658 (2013), 한국산업및조직심리학회[DOI]
- 김형래, "메타(Meta)분석에 의한 병사 자살위험요인 연구", 국방정책연구, 32(1), pp.189~220 (2016), 한국국방연구원[DOI]
- Martin J, "A comparative review of US military and civilian suicide behavior : implications for OEF", OIF suicide prevention efforts, 2009, pp.31, 101~118
- LeardMann CA, "Risk factors associated with suicide in current and former US military personnel", JAMA, 310, pp.496~506 (2013)
- Wilks CR, "Anger, social support, and suicide risk in U.S. military veterans", J Psychiatr Res, 109, pp.139~144 (2019)
- Hyman J, "Suicide incidence and risk factors in an active duty US military population", Am J Public Health, 102(Suppl 1), pp.S138~S146 (2012)
- 김선아, "한국 성인 대상 자살태도 측정도구의 타당도 및 신뢰도 검증", 정신간호학회지, 28(4), pp.382~392 (2019), 한국정신간호학회
- Galynker I, "Attitudes of acceptability and lack of condemnation toward suicide may be predictive of post-discharge suicide attempts", BMC Psychiatry, 15, pp.87~ (2015)
- Borges G, "Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys", J Clin Psychiatry, 71, pp.1617~1628 (2010)
- 김재우, "한국사회 청년층의 자살 생각 결정요인: 성별 및 거주 지역별 차이를 중심으로", 지역과 세계, 42(2), pp.93~126 (2018), 사회과학연구소[DOI]
- Kim SH, "The health behavior of single adult households in Korean over 30: the 6th Korean National Health and Nutrition Examination Survey", Korean J Fam Pract, 7, pp.330~336 (2017)
- "2021 ministry of national defense work report"[URL]
