대학생들의 자살관련행동에 관한 연구
Suicide-Related Behaviors among the College Students
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참고문헌
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초록
대한민국 대학생들의 평생 동안의 자살사고율은 39.2%였고 자살계획율은 4.7%, 자살시도율은 3.0%로 자살관련 행동이 흔하게 발생함을 알 수 있었다. 자살관련행동을 경험한 학생들이 그렇지 않은 학생들에 비해 평생 동안 우울장애를 더 많이 경험하였고, 대학 재학기간 중 대인관계, 대학생활 적응, 신체적 건강 등이 더 불량하였고, 현재의 우울이나 불안 증상도 더 심하였다. 대학생들의 자살이 일시적인 충동에 의해 일어나는 것이 아니며 많은 경우 기저의 정신건강문제가 관련된 것으로 자살사고 혹은 자살 기도자 모두 정신과적 검진 및 치료를 받아야 하는 문제로 나타났다. 그러나 자살시도 전 학생들의 대다수가 전문가에게 도움을 요청하지 않고 있고 자살기도 후에도 대부분이 치료를 받지 않고 있어서, 대학 단위 별로 자살에 대한 교육 및 예방 프로그램을 운영하고 위험군을 정신과 치료로 연계하는 시스템을 구축하는 것이 필요하다고 판단된다.
Abstract
Objectives：This study evaluated the prevalence of suicide-related behaviors (suicidal ideation, plan and attempt) and the status of depression, anxiety and function in college students. Methods：A cross-sectional study was completed to a sample of 880 students with the self-administered form of Korean version of the Mini International Neuropsychiatric Interview (K-MINI), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI). Results：Estimated lifetime prevalence of suicidal ideation was 39.2%, that of suicidal plan was 4.7% and that of suicidal attempt was 3.0%. Students with any suicide-related behaviors showed higher lifetime prevalence of major and minor depression, higher BDI and BAI scores, and poor interpersonal relationship, adaptation to college life and physical health compared to the students with no suicide-related behaviors. The average points of grades during their college life were not significantly different according to kinds of suicide-related behaviors they experienced (F=0.39, p=0.82). 96% of suicidal attempters did not use mental health services. Conclusion：Results suggest that a high proportion of college students experience suicide-related behaviors. The students who had experienced suicide-related behaviors showed higher depression and anxiety and poorer function compared to students with no suicide-related behaviors. Most of suicidal attempters, however, did not use mental health service. Establishing campus mental health system is necessary to early detect mental health problems and to prevent suicide of college students. (J Korean Neuropsychiatr Assoc 2007;46(1):35-40)
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