자살사고와 죽음에 대한 두려움 부재의 관계: 불안의 조절효과
Moderating effect of anxiety on the relationship between suicide ideation and fearlessness about death
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자살의 대인관계 이론에서는 자살사고와 죽음에 대한 두려움 부재가 서로 독립적인 관계를 맺고 있는 것으로 가정한다. 그러나 이러한 가정과 다르게, 두 개념이 서로 정적인 상관관계를 맺고 있는 것으로 보고하는 연구들이 꾸준히 증가하고 있다. 본 연구에서는 이러한 불일치가 나타나는 이유를 파악하기 위해 두 개념의 관계를 조절하는 변인을 탐색하였다. 특히 불안수준에 따라 자살사고의 노출효과가 달라질 가능성이 있어 두 개념의 관계에서 불안의 조절효과를 검증하였다. 성인 300명을 대상으로 자살사고와 죽음에 대한 두려움 부재, 불안을 측정하였으며, 회귀분석과 기울기 분석, Johnson-Neyman 기법을 이용하여 불안의 조절효과를 검증하였다. 연구결과, 불안은 자살사고와 죽음에 대한 두려움 부재의 관계를 조절하는 것으로 확인되었다. 보다 구체적으로 말하면, 불안 수준이 높을 때 자살사고와 죽음에 대한 두려움의 부재 간의 정적 상관관계가 강해지는 것으로 나타났다. 이러한 결과는 불안 수준에 따라 자살사고 경험이 죽음에 대한 두려움을 감소시키는 정도가 달라질 수 있음을 의미하며, 자살사고와 죽음에 대한 두려움 부재의 관계에 대한 이론적 보완과 추가 검증이 필요함을 시사한다.
Abstract
The Interpersonal-Psychological Theory of Suicide (IPTS) posits that suicide ideation is not correlated with fearlessness about death. However, there has been an increasing number of studies reporting a positive correlation between these two variables. To investigate this discrepancy, anxiety was examined as a potential moderator of the relationship between suicide ideation and fearlessness about death, as exposure effects may vary depending on the level of anxiety. This study included 300 adults, and suicide ideation, fearlessness about death, and anxiety were measured. The moderating effect of anxiety on the relationship between suicide ideation and fearlessness about death was tested using regression analysis, slope analysis, and the Johnson-Neyman technique. The results confirmed that anxiety moderates the relationship between suicide ideation and fearlessness about death. Specifically, it was found that when anxiety levels are high, the positive correlation between suicide ideation and fearlessness about death increases. These findings suggest that the extent to which the experience of suicide ideation reduces fear of death may vary depending on the level of anxiety. Theoretical explanations for the relationship between suicide ideation and fearlessness about death should therefore be reconsidered and retested.
참고문헌 (29)
- 서장원, "자살 실행력에 대한 네트워크 분석", 한국심리학회지: 건강, 24(3), pp.587~606 (2019), 한국건강심리학회[DOI]
- 서장원, "죽음이 두렵지 않은 사람들의 유형 분류: 잠재프로파일 분석을 이용하여", 한국심리학회지: 건강, 27(6), pp.985~997 (2022), 한국건강심리학회[DOI]
- Bauer, D. J., "Probing interactions in fixed and multilevel regression : Inferential and graphical techniques", Multivariate Behavioral Research, 40(3), pp.373~400 (2005)
- Beck, A. T., "Scale for suicide ideation : Psychometric properties of a self-report version", Journal of Clinical Psychology, 44(4), pp.499~505 (1988)
- Biduck, A., "Death anxiety: An exploratory study of associated variables", Doctoral, pp.2017
- Chu, C., "The interpersonal theory of suicide : A systematic review and metaanalysis of a decade of cross-national research", Psychological Bulletin, 143(12), pp.1313~1345 (2017)
- De Jaegere, E., "The online treatment of suicidal ideation : A randomised controlled trial of an unguided web-based intervention", Behaviour Research and Therapy, 119, pp.103406~ (2019)
- Endler, N. S., "Self-reports of depression and state-trait anxiety : Evidence for differential assessment", Journal of Personality and Social Psychology, 63(5), pp.832~838 (1992)
- Fink-Miller, E. L., "Provocative work experiences predict the acquired capability for suicide in physicians", Psychiatry Research, 229(1-2), pp.143~147 (2015)
- Fink-Miller, E. L., "Suicide in physicians and veterinarians : Risk factors and theories", Current Opinion in Psychology, 22, pp.23~26 (2018)
- Fitzpatrick, K. K., "Randomized controlled trial of a brief problem-orientation intervention for suicidal ideation", Behavior Therapy, 36(4), pp.323~333 (2005)
- Hayes, A. F., "Regressionbased statistical mediation and moderation analysis in clinical research : Observations, recommendations, and implementation", Behaviour Research and Therapy, 98, pp.39~57 (2017)
- Hoelter, J. W., "The relationship between fear of death and anxiety", The Journal of Psychology, 99(2), pp.225~226 (1978)
- Hoelter, J. W., "On the interrelationships among exposure to death and dying, fear of death, and anxiety", OMEGAJournal of Death and Dying, 11(3), pp.241~254 (1981)
- Hussey, I., "Individuals with current suicidal ideation demonstrate implicit"fearlessness of death"", Journal of Behavior Therapy and Experimental Psychiatry, 51, pp.1~9 (2016)
- Joiner, T., "Why people die by suicide" (2005), Harvard University Press
- "Interactions: Comprehensive, User-Friendly Toolkit for Probing Interactions. R package version 1.1.0" (2019)[URL]
- Marteau, T. M., "The development of a six-item short-form of the state scale of the Spielberger State—Trait Anxiety Inventory(STAI)", British Journal of Clinical Psychology, 31(3), pp.301~306 (1992)
- Monteith, L. L., "Perceived burdensomeness, thwarted belongingness, and fearlessness about death : Associations with suicidal ideation among female veterans exposed to military sexual trauma", Journal of Clinical Psychology, 73(12), pp.1655~1669 (2017)
- O’Neil, K. A., "Suicidal ideation in anxiety-disordered youth", Suicide and Life-Threatening Behavior, 42(3), pp.305~317 (2012)
- Oakey-Frost, D. N., "Internal entrapment and fearlessness about death as precipitants of suicidal thoughts and planning in the context of post-traumatic stress disorder", Suicide and Life Threatening Behavior, 52(1), pp.147~158 (2022)
- Preacher, K. J., "Computational tools for probing interactions in multiple linear regression, multilevel modeling, and latent curve analysis", Journal of Educational and Behavioral Statistics, 31(4), pp.437~448 (2006)
- Ribeiro, J. D., "Fearlessness about death : The psychometric properties and construct validity of the revision to the Acquired Capability for Suicide Scale", Psychological Assessment, 26(1), pp.115~126 (2014)
- Seo, J. W., "Preliminary validation of a Korean version of the acquired capability for suicide scale-fearlessness about death", Suicide and Life-Threatening Behavior, 48(3), pp.305~314 (2018)
- Shin, M. S., "A study of suicidal ideation among high school students : The structural relation among depression, hopelessness, and suicidal ideation", Korean Journal of Clinical Psychology, 9(1), pp.1~19 (1990)
- Steer, R. A., "Self-reported suicidal ideation in adolescent psychiatric inpatients", Journal of Consulting and Clinical Psychology, 61(6), pp.1096~1099 (1993)
- Van Orden, K. A., "The interpersonal theory of suicide", Psychological Review, 117(2), pp.575~600 (2010)
- Van Orden, K. A., "Suicidal desire and the capability for suicide : Tests of the interpersonal-psychological theory of suicidal behavior among adults", Journal of Consulting and Clinical Psychology, 76(1), pp.72~83 (2008)
- Wachtel, S., "Validation and psychometric properties of the German Capability for Suicide Questionnaire", Comprehensive Psychiatry, 55(5), pp.1292~1302 (2014)