비자살적 자해와 자살생각 여부에 따른 정신건강, 자살행동 및 심리변인에서의 차이
Differences in mental health, suicidal behavior, and psychological variables based on non-suicidal self-injury and suicidal ideation
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참고문헌
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초록
본 연구는 상호 연관성에도 불구하고 분리된 개념으로 이해되어 온 비자살적 자해와 자살생각의 여부에 따라 정신건강(정신과 입원 위험, 약물남용 진단/치료, 만성질환/장애 여부와 정서적/심리적 영향), 자살행동(본인/지인의 자살시도), 심리변인(우울, 불안, 불안애착, 정서조절어려움, 삶의 만족)에서 차이가 있는지 확인하고자 하였다. 이를 위해 비임상군 성인 595명을 대상으로 비자살적 자해와 자살생각을 모두 하지 않는 집단(NSH집단), 비자살적 자해 집단(NSSI집단), 자살생각 집단(SI집단), 비자살적 자해 및 자살생각 집단(NSSI+SI집단)으로 분류하였다. 카이스퀘어 검정 및 다변량공분산분석(MANCOVA)을 실시하였고 사후검증으로 ANCOVA 및 bonferroni 검증을 활용하였다. 연구결과, 정신건강 변인에서는 비자살적 자해를 하는 집단(NSSI집단 및 NSSI+SI집단)이 다른 집단에 비해 유의하게 더 어려움을 나타냈고, 자살행동(본인/지인의 자살시도)은 자살생각을 가진 집단(SI집단 및 NSSI+SI집단)이 그렇지 않은 집단에 비해 더 많은 것으로 확인되었다. 우울, 불안, 불안애착, 정서조절어려움은 NSH집단에 비해 NSSI, SI, NSSI+SI집단 모두에서 유의하게 높은 수준이 확인되었고, 삶의 만족은 NSSI집단과 SI집단 간 차이가 확인되었다. 연구결과를 기반으로 논의와 시사점, 후속 연구에 대해 제언하였다.
Abstract
This study aimed to examine the differences in mental health (mental hospitalization risk, drug abuse diagnosis/treatment, chronic disease/disability, and emotional/psychological impact), suicidal behavior (self or acquaintance’s suicide attempt), and psychological (anxiety attachment, depression, anxiety, emotional dysregulation, life satisfaction) variables according to non-suicidal self-injury (NSSI) and suicidal ideation (SI), which have been understood as separate concepts despite their correlation. As a result of MANOVA, the non-suicidal self-injury groups (NSSI group and NSSI+SI group) were significantly more severe than other groups in the mental health variable. Suicide behaviors (self or acquaintance’s suicide attempt) were higher in the suicidal ideation groups (SI group and NSSI+SI group) than other groups. Depression, anxiety, anxiety attachment, and emotional dysregulation were significantly higher in the NSSI, SI, and NSSI+SI groups compared to the NSH (Non Self-Harm) group, and differences in life satisfaction between the NSSI group and the SI group were confirmed.
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