본문 바로가기
KERD
논문KCI 등재

초기성인의 충동성과 자살행동의 관계: 습득된 자살실행력과 사회적 지지의 조절된 매개효과

The Relationship between Impulsivity and Suicidal Behavior in Young Adults: Moderated Mediation Effects of Acquired Capability for Suicide and Social Support

1

조회

0

다운로드

13

인용

0

참고문헌

키워드

주제분류심리과학

초록

본 연구에서는 초기성인의 충동성과 자살행동의 관계를 습득된 자살실행력이 매개하며, 습득된 자살실행력이 자살행동에 영향을 미치는 경로에서 사회적 지지가 이를 조절하는지 조절된 매개모형을 검증하고자 하였다. 이를 위해 만 18세에서 35세 사이의 성인을 대상으로 충동성, 습득된 자살실행력, 사회적 지지, 자살행동을 측정하고, SPSS 22.0을 활용하여 분석하였다. 본 연구의 주요 연구결과는 다음과 같다. 첫째, 변인들 간 상관분석결과 충동성, 습득된 자살실행력, 자살행동 사이에 통계적으로 유의미한 정적 상관이 나타났다. 둘째, 매개효과 검증결과 충동성이 습득된 자살실행력에 영향을 미치고, 습득된 자살실행력은 충동성과 자살행동의 관계를 부분 매개하는 것으로 나타났다. 셋째, 습득된 자살실행력과 자살행동의 관계에서 사회적 지지의 조절효과를 검증한 결과, 사회적 지지가 습득된 자살실행력과 유의한 상호작용을 통해 자살행동에 영향을 미치는 것으로 나타났다. 넷째, 충동성이 자살행동에 정적인 영향을 미치는 경로에서, 습득된 자살실행력이 이를 매개하며 습득된 자살실행력과 자살행동의 관계가 사회적 지지에 의해 조절되는, 조절된 매개효과가 확인되었다. 이러한 결과를 바탕으로 본 연구의 학문적, 임상적 시사점과 후속연구에 대해 논하였다.

Abstract

The purpose of this study was to examine the moderated mediation effect of social support through acquired capability for suicide on the relationship between impulsivity and suicidal behavior. Participants included 471 early adults (18 to 35 years old) who completed self-report. SPSS 22.0 was used to analyze the data. Results were as follows: First, there was a significant positive correlation between impulsivity, acquired capability for suicide, and suicidal behavior. Second, the mediating model showed that the relationship between impulsivity and suicidal behavior was partially mediated by acquired capability for suicide. Third, hierarchical regression analysis showed that social support moderated the effect of acquired capability for suicide on suicidal behavior. Moreover, social support moderated the mediation effect of acquired capability for suicide via impulsivity and suicidal behavior. Academic and clinical implications and limitations were discussed.

참고문헌 (77)

  1. 김성연, "대인관계 심리학적 모형으로 본 동성애자 자살", 석사, 심리학과 임상상담심리전공, pp.2013
  2. 김진영, "정신장애와 자살행동 간 관계에서 행복도의 조절효과", 한국심리학회지: 건강, 16(4), pp.827~835 (2011), 한국건강심리학회
  3. 나기석, "빈곤 노인의 사회적지지 체계에 관한 연구 : 강서구 영구임대아파트 거주 생활보호대상 노인을 중심으로", 석사, pp.1998
  4. 박준규, "주거비부담․차별․외로움 3중고…1인가구는 서럽다", 헤럴드경제, 20~ (2016)
  5. 설정훈, "해군 장병의 스트레스와 인지적 정서조절전략이 정신건강 문제에 미치는 영향: 지각된 사회적 지지의 조절된 매개효과", Korean Journal of Clinical Psychology, 34(2), pp.553~578 (2015), 한국임상심리학회[DOI]
  6. 성근혜, "The Associations between Aggression, Acquired Capability for Suicide and Suicidal Behavior in Male Alcohol Use Disorders", 한국심리학회지: 건강, 20(1), pp.253~265 (2015), 한국건강심리학회[DOI]
  7. 손정남, "청소년의 충동적 자살생각에 대한 모형 구축", 정신간호학회지, 18(4), pp.418~430 (2009), 정신간호학회
  8. 손효숙, "마포대교 생명의 다리 9월 새단장…명소화 우려도", 한국일보, 26~ (2015)
  9. 신준섭, "사회적 지지가 실직자의 심리사회적 안녕감에 미치는 영향에관한 연구", 한국사회복지학, 37(1), pp.241~269 (1999)
  10. 안석배, "대학생 1년에 230명씩 자살", 조선일보, ~ (2011)
  11. 양동희, "당뇨병 환자의 자가관리에 대한 보호요인과 위험요인 : 보호요인의 조절효과를 중심으로", 석사, 의료사회복지학과, pp.2014
  12. 이원율, "1m 높인 마포대교 난간자살시도 절반으로 ‘뚝’", 헤럴드경제, 10~ (2017)
  13. 이은희, "청소년 자살의 심리적 과정 및 문제해결력과 사회적 지지의 보호효과", 사회연구, 9(2), pp.105~143 (2008), 한국사회조사연구소
  14. 이지숙, "청소년의 충동성과 자살사고관계연구: 사회적지지 유형에 따른 조절효과를 중심으로", 미래청소년학회지, 10(3), pp.1~22 (2013), 미래를 여는 청소년학회
  15. 이현수, "충동성 척도" (1985), 한국가이던스
  16. 이혜선, "한국판 자살생각척도(K-BSI)의 타당화 연구", Korean Journal of Clinical Psychology, 28(4), pp.1155~1172 (2009), 한국임상심리학회
  17. 이혜선, "대학생의 자살관련생각과 행동의 원인 및 자살을 선택하지 않은 이유", 한국심리학회지: 상담 및 심리치료, 24(3), pp.703~728 (2012), 한국상담심리학회
  18. 임지영, "경계선과 반사회성 성격병리에서의 충동성과 공격성 비교", Korean Journal of Clinical Psychology, 30(1), pp.71~92 (2011), 한국임상심리학회
  19. 정주리, "대학생활 스트레스와 자살생각 간의 관계: 실수염려 완벽주의, 사회적 지지, 우울을 매개로", 한국심리학회지: 상담 및 심리치료, 27(2), pp.325~349 (2015), 한국상담심리학회
  20. 조민호, "대인관계 심리학적 모형을 통해서 본 한국군의 자살", 석사, 심리학, pp.2010
  21. 조희숙, "사회적지지가 암 환자의 삶의 질에 미치는 영향", 보건교육건강증진학회지, 27(4), pp.51~59 (2010), 한국보건교육건강증진학회
  22. 최윤정, "대학생의 스트레스와 자살생각과의 관계에 작용하는 보호요인의 조절효과", 한국청소년연구, 23(3), pp.77~104 (2012), 한국청소년정책연구원
  23. 통계청, "2015년 사망원인 통계", 통계청, ~ (2016)
  24. 하정희, "대학생들의 자살생각에 영향을 미치는 요인들: 스트레스, 대처방식, 완벽주의, 우울, 충동성의 구조적 관계모형 검증", 한국심리학회지: 상담 및 심리치료, 20(4), pp.1149~1171 (2008), 한국상담심리학회
  25. Aiken, L. S., "Multiple regression: Testing and interpreting interactions" (1991), Sage Publications
  26. Anestis, M. D., "Clarifying the role of emotion dysregulation in the interpersonalpsychological theory of suicidal behavior in an undergraduate sample", Journal of Psychiatric Research, 45(5), pp.603~611 (2011)
  27. Anestis, M. D., "Treating the capability for suicide: A vital and understudied frontier in suicide prevention", Suicide and Life-threatening Behavior, (1), pp.1~15 (2016)
  28. Anestis, M. D., "Reconsidering the link between impulsivity and suicidal behavior", Personality and Social Psychology Review, 18(4), pp.366~386 (2014)
  29. Baron, R. M., "The moderator-mediator variable distinction in social psychological research : Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)
  30. Beck, A. T., "Relationship between hopelessness and ultimate suicide : A replication with psychiatric outpatients", American Journal of Psychiatry, 147(2), pp.190~195 (1990)
  31. Bender, T. W., "Impulsivity and suicidality : The mediating role of painful and provocative experiences", Journal of Affective Disorders, 129(1), pp.301~307 (2011)
  32. Capuzzi D. E., "Suicide across the life span:Implications for counselors" (2004), American Counseling Association
  33. Capuzzi, D. E., "Youth at risk: A prevention resource for counselors, teachers, and parents" (2008), American Counseling Association
  34. Chiles, J. A., "Clinical manual for assessment and treatment of suicidal patients" (2005), American Psychiatric Publishing, Inc
  35. Chioqueta, A. P., "The relationship between psychological buffers, hopelessness, and suicidal ideation : identification of protective factors", Crisis : The Journal of Crisis Intervention and Suicide Prevention, 28(2), pp.67~73 (2007)
  36. Clum, G. A., "Stress, social support, and problem-solving appraisal", skills : Prediction of suicide severity within a college sample, 1994, pp.16(1), 69~83
  37. Cohen, S., "Stress, social support, and the buffering hypothesis", Psychological Bulletin, 98(2), pp.310~357 (1985)
  38. Conner, K. R., "The association of irritability and impulsivity with suicidal ideation among 15-to 20-year-old males", Suicide and Life-Threatening Behavior, 34(4), pp.363~373 (2004)
  39. Corey, G., "Theory and practice of counseling and psychotherapy" (2009), Thomson Brooks
  40. Dahlem, N. W., "The multidimensional scale of perceived social support : A confirmation study", Journal of Clinical Psychology, 47(6), pp.756~761 (1991)
  41. Dougherty, D. M., "Impulsivity and clinical symptoms among adolescents with non-suicidal self-injury with or without attempted suicide", Psychiatry Research, 169(1), pp.22~27 (2009)
  42. Dvorak, R. D., "Alcohol use, depressive symptoms, and impulsivity as risk factors for suicide proneness among college students", Journal of Affective Disorders, 149(1), pp.326~334 (2013)
  43. Erikson, E. H., "Childhood and society" (1963), Norton
  44. Eysenck, S. B., "The place of impulsiveness in a dimensional system of personality description", British Journal of Social and Clinical Psychology, 16(1), pp.57~68 (1977)
  45. Faul, F., "Statistical power analyses using G*Power 3. 1 : Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)
  46. Finch, J. F., "The investigation of personality structure : Statistical models", Journal of Research in Personality, 31(4), pp.439~485 (1997)
  47. Fossati, A., "Psychometric properties of an Italian version of the Barratt Impulsiveness Scale-11(BIS-11)in nonclinical subjects", Journal of Clinical Psychology, 57(6), pp.815~828 (2001)
  48. Glenn, C. R., "A multimethod analysis of impulsivity in nonsuicidal self-injury", Personality Disorders:Theory, Research, and Treatment, 1(1), pp.67~75 (2010)
  49. Granello D. H., "Suicide:An essential guide for helping professionals and educators" (2007), Pearson Education
  50. Harrison, K. E., "Alone? Percieved social support and chronic interpersonal difficulties in suicidal elders", International Psychogeriatrics, 22(3), pp.445~454 (2010)
  51. Hayes, A. F., "Computational procedures for probing interactions in OLS and logistic regression : SPSS and SAS implementations", Behavior Research Methods, 41(3), pp.924~936 (2009)
  52. Hull-Blanks, E. E., "Risk factors of suicidal ideations and attempts in talented, at-risk girls", Suicide and Life-Threatening Behavior, 34(3), pp.267~276 (2004)
  53. Joiner Jr., "Shyness and low social support as interactive diatheses, with loneliness as mediator : Testing an interpersonalpersonality view of vulnerability to depressive symptoms", Journal of Abnormal Psychology, 106(3), pp.386~394 (1997)
  54. Joiner Jr. T. E., "Why people die by suicide" (2005), Harvard University Press
  55. Joiner Jr., T. E., "Myths about suicide" (2010), Harvard University Press
  56. Joiner Jr., T. E., "The interpersonal theory of suicide: Guidance for working with suicidal clients" (2009), American Psychological Association
  57. Klonsky, E. D., "The three-step theory(3ST) : A new theory of suicide rooted in the"ideation-to-action"framework", International Journal of Cognitive Therapy, 8(2), pp.114~129 (2015)
  58. Kotler, M., "Anger, impulsivity, social support, and suicide risk in patients with posttraumatic stress disorder", The Journal of Nervous and Mental Disease, 189(3), pp.162~167 (2001)
  59. Linehan, M. M., "The Suicidal Behaviors Questionnaire (SBQ)", Unpublished instrument, University of Washington, Seattle, ~ (1981)
  60. O’Connor, R. C., "International Handbook of Suicide Prevention: Research, Policy and Practice", pp.181~198 (2011)
  61. Osman, A., "The suicidal behaviors questionnaire-revised(SBQ-R) : validation with clinical and nonclinical samples", Assessment, 8(4), pp.443~454 (2001)
  62. Oyama, H., "A community-based survey and screening for depression in the elderly", Crisis : The Journal of Crisis Intervention and Suicide Prevention, 31(2), pp.100~108 (2010)
  63. Preacher, K. J., "SPSS and SAS procedures for estimating indirect effects in simple mediation models", Behavior Research Methods, Instruments, & Computers, 36(4), pp.717~731 (2004)
  64. Preacher, K. J., "Addressing moderated mediation hypotheses : Theory, methods, and prescriptions", Multivariate Behavioral Research, 42(1), pp.185~227 (2007)
  65. Shneidman, E. S., "Further reflections on suicide and psychache", Suicide and Life-Threatening Behavior, 28(3), pp.245~250 (1998)
  66. Shrout, P. E., "Mediation in experimental and nonexperimental studies : New procedures and recommendations", Psychological Methods, 7(4), pp.422~445 (2002)
  67. Smith, P. N., "Capable of suicide : A functional model of the acquired capability component of the interpersonal-psychological theory of suicide", Suicide and Life-Threatening Behavior, 40(3), pp.266~274 (2010)
  68. Smith, P. N., "The acquired capability for suicide : A comparison of suicide attempters, suicide ideators, and non-suicidal controls", Depression and Anxiety, 27(9), pp.871~877 (2010)
  69. Solomon, R. L., "The opponent-process theory of acquired motivation : The costs of pleasure and the benefits of pain", American Psychologist, 35(8), pp.691~712 (1980)
  70. Solomon, R. L., "An opponent-process theory of motivation : I. Temporal dynamics of affect", Psychological Review, 81(2), pp.119~145 (1974)
  71. Swann, A. C., "Increased impulsivity associated with severity of suicide attempt history in patients with bipolar disorder", American Journal of Psychiatry, 162(9), pp.1680~1687 (2005)
  72. Van Orden, K. A., "The interpersonal theory of suicide", Psychological Review, 117(2), pp.575~600 (2010)
  73. 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)
  74. Wenzel, A., "A cognitive model of suicidal behavior : Theory and treatment", Applied and Preventive Psychology, 12(4), pp.189~201 (2008)
  75. Yang, B., "Life stress, social support, and problem‐solving skills predictive of depressive symptoms, hopelessness, and suicide ideation in an asian student population : A test of a model", Suicide and Life-Threatening Behavior, 24(2), pp.127~139 (1994)
  76. You, S., "Social connections and suicidal thoughts and behavior", Psychology of Addictive Behaviors, 25(1), pp.180~184 (2011)
  77. Zimet, G. D., "The multidimensional scale of perceived social support", Journal of Personality Assessment, 52(1), pp.30~41 (1988)

관련 논문AI추천

이 간행물의 다른 논문 (13건)