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자살기도의 정신사회적 관련 요인

Psychosocial Correlates of Suicidal Attempts

김재민|강희주|이주연|김성완|유승형|전민|김하늬|박인후|김영혁
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2020.10|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제26권 제3호|pp. 203-211|DOI 10.22802/jksbtp.2020.26.3.203

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참고문헌

키워드

가족관계자살지역사회Community저소득층사회적 지지Social support음주SuicideFamilyMarriage결혼Socioeconomic factorsAlcohol abuse
주제분류정신과학

초록

Objectives：This study investigated psychosocial risk and protective factors associated with suicide attempt. Methods：This cross-sectional study included 1,466 participants. Socio-demographic and clinical variables were collected. The following scales were used : Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Alcohol Use Disorder Identification Test-Korean version (AUDIT-K), Family Adaptability & Cohesion Evaluation Scale III (FACES-III), Korean version of Connor-Davidson Resilience Scale (K-CD-RISC), Rosenberg Self-Esteem Scale (RSES), and Korean version of Gratitude Questionnaire 6 (K-GQ-6). Univariate and logistic regression analyses were used to identify factors associated with a history of suicide attempt. Results：Seventy-one of the 1,466 participants (4.8%) reported a history of suicide attempt. Attempted suicide was less common in married individuals, but more common in Medicaid recipients and smokers. Compared with participants who had not attempted suicide, participants who had attempted suicide had higher scores for the HADS, AUDIT- K, and PSS, whereas they had lower scores for the FACES-III, RSES, K-GQ-6, and four subscales of the K-CDRISC (Hardiness, Persistence, Optimism, and Support). Logistic regression analysis revealed that Medicaid use [odds ratio (OR)=5.837] and AUDIT-K score (OR=1.066) were positively associated with a history of suicide attempt. Marriage (OR=0.451), FACES-III score (OR=0.971), and K-CD-RISC Support subscale score (OR=0.711) were negatively associated with a history of suicide attempt. Conclusion：Low income and alcohol abuse were positively associated with attempted suicide, whereas marriage, high family cohesion, and social support were negatively associated with attempted suicide in the general population. A social and economic support system might aid suicide prevention.

Abstract

Objectives：This study investigated psychosocial risk and protective factors associated with suicide attempt. Methods：This cross-sectional study included 1,466 participants. Socio-demographic and clinical variables were collected. The following scales were used : Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Alcohol Use Disorder Identification Test-Korean version (AUDIT-K), Family Adaptability & Cohesion Evaluation Scale III (FACES-III), Korean version of Connor-Davidson Resilience Scale (K-CD-RISC), Rosenberg Self-Esteem Scale (RSES), and Korean version of Gratitude Questionnaire 6 (K-GQ-6). Univariate and logistic regression analyses were used to identify factors associated with a history of suicide attempt. Results：Seventy-one of the 1,466 participants (4.8%) reported a history of suicide attempt. Attempted suicide was less common in married individuals, but more common in Medicaid recipients and smokers. Compared with participants who had not attempted suicide, participants who had attempted suicide had higher scores for the HADS, AUDIT- K, and PSS, whereas they had lower scores for the FACES-III, RSES, K-GQ-6, and four subscales of the K-CDRISC (Hardiness, Persistence, Optimism, and Support). Logistic regression analysis revealed that Medicaid use [odds ratio (OR)=5.837] and AUDIT-K score (OR=1.066) were positively associated with a history of suicide attempt. Marriage (OR=0.451), FACES-III score (OR=0.971), and K-CD-RISC Support subscale score (OR=0.711) were negatively associated with a history of suicide attempt. Conclusion：Low income and alcohol abuse were positively associated with attempted suicide, whereas marriage, high family cohesion, and social support were negatively associated with attempted suicide in the general population. A social and economic support system might aid suicide prevention.

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