20-30대 1인 가구 청년의 자살 행동 정도의 변화 및 자살 행동 예측요인: 제5기(2010-2012)와 제8기(2019-2021) 국민건강영양조사 자료분석
Changes in the degree of and predictors of suicidal behaviors among young adults in their 20s and 30s living alone: Analysis of data from the wave 5 (2010-2012) and wave 8 (2019-2021) Korea National Health and Nutrition Examination Survey
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Objectives: This study aims to compare the changes in the degree of suicidal behaviors in solitary-dwelling young adults (age range = 20 to 39) in the last decade and identify predictors of suicidal behaviors. Methods: We measured both wave 5 (2010-2012) and wave 8 (2019-2021) in the Korea National Health and Nutrition Examination Survey (N=697), using the chi-square test, and complex sample multinomial and multiple logistic regression analysis. Results: Prevalence of suicidal thoughts and attempts declined by 12.2% and 1.4% respectively. Unhealthy behaviors such as smoking and inactivity were associated with suicidal behaviors. In addition, age, unemployment, depression, and psychological counseling were related to a higher risk of suicidal behaviors. Conclusions: The results demonstrate that young adults’ suicidal behavior predictors differed over the period. Therefore, it is necessary to develop suicide prevention interventions for this population based on different sub-demographic factors, physical and mental factors, and their existing health behaviors. Age and gender should be considered in both health and social welfare policies. Further prospective cohort study research is needed to compare data over a longer period.
Abstract
Objectives: This study aims to compare the changes in the degree of suicidal behaviors in solitary-dwelling young adults (age range = 20 to 39) in the last decade and identify predictors of suicidal behaviors. Methods: We measured both wave 5 (2010-2012) and wave 8 (2019-2021) in the Korea National Health and Nutrition Examination Survey (N=697), using the chi-square test, and complex sample multinomial and multiple logistic regression analysis. Results: Prevalence of suicidal thoughts and attempts declined by 12.2% and 1.4% respectively. Unhealthy behaviors such as smoking and inactivity were associated with suicidal behaviors. In addition, age, unemployment, depression, and psychological counseling were related to a higher risk of suicidal behaviors. Conclusions: The results demonstrate that young adults’ suicidal behavior predictors differed over the period. Therefore, it is necessary to develop suicide prevention interventions for this population based on different sub-demographic factors, physical and mental factors, and their existing health behaviors. Age and gender should be considered in both health and social welfare policies. Further prospective cohort study research is needed to compare data over a longer period.
참고문헌 (30)
- Babajide, A., "Transition cliffs for young adults with anxiety and depression : Is integrated mental health care a solution?", The Journal of Behavioral Health Services & Research, 47(2), pp.275~292 (2020)[DOI]
- Berardelli, I., "Lifestyle interventions and prevention of suicide", Frontiers in Psychiatry, 9, pp.567~ (2018)[DOI]
- Fong, T. C. T, "Change in suicidal ideation and associated factors among young adults in Hong Kong from 2018 to 2019 : A latent transition analysis", Social Psychiatry and Psychiatric Epidemiology, 57(5), pp.1027~1038 (2022)[DOI]
- Graham, C., "The relationship between obesity and suicide ideation among young adults in the United States", SSM-Population Health, 18, pp.101106~ (2022)[DOI]
- Jo, E. H., "Comparative analysis of factors affecting suicidal ideation among Korean youth(19-34 years old)using the Korea National Health and Nutrition Examination Survey IV(2007-2009)and VII(2016-2017)", The Korean Journal of Health Service Management, 14(4), pp.105~116 (2020)[DOI]
- Kang, J., "Young people, the same generation but different individuals", Health and Social Welfare Review, 43(1), pp.69~84 (2023)[DOI]
- Kim, J. W., "Determinants of suicidal ideation of young Koreans : Focused on different patterns across gender and living areas", Locality and Globality, 42(2), pp.93~126 (2018)[DOI]
- Kim, S. Y., "The factors affecting on the suicidal intention of single person households : Based on the 6th(2013, 2015)Korea National Health and Nutrition Survey", Journal of the Korean Society for Wellness, 13(3), pp.489~498 (2018)[DOI]
- Klonsky, E. D., "Ideation-to-action theories of suicide : A conceptual and empirical update", Current Opinion in Psychololy, 22, pp.38~43 (2018)[DOI]
- Lee, J. W., "Influencing factors of suicidal ideation by age among single person households", Asia-Pacific Journal of Convergent Research Interchange, 8(11), pp.487~498 (2022)[DOI]
- Lee, S. B., "The effects of relative deprivation of youth on suicide : the serial mediation effect of prospects and social isolation", Korea Institute for Health and Social Affairs, 42(2), pp.369~389 (2022)[DOI]
- Lim, J. U., "Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients", International Journal of Chronic Obstructive Pulmonary Disease, 12, pp.2465~2475 (2017)[DOI]
- "Mental health survey report" (2022)[URL]
- "Suicide prevention project guide" (2023)[URL]
- "Five-year (2016-2020) national suicide death analysis report" (2023)[URL]
- Miranda-Mendizabal, A., "Gender differences in suicidal behavior in adolescents and young adults : Systematic review and meta-analysis of longitudinal studies", International Journal of Public Health, 64(2), pp.265~283 (2019)
- Misiak, B., "Association of sociodemographic, proximal, and distal clinical factors with current suicidal ideation : Findings from a nonclinical sample of young adults", European Psychiatry, 66(1), pp.1~30 (2023)[DOI]
- Moon, D., "Crises, unemployment, working poor, and gender : Explaining the dynamics of the risk patterns of suicide in South Korea", Korea Social Policy Review, 25(4), pp.233~263 (2018)[DOI]
- Nock, M. K., "Suicide and suicidal behavior", Epidemiology Reviews, 30(1), pp.133~154 (2008)[DOI]
- Olfson, M., "Living alone and suicide risk in the United States, 2008-2019", American Journal of Public Health, 112(12), pp.1774~1782 (2022)[DOI]
- Park, E., "A meta-analysis of the effects of suicide prevention group programs for Korean adults", The Korean Journal of Health Psychology, 26(4), pp.641~674 (2021)[DOI]
- Rassy, J., "Information and communication technology use in suicide prevention : Scoping review", Journal of Medical Internet Research, 23(5), pp.e25288~ (2021)[DOI]
- Ryu, H. J., "Association between subjective body image and suicide ideation : Based on 14th Korean Youth Health Behavior Survey", Health Policy and Management, 30(2), pp.211~220 (2020)[DOI]
- Sivertsen, B., "Suicide attempts and non-suicidal self-harm among university students : Prevalence study", BJPsych Open, 5(2), pp.e26~ (2019)[DOI]
- Song, N. K., "A study of suicidal thoughts by age groups among single-person households", Korean Journal of Social Welfare Research, 61, pp.133~164 (2019)[DOI]
- "2021 Annual report on the cause of death statistics" (2022)[URL]
- "Changes in Korea’s youth generation analyzed based on population and housing census results (2000∼2020)" (2023)[URL]
- Voss, C., "Prevalence, onset, and course of suicidal behavior among adolescents and young adults in Germany", JAMA Network Open, 2(10), pp.e1914386~ (2019)[DOI]
- Werbart Törnblom, A., "Who is at risk of dying young from suicide and sudden violent death? Common and specific risk factors among children, adolescents, and young adults", Suicide and Life-Threatening Behavior, 50(4), pp.757~777 (2020)
- Wetherall, K., "From ideation to action : Differentiating between those who think about suicide and those who attempt suicide in a national study of young adults", Journal of Affective Disorders, 241, pp.475~483 (2018)[DOI]
