The Korean Journal of Health Psychology
- KOREAN
- P-ISSN1229-070X
- E-ISSN2713-9581
- KCI
Prediction of a Substance Addict’s Suicide Ideation Through the Treatment Consideration Variables
Abstract
The purpose of this study was to examine the variables that predict the suicide of a material addict. Specifically, we wanted to assess if aggression, stress, support, and refusal to treat the PAI’s therapeutic agent significantly account for a drug addict’s suicide. To this end, records were collected of 235 patients who entered the Drug Addiction Rehabilitation Center at A Hospital, including the PAI Depression (DEP), the Suicide Consciousness (SUI), the Aggression (AGG), the Stress (STR), the Non-support (NON), the Treatment Rejection (RXR) and the Socio-Demographic Variations, and suicide attempts. The effects of the treatment-related spokespersons on suicide were verified after controlling the suicide-related demographic variables, experience in suicide attempts, and depression using the hierarchical multiple regression. The analysis showed that aggression had a significant impact on suicide, and the effects of non-support and denial of treatment were also suggested. To prevent the suicide of a material addict, the therapist discussed the need to address aggression, non-support, and denial of treatment, the method of therapeutic interventions, the limitations and significance of research, and the suggestions for further research.
- keywords
- substance addict, suicide ideation, aggression, stress, non-support, treatment rejection, 물질 중독, 자살사고, 공격성, 스트레스, 비지지, 치료거부
Reference
강석화 (2012). 대학생의 자살생각에 영향을 미치는 요인: 사회적 지지의 조절효과와 우울의 매개효과를중심으로. 청주대학교 대학원 박사학위 청구논문.
강호협, 이현주 (2017). 동기면담프로그램이 자살시도자의 자기효능감과 자살사고에 미치는 효과. 정신보건과 사회사업, 45(1), 116-143.
권규일, 강덕지, 함근수, 표주연 (1997). 자살에 관한연구. 국립과학 수사 연구소 연보, 29(2), 175-193.
김세은, 홍은주 (2009). 군인의 우울, 자살사고에 따른Draw-a-Story 검사반응의 특성. 인간발달연구, 16(2). 221-232.
김영환, 김지혜, 오상우, 임영란, 홍상황 (2001a). 성격평가 질문지 실시요강. 서울: 학지사.
김영환, 김지혜, 오상우, 임영란, 홍상황 (2001b). PAI 표준화 연구: 신뢰도와 타당도. 한국심리학회지:임상, 20(2), 311-329.
김영환, 오상우, 홍상황, 박은영 (2011). PAI의 임상적해석. 서울: 학지사.
김현순 (2008). 스트레스, 절망, 우울과 자살생각 간의구조적 관계: 노인과 청소년의 차이 비교 연구. 단국대학교 박사학위 청구논문.
박경서, 박은영, 김지혜, 홍상황 (2019). 자살 고위험군정신질환자의 PAI 반응. 사회과학논총, 22(2), 61-85.
박규태 (2012). 알코올 중독자의 자살생각에 영향을 미치는 요인에 관한 연구. 대구대학교 대학원 석사학위 청구논문.
박상규 (2010). 알코올 의존 환자를 위한 행복프로그램의 효과. 한국심리학회지: 건강, 15(4), 801-815.
박상규 (2016). 중독자의 회복과정에서 한국적 수행법의 활용. 한국심리학회지: 중독. 1(1), 85-104.
배미남, 이미형, 박시현, 이은진 (2019). 한국 성인의중독위험, 삶의 만족도, 우울, 자살사고 간의 관계. 정신간호학회지, 28(2), 133-143.
서인규, 김승희 (2014). 대학생의 취업스트레스와 자살사고의 관계에 대한 우울의 매개효과 검증: 남, 녀대학생 비교연구. 청소년복지연구, 16(3), 25-53.
신민섭, 박광배, 오경자, 김중술 (1990). 고등학생의 자살성향에 관한 연구, 우울-절망-자살간의 구조적관계에 대한 분석. 한국심리학회지:임상, 9(1), 1-19.
이미라 (2016). 알코올중독자의 감정표현불능증과 내현적 자기애 성향이 자살생각에 미치는 영향: 사회활동 참여의 조절효과를 중심으로. 조선대학교 정책대학원 석사학위 청구논문.
이봉귀, 이규희 (2012). 우울-반사회적 성향 재소자의기질 및 정서특성과 자살생각. 교정연구, 55, 103-126.
이슬아, 김근향, 서신영 (2012). 우울장애 환자의 자살시도 여부에 따른 심리적 특성의 차이: MMPI-2프로파일을 중심으로. 정신신체의학, 20(1), 40-49.
조성희, 신수경 (2010). 중독과 동기면담. 서울: 시그마프 레스
주오연 (2014). 청소년의 자살생각 도움요청의도에 영향을 미치는 요인. 대전대학교 대학원 석사학위청구논문.
최윤정 (2012). 대학생의 스트레스와 자살생각과의 관계에 작용하는 보호요인의 조절효과. 한국청소년연구, 23(3), 77-104.
통계청 (2019). 2018년 사망원인통계연보. http://kostat. go.kr/portal/korea/kor_nw/1/6/2/index.board?bmo de=download&bSeq=&aSeq=377606&ord=2
한국생명의전화 (2011). 자살예방 상담프로그램 개발. 서울: 보건복지부
Baumeister. R .F. (1990). Suicide as escape from self. Psychological Review, 97(1) 90-113.
Blomqvist, J. (1996). Paths to recovery from substance misuse: Change of lifestyle and the role of treatment. Substance Use and Misuse, 31(13), 1807-1852.
Brown, S. L., & Vinokur, A. D. (2003). The interplay among risk factors for suicidal ideation and suicide: The role of depression, poor health, and loved one’s messages of support and criticism. American Journal of Community Psychology, 32(1-2), 131-141.
Conner, K. R., Cox, C., Duberstein, P. R., Tian, L., Nisbett, P. A., & Conwell, Y. (2001). Violence, alcohol and completed suicide: A case-control study. American Journal of Psychiatry, 158(10), 1701-1705.
Conner, K. R., Beautrais, A. L., & Conwell, Y. (2003a). Risk factors for suicide and medically serious suicide attempts among alcoholics:analyses of Canterbury suicide project date. Journal of Studies on Alcohol and Drugs, 64(4), 551-554.
Conner, K. R., Beautrais, A. L., & Conwell, Y. (2003b). Moderators of the relationship between alcohol dependence and suicide and medically serious suicide attempts: analysis of Canterbury suicide project date. Alcoholism: Clinical Experiment Research, 27(7), 1156-1161.
De Wilde, E. J., Kienhorst, I. C. W. M., Diekstra, R. F. W., & Wolters, W. H. G. (1992). The relationship between adolescent suicidal behavior and life events in childhood and adolescence. American Journal of Psychiatry, 149(1), 45-51.
Emrick, C. (1987). Alcoholics Anonymous: Affiliation Processes and Effectiveness as Treatment. Alcoholism, 11(5), 416-423.
Galanter, M., Talbott, D., Gallegos, K., & Rubenstone, E. (1990). Combined Alcoholics Anonymous and professional care for addicted physicians. The American Journal of Psychiatry, 147(1), 64–68.
Gooding, P. A., Sheehy, K., & Tarrier, N. (2013). Perceived stops to suicidal thoughts, plans, and actions in persons experiencing psychosis. The Journal of Crisis Intervention an Suicide Prevention, 34(4), 273-281.
Hankanson, A., Bradivik, L., Schlyter, F., & Berglind, M. (2010). Factors Associated with the History of Attempted Suicide A Criminal Justice Population Examined with the Addiction Severity Index (ASI). Crisis, 31(1), 12–21.
Hamburg, B. A. (1974). Early adolescence:A specific and stressful stage life cycle. In G.V. Cohelo. D. A. Hamburg. J. E. Adams(Eda.), Coping and Adoption. p.101-124, New York: Basic Books.
Haw, C. M., & Hawton, K. (2011). Problem drug use, drug misuse and deliberate self-harm:trends and patient characteristics, with a focus on young people, Oxford, 1993-2006. Social Psychiatry and Psychiatric Epidemiology, 46(2), 85-93.
Horesh, N., Gothelf, D., Ofek, H., Weizman, T., & Apter, A. (1999). Impulsivity as a correlate of suicidal behavior in adolescent psychiatric inpatients. Crisis, 20(1), 8-14.
Hufford, M. R. (2001). Alcohol and suicidal behavior. Clinical Psychology Review, 21(5), 797-811.
Janssen, T., Cox, M. J., Marrill, J. E., Barnett, N. P., Sargent, J. F., & Jackson, K. M. (2018). Peer norms and susceptibility mediate the effect of movie alcohol exposure on alcohol initiation in adolescents. Psychology of Addictive Behaviors, 32(4), 442-455.
Jarvis, T. J., Tebbutt, J., Mattick, R. P., & Shand, F. (2006). Treatment approached for alcohol and drug Dependence: An introductory guide(2nd ed). New Jersey: John Wiley & Sons Inc.
Joiner, T. E., Van Orden, K. A., Witte, T. K., & Rudd, M. D. (2009). The interpersonal theory of suicide: Guidance for working with suicidal clients. Washington, DC: American Psychological Association.
Kalk, N. J., Kelleher, M. J., Curtis, V., & Morley, K. I. (2019). Addressing substance misuse: a missed opportunity in suicide prevention. Addiction, 114(3), 387–388.
Kaltiala, H. R., Rimpela, M., Marttunen, M., Rimpela, A., & Rantanen, P. (1999). Bullying, depression, and suicidal ideation in finish adolescents School Survey. British Medical Journal, 319, 319-348.
Kastelic, R. C., Zaman, R., Pregelj, P., & Segrec, N. (2018). Early age of first drug misuse is associated with increased risk of suicide attempt(s) by overdose among patients with heroin addiction in medication assisted treatment programmers. Heroin Addiction and Related Clinical Problems, 21(2), 27-32.
Marson, O. M., & Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. British Journal of Medical Psychology, 74(2), 197-212.
Moran, P. W., & Lambert, M. J. (1983). A review of current assessment tools for monitoering change in depression. In M. J. Lambert, E. R. Christensen, & S. S. DeJulio (Eds.), The measurement of psychotherapy outcome in research and evaluation (pp. 263-303). New York: Wiley.
O'carroll, P., Berman, A., Maris., & Moscicki, E. (1996). Beyond the Tower of Babel: A nomenclature for suicidology. Suicide Life-Threatening Behavior, 26(3), 237-252.
Riley, W., & Treilber, F. A. (1989). The validity of multidimensional self-erport anger and hostility measures. Journal of Clinical Psychology, 45(3), 397-404.
Romanov, K., Hatakka, M., Keskinen, E., Laaksonen, H., Kaprio, J., Rose, R. J., & Koskenvuo, M. (1994). Self-reported hostility and suicidal acts, accidents and accidental deaths: a prospective study of 21,443 adults aged 25 to 59. Psychosomatic Medicine, 56(4). 328-336.
Roy, A. (2009). Characteristics of cocaine dependent patients who attempt suicide. Archive of Suicide Research, 13(1), 46-51.
Roy, A. (2010). Risk factors for attempting suicide in heroin addicts. Suicide and Life Threatening Behavior, 40(4), 416-420.
Shneidman, E. S. (1989). Overview; A multidimensional approach to suicide. In D. Jacobs & H. N. Brown (Eds.). Suicide: Understanding and responding. Madison(pp. 1-30). CT: International Universities Press.
Son, S. E., & Kirchner, J. T. (2000). Depression in children and adolescents. American Family Physician, 62(10), 2297-2308.
Stein, D., Apter, A., Ratzoni, G., Har-Even, D., & Avidan, G. (1998). Associations between multiple suicide attempts and negative affects in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 37(5), 488-494.
Strupp, H. H., & Binder, J. (1984). Psychotherapy in a new key. New York: New York University Press.
Tremeau, F., Darreye, A., Staner, L., Corrnêa, H., Weibel, H., Khidichian, F., & Macher, J-P. (2008). Suicidality in opioid-dependent subjects. American Journal of Addictions, 17(3), 187-194.
Whittaker, J. K.. & Tracy, E. M. (1989). Social treatment(pp. 101-126). New York: Aldine de Gruyter.
Wilson, K. G., Stelzer, J., Bergman, J., & Inayatullah, M, Elliot, C. A. (1995), Problem Solving, Stress, and coping in adolescent suicide attempts. Suicide and Life-Threatening Behavior, 25(2), 241-252.
Yuodelis-Flores, C., & Ries, R. K. (2015). Addiction and suicide: A review. the American Journal on Addictions 24(2), 98-104.
- Downloaded
- Viewed
- 0KCI Citations
- 0WOS Citations