ISSN : 1229-0688
이 연구의 목적은 자살생각과 그 관련변인들 간의 관계를 살펴보고, 이들 간의 구조적 관계를 가장 잘 설명하는 자살생각 구조모형을 탐색하려는 것이다. 이를 위해 노인 221명과 청소년 221명에게 인구사회학적 변인과 스트레스 척도, 절망 척도, 우울 척도, 자살생각 척도로 구성된 동일한 설문지를 실시하여 그 변인들의 특성과 구조적 관계를 탐구하였다. 연구 결과, 첫째, 자살생각과 가장 상관이 높은 변인은 우울이었으며, 우울은 스트레스보다 절망과 상관이 더 높았다. 둘째, 경쟁모형1이 최종모형으로 선택되었는데, 이는 자살생각에 대한 절망과 우울의 매개효과에 있어 절망보다 우울의 효과가 더 크다는 것을 의미하는 것이다. 셋째, 예측변인들이 기준변인을 설명하는 설명력으로 볼 때, 자살생각은 우울보다 예측하기 어려운 변인이었다. 이 연구의 의의와 그 시사점을 논하고, 후속연구를 위한 제언을 제시하였다.
The purpose of this study was to investigate a structural model which can explain the relationship of suicidal ideation to its related variables. The subjects comprised 221 senior citizens over 65 years old and 221 high school students. Socio-demographic factors, Stress scales Hopelessness scales, Depression scales and Suicidal ideation scales were all employed. To process the data, correlation analysis using SPSS. WIN 15.0, and a hypothetical testing model using AMOS 7.0 were applied. The results were as follows: Firstly, suicidal ideation was strongly related to depression. Secondly, it was found that the competing model 1 was a better fit to the data than the other models. This meant that depression was more powerful a factor than hopelessness, having an influence upon the path between stress and suicidal ideation. Finally, the implications and limitations of this study were discussed together with suggestions for future studies.
김성일, (2001) 청소년의 우울성향과 가정환경과의 관계, 한국청소년 연구
김형수, (2002) 한국노인의 자살생각과 관련요인 연구, 한국노년학
김형수, (2006) 생애주기별 자살현황과 예방대책, 노인복지연구
남 민, (1997) 청소년 자살, 대한의사협회지
박광배, (1990) 고등학생의 대학입시목표와 자살생각, 한국심리학회지:임상
박광배, (1991) 고등학생의 지각된 스트레스와 자살생각, 한국심리학회지:임상
배종면, (1992) 외래용 스트레스량 측정도구 개발 연구, 가정의학회지
송동호, (1996) 청소년 자살기도의 정신의학적 특성, 신경정신의학
신민섭, (1990) 고등학생의 자살 성향에 관한 연구, 한국심리학회지:임상
육성필, (2002) 자살관련변인의 탐색과 치료 프로그램 개발,
이주은, (1995) 우울과 자기지향이 자기지각,사회적지지 및 대처행동에 미치는 영향,
임수영, (1995) 중학생의 자살생각에 영향을 미치는 요인과 사회적 지지의 완충 효과,
임인순, (2004) 중학생의 생활스트레스 경험과 대처방식이 우울,무망감 및 자살 생각에 미치는 영향,
임지혁, (1996) 외래용 스트레스량 측정도구로서 한국어판 BEPSI 설문서(수정판)의 타당성, 가정의학회지
원호택, (1997) 이상심리학, 학지사
장미희, (2006) 노인의 우울과 자살사고에 관한 구조 모형,
통계청, (2007) 2006년 사망 및 사망원인통계 결과, 통계청
한국청소년 상담원, (2007) 청소년 자살예방 대책마련을 위한 대토론회 자료집,
Allgood-Merten, B., (1990) Sex differences and adolescent depression, Journal of Abnormal Psycholoy
American Psychiatric Association, (1987) Diagnostic and statistical mannual of mental disorders, Auther
Asarnow, J., (1987) Coping strategies, self perceptions, hopelessness
and perceived family environments in depressed and suicidal children, Journal of Consulting and ClinicalPsychological
Baumeister, R. F., (1990) Suicide as escape from self, Psychological Review
Beautrais, A. L., (1997) Risk factors for serious suicide attempts among youths aged 13 through 24 years, Journal of the American Academy of Child and Adolescent Psychiatry
Beck, A. T., (1963) Thinking and depression: Archives of General Psycjiatry,
Beck, A. T., (1967) Depression: clinical experimental, and Theoretical Aspect, Hoebner Medical division Harper & Row
Beck, A. T., (1990) Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients, American Journal of Psychiatry
Beck, A. T., (1979) Assessment of suicidal intention: The Scale for Suicidal Ideation, Journal of Consulting and Clinical Psychology
Beck, A. T., (1993) Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression, Suicide and Life-Threatening Behavior
Beck, A. T., (1985) Hopelessness and eventual suicide: A 10-year perspective study of patients hospitalized with suicidal ideation, American Journal of Psychiatry
Beck, A. T., (1974) The Measurement of pessimism: The hopelessness scale, Journal of Consulting and Clinical Psychology
Bonner, R. L., (1987) Toward a Perspective Model of Suicidal ideation and Behavior, Suicide and Life-threatening Behavior
Brent, D. A., (1993) Psychiatric risk factors of adolescent suicide: A case control study, Journal of the American Academy of Child and Adolescent Psychiatry
Brown, G. K., (2000) Risk factors for suicide in psychiatric out-patient: a 20-year prospective study, Journal of Consulting and Clinical Psychology
Carlson, G. A., (1982) Suicide and Depression in Children and Adolescents, Journal of the American Academy of Child Psychiatry
Cole D. A., (1989) Psychopathology of adolescent suicide: Hopelessness, coping beliefs. and depression, Journal of Abnormal Psychology
Conwell, Y., (1997) Management of suicidal behavior in the elderly, Psychiatric Clinics of North America
Conwell, Y., (1990) Suicide and Cancer in Later Life, Hospital and Community Psychiatry
Crumley, F. E., (1979) Substance abuse and adolescent suicidal behavior, Journal of the American Medical Association
De Wilde, E. J., (1992) The relationship between adolescent suicidal behavior and life events in childhood and adolescence, American Journal of Psychiatry
Felner, R. D, (1995) Suicide prevention program: Issues of design, implementation, feasibility, and developmental appropriate, the Guilford Press
Forsell, Y., (1997) Suicidal thoughts and associated factorsin an elderly population, Acta psychiatrica scandinavica
Gould, M. S., (1996) Psychosocial risk factors of child and?adolescent completed suicide Archives of General Psycjiatry,
Greuling, J. W., (1980) Adolescent suicide, Adolescence
Harwood, D., (2000) Suicidal behavior among the elderly, John Wiley & Sons
Kandel, D., (1991) Suicidal ideation in Adolescence: Depression, Substance abuse?and Other Risk Factors, Journal of Youth and Adolescence
Klerman, G., (1987) Clinical Epidemiology of suicide, Journal of Clinical Psychiatry
Kuo, W. H., (2004) Hopelessness, depression, substance disorder and suicidality: A 13-year community-based study Soc, Psychiatry Psychiatr Epidemilol
Lazarus, R. S., (1984) Stress, Appraisal and Coping, Springer Publishing Company
Lester, D., (1989) A Depression Paradox Theory of Suicide, Personality and Individual Difference
Lynch, T. R., (2004) A model predicting suicidal ideation and hopelessness in depressed older adults: the impact of emotion inhibition and affect intensity, Aging & Mental Health
Maris, R. W., (1981) Pathways to suicide: A Survey of self-destructive behaviors, John Hopkins University Press
Marschean, A., (2002) Developing a Plan and Strategy for Suicide Prevention in the commonwealth, joint Commission on Behavioral Health Care
Mclntosh, J. L., (1994) Elder Suicide Research, Theory and Treatment, American Psychological Association
McKeown, R. E., (1998) Incidence and predictors of suicidal behaviours in a longitudinal sample of young adolescents, Journal of the?American?Academy of Child and Adolescent Ps
Moscicki, E. K., (1995) Epidemiology of suicide, Int Psychogeriatr
Nisbet, P. A., (2000) Comprehensive Textbook of Suicidology, The Guilford Press
Nolen-Hoeksema, S., (1992) Predictors and Consequences of Childhood depressive symptoms: A 5-year longitudinal study, Journal of Abnormal Psycholoy
O'carroll, P., (1996) Beyond the Tower of Babel: A nonmenclature for suicidology, Suicide Life-Threatening Behaviours
Organization for Economic Cooperation and Development, (2006) OECD Health Data,
Rainer, J. D., (1984) Genetic factors in depression and suicide, American journal of psychotheraphy
Robert, R. E., (1995) Depressive symptoms and suicidal ideation among Mexican-Origin and Anglo adolescents, Journal of the American Academy of Child and Adolescent Psychiatry
Rubenowitz, (2001) Life events and psychological factors in elderly suicides a case control study Psychological, Medicine
Rudd, M. D., (1990) An Intergrative model suicide ideation, Suicide and Life Threatening Behavior
Shaffer, D., (1974) Suicide in childhood and early adolescence, Journal of Child Psychol Psychiatry
Sherer, M., (1985) Depression and suicidal ideation in college students, Psychological Report
Weissman, M. M., (1974) The epidemiology of suicide attempt, Archives of General psychiatry
Wetzel, L. D., (1976) Hopelessness, Depression, and Suicide Intent, Arch General Psychiatry
White, J. L., (1989) The troubled adolescent, Pergamon Press
Wilson, K. G., (1995) Problem solving, stress, and coping in adolescent suicide attempts, Suicide and Life-Treatening Behavior
Zung, W. W. K., (1965) A self-rating depression, Archives of General Psychiatry