이 연구는 스트레스 취약성 모델을 중심으로 하여 스트레스, 소극적 대처방식, 실수에 대한 염려 차원 완벽주의, 우울, 그리고 충동성이 자살생각에 미치는 경로를 알아보고, 이에 대한 구조모형을 검증해보고자 하였다. 이를 위해 대학생 185명을 대상으로 하여 이 변인들의 특성과 구조적 관계를 살펴보았다. 연구결과 첫째, 자살생각과 관련성이 가장 높은 변인은 충동성으로 나타났다. 둘째, 수정모형이 최종모형으로 선택되었는데, 이는 충동성이 자살생각에 직접 영향을 줄 뿐 아니라 스트레스가 소극적 대처를 매개로 하여 충동성에 영향을 주고 이러한 충동성이 자살생각에 영향을 미친다는 경로모형이다. 한편, 우울은 자살생각에 직접 영향을 미치지 않았고 충동성과 상호작용하여 자살생각에 영향을 미쳤다. 셋째, 예측변인들의 자살생각, 우울, 충동성에 대한 설명량을 살펴보았을 때, 자살생각은 우울이나 충동성보다 예측변인들을 추정하기가 어려운 변인임을 알 수 있었다. 마지막으로 이 연구에 대한 상담학적 의의 및 후속연구를 위한 제언을 하였다.
Increasing suicide rates in our society are becoming a significant public health concern. The purpose of the current study was to examine whether individual factors (including passive means of coping with stress, being concerned about mistakes-a subscale of perfectionism, impulsivity, and depression) mediate the relationship between stress and suicidal ideation among 185 college student volunteers. Impulsivity had the largest effects on suicidal ideation in the adopted model. Stress predicted impulsivity via the passive means of coping with stress, and the impulsivity element predicted suicidal ideation directly. Depression indirectly predicted suicidal ideation via impulsivity. We suggest that other unknown variables predicting suicidal ideation may exist because the variance able to be explained using the variables used was relatively small. The implications for suicidal crisis counseling and future research were also discussed.
권정혜, (1997) 완벽주의적 성향, 사회적지지, 스트레스에 대한 대처방식이 중년여성의 우울에 미치는 영향, 한국심리학회지: 임상
김계현, (1997) 상담심리학, 학지사
김보영, (2008) 청소년 자살생각에 영향을 미치는 변인에 대한 메타분석,
김은정, (1999) 자기표상들과 자의식 성향이 스트레스 대처방식에 미치는 영향,
김인규 ; 조남정, (2006) 청소년 자살생각에 대한 구조모형 검증, 상담학연구
김정희, (1987) 지각된 스트레스,인지세트,및 대처방식의 우울에 대한 작용-대학신입생의 스트레스 경혐을 중심으로,
김현순 ; 김병석, (2008) 자살생각과 그 관련변인들 간의 구조적 관계 모형 검증, 한국심리학회지: 상담 및 심리치료
두금주, (2003) 스트레스와 우울간의 관계:자기 효능감과 완벽주의의 매개효과,
박경, (2004) 부정적 생활스트레스와 우울과의 관계 : 문제해결과 완벽주의의 중재효과와 매개효과, 한국심리학회지: 건강
박광배, (1991) 고등학생의 지각된 스트레스와 자살생각, 한국심리학회지:임상
박병금, (2007) 청소년의 자살생각 관련 요인 : 자아존중감과 우울의 매개효과를 중심으로, 한국생활과학회지
박정민, (2006) 아동의 완벽주의와 우울증상의 관계에서 스트레스 대처행동의 영향,
보건복지부, (2008) OECD Health Data 2006, 보건복지부
원호택, (1997) 이상심리학, 학지사
유상미, (2008) 지각된 스트레스,부적응적 완벽주의,자살사고의 관계:사회적 문제해결능력과 애착유형의 조절효과 중심으로,
이경진, (2003) 청소년 자살의 고위험 집단과 저위험 집단의 심리적 특성,
이현수, (1992) 충동성검사, 한국가이던스
임주현, (2002) 역기능 완벽주의:인지세트,대처방식 및 심리적 부적응과의 관계,
장현지, (2004) 일 도시 고등학생의 스트레스,우울 및 자살생각간의 관계,
전겸구, (1992) 대학생용 생활 스트레스 척도의 개발: 제어이론적 접근, 한국심리학회지:임상
전겸구, (1992) 한국판 CES-D 개발연구 1, 한국심리학회지:임상
정승진, (1999) 완벽성 감소를 위한 인지행동 집단상담 프로그램 개발,
정철순, (2001) 청소년의 자살 위험에 관한 연구,
조옥귀, (1992) 우울에 대한 취약요인으로서의 성격유형, 성격 및 개인차연구
최문선, (2004) 완벽주의와 우울간의 관계에서 자기효능감과 대처의 효과,
통계청, (2007) 2006년 사망 및 사망원인 통계 결과, 통계청
통계청, (2008) 2007년 사망 및 사망원인 통계 결과, 통계청
최애숙, (2004) 고등학생의 생활스트레스 경험이 우울,무망감 및 자살생각에 미치는 영향,
한상철, (2001) 사회적 지원과 스트레스 대처전략이 청소년의 우울 및 가출충동에 미치는 영향, 한국심리학회지:사회문제
홍나미, (1998) 청소년의 자살생각에 영향을 미치는 심리사회적 요인에 관한 연구,
홍영수, (2004) 청소년의 자살행동에 대한 생활스트레스와 심리사회적 자원의 영향,
Adkins, K. K., (1996) Perfectionism and suicidal preoccupation, Journal of Personality
Azevedo, M. H., (2006) Perfectionism and sleep disturbance in young males, Journal of Sleep Research
Baca-Garcia, B., (2001) A prospective study of the paradoxical relationship between impulsivity and lethality of suicide attempts, Journal of Clinical Psychiatry
Beautrais, A. L., (1997) Risk factors for serious suicide attempts among youths aged 13 through 24 years, Journal of the American Academy of Child & Adolescent Psychiatry
Beck, A. T., (1979) Assessment of suicidal intention: The scale for suicide 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
Bekker, M. H. J., (2004) Effects of negative mood induction and impulsivity on self -perceived emotional eating, International Journal of Eating Disorders
Botis, A., (1994) Suicide and violence risk: I. Relationship to coping styles, Acta-Psychiatrica-Scandinavica
Brent, D. A., (1993) Psychiatric risk factors of adolescent suicide: A case control study, Journal of the American Academy of Child & Adolescent
Bruce, K. R., (2005) Treatment implications of Axis-II comorbidity in eating disorders, Eating Disorders
Carlson, G. A., (1982) Suicidal and depression in children and adolescents, Journal of the American Academy of Child Psychiatry
Cassin, S. E., (2005) Personality and eating disorders: A decade in review, Clinical Psychology Review
Chang, E. C., (2001) Optimism, pessimism, and positive and negative affectivity in middle-aged adults: A test of a cognitive-affective model of psychological adjustment, Psychology and Aging
Chang, E. C., (1998) Cultural differences, perfectionism, and suicidal risk: Does social problem solving still matter, Cognitive Therapy and Research
Chang, E. C., (2000) Perfectionism as a predictor of positive and negative psychological outcomes: Examining a mediation model in younger and older adults, Journal of Counseling Psychology
Chang, E. C., (2001) Negative attributional style as a moderator of the link between perfectionism and depressive symptoms: Preliminary evidence for an integrative model, Journal of counseling Psychology
Cheng, S. K., (2001) Life stress, problem solving, perfectionism, and depressive symptoms in Chinese, Cognitive Therapy and Research
Conwell, Y., (1997) Management of suicidal behavior in the elderly, Psychiatric Clinics of North America
Culpin, V., (2006) The relationship between sleeping problems, aggression, anger and impulsivity in a population of juvenile and young offenders, Journal of Sleep Research
Dean, P. J., (1999) Testing the escape theory of suicide in a outpatient clinical population, Cognitive Therapy and Research
Dixon, W. A., (1991) Problem-solving appraisal, stress, hopelessness, and suicide ideation in a college population, Journal of Counseling Psychology
Endler, N. S., (1994) Assessment of multidimensional coping: Task, emotion, and avoidance strategies, Psychological Assessment
Endler, N. S., (1990) CISS: Coping Inventory for Stressful Situations Manual, Multi-Health Systems
Fergusson, D. M., (2000) Risk factors and life processes associated with the onset of suicidal behavior during adolescence and early adulthood, Psychological Medicine
Flett, G. L., (1995) Perfectionism, life events and depressive symptoms: A test of a diathesis-stress model, Current Psychology
Folkman, S., (1980) An analysis of coping in a middle aged community samples, Journal of Health and Social Behavior
Frost, R. O., (1993) A comparison of two measures of perfectionism, Personality and Individual Differences
Frost, R. O., (1990) The dimensions of perfectionism, Cognitive Therapy and Research
Frost, R. O., (1995) Relations to mistakes among subjects high and low in perfectionistic concern over mistakes, Cognitive Therapy and Research
Gould, M. S., (1996) Psychosocial risk factors of child and adolescent completed suicide, Archives of General Psychiatry
Hall, R. C. W., (1999) Suicide risk assessment: A review of risk factors for suicide in 100 patients who made severe suicide attempts: Evaluation of suicide risk in a time of managed care, Psychosomatics
Hamilton, T., (2000) The cost of being perfect: Perfectionism and suicide ideation in university students, Australian and New Zealand Journal of Psychiatry
Harwood, D., (2000) Suicidal behaviour among the elderly in : In The International Handbook of Suicide and Attempted Suicide, John Wiley & Sons
Hewitt, P. L., (1996) Perfectionism and depression: Longitudinal assessment of a specific vulnerability hypothesis, Journal of Abnormal Psychology
Hewitt, P. L., (1994) Dimensions of perfectionism and suicide ideation, Cognitive Therapy and Research
Kandel, D., (1991) Suicidal ideation in adolescent: Depression, Substance abuse and other risk factors, Journal of Youth and Adolescence
Kaslow, N. J., (2002) Risk and protective factors for suicidal behavior in abused African Amenrican women, Journal of Counseling and Clinical Psychology
Kralik, K., (1992) Identification of coping ideation and strategies preventing suicidality in a college-age sample, Suicide and Life-Threatening Behavior
Lazarus, R. S., (1984) Stress, appraisal, and coping, Springer
Lewinsohn, P. M., (1997) Depression-related psychosocial variables: Are they specific to depression in adolescents, Journal of Abnormal Psychology
Lewinsohn, P. M., (1994) Psychosocial risk factors for future adolescent suicide attempts, Journal of Consulting & Clinical Psychology
Lohman, B. L., (2000) Adolescent stressors, coping strategies, and psychological health studied in the family context, Journal of Youth and Adolescent
Mann, J. J., (1999) Toward a clinical model of suicidal behavior in psychiatric patients, Amsterdam Journal of Psychiatry
MacCallum, R., (2001) Sample size in factor analysis: The role of model error, Multivariate Behavioral Research
McKeown, R. E., (1998) Incidence and presictors of suicidal behaviors in a longitudinal sample of young adolescents, Journal of the American Academy of Child and Adolescent Psych
Mosciki, E. K., (1997) Identification of suicide risk factors using epidemiologic studies, Psychiatric Clinics of North America
Mosciki, E. K., (1995) Epidemiology of suicide, International Psychogeriatrics
O'carroll, P., (1996) Beyond the tower of babel: A nonmenclature for suicidology, Suicide Life-Threatening Behaviors
O'Keefe, P., (1999) Eating disorder inventory scores in Russia and Britain: a preliminary comparison, European Eating Disorders Review
Payket, E., (1975) Suicide attempters and recent life events, Archives of General Psychiatry
Peake, K. J., (2005) Gone, but not forgotten: an examination of the factors associated with dropping out from treatment of eating disorders, European Eating Disorders Review
Pryor, T., (1996) Laxative abuse among women with eating disorders: An indication of psychopathology, International Journal of Eating Disorders
Puskar, K., (1992) Suicidal and nonsuicidal coping methods of adolescents, Perspectives in Psychiatric Care
Ranieri, W. F., (1987) Relationships of depression, hopelessness and dysfunctional attitudes to sucide ideation in psychiatric patients, Psychological Reports
Richard, L., (2002) Impulsivity, coping, stress and problem gambling among university students, Journal of Counseling Psychology
Rubenowitz, E., (2001) Life events and psychological factors in elderly suicides: A case control study, Psychological Medicine
Sherer, M., (1985) Depression and suicidal ideation in college students, Psychological Report
Soloff, P. H., (2000) Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: a comparative study, Amsterdam Journal of Psychiatry
Steiger, H., (1992) Psychological profiles of adolescent girls with varying degrees of eating and mood disturbances, International Journal of Eating Disorders
Waldrop, A. E., (2007) Risk factors for suicidal behavior among a national sample of adolescents: implications for prevention, J Trauma Stress
Wang, M. C., (2007) Purpose in life and reason for living as mediators of the relationship between stress, coping, and suicidal behavior, The Journal of Positive Psychology
White, J. L., (1989) The troubled adolescent, Pergamon Press
Williams, C. L., (1980) Impulsive suicidal behavior, Journal of Clinical Psychology
Wilson, K. G., (1995) Problem solving, stress, and coping in adolescent suicide attempts, Suicide and Life-Threatening Behavior
Zalta, A. K., (2006) Peer influence on bulimic symptoms in college students, Journal of Abnormal Psychology