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Psychological Characteristics of College Students with Suicide Risk in MMPI-2-RF

Abstract

This study examined psychological characteristics of college students with suicide risk in MMPI-2-RF. Among 204 students who visited counseling centers at 4 universities in Seoul, 85 students with suicide risk were selected according to BSS screening criteria. A series of hierarchical regression analyses was performed to examine whether MMPI-2-RF higher-order scales, restructured clinical scales, internalizing scales, and interpersonal scales can significantly predict suicide risk after controlling for gender. The results showed significant prediction of MMPI-2-RF scales for suicide risk. Severity of mental pain (EID) and impulsive acting-out tendency of that mental pain (BXD) were identified as important psychological characteristics of college students with suicide risk. Clinical implication and limitations of this study were further discussed.

keywords
자살 위험군, MMPI-2-RF 척도, 자살 생각, 정서적/내재화 문제, 행동적/외현화 문제, suicide risk, MMPI-2-RF, suicide ideation, emotional/internalizing dysfunction, behavioral/externalizing dysfunction

Reference

1.

강석화, 나동석 (2013). 대학생의 대학생활 스트레스와 자살생각의 관계에서 우울의 매개효과. 청소년학연구, 20, 49-71.

2.

교육과학기술부 (2011). 연도별 대학생 자살자수.

3.

김민경 (2011). 대학생의 우울과 자살생각의 관계: 부정적 정서와 사회적 적응의 매개효과를 중심으로. 청소년학연구, 18, 101- 129.

4.

김보미, 유성은 (2012). 대인관계 외상 경험자들의 사회적 유대감, 정서 조절과 자살 생각의 관계. 한국심리학회지: 임상, 31(3), 731-748.

5.

노명선, 전홍진, 이해우, 이효정, 한성구, 함봉진 (2007). 대학생들의 자살관련행동에 관한 연구. 신경정신의학, 46(1), 35-40.

6.

노상선, 조용래, 최미경 (2014). 대학생의 자기 자비와 생활 스트레스가 자살생각에 미치는 영향: 반추와 우울증상의 매개 역할, 한국심리학회지: 임상, 33(4), 735-754.

7.

보건복지부(2014). 2013 국민건강통계 - 국민건강영양조사 제 6기 1차년도(2013).

8.

안소정, 박은희, 홍현주, 송정은, 육기환, 김소은 (2013). 청소년 우울증 환자에서 자살시도의 보호요인으로서 회복탄력성의 역할, 한국심리학회지: 임상, 32(2), 351-366.

9.

여환홍, 백용매 (2010). 경계선적 성격특성, 부적응적 완벽주의 및 우울이 자살관련행동에 미치는 영향, 한국심리학회지: 임상, 29(4), 1047-1066.

10.

이주영, 문경주, 허자영 (2012). 대학생의 자살사고와 관련된 MMPI-2 프로파일. 인간이해, 33(2). 53-69.

11.

이현지, 김명희 (2007). 대학생의 자아정체감과 무망감, 우울, 자살사고의 관계에 관한 연구. 청소년학연구, 14, 243-264.

12.

통계청 (2014). 사망원인별(103항목), 고의적 자해(자살) 통계.

13.

하정희, 안성희 (2008). 대학생들의 자살생각에 영향을 미치는 요인들: 스트레스, 대처방식, 완벽주의, 우울, 충동성의 구조적 관계모형 검증. 한국심리학회지: 상담 및 심리치료, 20(4), 1149-1171.

14.

한경희, 문경주, 이주영, 김지혜 (2011). 다면적 인성검사 II 재구성판 매뉴얼. ㈜마음사랑.

15.

Anderson, B. A., Howard, M. O., Walker, R. D., & Suchinsky, R. T. (1995). Characteristics of substance-abusing veterans attempting suicide: A national study. Psychological Reports, 77(3), 1231-1242.

16.

Anestis, M. D., & Joiner, T. E. (2011). Examining the role of emotion in suicidality: Negative urgency as and amplifier of the relationship between components of the interpersonal- psychological theory of suicidal behavior and lifetime number of suicide attempts. Journal of Affective Disorders, 129, 261-269.

17.

Appleby, L., Cooper, J., Ammos, T., & Faragher, B. (1999). Psychological autopsy study of suicides by people aged under 35. British Journal of Psychiatry, 175, 168-174.

18.

Baumeister, R. (1990). Suicide as escape from self. Psychological Review, 97, 90-113.

19.

Beck, A. T. & Steer, R. A. (1991). Manual for Beck Scale for Suicide Ideation. The Psychological Corporation.

20.

Beck, A. T., & Steer, R. A., (1988). Manual for the Beck Hopelessness Scale. San Antonio, TX: Psychological Corporation.

21.

Beck, A. T., Brown, G., & Steer, R. A. (1989). Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness. Journal of Consulting and Clinical Psychology, 57(2), 309-310.

22.

Ben-Porath, Y. S., & Tellegen, A. (2008). MMPI-2-RF(Minnesota Multiphasic Personality Inventory-2 Restructured Form) manual for Administration, Scoring, and Interpretation. Minneapolis: University of Minnesota Press.

23.

Boden, J. M., Fergusson, D. M., & Horwood, L. J. (2007). Anxiety disorders and suicidal behaviours in adolescence and young adulthood: findings from a longitudinal study. Psychological Medicine, 37, 431-440.

24.

Bongar, B. (2002). The suicidal patient: Clinical and legal standards of care (2nd ed.). Washington, DC: American Psychological Association.

25.

Bonner, R. L. (1992). Isolation, seclusion, and psychosocial vulnerability as risk factors for suicide behind bars. In R.W. Maris, A.L. Berman, J.T. Maltsberger, & R.I. Yufit (Eds.), Assessment and prediction of suicide (pp. 625-639). New York: Guilford.

26.

Busch, K. A., & Fawcett, J. (2004). A fine grained study of inpatients who commit suicide. Psychiatric Annals, 34(5), 357-265.

27.

Henriksson, M. M., Aro, H. M., Marttunen, M. J., Heikkinen, M. E., Isometsa, E. T., Kuoppasalmi, K. L., & Lonnqvist, J. K. (1993). Mental disorders and comorbidity in suicide. The American Journal of Psychiatry, 150(6), 935-940.

28.

Herbert, H., Maltsberger, J. T., Lipschitz, A., Haas, A. P., & Kyle, J. (2001). Recognizing and responding to a suicide crisis. Suicide and Life-Threatening Behavior, 31, 115-128.

29.

Holden, R. R., Mehta, K., Cunningham, E. J., & McLeod, L. D. (2001). Development and preliminary validation of a scale of psychache. Canadian Journal of Behavioural Science, 33, 224-232.

30.

Jeon, H. J., Lee, J., Lee, Y. M., Hong, J. P., Won, S., Cho, S., Kim, J., Chang, S. M., Lee, D., Lee, H. W., & Cho, M. J. (2010). Lifetime prevalence and correlates of suicidal ideation, plan, and single and multiple attempts in a Korean nationwide study. The Journal of Nervous and Mental Disease, 198, 643-646.

31.

Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.

32.

Joiner, T. E., Walker, R. L., Rudd, M. D., & Jobes, D. A. (1999). Scientizing and routinizing the assessment of suicidality in outpatient practice. Professional Psychology: Research and Practice, 30(5), 447-453.

33.

Kisch, J., Leino, E. V., & Silverman, M. M. (2005). Aspects of suicidal behavior, depression, and treatment in college students: Results from the spring 2000 National College Health Assessment Survey. Suicide and Life-Threatening Behavior, 35(1), 3-13.

34.

Kopper, B. A., Osman, A., & Barrios, F. X. (2001). Assessment of suicidal ideation in young men and women: The incremental validity of the MMPI-2 content scales. Death Studies, 25, 593-607.

35.

Kopper, B. A., Osman,A., Osman, J. R., & Hoffman, J. (1998). Clinical utility of the MMPI-A content scales and harris-lingoes subscales in the assessment of suicidal risk factors in psychiatric adolescents. Journal of Clinical Psychology, 54, 191-200.

36.

Kuo, W., Gallo, J. J., & Tien, A. Y. (2001). Incidence of suicide ideation and attempts in adults: The 13-year follow-up of a community samples in Baltimore, Maryland. Psychological Medicine, 31, 1181-1191.

37.

Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1996). Adolescent suicidal ideation and attempts: Prevalence risk factors, and clinical implications. Clinical Psychology: Science and Practice, 3, 25-46.

38.

Mann, J. J. Waternaux, C., Haas, G. L., & Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry, 156(2), 181-189.

39.

Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30, 133-154.

40.

Orbach, I., Mikulincer, M., Sirota, P., & Gilboa- Schechtman, E. (2003). Mental pain: A multidimensional operationalization and definition. Suicide and Life-Threatening Behavior, 33(3), 219-230.

41.

Packman, W. L., Marlitt, R. E., Bongar, B., & Pennuto, T. O. (2004). A comprehensive and concise assessment of suicide risk. Behavioral Sciences and the Law, 22, 667-680.

42.

Paris, J., & Zweig-Frank, H. (2001). A 27 year follow-up of patients with borderline personality disorder. Comprehensive Psychiatry, 42(6), 482-487.

43.

Pfeffer, C. R., Hurt, S. W., Peskin, J. R., & Siefker, C. A. (1995). Suicidal children grow up: Ego functions associated with suicide attempts. Journal of the American Academy of Child & Adolescent Psychiatry, 34(10), 1318- 1325.

44.

Ribeiro, J. D., Bodell, L. P., Hames, J. L., Hagan, C. R., & Joiner, T. E. (2013). An empirically based approach to the assessment and management of suicidal behavior. Journal of Psychotherapy Integration, 23(3), 207-221.

45.

Sepaher, I., Bongar, B., & Greene, R. L. (1999). Codetype base rates for the “I mean business” suicide items on the MMPI-2. Journal of Clinical Psychology, 55, 1167-1173.

46.

Shneidman, E. S. (1993). Suicide as psychache. Journal of Nervous and Mental Disease, 181, 147-149.

47.

Shneidman, E. S. (1999). The Psychological Pain Assessment Scale. Suicide and Life-Threatening Behavior, 29, 287-294.

48.

Tanney, B. L. (1992). Mental disorders, psychiatric patients, and suicide. In R.W. Maris, A.L., Berman, J.T. Maltsberger, & R.I. Yufit (Eds.), Assessment and prediction of suicide (pp. 277- 320). New York: Guilford.

49.

Tellegen, A., & Ben-Porath, Y. S. (2008). MMPI-2-RF(Minnesota Multiphasic Personality Inventory-2 Restructured Form) technical manual. Minneapolis: University of Minnesota Press.

50.

Tellegen, A., Ben-Porath, Y. S., McNulty, J. L., Arbisi, P. A., Graham, J. R., & Kaemmer, B. (2003). The MMPI-2 restructured clinical (RC) scales: Development, validation and interpretation. Minneapolis: University of Minnesota Press.

51.

Van Orden, K. A., Cukrowicz, K. C., Witte, T. K., & Joiner, T. E. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological Assessment, 24, 197-215.

52.

Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575-600.

53.

Wunderlich, U., Bronisch, T., & Wittchen, H. U. (1998). Comorbidity patterns in adolescents and young adults with suicide attempts. European Archives of Psychiatry and Clinical Neuroscience, 248, 87-95.

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