Journal of Korean Academy of Nursing

Research Paper

Effects of Fear of Coronavirus Disease 2019 and Social Distancing on Women’s Suicidal Ideation: Mediating Effect of Depression: Kim, Hyo Yeon , Park, Hanjong; J Korean Acad Nurs 2022;52(4):464-475. Published online August 31, 2022; DOI: https://doi.org/10.4040/jkan.22078

Abstract PDF: Purpose
This study aimed to identify the mediating effects of depression amid the influence of fear and social distancing arising from Coronavirus disease 2019 (COVID-19) in Korean women’s suicidal ideation.
Methods
A descriptive correlation study was conducted. Study participants, recruited by Hankook Research from March 2 to March 5, 2021, included 300 women aged 19 to 49 living in South Korea, and 100 people were randomly allocated and enlisted for each age group out of 700,000 Hankook Research Panels recruited in advance from 17 cities and provinces nationwide. Data were collected through a self-reported questionnaire and analyzed using Pearson’s correlation coefficient and Hayes’ Process Macro Model 4 with 95% bias-corrected bootstrap confidence interval via SPSS statistics 27.0.
Results
Suicidal ideation was significantly correlated with fear of COVID-19 (r = .16, p = .006) and depression (r = .65, p < .001). The mediation effect of depression in the relationship between the fear of COVID-19 and suicidal ideation was found to be significant (B = 0.40, boot 95% CI: 0.21~0.61). However, social distancing did not significantly affect suicidal ideation via depression (B = - 0.79, boot 95% CI: - 1.94~0.26).
Conclusion
It is necessary to develop and apply interventions to prevent depression and suicidal behaviors by continuously observing and reducing the negative psychological responses caused by COVID-19.

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Original Articles

Impact of Parents’ Problem Drinking on Suicidal Ideation of Their University Student Children : The Multiple Mediating Effects of Childhood Trauma, Experiential Avoidance and Depression: Eun Sook Lee, Eun Ju Bong; J Korean Acad Nurs 2018;48(5):565-577. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.5.565

Abstract PDF

Abstract Purpose

The purpose of this study was to construct and test a hypothetical model about impact of parents’ problem drinking on suicidal ideation of their children who are university students and the multiple mediating effects of childhood trauma, experiential avoidance, and depression based on stress-vulnerability model.

Methods

A purposive sample of 400 university students was recruited from three universities in provincial areas and the data were collected between October and November 2016. The collected data were then analyzed using SPSS 20.0 and AMOS 20.0 programs. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Multiple mediating effects analysis using phantom variable and bootstrapping were implemented to verify the mediating effect of the research model.

Results

We found no significant direct effect on depression and suicidal ideation of parents’ problem drinking, but multiple mediating effects of childhood trauma and experiential avoidance between parents’ problem drinking and depression (B=.38, p=.001). The path from parents’ problem drinking to suicidal ideation was significantly mediated by childhood trauma and depression (B=.02, p=.016) and by childhood trauma, experiential avoidance, and depression (B=.05, p=.011), but experiential avoidance did not have a significant direct effect on suicidal ideation (B=.02, p=.616). Conclusions: Based on the results of this study, it can be suggested that in order to decrease depression and prevent suicide of university students, considering of parents’ problem drinking and childhood trauma, intervention methods that decreased chronic use of experiential avoidance and strengthen acceptance should be developed and made available to them.

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Effect of Adolescents' Abuse Experience on Suicidal Ideation: Focused on Moderated Mediation Effect of Self-esteem on Depression and Anxiety: Ji Young Kim, Kyunghee Lee; J Korean Acad Nurs 2015;45(5):752-760. Published online October 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.5.752

Abstract PDF

Purpose

The purpose of this study was to examine the moderating mediation effect of self-esteem on the relations among adolescents' abuse experiences, depression and anxiety, and suicidal ideation.

Methods

The participants were selected using secondary data from a population in the 2012 Korea Welfare Panel Survey (KOWEPS). Data were analyzed using SPSS 15.0 and SPSS Macro, and bootstrapping and hierarchical regression analysis were performed to analyze multilevel models.

Results

First, analysis of the mediating effect of the adolescents' abuse showed that there was significant mediating influence between suicidal ideation and depression and anxiety. Second, hierarchical regression analysis showed that self-esteem had significant mediation effect on depression and anxiety in adolescents' suicidal ideation. Third, SPSS Macro showed that self-esteem also significantly moderated the mediating effect of adolescents' abuse experiences on suicidal ideation through depression and anxiety.

Conclusion

The study results suggest that in future research on adolescent's abuse experience, the risk of suicide in depression and anxiety scores should be selected through evaluation of each individual's self-esteem scale. Coping strategies with immediate early intervention should be suggested.

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Comparison of Boys' and Girls' Families for Actor and Partner Effect of Stress, Depression and Parent-Adolescent Communication on Middle School Students' Suicidal Ideation: Triadic Data Analysis: Sung Hee Shin, Suk Jeong Ko, Yu Jeong Yang, Hyun Su Oh, Mi Young Jang, Joong Myung Choi; J Korean Acad Nurs 2014;44(3):317-327. Published online June 30, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.3.317

Abstract PDF

Purpose

This study was done to compare families of boys or of girls for actor and partner effect of stress, depression and parent-adolescent communication as perceived by mother, father and adolescent on adolescents' suicidal ideation.

Methods

Participants were 183 families (104 boys' families, 79 girls' families) who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program.

Results

In boys' families, boys' depression and communication with father showed actor effect on boys' suicidal ideation. Boys' stress showed indirect effect on boys' suicidal ideation through communication with father and boys' depression. Mothers' depression showed indirect partner effect on boys' suicidal ideation through boys' depression. In families of girls, girls' depression and stress showed actor effects on girls' suicidal ideation. Girls' communication with mother showed indirect effects through girls' depression. Also girls' stress showed indirect effect through girls' depression. Stress in mothers and/or fathers showed partner effect on girls' suicidal ideation.

Conclusion

To intervene in adolescents' suicidal ideation and promote adolescents' mental health, programs should be developed differently according to gender and based on parent's psychological states.

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Yeojin Im, Won-Oak Oh, Minhyun Suk
Archives of Psychiatric Nursing.2017; 31(3): 282. CrossRef

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Depression and Suicidal Ideation in Elders with Dementia: Jong Pil Kim, Mi-Yeul Hyun; J Korean Acad Nurs 2013;43(2):296-303. Published online April 30, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.2.296

Abstract PDF

Purpose

The purpose of this study was to investigate the prevalence of depression and suicidal ideation in elders with dementia and to identify factors influencing their suicidal ideation.

Methods

A descriptive and cross-sectional study was conducted from February to March, 2011. The participants were 298 older adults whose MMSE-KC score was 15 to 23. Collected Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression.

Results

According to the Geriatric Depression Scale (GDS) classification criteria, 86.2% of the elders in this study exhibited depression (GDS=5), and 31.5% manifested severe depression. The mean score of suicidal ideation was 5.70 (range 0-20). The risk factors for suicidal ideation were depression, suicidal attempt experience, present location for care, and activities of daily living.

Conclusion

The results of this study can be utilized in the development of suicide prevention programs for older adults with dementia. In particular, depression should be screened and managed to reduce suicidal ideation of older adults with dementia.

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Attitudes of Adolescents toward Suicide: Q-Methodological Approach: Mi-Kyung Choi, Ji-Min Seo; J Korean Acad Nurs 2011;41(4):539-549. Published online August 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.4.539

Abstract PDF

Purpose

The purpose of this study was to identify attitudes of adolescents toward suicide.

Methods

Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty middle and high school students classified 37 selected statements into a normal distribution using a 9 point scale. Collected data were analyzed using the Quanl PC Program.

Results

Three types of attitudes toward suicide were identified. The first type (opposing suicide-moral minded) showed an attitude of opposing suicide and thinking that suicide is a sin. The second type (understanding-empathizing suicidal person) showed an attitude of understanding the situation of the adolescents who has suicidal ideation and empathizing with them. The third type (ambivalent attitude) showed an attitude of understanding the suicidal person but, at the same time, opposing suicide.

Conclusion

Results of the study indicate that different approaches to suicide prevention programs should be developed based on the three types of suicide attitudes among adolescents.

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