Journal List > J Korean Neuropsychiatr Assoc > v.55(4) > 1017820

Kim, Lee, Kim, Lee, Mun, Kim, and Jung: Variables Affecting to Attitudes towards Suicide among General Adult Population in the City of Bucheon

Abstract

Objectives

The goal of this study was to investigate variables affecting attitudes toward suicide among the general adult population in the city of Bucheon, Korea.

Methods

Study participants included 1000 subjects over 18 years old who visited public offices in Bucheon, Gyeonggi Province, South Korea. Subjects completed a series of questionnaires covering demographic characteristics, clinical characteristics, and prior suicidal ideation and attempts. The Attitudes Toward Suicide-20 and the Center for Epidemiologic Studies-Depression Scales were used to assess attitudes toward suicide and the severity of depression, respectively. Exploratory factor analysis of the responses was performed.

Results

Analysis of responses on the Attitudes Toward Suicide-20 Scale revealed four important factors : permissiveness and unpredictability, attitudes toward suicide prevention, relationship between suicide causes and processes, and lack of comprehension of suicide. We assessed relationships among clinical and demographic variables by assessing scores on the Attitudes toward Suicide scale. Demographic characteristics (sex, age, marital status, education, economic status, and religion), clinical characteristics (physical and psychological health), and prior suicidal ideation and attempts affected respondents attitudes toward suicide.

Conclusion

The variables identified as affecting attitudes toward suicide in this study were similar to those reported in previous studies (i.e., sex, age, religion, education, physical, and psychological health, prior suicidal ideation and attempts). In support of previous research results, we suggest that identifying groups that exhibit variables associated with attitudes toward suicide is an important step in suicide prevention, as such attitudes may influence subsequent behavior. Educational campaigns aimed at suicide prevention can be enhanced by focusing on attitudes toward suicide.

Figures and Tables

Table 1

Demographic characteristics

jkna-55-376-i001

SD : Standard deviation

Table 2

Clinical characteristics

jkna-55-376-i002

SD : Standard deviation, CES-D : Center for Epidemiologic Studies-Depression Scale

Table 3

Factor analysis pattern matrix for 20 items of ATTS-20

jkna-55-376-i003

ATTS-20 : Attitudes Towards Suicide-20

Table 4

Comparison between variables and ‘Attitudes Towards Suicide’

jkna-55-376-i004

Without notations, F and p values were calculated by one-way ANOVA (assuming equal variance). Posthoc comparison was conducted by Scheffe's test when using one-way ANOVA, Games-Howell test when using Welch's one-way ANOVA, or Dunn's test when using Kruskal-Wallis test as appropriate. * : p<0.05, ** : p<0.01, *** : p<0.001, : F and p-values were calculated by Welch's one-way ANOVA (assuming unequal variance), : χ2 and p-values were calculated by Kruskal-Wallis test. SD : Standard deviation, Factor 1 : Permissiveness and unpredictability, Factor 2 : Attitude toward suicide prevention, Factor 3 : Relation caused and suicide process, Factor 4 : Lack of comprehension of suicide

Notes

Conflicts of Interest The authors have no financial conflicts of interest.

References

1. World Health Organization. The global burden of disease: 2004 update. Geneva: World Health Organization;2008.
2. Jung SH. The socioeconomic burden of suicide and depression in South Korea. Seoul: National Center for Mental Health Research and Education;2005.
3. Law.go.kr [homepage on the Internet] Act for the prevention of suicide and the creation of culture of respect for life. cited 2016 Jul 20. Available from: http://www.law.go.kr/lsEfInfoP.do?lsiSeq=111579#.
4. Kostat.go.kr [homepage on the Internet]. Annual report on the causes of death statistics, 2014. cited 2016 Jul 20. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=348539.
5. Kostat.go.kr [homepage on the Internet]. Causes of Death Statistics by Province, 2014. cited 2016 Jul 20. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E09&conn_path=I2.
6. Kim B, Jung KJ, Lee SU, Sea J, Kim EY, Kim SH, et al. The Korea National Suicide Survey (KNSS): rationale and design. Korean J Biol Psychiatry. 2015; 22:1–6.
7. Galynker I, Yaseen ZS, Briggs J, Hayashi F. Attitudes of acceptability and lack of condemnation toward suicide may be predictive of post-discharge suicide attempts. BMC Psychiatry. 2015; 15:87.
crossref
8. Borges G, Nock MK, Haro Abad JM, Hwang I, Sampson NA, Alonso J, et al. Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. J Clin Psychiatry. 2010; 71:1617–1628.
crossref
9. Arnautovska U, Grad OT. Attitudes toward suicide in the adolescent population. Crisis. 2010; 31:22–29.
crossref
10. Kim SW, Kim SY, Kim JM, Seo TW, Shin IS, Kim SJ, et al. A survey on attitudes toward suicide and suicidal behavior in Korea. J Korean Soc Biol Ther Psychiatry. 2008; 14:43–48.
11. Renberg ES. Self-reported life-weariness, death-wishes, suicidal ideation, suicidal plans and suicide attempts in general population surveys in the north of Sweden 1986 and 1996. Soc Psychiatry Psychiatr Epidemiol. 2001; 36:429–436.
crossref
12. Renberg ES, Jacobsson L. Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide Life Threat Behav. 2003; 33:52–64.
crossref
13. Kodaka M, Postuvan V, Inagaki M, Yamada M. A systematic review of scales that measure attitudes toward suicide. Int J Soc Psychiatry. 2011; 57:338–361.
crossref
14. Park JI, Kim YJ. Factor structure of Korean version of attitudes toward suicide (ATTS-20). Ment Health Soc Work. 2014; 42:92–113.
15. An YM, Park JI, Ji SH, Kim KI. 2013 National Survey on Suicide. Sejong: Ministry of Health and Welfare;2014.
16. Kim K, Park JI. Attitudes toward suicide among college students in South Korea and the United States. Int J Ment Health Syst. 2014; 8:17.
crossref
17. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc. 1993; 32:381–399.
18. Shah A, De T. Suicide and the elderly. Int J Psychiatry Clin Pract. 1998; 2:3–17.
crossref
19. Garand L, Mitchell AM, Dietrick A, Hijjawi SP, Pan D. Suicide in older adults: nursing assessment of suicide risk. Issues Ment Health Nurs. 2006; 27:355–370.
crossref
20. Carney SS, Rich CL, Burke PA, Fowler RC. Suicide over 60: the San Diego study. J Am Geriatr Soc. 1994; 42:174–180.
crossref
21. Weissman MM, Bland RC, Canino GJ, Greenwald S, Hwu HG, Joyce PR, et al. Prevalence of suicide ideation and suicide attempts in nine countries. Psychol Med. 1999; 29:9–17.
crossref
22. Phillips MR, Yang G, Zhang Y, Wang L, Ji H, Zhou M. Risk factors for suicide in China: a national case-control psychological autopsy study. Lancet. 2002; 360:1728–1736.
crossref
23. Kaneko Y, Motohashi Y. Male gender and low education with poor mental health literacy: a population-based study. J Epidemiol. 2007; 17:114–119.
crossref
24. Taylor R, Page A, Morrell S, Carter G, Harrison J. Socio-economic differentials in mental disorders and suicide attempts in Australia. Br J Psychiatry. 2004; 185:486–493.
crossref
25. Madadina M, Mahmoud A, Alsowayigha K, Alfaraidya M. Suicide deaths in dammam, kingdom of Saudi Arabia: retrospective study. Egypt J Forensic Sci. 2013; 3:39–43.
crossref
26. Diekstra RFW. Suicide, depression and economic conditions. In : Lester , editor. Current concepts of suicide. Philadelphia: Charles Press;1990. p. 111–131.
27. Heo NK. South Korean society's suicide issue and the position of Buddhist bioethics: with proposal for a comprehensive application of the precept ‘Do Not-Kill-All Living Things’. Buddhism Newspaper. 2013; 66:247–275.
28. Booij SJ, Tibben A, Engberts DP, Marinus J, Roos RA. Thinking about the end of life: a common issue for patients with Huntington's disease. J Neurol. 2014; 261:2184–2191.
crossref
29. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry. 11th ed. Philadelphia: Wolters Kluwer;2014.
30. Jung SH, Lee SE, Park PS, Lee SD, Choi HJ, Lee HW, et al. Attitudes toward suicide in middle-school students. J Korean Acad Child Adolesc Psychiatry. 2013; 24:28–35.
crossref
31. Keilp JG, Grunebaum MF, Gorlyn M, LeBlanc S, Burke AK, Galfalvy H, et al. Suicidal ideation and the subjective aspects of depression. J Affect Disord. 2012; 140:75–81.
crossref
32. Reynders A, Kerkhof AJ, Molenberghs G, Van Audenhove C. Help-seeking, stigma and attitudes of people with and without a suicidal past. A comparison between a low and a high suicide rate country. J Affect Disord. 2015; 178:5–11.
crossref
33. Roberts RE, Roberts CR, Chen YR. Suicidal thinking among adolescents with a history of attempted suicide. J Am Acad Child Adolesc Psychiatry. 1998; 37:1294–1300.
crossref
TOOLS
Similar articles