Factors Affecting on Suicidal Ideation in Maladjusted Soldiers

Sunah Kim; Hyunlye Kim; Ran Keum; Dabok Noh

doi:10.12934/jkpmhn.2013.22.2.117

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Kim, Kim, Keum, and Noh: Factors Affecting on Suicidal Ideation in Maladjusted Soldiers

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013; 22(2): 117-127.

Published online: 30 June 2013

DOI: https://doi.org/10.12934/jkpmhn.2013.22.2.117

Factors Affecting on Suicidal Ideation in Maladjusted Soldiers

Sunah Kim¹, Hyunlye Kim², Ran Keum³, Dabok Noh⁴

¹College of Nursing, Yonsei University, Nursing Policy Research Institute, Seoul, Korea.

²College of Nursing, Yonsei University, Seoul, Korea.

³Department of Nursing, Baekseok Culture University, Cheonan, Korea.

⁴Nursing Policy Research Institute, College of Nursing, Yonsei University, Seoul, Korea.

Corresponding author: Kim, Hyun Lye. College of Nursing, Yonsei University, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-2228-3252, Fax: +82-2-392-5440, hikim3252@yuhs.ac

Received 8 May 2013 Revised 19 June 2013 Accepted 25 June 2013

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to explore levels of depression, anxiety, suicidal ideation in maladjusted Korean soldiers and identify factors that influence suicidal ideation.

Methods

Instruments were the CES-D (Center for Epidemiologic Studies-Depression Scale), STAI (State Trait Anxiety Inventory), and SSI (Scale for Suicidal Ideation). The participants were 94 maladjusted soldiers from one army base in Gyeong-gi Province. Data were collected using self-report questionnaires, and analyzed with the SPSS/WIN 20.0 program.

Results

Mean scores were; for CES-D, 42.1±13.10, for STAI-I (state-anxiety) and STAI-II (trait-anxiety), 60.3±15.05 and 61.9±12.14 respectfully, and for SSI, 23.1±9.52. There were significant differences in suicidal ideation according the general characteristics of education, prospects for the future, and having someone to talk about troubles. Major variables showing significant correlations were prospects for the future, depression, trait anxiety, state anxiety, and suicidal ideation. Depression and prospect for future were significant predictors of suicidal ideation (Adjusted R² 65%).

Conclusion

Based on the findings of this study, it is important to assess significant mental health problems at the clinical level and provide suicidal ideation prevention in maladjusted soldiers. Active input from experts such as nursing officers and intervention programs that focus on depression are needed.

Keywords: Depression, Anxiety, Suicidal ideation, Maladjusted soldiers

Figures and Tables

Table 1

General Characteristics of Participants (N=94)^†

^†Except for missing data.

Table 2

Level of Depression, Anxiety and Suicidal Ideation (N=94)

Table 3

Difference Analysis of Major Variables by General Characteristics of Participants (N=94)^†

^†Except for missing data; ^‡Scheffé test.

Table 4

Correlation among Variables (N=94)

Table 5

Factors influencing on Suicidal Ideation (N=94)

^†VIF=variance inflation factor.

Notes

This research was supported by National Research Foundation of Korea (No. 2011-0029113).

References

1. An HJ, Kwon SC, Kim HM. Factors that influence non-combat military soldiers' suicidal ideation. J Korean Acad Psychiatr Ment Health Nurs. 2010. 19:299–306.

2. Beck AT, Kovacs M, Weissman A. Assessment of suicide intention: The scale for suicide ideation. J Consult Clin Psychol. 1979. 47:343–362.

3. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G^* Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009. 41:1149–1160.

4. Han IY. Mental health of Korean soldiers and their need for social service. Ment Health Soc Work. 1999. 8:199–219.

5. Hourani LL, Williams TV, Kress AM. Stress, mental health, and job performance among active duty military personnel: Findings from the 2002 department of defense health-related behaviors survey. Mil Med. 2006. 171:849–856.

6. Hyun JH, Kim HG. The effect of anger management program for adjustment of soldiers. Ment Health Soc Work. 2007. 27:5–27.

7. Hyun MS, Chung HI, Kang HS. Influencing factors on military adaptation among Korean soldiers. J Korean Acad Psychiatr Ment Health Nurs. 2009. 18:305–312.

8. Jang S. The army of regulation and control and the soldiers of resistance and despair. Korean Lit. 2008. 12(4):259–282.

9. Jeung SY, Lee DG. Psychological characteristics of soldiers at suicide risk. Korean J Couns. 2011. 12:897–914.

10. Joe SY. Relations of health promoting behaviors, mental health, and military life adjustments of soldiers. J Korean Acad Psychiatr Ment Health Nurs. 2003. 12:164–171.

11. Kim IY. The effect of communication program for air university students' self-efficacy and communication. 2007. Daegu: Kyungpook National University;Unpublished master's thesis.

12. Kim JT, Shin DG. A study based on the standardization of the STAI for Korea. New Med J. 1978. 21(11):69–75.

13. Kim SA. Ethnic identity, role integration, quality of life, and mental health in Korean-American woman. 1993. Austin: University of Texas;Unpublished doctoral dissertation.

14. Kim SA, Kim HL, Woo CH, Park SI, Keum R. Communication abilities, interpersonal relationship, anxiety, and depression in Korean soldiers. J Korean Acad Psychiatr Ment Health Nurs. 2011. 20:81–90.

15. Kim SS. A study on the level of soldiers' anxiety and anxiety-related factors. 2003. Seoul: Yonsei University;Unpublished master's thesis.

16. Koo SS. A study on mental health of new generation soldiers. Ment Health Soc Work. 2006. 24:64–93.

17. Lee SH, Oh KO, Kang MH. A study on factors affecting the suicidal ideation in older adults with osteoarthritis. J Korean Acad Psychiatr Ment Health Nurs. 2011. 20:103–110.

18. Lindstrom KE, Smith TC, Wells TS, Wang LZ, Smith B, Reed RJ, et al. The mental health of U.S. military women in combat support occupations. J Womens Health (Larchmt). 2006. 15:162–172.

19. Ministry of National Defense. The status of death in army. 2013. Seoul: Ministry of National Defense.

20. Park KB, Shin MS. Perceived stress and suicidal ideation of high school students. Korean J Clin Psychol. 1991. 10:298–314.

21. Park YJ, Jeong WC. A study on factors in military adjustment of generation soldiers. Soc Sci Res. 2006. 22(2):73–93.

22. Radloff L. The CES-D scale: A self report depression scale for research in the general population. Appl Psychol Meas. 1977. 1:385–401.

23. Ribeiro JD, Pease JL, Gutierrez PM, Silva C, Bernert RA, Rudd MD, et al. Sleep problems outperform depression and hopelessness as cross-sectional and longitudinal predictors of suicidal ideation and behavior in young adults in the military. J Affect Disord. 2012. 136:743–750.

24. Rodríguez JR, Quiones-Maldonado R, Alvarado-Pomales A. Millitary suicide: Factors that need to be taken into consideration to understand the phenomena. Bol Asoc Med P R. 2009. 101(3):33–41.

25. Seo M, Lee YJ. Psychosocial factors influencing suicidal ideation in adolescents. J Korean Acad Psychiatr Ment Health Nurs. 2011. 20:281–290.

26. Shin HD. The effects of college student's self-efficacy on the ways of coping stress and social problem-solving ability. 2006. Seoul: Kwanwoon University;Unpublished master's thesis.

27. Maguen S, Luxton DD, Skopp NA, Gahm GA, Reger MA, Metzler TJ, et al. Killing in combat, mental health symptoms, and suicidal ideation in Iraq war veterans. J Anxiety Disord. 2011. 25:563–567.

28. Smith TC, Zamorski M, Smith B, Riddle JR, LeardMann CA, Wells TS, et al. The physical and mental health of a large military cohort: Baseline functional health status of the millennium cohort. BMC Public Health. 2007. 340(7):1–13.

29. Spielberger CD, Gorsuch RL, Lushene R. Manual for the state-trait anxiety inventory. 1970. Palo Alto, CA: Consulting Psychologists Press.

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