마음건강수준과 사회적 지지, 심리적 고통이 지역사회 정신보건 서비스를 이용하는 만성 조현병 환자의 자살사고에 미치는 영향 = The Effects of Mental Fitness, Social Support and Psychological Distress on Suicidal Idea of People with Schizophrenia Using Community Mental Health Services

다국어 초록 (Multilingual Abstract)

Objectives The objective of this study was to analyze the relationships of psychological distress, social support, mental fitness and suicidal idea among patients of chronic schizophrenia using community mental health services.
Methods This study was conducted in patients who visited the mental health services in Daejeon from October to December 2011. In total, 395 chronic schizophrenic patients were evaluated using Mental Fitness Scale (MFS), Kessler Psychological Distress Scale (K10), and Multidimensional Scale of Perceived Social Support (MSPSS).
Results Results showed that 37% (n=146) of patients had suicidal ideas and 63% (n=249) of patients did not have suicidal ideas. The group that had suicidal ideas showed significantly lower scores on MFS, K10, and MSPSS than the group with no suicidal ideas (p=0.000). Logistic regression analysis showed a significantly lower score on MFS, K10 for the suicidal ideation group than the group with no suicidal ideas.
Conclusion These results suggest that health care providers should consider mental fitness and psychological distress, in order to prevent suicidal idea of schizophrenic patients.

국문 초록 (Abstract)

본 연구에서 만성 조현병 환자의 자살사고에 높은 마음건강수준과 낮은 심리적 고통 수준은 보호요인으로 밝혀졌다.
최근 지역사회 중심의 정신보건정책이 시행됨에 따라 높은자살위험을 갖고 있는 것으로 알려진 만성 조현병 환자들이지역사회에 더 많이 거주하게 되는 추세가 진행되고 있다.
따라서 이들을 관리하는 지역사회 정신보건기관들에서는 이들의 마음건강수준과 심리적 고통 수준에 관심을 가지고 자살로 생을 마감하지 않도록 관심을 기울여야 할 것으로 생각된다.

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