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논문 기본 정보

자료유형
학술저널
저자정보
Yang Jeong Hun (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.Department of Psychiat) Rhee Sang Jin (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.) Park C. Hyung Keun (Department of Psychiatry Asan Medical Center Seoul Korea.) Kim Min Ji (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.Department of Psychiat) Shin Daun (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.Department of Psychiat) Lee Jae Won (Department of Psychiatry Seoul Metropolitan Eunpyeong Hospital Seoul Korea.) Kim Junghyun (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.) Kim Hyeyoung (Department of Psychiatry Seoul National University College of Medicine Seoul Korea.Department of Ps) Lee Hyun Jeong (Department of Psychiatry and Behavioral Science National Cancer Center Goyang Korea.Division of Can) Ha Kyooseob (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.Department of Psychiat) Ahn Yong Min (Department of Neuropsychiatry Seoul National University Hospital Seoul Korea.Department of Psychiat)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.5
발행연도
2021.1
수록면
1 - 15 (15page)

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Background: Early trauma is known to be a risk factor of suicide-related behavior. On the other hand, people who attempt suicide using a fatal method are reported to be more likely to complete suicide. In this study, we assumed that early trauma affects an individual's temperament and character and thereby increases the risk of a fatal method of suicide attempts. Methods: We analyzed 92 people with a history of previous suicide attempts. We compared the Temperament and Character Inventory-Revised scores between the groups with and without early trauma, and between the groups with and without a history of suicide attempt using fatal methods through an analysis of covariance with age, sex, and presence of a psychiatric history as covariates. A mediation analysis was conducted of the relationship between early trauma and fatal methods of suicide attempt with self-transcendence as a mediator. Results: Higher self-transcendence was reported in the fatal group (27.71 ± 13.78 vs. 20.97 ± 12.27, P = 0.010) and the early trauma group (28.05 ± 14.30 vs. 19.43 ± 10.73, P = 0.001), respectively. The mediation model showed that self-transcendence mediates the relationship between early trauma and fatal methods of suicide attempt. The 95% confidence intervals for the direct and indirect effect were (−0.559, 1.390) and (0.026, 0.947), respectively. Conclusion: Self-transcendence may mediate the relationship between early trauma and fatal methods of suicide attempt. Self-transcendence may be associated with unhealthy defenses and suicidal behavior for self-punishment and may constitute a marker of higher suicide risk.

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