J Korean Acad Psychiatr Ment Health Nurs.  2013 Jun;22(2):117-127.

Factors Affecting on Suicidal Ideation in Maladjusted Soldiers

• Kim S
• Kim H
• Keum R
• Noh D

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.

Keyword

Depression; Anxiety; Suicidal ideation; Maladjusted soldiers

MeSH Terms

Anxiety
Depression
Humans
Mental Health
Military Personnel
Surveys and Questionnaires
Suicidal Ideation

Reference

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.