대학생의 자살위험도와 MMPI-2의 관계

Title
대학생의 자살위험도와 MMPI-2의 관계
Other Titles
Suicide Risk and the MMPI-2 Findings Among College Students
Author
김대호
Keywords
Minnesota multiphasic personality inventor-2; Suicide; Risk factors; College students; 다면적 인성검사 II; 자살; 위험 요인; 대학생
Issue Date
2015-10
Publisher
대한불안의학회
Citation
대한불안의학회지, v. 11, NO 2, Page. 120-128
Abstract
Objectives : The Minnesota Multiphasic Personality Inventory (MMPI) is a commonly used psychological test measuring personality and psychopathology in both clinical and non-clinical population. This study was to evaluate characteristic MMPI-2 profile associated with the risk of suicide among college students. Methods : We analyzed the survey response of 2,964 college students who participated in a health survey from a school health center at a national university in 2011. Those who endorsed any of six items on the suicidaity module of MINI were classified as a suicide risk group and remaining students who did not as a control group. Then we compared the Patient Health Questionnaire (PHQ-9) score, the MMPI-2 Clinical scales and Restructured Clinical (RC) scales. To evaluate the correlation RC scales with suicidality score, Pearson correlation analysis was performed. Results : The suicide risk group was 464 students, and the control group was 2,500. The classification result of suicidality, 255 (8.6%) students were low-risk group, 149 (4.8%) students were moderate-risk group and 60 (2.0%) students were high-risk group. In the suicide risk group, VRIN, F scale, Clinical scale and RC scales were significantly higher. In the control group L, K and S scales were significantly higher. Suicidality score has significant correlation with all RC scales. Conclusion : In the suicide risk group, overall psychopathology was higher than the control group. Taken together, features of depressive symptom, antisocial behavior, aggressiveness, introversion may indicate the risk of suicide in college students. These results display both clinical and public health implications for clinicians and school health professionals. 자살은 다양한 영역에서 평가되어야 한다. 자살 과정은 자살 생각에서 자살 계획, 자살시도를 실행에 옮기는 과정으로 자살 생각이 있는 사람들 중에서 일부가 자살 계획을 세우고, 자살 계획을 세운 사람들 중 일부가 결국 자살을 시도하는 것으로 알려져 있다. 비록 MMPI가 다양한 문항으로 다양한 영역을 평가함에도 불구하고 아직 자살 위험성의 평가에는 더 많은 연구가 필요한 상태이다. 따라서 비록 본 연구 결과에서 MMPI가 자살에 대해 비특이적인 결과를 나타내었다 하더라도, 자살에 영향을 미치는 다양한 정신병리의 평가는 MMPI만으로 대체될 수는 없다. 그러나 MMPI를 이용할 경우 다양한 측면의 정신병리에 대해 타당도를 확보한 검사 결과를 얻을 수 있다는 점과 더불어 임상적인 면담과 함께 잘 활용한다면 보조적인 도구로써 충분한 도움이 될 수 있으리라 생각된다. 향후 더 다양한 집단을 대상으로 임상 데이터를 추가하여 분석한다면 자살 위험성 평가에 있어서 MMPI-2의 활용 가능성은 더욱 높아질 것으로 예상된다.
URI
http://journal.anxiety.or.kr/asp/journal_abstrackt.asp?no=0452015014&m=0http://hdl.handle.net/20.500.11754/28393
ISSN
2586-0156; 2586-0046
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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