• Title/Summary/Keyword: Suicide

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A Methodological Review of Psychological Autopsy for Adolescents (청소년 자살자에 대한 심리적 부검 방법론에 대한 고찰)

  • Kwon, Hoin;Kim, Ran;Bhang, Soo-Young;Hong, Hyun Ju;Kweon, Yong Sil
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.3
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    • pp.121-127
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    • 2014
  • Recently, local governments and suicide prevention centers have been trying to implement psychological autopsy. This effort has focused on adult suicide so far ; however, there are some difficulties in its application to adolescent suicide. Therefore, in this study, psychological autopsy studies of Korea were reviewed, and a methodology for adolescents' psychological autopsy was suggested. For the effective performance of the psychological autopsy in adolescent suicide, cooperation with each area of the government and implementation of bodies is necessary. In addition, the central system, which disseminates the standardized interview to the community and manages the data nationwide, should be prepared. Also, in order to improve the accuracy of diagnosis and to obtain various types of information, a structured interview should be adopted as the psychological autopsy, as well as considering the use of social media. Investigation of specific risk factors for adolescent suicide through psychological autopsy can enable determination of the intervention point for effective suicide prevention.

Influence of Famous Entertainer's Suicides on Suicide Attempts of the Public (유명 연예인 자살보도가 일반인의 자살시도에 미치는 영향)

  • Shin, Mi-Young;So, Ji-Eun;Kim, Jin-Sook;Park, Mi-Mi;Park, Jee-Won
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.17 no.2
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    • pp.112-119
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    • 2010
  • Purpose: The study explored the influence of the suicide of two famous entertainers on the suicide attempts of the public. Method: The subjects of the descriptive study were 888 suicide attempt patients recruited from October 2007 to September 2009 in an emergency centre located in S-city. The research tools were developed at the Centre for Disease Control. Results: The frequency of suicide attempts during the 6 months and 12 months preceding and following the gas-related suicide of celebrity A were ${\chi}^2$=18.14 and ${\chi}^2$=25.97, respectively, and both were significant(both p<.001). The frequency of suicide attempts of the 6 and 12months before and after the release of report of celebrity B's hanging suicide were ${\chi}^2$=3.85 and ${\chi}^2$=3.47, respectively, and both were significant (both p<.05). Conclusion: These results showed that reports of suicide of celebrities influences suicide attempts of the public. Multiple factors that can influence suicide attempts should be further identified and researched.

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Self-poisoning as a Target Group for Prevention of Suicide (자살 예방을 위한 집중관리 대상으로서의 중독)

  • Kwak, Moon Hwan;Kang, Hyun Young;Lee, Si Jin;Han, Kap Su;Kim, Su Jin;Lee, Eu Jung;Lee, Sung Woo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.2
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    • pp.93-101
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    • 2018
  • Purpose: The Korean government has tried to decrease the suicide death rate over the last decade. Suicide attempts, particularly non-fatal attempts, are the most powerful known risk factor for a completed suicide. An analysis of suicide attempt methods will help establish the effective preventive action of suicide. Fit prevention according to the method of suicide attempt may decrease the incidence of suicide death. Self-poisoning is suggested as a major method of both suicide attempts and suicide death. The aim of this study was to determine if a self-poisoning patient is a suitable target for the prevention of the suicide. Methods: This was retrospective analysis of a prospective cohort, which included patients who presented to the emergency department (ED) after a self-harm or suicide attempt from Jan 2013 to Dec 2017. The proportion of methods in suicide attempts, psychological consultation, and fatality according to the suicide attempt method were analyzed. The types of poison were also analyzed. Results: Poisoning was the most common method of suicide attempts (52.1%). The rate of psychological consultations were 18.8% for all patients and 29.1% for poison patients (p<0.001). The rate of mortality in poisoning was 0.6%. Psychological consultation was performed more frequently in admission cases than discharged cases. The most common materials of poisons was psychological medicines and sedatives that had been prescribed at clinics or hospital. Conclusion: Self-poisoning is a major method of suicide attempt with a high rate of psychiatric consultation, low mortality rate, versus others methods. The prevention of suicide death for suicide attempts may focus on self-poisoning, which is the major method of suicide attempts. A suitable aftercare program for self-poisoning may be an effective method for preventing suicide if an early diagnosis and management of psychiatric disorders through psychiatric consultation can be made, and early connection to social prevention program for non-fatal patients are possible.

The Korea National Suicide Survey (KNSS) : Rationale and Design

  • Kim, Bora;Jung, Keum Ji;Lee, Sang Uk;Sea, Jonghan;Kim, Eun Young;Kim, Se Hyun;Jee, Sun Ha;Park, Jong-Ik;Kim, Kyungil;Ahn, Yong Min
    • Korean Journal of Biological Psychiatry
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    • v.22 no.1
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    • pp.1-6
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    • 2015
  • Suicide, the fourth leading cause of death in Korea, is a serious national problem. The Korea National Suicide Survey (KNSS) is the result of the first legislation to address this issue, "Article 11 of THE ACT FOR THE PREVENTION OF SUICIDE AND THE CREATION OF A CULTURE OF RESPECT FOR LIFE" (the "Act for the Prevention of Suicide"). To overcome the limitations of previous studies, the KNSS was designed by collaborators from a variety of fields : psychology, epidemiology, social welfare, and psychiatry. The KNSS was composed of four substudies that addressed the multifaceted process involved in suicide-related behavior over time, exploring general attitudes toward suicide and suicidal ideation, suicide planning, suicide attempts, and completed suicides. Study 1 examined the risk factors for suicide based on data regarding completed suicides ; Study 2 adopted the approach of a psychological autopsy ; Study 3 focused on suicide attempters ; and Study 4 explored attitudes toward suicide in the general population. The KNSS was designed to provide a comprehensive understanding of suicide from a longitudinal, multifaceted perspective to serve as a basis for policies aimed at suicide prevention.

A Call for Community-Based Suicide Prevention in South Korea (한국의 자살예방을 위한 지역공동체 접근)

  • Sung-Pil, Yook;Jameson K. Hirsch
    • Korean Journal of Culture and Social Issue
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    • v.16 no.2
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    • pp.147-164
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    • 2010
  • In this paper, we reviewed the community-based approaches to suicide prevention and national strategies for the decrement of suicide rate, and made some suggestions to decrease the suicide rate in South Korea. Until now, efforts to understand and prevent suicide have been pursued singularly by specialized interest groups such as psychiatrists, psychologists, mental health practitioners, and private organizations with little interaction between them, resulting in narrow approaches toward suicide that existed in relative isolation to one another and that have been largely ineffective. To decline the suicide rate in South Korea, the people lived in Korea community ought to have enough knowledge related to suicide and have to cooperate with other people. Through these efforts, Korea community would have established social safety networks to improve the community 's mental health. The most important factor in suicide prevention and declining the suicide rate is reducing the stigma and increase the self-help seeking behaviors associated with suicide and mental health. Therefore, suicide is not an individual problem solved by suicidal patient, but a community's problem solved by community in recognizing, managing and preventing suicide.

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Suicide Method, the Recent Stressors, Psychiatric Diagnosis of Suicide Attempters and Suicide Completers (자살시도자와 자살 사망자의 자살 방법, 스트레스 요인 및 정신과적 진단)

  • Sea Hyun O;Jihye Ahn;Seo Jihyo;Hyerin Gu;Minjeong Kim;Hyeyeon Jang;Seog Ju Kim
    • Sleep Medicine and Psychophysiology
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    • v.29 no.1
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    • pp.15-20
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    • 2022
  • Objectives: Suicide is the major public mental health concerns all over the world. The comparison of suicide attempters and suicide completers could be the fundamental evidence for the suicide prevention. The aim of this study is to explore the differences between suicide attempters and suicide completers in terms of the stressors, suicide methods, and psychiatric diagnosis. Methods: Two types of secondary data were collected for the analyses. Data of the suicide attempters (n = 680) were gathered by intensive reviewing the medical records of Samsung Medical Center, Seoul, Republic of Korea. Data of suicide completers (n = 11,722) were collected by the psychological autopsy data which were gathered by Korean Foundation for Suicide Prevention. Suicidal methods, psychiatric disorders and stressors before suicidal attempt were compared between suicide attempter and completers. Results: Suicide completers were older and male predominant compared to suicidal attempt. Hanging or gas intoxication were more commonly used in the suicide completion, while wrist cutting or drug intoxication were more common in suicide attempters. All types of stressors were found to be high in suicide completers than suicide attempters. However, the proportion of economic and physical stress were greater in suicide completers, while the proportion of family stress were greater in suicide attempters. According to the recorded diagnoses, the rates of depressive disorders, sleep-wake disorders, substance-related disorders were higher in suicide completers, while the rates of anxiety disorders and trauma- and stressor-related disorders, bipolar and related disorders and somatic symptom disorders were higher in suicide attempters. However, after controlling the gender and age, there were no significant differences in diagnosis between suicide attempters and suicide completers. Conclusion: These findings implicate that suicide attempters and completers differed in suicide methods and type of stress. The results suggests that economic stressors, physical illness might raise the risk of suicide completion.

The Influence Factors of Adolescents' Suicide Dimension (청소년들의 자살차원에 미치는 영향요인)

  • Park, Jae-Woo;Hwang, Byung-Deog
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.193-205
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    • 2014
  • The purpose of this study is to find out the effects of the socio-demographic characteristics, self-recognition factors, and health behavior factors of Korean adolescents on suicide dimension, and grasp the effects of suicide thinking of adolescents on attempting suicide. This study used the eighth primitive data of the "Web-based Survey on Adolescents Health Behavior(2012)", and targeted 72,228 actual test respondent(93.8%). In conclusion, risk factors that greatly influence the suicide dimension of adolescents can be summarized into level of happiness, level of stress, depression, experience drinking, experience smoking, experience with drugs, suicide thinking, etc. and considering these risk factors, a preparation for preventing adolescents' suicide should be established, and along with a regular education, developing and expanding a treatment program for preventing recurrence afterwards of adolescents who have experience attempting suicide are necessary.

Attitudes of Adolescents toward Suicide: Q-Methodological Approach (청소년의 자살에 대한 태도: Q-방법론적 접근)

  • Choi, Mi-Kyung;Seo, Ji-Min
    • Journal of Korean Academy of Nursing
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    • v.41 no.4
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    • pp.539-549
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    • 2011
  • Purpose: The purpose of this study was to identify attitudes of adolescents toward suicide. Methods: Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty middle and high school students classified 37 selected statements into a normal distribution using a 9 point scale. Collected data were analyzed using the Quanl PC Program. Results: Three types of attitudes toward suicide were identified. The first type (opposing suicide-moral minded) showed an attitude of opposing suicide and thinking that suicide is a sin. The second type (understanding-empathizing suicidal person) showed an attitude of understanding the situation of the adolescents who has suicidal ideation and empathizing with them. The third type (ambivalent attitude) showed an attitude of understanding the suicidal person but, at the same time, opposing suicide. Conclusion: Results of the study indicate that different approaches to suicide prevention programs should be developed based on the three types of suicide attitudes among adolescents.

The Risk Factors Analysis of Adolescent Suicide due to Depression Experience (우울경험에 따른 청소년들의 자살 시도 위험 요인 분석)

  • Kwon, Young Mo;Kim, So Youn;Baek, Jong Il
    • Journal of Applied Reliability
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    • v.15 no.2
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    • pp.76-83
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    • 2015
  • This study is implemented to find out the risk factors of adolescent suicide due to depression experiences and the factors that have effect on adolescent suicide attempt. Also it tries to figure out that if hospital treatment is enforced after a suicide attempt and the importance of prevention and therapy for adolescent suicide attempt. To analyze, used SPSS 22.0 and raw data made by online survey for adolescent health status is used. The factors effect on suicide attempt of adolescents who have had depression experience and who have not appear differently and hospital treatment is not being done well after attempting suicide. In conclusion, this study tries to show the factors that affect suicide attempts in adolescents, and to propose basis for the measures that can reduce suicide attempts in adolescents.

Characteristics of Suicides among University Students in Korea: An Analysis of News Reports (한국 대학생 자살의 특성: 보도기사를 중심으로)

  • Jang, Chang-Min;Choi, Ji-Young
    • Korean Journal of Health Education and Promotion
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    • v.28 no.5
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    • pp.73-82
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    • 2011
  • Objectives: This study is to gain an understanding of the characteristics of suicides committed by university students in Korea by assessing news reports. Methods: A total of 97 news reports on university student suicides on daily newspapers and TV newscasts from 2000 to 2011 are included in this study. Analyses were performed on sociodemographic characteristics of suicided university students and temporal and other characteristics of the suicides. Results: Suicide rate was higher among males than females. The most frequently used method of suicide was jumping off while the most common place was the students’ residence. Issues related to academic and financial problems topped as the reasons for suicide. There were no differences in the reasons for committing suicide by school year and enrollment, but the location and season of committing suicide differed by reasons for suicide. Conclusions: Implication of this study, discussion on the results and suggestions for suicide prevention are discussed.