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정현숙(Hyunsuk Jeong),임현우(Hyeon Woo Yim) 한국노년학연구회 2019 한국 노년학연구 Vol.28 No.2
자살로 사망한 고령자들 중 50~75%가 자살로 사망하기 한 달 전에 일차의료기관을 방문했던 것으로 알려져 있다. 자신의 자살생각을 타인에게 직접 노출하지 않기 때문에 자살위험이 있는 사람들을 적극적으로 발견하는 일이 자살예방에 절대적으로 필요하다. 자살위험성 선별검사를 통한 자살예방 사업(프로그램)은 그 위험성이 높은 집단을 대상으로 수행되었을 때 양성 예측도를 증가시켜 성공적으로 이끌 수 있다. 지역사회에서 자살위험이 높은 고령자들을 찾아내기 위해서는 2단계 선별 작업을 거치는 것이 효율적이다. 즉 1단계의 우울증 선별도구를 이용하여 우울증상 양성자를 찾아낸 다음에 그들을 대상으로 2단계의 자살성 선별검사를 수행하는 것이다. 자살성의 선별 평가는 고위험군의 자살로 이어질 잠재적 경고신호(예, 자살 계획이나 자살 시도 경험 등) 및 심층 평가에 대한 부담감 등을 고려하면서 이루어져야 한다. 자살위험은 자살 위험 수준에 상관없이 안전 극대화를 근거로 관리되어야 하며, 특히 즉각적으로 자살을 시도할 위험이 있을 경우 절대로 혼자 있도록 해서는 안 된다. 그들이 안전 영역에 있도록 하면서 정신건강서비스가 가능해질 때까지 철저하게 관찰해야 한다. 2단계 자살성 선별검사 프로그램은 고령자들이 감추고 있는 자살 생각이나 계획, 의도 등을 직접 질문을 통해서 찾아내는데 효과적이다. 정신건강의학 전문의가 아니더라도 어렵지 않게 자살성에 대한 질문이나 자살위험성 평가가 가능하기 때문에 지역사회에 최적화된 자살예방 프로그램이 될 수 있다. It is known that more than half of people who died by suicide visited primary care clinics about a month before they died. It is very important to find out actively individuals at high risk for suicide for prevention because most people who have suicidal ideation do not expose it to anybody. Suicide prevention program would be successful when it is administered to people at high risk of suicide with the screening process because it would make increase the positive predictive values. Two-stage screening procedure would be effective for finding out older adults who are at high risk for suicide in the community. In other words, people who are positively depressed on a depression screening test should be screened for suicide risk. Suicide screening and assessment should be performed while taking into account the potential warning signs (e.g., suicidal thought, survivor of suicide attempt) for suicide of the high-risk group and their burden in participating in the in-depth screening procedure. Suicide risk management should be based on maximizing safety, regardless of the level of suicide risk, and especially those with a high risk of immediate suicide attempt should never be left alone. Furthermore, they should be remained vigilant in a safe circumstance until mental health services are available. Two-stage suicide screening program can be effective in finding out any suicide thoughts, plans, or intentions of the high-risk older adults that were concealed if direct questions would be given to them. It would be an effective program of suicide prevention which will be applied with no difficulty for the community-dwelling older adults by the concerned persons who are not mental health professionals.
김한(Hahn Kim),김양식(Yangsik Kim),김장래(Jangrae Kim),김정화(Junghwa Kim),김태형(Tae-Hyeong Kim),김화영(Whayoung Kim),백수현(Soo-Hyun Paik),장옥진(Og-Jin Jang),정현숙(Hyunsuk Jeong),이승엽(Seung-Yup Lee) 한국중독정신의학회 2024 중독정신의학 Vol.28 No.1
Objectives: To determine Korean national priority for research and development planning for drug abuse and substance use disorder treatment. Methods: A Delphi survey methodology was employed, involving 19 experts in the field of addiction. Their potential priorities were assessed based on the size of the problem, urgency, effectiveness, budget size, and feasibility of research execution. Results: After three rounds, the expert consensus was reached for 13 research plans of universal therapeutic agenda and 7 plans for specific drugs. These included developing guidelines for children and adolescents on substance use, a community-based long-term management program, and the development of intervention programs and clinical guidelines for stimulant, cannabis, and opioid use disorders. However, consensus was not reached for research on therapeutic options such as digital therapeutics. Conclusion: This study highlights priority areas for systematic and effective development of treatment programs and research agenda against illicit use of drugs. By integrating insights from multidisciplinary experts, a comprehensive research and development blueprint is proposed to address drug use, which is on the rise and threatening public health and social security in the Republic of Korea.