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자살예방 및 생명존중문화조성을 위한 법률은 자살률을 낮출 수 있을까?
하규섭 대한의사협회 2011 대한의사협회지 Vol.54 No.8
The Suicide Prevention Law passed last March will be enacted beginning in April 2012, after the establishment of enforcement regulations. The suicide rate of Korea is 31/100,000, about 3 times the mean of the Organisation for Economic Co-operation and Development countries, and is still going up rapidly. Suicide is the 4th most common cause of death in Korea. As the suicide rate abruptly increased after the mid-1990s, there was little time to prepare effective strategies for suicide prevention, including personnel, programs, and networks. This is also partly due to the strong stigma and negative attitude against suicide and suicide prevention, which has prevented the exploration of the reason for the high suicide rate and recent increase. The Suicide Prevention Law requires comprehensive suicide prevention activities of the central and local governments, and support for those who attempt suicide, victims, and their families. Its successful implementation will be highly dependent on active participation of doctors for screening and prevention of high risk groups, including patients with depression and chronic physical illnesses and those who have psychosomatic symptoms from various stressful life events.
하규섭,강웅구,김종훈,Ha, Kyoo-Seob,Kang, Ung Gu,Kim, Jong-Hoon 대한생물정신의학회 1997 생물정신의학 Vol.4 No.1
Attention is a phenomenon hard to define, but can be conceptualized as a mental function ranging from sustaining readiness to perceive stimuli to understanding the nature and value and selecting stimuli that are most relevant to the given situation. Manifestations of attention include vigilance, and focused, directed, selective, divided, and sustained attentions. While basic attentional tone is controlled by the interaction among reticular activating system, thalamus and prefrontal cortex, direction and selection of attention is controlled by neural circuits of prefrontal, posterior parietal, and limbic cortex. It is expected that understanding of attention and its neural control could provide answers to the relationship between pathophysiology and clinical symptoms of some major psychiatric disorders. More efforts are required to develop tools to assess more detailed and various aspects of attention in Korea.
하규섭,Ha, Kyoo-Seob 대한수면의학회 1998 수면·정신생리 Vol.5 No.2
Attentional dysfunction is considered as one of the core deficits in schizophrenic process. The findings, pathophysiological mechanisms, and their clinical implications of clinical and experimental neurocognitive tests for the attentional impairment in schizophrenics are reviewed. The influences of psychopathology, antipsychotic treatment, and chronic institutionalization are also included in the review. In contrast, there are only a few evidences that attentional dysfunction would be a core deficit of depressive, manic, and anxiety disorders. Some recent findings of attentional impairment in these disorders are reviewed.
대형 정신병원 입원 환자의 공격행위에 관한 임상적 연구
하규섭 大韓神經精神醫學會 1993 신경정신의학 Vol.32 No.5
The author assessed 890 hospitalized patients during a period of more than a year in Yong-In Mental hospital and found that 142 patients (16.0%) had physically attacked other persons or inanimate objects in the hospital at least once. Almost all incidents were petty and none led to lasting injuries. The violent behaviors mainly occurred within one week of hospitalization and fellow patients were by far the commonest victims. Compared with the non violent inpatients, offending patients were more likely to be single, to be less than 30 years old to have a history of violence before admission, to have longer hospitalization period, and to have a diagnosis of affective disorder. And there was sex differences between clinical variables and violent behaviors.