자살시도의 치명성과 관련 심리사회적 요인 = Lethality of Suicide Attempt and Related Psychosocial Variables

다국어 초록 (Multilingual Abstract)

Objective : To contribute to lower suicide rate by identifying characteristics of high risk groups by confirming related psychosocial factors focused on medical lethality. Methods : A total of 103 participants that had attempted suicide visited the emergency department of Jeju National University Hospital October 2014-August 2016. Participants were interviewed including sociodemographic, clinical and psychosocial variables using the lethality scale (LS), suicide intent scale (SIS), scale for suicide ideation (SSI), Beck depression index (BDI-II) and Beck hopelessness scale (BHS). Results : Participants in this study have psychosocial characteristics of female preponderance, mean age 40.3±16.8, unmarried condition and had a job. Most of participants engaged in suicide attempts such as drug ingestion or wrist cutting. Depressive disorder was the most common psychiatric illness among participants, and there were no factors that predicted medical lethality in participants’ suicide attempts. Most of the participants in this study did not have a clear understanding of their level of lethality relative to their attempts. Conclusion : Results provide that it is difficult to predict the high-risk group of suicide attempters using medical lethality as a variable.

참고문헌 (Reference)

1 임미래, "우리나라 자살기도자의 특징" 대한신경정신의학회 54 (54): 209-215, 2015

2 나경세, "심리부검 : 우리나라에서 향후 방향에 대한 검토 및 고찰" 대한신경정신의학회 54 (54): 40-48, 2015

3 Junghye K, "Validation for the Beck scale for suicide ideation with Korean university students" 28 : 1155-1172, 2009

4 Lönnqvist JK, "The intentional handbook of suicide and attempted suicide" 107-120, 2000

5 Florentine JB, "Suicide prevention by limiting access to methods: a review of theory and practice" 70 : 1626-1632, 2010

6 Brown GK, "Suicide intent and accurate expectations of lethality: predictors of medical lethality of suicide attempts" 72 : 1170-1174, 2004

7 Hughes D, "Suicide in the medically ill" 31 : 48-59, 2001

8 Bertolote JM, "Suicide and psychiatric diagnosis: a worldwide perspective" 1 : 181-185, 2002

9 Beautrais AL, "Subsequent mortality in medically serious suicide attempts:a 5 year follow-up" 37 : 595-599, 2001

10 Choi DC, "Sociodermographic characteristics of suicide attempters visiting emergency room" 9 : 36-49, 2000

11 Weisman AD, "Risk-rescue rating in suicide assessment" 26 : 553-560, 1972

12 Phillips MR, "Risk factors for suicide in Chain: a national case-control psychological autopsy study" 306 : 1728-1736, 2002

13 Cavanagh JT, "Psychological autopsy studies of suicide; a systematic review" 33 : 395-405, 2003

14 Cavanagh JT, "Psychological autopsy studies of suicide: a systematic review" 33 : 395-405, 2003

15 Cavanagh JH, "Psychological autopsy studies of suicide: a systematic review" 33 : 395-405, 2003

16 Beautrais AL, "Prevalence and comorbidity of mental disorders in persons making serious suicide attempts; a case-control study" 153 : 1009-1014, 1996

17 Bolton JM, "Predicting suicide attempts with the SAD PERSONS scale: a longitudinal analysis" 73 : e735-e741, 2012

18 Elnour AA, "Lethality of suicide methods" 14 : 39-45, 2008

19 Beck AT, "Hopelessness and suicidal behavior:an overview" 234 : 1146-1149, 1975

20 Beck AT, "Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation" 142 : 559-563, 1985

21 Brown GK, "Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial" 294 : 563-570, 2005

22 Amy W, "Cognitive therapy for suicidal patients" 74-96, 2012

23 Nordström P, "Attempted suicide predicts suicide risk in mood disorders" 92 : 345-350, 1995

24 John PD, "A guide for the assessment and treatment of suicidal patients with traumatic brain injuries" 26 : 244-256, 2011

25 Choi IG, "A comparative study between committed suicide and attempted suicide" 23 : 87-95, 1984