자살행동의 근거기반치료 = Evidence-Based Psychological Treatments of Suicidal Behavior

다국어 초록 (Multilingual Abstract)

The aim of this study was to review evidence-based psychological treatments of suicidal behavior. Specifically, the effectiveness of brief psychological crisis interventions and suicide-specific psychological treatments were examined based on metaanalytic studies and randomized controlled studies. The results of the current review indicate that brief intervention and contact developed by World Health Organization (WHO-BIC), safety planning intervention (SPI), and crisis response planning (CRP) are evidence-based brief psychological interventions. Among psychological treatments, cognitive behavioral therapy, dialectical behavioral therapy, and collaborative assessment and management of suicidality (CAMS) are evidence-based. In Korea, treatment outcome studies of suicidal behavior have targeted for reducing suicidal ideation only, but not for suicide attempt or suicide. Thus, it is premature to determine the evidence level of psychological treatments of suicidal behavior in Korea. Based on studies in other countries, evidence-based psychological treatments for suicidal behavior are recommended, and directions for domestic research and practical applications are suggested.

참고문헌 (Reference)

1 이수연, "현실요법집단상담이 청소년의 우울과 자살감소에 미치는 효과" 한국청소년학회 12 (12): 145-167, 2005

2 전혜숙, "청소년 자살예방 프로그램 효과성에 관한 메타분석: 중ㆍ고등학생을 중심으로" 한국정신건강사회복지학회 45 (45): 92-121, 2017

3 김정민, "자살행동 예방을 위한 핵심마인드풀니스 인지행동치료 프로그램 개발 및 효과 -자살고위험 여대생집단을 대상으로-" 한국상담학회 12 (12): 1451-1471, 2011

4 김민선, "자살위험군 청소년을 위한 자살예방프로그램 효과에 대한 메타분석" 대한범죄학회 12 (12): 107-121, 2018

5 김민석, "자살예방프로그램의 효과에 대한 메타분석" 사회복지연구소 30 : 27-56, 2012

6 강호엽, "자살예방을 위한 동기증진 인지행동 프로그램이 자살시도자에게 미치는 효과에 대한 예비연구" 한국정신건강사회복지학회 45 (45): 139-165, 2017

7 서혜석, "인지행동집단상담 프로그램이 신세대 병사의 자살생각에 미치는 효과" 한국청소년학회 17 (17): 49-76, 2010

8 김영숙, "우울 및 자살예방 프로그램이 고등학생의 우울 및 자살생각에 미치는 효과" 한국지역사회간호학회 20 (20): 343-350, 2009

9 조용래, "불안 및 관련 장애들의 근거기반치료: 기준, 연구 이슈, 논평 및 제언" 한국임상심리학회 36 (36): 449-457, 2017

10 박현주, "메타분석을 이용한 국내 자살예방 중재효과" 정신간호학회 22 (22): 273-284, 2013

11 World Health Organization, "World health statistics data visualizations dashboard"

12 Rudd, M. D., "Warning signs for suicide : Theory, research, and clinical applications" 36 : 255-262, 2006

13 Linehan, M. M., "Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder" 63 : 757-766, 2006

14 Frey, L. M., "Treatment for suicidal thoughts and behavior : A review of family‐based interventions" 44 : 107-124, 2018

15 World Health Organization, "Towards evidence-based suicide prevention programmes" WHO Regional Office for the Western Pacific 2010

16 Ougrin, D., "Therapeutic interventions for suicide attempts and self-harm in adolescents : Systematic review and meta-analysis" 54 : 97-107, 2015

17 Brodsky, B. S., "The zero suicide model: Applying evidence-based suicide prevention practices to clinical care" 9 : 33-, 2018

18 Statistics Korea, "The statistics for causes of death in 2018"

19 Stanford, E. J., "The no harm contract in the emergency assessment of suicidal risk" 55 : 344-348, 1994

20 Appleby, L., "The national confidential inquiry into suicide and homicide by people with mental illness annual report 2015: England, Northern Ireland, Scotland and Wales" University of Manchester 2015

21 Cuijpers, P., "The effects of psychotherapy for adult depression on suicidality and hopelessness : A systematic review and meta-analysis" 144 : 183-190, 2013

22 Huh, D., "The collaborative assessment and management of suicidality(CAMS)versus enhanced care as usual(E-CAU)with suicidal soldiers : Moderator analyses from a randomized controlled trial" 30 : 495-506, 2018

23 Rudd, M. D., "The case against no‐suicide contracts : The commitment to treatment statement as a practice alternative" 62 : 243-251, 2006

24 Jobes, D. A., "The Collaborative Assessment and Management of Suicidality(CAMS) : An evolving evidence‐based clinical approach to suicidal risk" 42 : 640-653, 2012

25 Ministry of Health & Welfare., "The 2019 white paper of suicide prevention" Ministry of Health & Welfare 2019

26 Zalsman, G., "Suicide prevention strategies revisited : 10-year systematic review" 3 : 646-659, 2016

27 Mann, J. J., "Suicide prevention strategies : A systematic review" 294 : 2064-2074, 2005

28 Shneidman, E. S., "Suicide as psychache: A clinical approach to self-destructive behavior" Jason Aronson 1993

29 Baumeister, R. F., "Suicide as escape from self" 97 : 90-113, 1990

30 Nock, M. K., "Suicide and suicidal behavior" 30 : 133-154, 2008

31 Oquendo, M. A., "Suicidal behavior disorder as a diagnostic entity in the DSM-5 classification system : Advantages outweigh limitations" 13 : 128-130, 2014

32 Riblet, N. B., "Strategies to prevent death by suicide : Meta-analysis of randomised controlled trials" 210 : 396-402, 2017

33 Drew, B. L., "Self-harm behavior and no-suicide contracting in psychiatric inpatient settings" 15 : 99-106, 2001

34 Stanley, B., "Safety planning intervention : A brief intervention to mitigate suicide risk" 19 : 256-264, 2012

35 Christa D. Labouliere, "Safety Planning on Crisis Lines: Feasibility, Acceptability, and Perceived Helpfulness of a Brief Intervention to Mitigate Future Suicide Risk" Wiley 2019

36 Bertolote, J. M., "Repetition of suicide attempts : Data from five culturally different low-and middle-income country emergency care settings participating in the WHO SUPRE-MISS study" 31 : 194-201, 2010

37 Mrazek, P. J., "Reducing risks for mental disorders:Frontiers for preventive intervention research" National Academy Press, Institute of Medicine 1994

38 Linehan, M. M., "Reasons for staying alive when you are thinking of killing yourself : The reasons for living inventory" 51 : 276-286, 1983

39 Hawton, K., "Psychosocial interventions following self-harm in adults : A systematic review and meta-analysis" 3 : 740-750, 2016

40 Bryan, C. J., "Managing suicide risk in primary care" Springer 2010

41 Ryberg, W., "Managing suicidality within specialized care : A randomized controlled trial" 249 : 112-120, 2019

42 Jobes, D. A., "Managing suicidal risk: A collaborative approach" Guilford 2006

43 Milner, A. J., "Letters, green cards, telephone calls and postcards : Systematic and meta-analytic review of brief contact interventions for reducing self-harm, suicide attempts and suicide" 206 : 184-190, 2015

44 Calati, R., "Is psychotherapy effective for reducing suicide attempt and non-suicidal self-injury rates? Metaanalysis and meta-regression of literature data" 79 : 8-20, 2016

45 Leavey, K., "Is cognitive behavioural therapy effective in reducing suicidal ideation and behaviour when delivered face-to-face or via e-health? A systematic review and meta-analysis" 46 : 353-374, 2017

46 Inagaki, M., "Interventions to prevent repeat suicidal behavior in patients admitted to an emergency department for a suicide attempt : A meta-analysis" 175 : 66-78, 2015

47 Brown, G. K., "Evidence-based psychotherapies for suicide prevention : Future directions" 47 : 186-194, 2014

48 Cristea, I. A., "Efficacy of psychotherapies for borderline personality disorder : A systematic review and meta-analysis" 74 : 319-328, 2017

49 Emma Hofstra, "Effectiveness of suicide prevention interventions: A systematic review and meta-analysis" Elsevier BV 2019

50 Andreasson, K., "Effectiveness of dialectical behavior therapy versus collaborative assessment and management of suicidality treatment for reduction of self-harm in adults with borderline personality traits and disorder–A randomized observer-blinded clinical trial" 33 : 520-530, 2016

51 McCabe, R., "Effectiveness of brief psychological interventions for suicidal presentations : A systematic review" 18 : 120-133, 2018

52 Fleischmann, A., "Effectiveness of brief intervention and contact for suicide attempters : A randomized controlled trial in five countries" 86 : 703-709, 2008

53 Hetrick, S. E., "Effective psychological and psychosocial approaches to reduce repetition of self-harm: A systematic review, meta-analysis and metaregression" 6 : e011024-, 2016

54 Bryan, C. J., "Effect of crisis response planning vs. Contracts for safety on suicide risk in US army soldiers:A randomized clinical trial" 212 : 64-72, 2017

55 Krysinska, K., "Differences in the effectiveness of psychosocial interventions for suicidal ideation and behaviour in women and men : A systematic review of randomised controlled trials" 21 : 12-32, 2017

56 DeCou, C. R., "Dialectical behavior therapy is effective for the treatment of suicidal behavior : A meta-analysis" 50 : 60-72, 2019

57 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Association 2013

58 Stanley, B., "Comparison of the safety planning intervention with follow-up vs usual care of suicidal patients treated in the emergency department" 75 : 894-900, 2018

59 Comtois, K. A., "Collaborative assessment and management of suicidality (CAMS): Feasibility trial for next‐day appointment services" 28 : 963-972, 2011

60 Linehan, M. M., "Cognitive-behavioral treatment of borderline personality disorder" Guilford Press 1993

61 Stanley, B., "Cognitive-behavioral therapy for suicide prevention(CBT-SP) : Treatment model, feasibility, and acceptability" 48 : 1005-1013, 2009

62 Tarrier, N., "Cognitive-behavioral interventions to reduce suicide behavior : A systematic review and meta-analysis" 32 : 77-108, 2008

63 Beck, A. T., "Cognitive therapy of depression" Guilford 1979

64 Brown, G. K., "Cognitive therapy for the prevention of suicide attempts : A randomized controlled trial" 294 : 563-570, 2005

65 Wenzel, A., "Cognitive therapy for suicidal patients: Scientific and clinical applications" APA Books 2009

66 Wenzel, A., "Cognitive therapy for suicidal patients : Current status" 35 : 121-130, 2012

67 Rudd, M. D., "Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample : Results of a randomized clinical trial with 2-year follow-up" 172 : 441-449, 2015

68 Rudd, M. D., "Brief cognitive behavioral therapy(BCBT)for suicidality in military populations" 24 : 592-603, 2012

69 Van der Feltz-Cornelis, C. M., "Best practice elements of multilevel suicide prevention strategies" 32 : 319-333, 2011

70 Kelly, K. T., "Are no-suicide contracts effective in preventing suicide in suicidal patients seen by primary care physicians?" 9 : 1119-1121, 2000

71 Winter, D., "A systematic review of the literature on counselling and psychotherapy for the prevention of suicide: 1. Quantitative outcome and process studies" 13 : 164-183, 2013

72 Okolie, C., "A systematic review of interventions to prevent suicidal behaviors and reduce suicidal ideation in older people" 29 : 1801-1824, 2017

73 Labelle, R., "A systematic review and meta-analysis of cognitive behavioural treatments for suicidal and self-harm behaviours in adolescents" 56 : 368-378, 2015

74 Goodman, M., "A randomized trial of dialectical behavior therapy in high-risk suicidal veterans" 77 : 1591-1600, 2016

75 Jobes, D. A., "A randomized controlled trial of the collaborative assessment and management of suicidality versus enhanced care as usual with suicidal soldiers" 80 : 339-356, 2017

76 Wenzel, A., "A cognitive model of suicidal behavior : Theory and treatment" 12 : 189-201, 2008