자살에 대한 의료정책적 접근 = Medical policy for suicide prevention

다국어 초록 (Multilingual Abstract)

Suicide is a serious problem worldwide, especially in Korea, but the factors affecting suicide are complex and diverse. Therefore, a medical policy should be developed to help establish an effective national suicide prevention policy in Korea. To reduce suicide rates effectively, some of the current suicide prevention policies need to be improved. This study proposes the following steps to do so: 1) standardizing the suicide attempt management system, 2) strengthening effective counseling programs in the psychiatric field, and 3) strengthening early psychiatric interventions in patients with a physical illness. These improvements should be considered high-priority measures for ensuring successful suicide prevention at the national level.

참고문헌 (Reference)

1 장남길, "응급실로 내원한 자살시도자를 대상으로 지역사회와 연계하여 시행한 자살 관리 프로그램의 효용성" 대한응급의학회 23 (23): 696-704, 2012

2 전홍진, "우울증과 자살" 대한의사협회 54 (54): 370-375, 2011

3 Perry Y, "Web-based and mobile suicide prevention interventions for young people : a systematic review" 25 : 73-79, 2016

4 Harriss L, "Value of measuring suicidal intent in the assessment of people attending hospital following self-poisoning or self-injury" 186 : 60-66, 2005

5 Mental Health Taskforce, "The five year forward view for mental health" Mental Health Taskforce

6 Massoudi B, "The effectiveness and cost-effectiveness of e-health interventions for depression and anxiety in primary care : a systematic review and meta-analysis" 245 : 728-743, 2018

7 Korea Suicide Prevention Center, "Suicide white book" Ministry of Health and Welfare 2014

8 Takeshima T, "Suicide prevention strategies in Japan : a 15-year review(1998-2013)" 36 : 52-66, 2015

9 World Health Organization, "Suicide prevention" World Health Organization

10 Isometsa ET, "Suicide in major depression" 151 : 530-536, 1994

11 Hawton K, "Suicide" 373 : 1372-1381, 2009

12 Harriss L, "Suicidal intent in deliberate self-harm and the risk of suicide : the predictive power of the Suicide Intent Scale" 86 : 225-233, 2005

13 Knox KL, "Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force : cohort study" 327 : 1376-, 2003

14 Hawton K, "Restricting access to methods of suicide: rationale and evaluation of this approach to suicide prevention" 28 (28): 4-9, 2007

15 Dumesnil H, "Public awareness campaigns about depression and suicide : a review" 60 : 1203-1213, 2009

16 Erlangsen A, "Physical diseases as predictors of suicide in older adults : a nationwide, register-based cohort study" 50 : 1427-1439, 2015

17 Ministry of Health and Welfare, "Partial revision of “health insurance treatment act list and relative value point”" Ministry of Health and Welfare

18 Organization for Economic Cooperation and Development, "OECD data: suicide rates" Organization for Economic Cooperation and Development

19 Ministry of Health and Welfare, "National suicide prevention action plan"

20 Williams JM, "Mindfulness-based cognitive therapy for prevention of recurrence of suici-dal behavior" 62 : 201-210, 2006

21 Sisask M, "Media roles in suicide prevention : a systematic review" 9 : 123-138, 2012

22 Bradvik L, "Long-term suicide risk of depression in the Lundby cohort 1947-1997 : severity and gender" 117 : 185-191, 2008

23 Sadock HS, "Kaplan and Sadockʼs comprehensive textbook of psychiatry" Lippincott Williams & Wil-kins 2717-2731, 2009

24 Sadock BJ, "Kaplan & Sadockʼs synopsis of psychiatry: behavioral sciences/clinical psychiatry" Lippincott Williams & Wilkins 2007

25 Lee SU, "Impact of disability status on suicide risks in South Korea : analysis of National Health Insurance cohort data from 2003 to 2013" 10 : 123-130, 2017

26 Hakanen J, "Evaluation strategy for Finlandʼs suicide prevention project" 17 : 167-174, 1996

27 Furuno T, "Effectiveness of assertive case management on repeat self-harm in patients admitted for suicide attempt : findings from ACTION-J study" 225 : 460-465, 2018

28 Cebria AI, "Effectiveness of a telephone management programme for patients discharged from an emergency department after a suicide attempt : controlled study in a Spanish population" 147 : 269-276, 2013

29 Tarrier N, "Cognitive-behavioral inter-ventions to reduce suicide behavior : a systematic review and meta-analysis" 32 : 77-108, 2008

30 Jenner E, "Awareness effects of a youth suicide prevention media campaign in Louisiana" 40 : 394-406, 2010

31 Saha S, "A systematic review of mortality in schizophrenia : is the differential mortality gap worsening over time" 64 : 1123-1131, 2007

32 Szanto K, "A suicide prevention program in a region with a very high suicide rate" 64 : 914-920, 2007

33 In SH, "A study on the effectiveness improvement of emergency room based suicide attempt management" Korea Academy of Mental Health Social Work 449-451, 2014

34 Kawanishi C, "A randomized, controlled, multicenter trial of post-suicide attempt inter-vention for the prevention of further attempts in Japan" 18 (18): 136-, 2006

35 Statistics Korea, "2017 Cause-of-death statistics results" Statistics Korea