주요우울장애 환자의 자살시도와 임상평가 척도 결과의 차이 = Discrepancies between Suicide Attempt and the Result of Clinical Rating Scales in Patients with Major Depressive Disorder

다국어 초록 (Multilingual Abstract)

Objectives：The aim of this study was to examine a usefulness of the Beck Scale for Suicidal Ideation(BSI) and the Beck Hopelessness Scale(BHS) to assess the risk of current suicide attempt in patients with major depressive disorder.
Methods：Eighty-seven patients with major depressive disorder were participated in this study. All patients were recruited from the psychiatric outpatient clinic or inpatient ward of Dong-A university hospital. We categorized the participants into three groups according to their history of suicide attempts : current suicide attempters, past suicide attempters, non-attempters. The suicide idea and hopelessness of the participants were assessed by the BSI and the BHS, respectively. Also, severity of depression in all subjects was assessed by the Hamilton Rating Scale for Depression(HAM-D).
Results：The sum scores of the BSI and the BHS were significantly higher in current suicide attempters and past suicide attempters than non-attempters. However, those were not significantly different between current suicide attempters and past suicide attempters. And the sum score of the HAM-D was significantly higher in current suicide attempters than other two groups. But, it was not significantly different between past suicide attempters and non-attempters.
Conclusion：The results of present study suggest that the BSI and the BHS may have limited ability to identify current suicide risk in patients with major depressive disorder. In clinical practice, it is necessary to assess the clinician rating scale such as the HAM-D for evaluating the risk of current suicide attempt.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 고찰

참고문헌 (Reference)

1 이혜선, "한국판 자살생각척도(K-BSI)의 타당화 연구" 한국임상심리학회 28 (28): 1155-1172, 2009

2 이중서, "한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구" 대한신경정신의학회 44 (44): 456-465, 2005

3 "한국 주요지표 자료. 국가통계포털: 2012년 자살률"

4 신민섭, "고등학생의 자살성향에 관한 연구" 9 : 1-19, 1990

5 Doihara C, "Trait impulsivity in suicide attempters : preliminary study" 66 : 529-532, 2012

6 Mann JJ, "Toward a clinical model of suicidal behavior in psychiatric patients" 156 : 181-189, 1999

7 Fawcett J, "Time-related predictors of suicide in major affective disorder" 147 : 1189-1194, 1990

8 Beck AT, "The Measurement of pessimism : the hopelessness scale" 42 : 861-865, 1974

9 Large M, "Systematic review and meta-analysis of th clinical factors associated with the suicide of psychiatric in-patients" 124 : 18-29, 2011

10 Grunebaum MF, "Symptom components of standard depression scales and past suicidal behavior" 87 : 73-82, 2005

11 McIntosh JL, "Survivors of suicide: a comprehensive bibliography update, 1986-1995" 33 : 147-175, 1996

12 Keilp JG, "Suicidal ideation and the subjective aspects of depression" 140 : 75-81, 2012

13 Srivastava AS, "Suicidal ideation and attempts in patients with major depression: Sociodemographic and clinical variables" 47 : 225-228, 2005

14 Sher L, "Risk of suicide in mood disorders" 1 : 337-344, 2001

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

16 Goldston DB, "Predictors of suicide attempts : state and trait components" 115 : 842-849, 2006

17 Youssef G, "Personality trait risk factors for attempted suicide among young women with eating disorders" 19 : 131-139, 2004

18 De Filippis S, "Mental turmoil, suicide risk, illness perception, and temperament, and their impact on quality of life in chronic daily headache" 9 : 349-357, 2008

19 Henriksson MM, "Mental disorders and comorbidity in suicide" 150 : 935-940, 1993

20 Olden M, "Measuring depression at the end of life: is the Hamilton Depression Rating Scale a valid instrument?" 16 : 43-54, 2009

21 Jeon HJ, "Lifetime prevalence and correlates of suicidal ideation, plan, and single and multiple attempts in a Korean nationwide study" 198 : 643-646, 2010

22 Desseilles M, "Is it valid to measure suicidal ideation by depression rating scales?" 136 : 398-404, 2012

23 Kuo WH, "Incidence of Suicide ideation and attempts in adults: the 13-year follow-up of a community samples in Baltimore, Maryland" 31 : 1181-1191, 2001

24 Kuo WH, "Hopelessness, depression, substance disorder, and suicidality: a 13-year community-based study" 39 : 497-501, 2004

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

26 Altshuler LL, "Handbook of Clinical Trials: the Neurobehavioral Approach" Lisse 141-164, 1991

27 Petersen L, "Genetic and familial environmental effects on suicide attempts : a study of Danish adoptees and their biological and adoptive siblings" 155 : 273-277, 2014

28 Baca-Garcia E, "Estimating risk for suicide attempt: are we asking the right questions? Passive suicidal ideation as a marker for suicidal behavior" 134 : 327-332, 2011

29 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" American Psychiatric Association 1994

30 Hart SR, "Demographic and clinical characteristics of consistent and inconsistent longitudinal reporters of lifetime suicide attempts in adolescence through young adulthood" 30 : 997-1004, 2013

31 Luoma JB, "Contact with mental health and primary care providers before suicide : a review of the evidence" 159 : 909-916, 2002

32 Song JY, "Assessment of risk factors related to suicide attempts in patients with bipolar disorder" 200 : 978-984, 2012

33 Beck AT, "Assessment of Suicidal Intention : the Scale for Suicide Ideation" 47 : 343-352, 1979

34 Fu Q, "A twin study of genetic and environmental influences on suicidality in men" 32 : 11-24, 2002

35 Hamilton M, "A rating scale for depression" 23 : 56-62, 1960