한국콘텐츠학회논문지 (The Journal of the Korea Contents Association)

  • 제13권3호
  • /
  • Pages.240-250
  • /
  • 2013
  • /
  • 1598-4877(pISSN)
  • /
  • 2508-6723(eISSN)
한국콘텐츠학회 (The Korea Contents Association)
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한국형 자살위험 스크리닝 도구와 타당성

Korean Suicide Risk Screening Tool and its Validity

  • 김지은 (서울대학교 보건대학원) ;
  • 강은정 (순천향대학교 보건행정경영학과) ;
  • 정진욱 (한국보건사회연구원) ;
  • 백종우 (경희대학교병원 정신건강의학과)
  • 투고 : 2012.11.26
  • 심사 : 2013.02.12
  • 발행 : 2013.03.28
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초록

자살 생각을 초기에 발견하는 것은 자살을 예방하는 데 중요하다. 본 연구는 의료 현장에서 사용될 수 있는 간단한 스크리닝 도구를 개발하는 것을 목적으로 하였다. 자살위험 스크리닝 도구는 의사들이 빠르고 쉽게 사용할 수 있도록 설계되었다. 미국 알래스카 Norton Sound region의 Screening for Depression and Thoughts of Suicide라는 도구로부터 2개의 항목으로 구성된 스크리닝 도구를 만들었다. 이 도구는 개인식별번호를 제외하는 등 한국의 실정에 맞게 양식이 수정되었으며 한국형 자살위험 스크리닝 도구로 이름붙였다. 이 도구의 신뢰성과 적용가능성은 7명의 의사들을 통해 검토되었다. 이 도구의 타당성은 4개의 의료기관에서 325명의 환자들을 조사하여 현재의 정신건강 상태를 외부 기준으로 하여 확인하였다. 이와 같은 2개 문항으로 구성된 자살위험 스크리닝 도구는 정신과 의사 및 기타 의사들에 의해 환자의 자살경향을 발견하는데 사용될 수 있을 것이다.

The early detection of suicidal ideation is essential for the prevention of suicide. This study aimed to develop a brief screening tool that can be easily administered in medical settings. The Suicide Risk Screening Tool was designed for use by physicians to provide a screening process that would be reliable, standardized, quick and feasible to implement. A 2-item screening tool was derived from the Screening for Depression and Thoughts of Suicide in the Norton Sound region of Alaska, USA. The scale was modified to reflect the current situation in Korea including the elimination of the personal identification number, and was labeled the Korean Suicide Risk Screening Tool. Its reliability and applicability for medical setting were examined by explanatory study of 7 clinicians. Its validity was examined among a further 325 patients of four different medical institutions, using the results of interviewer-administered survey included demographic, clinical characteristics, and present mental status as the external criterion. A brief 2-item suicide risk screening tool can be used by mental and non-mental health clinicians to accurately detect suicidality in patients.

키워드

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피인용 문헌

  1. Validation of the Korean Depressive Symptom Inventory-Suicidality Subscale vol.14, pp.5, 2017, https://doi.org/10.4306/pi.2017.14.5.577