• Title/Summary/Keyword: Prevention of suicide

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Development of 10 Self-Help Guidelines for Suicide Prevention : A Delphi Study (자살예방 10가지 자가 수칙의 개발 : 델파이 연구)

  • Lee, Hyochul;Ahn, Jihyun;Lee, Kyungeun;Kim, Haesoo;Hong, Changhyung;Oh, Kangsup;Hong, Jin Pyo
    • Anxiety and mood
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    • v.13 no.2
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    • pp.74-85
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    • 2017
  • Objective : A variety of approaches are needed to solve high suicide rates in Korean society. Although suicide prevention education has been provided for the public and suicide risk groups in Korea, a systematic discussion of simple, effective suicide prevention guidelines for the general public has yet to be made. Self-help guidelines for suicide prevention, which can help prevent suicide in at risk individuals, will be developed through expert questionnaires. Methods : In order to develop the draft guidelines, suicide prevention self-help phrases were gathered and compiled from homepages and publicity materials of domestic and international suicide prevention and related organizations. A panel of 16 suicide prevention experts conducted primary and secondary surveys using the Delphi method, which derives results from consensus among expert groups. The validity and appropriateness of the guidelines was analyzed using content validity ratios (CVR). Results : Of 33 candidate phrases selected for the suicide prevention guidelines, 9 showed high CVR after the secondary Delphi round. The highest level of support with total agreement was given to 'Do not be alone, stay with someone'. However, more than half of the panelists evaluated 14/27 of the primary Delphi round and 12/26 of the secondary Delphi round phrases as invalid. The researchers completed 10 self-help guidelines for suicide prevention, after eliminating 1 redundant phrase and including 2 additional phrases that showed relatively high CVR. Conclusion : We have developed 10 self-help guidelines for suicide prevention through the consensus of experts. Further studies on the effects of the guidleines relative to suicide rates are needed after widespread dissemination.

Development and Application of a Multidimensional Suicide Prevention Program for Korean Elders by utilizing a Community Network (지역사회 네트워크를 이용한 한국노인의 다차원적 자살예방 프로그램 개발 및 적용)

  • Jo, Kae-Hwa;Kim, Yeong-Kyeong
    • Journal of Korean Academy of Nursing
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    • v.38 no.3
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    • pp.372-382
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    • 2008
  • Purpose: The purpose of this study was to develop a multidimensional suicide prevention program for Korean elders by utilizing a community network and to evaluate its effect. Methods: A non-equivalent control group pretest-posttest design was used. The subjects were recruited from two different elderly institutions located in D city and K province, Korea. Nineteen subjects in the control group received no intervention and 20 subjects in the experimental group received a multidimensional suicide prevention program. Results: There were more significant decreases in depression, suicide ideation, and increases in life satisfaction in the experimental group compared to the control group. Conclusion: According to the above results, the multidimensional suicide prevention program for Korean elders decreased stressful events like depression, and suicide ideation and increased life satisfaction through the community network. These findings suggest that this program can be used as an efficient intervention for elders in a critical situation.

A Call for Community-Based Suicide Prevention in South Korea (한국의 자살예방을 위한 지역공동체 접근)

  • Sung-Pil, Yook;Jameson K. Hirsch
    • Korean Journal of Culture and Social Issue
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    • v.16 no.2
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    • pp.147-164
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    • 2010
  • In this paper, we reviewed the community-based approaches to suicide prevention and national strategies for the decrement of suicide rate, and made some suggestions to decrease the suicide rate in South Korea. Until now, efforts to understand and prevent suicide have been pursued singularly by specialized interest groups such as psychiatrists, psychologists, mental health practitioners, and private organizations with little interaction between them, resulting in narrow approaches toward suicide that existed in relative isolation to one another and that have been largely ineffective. To decline the suicide rate in South Korea, the people lived in Korea community ought to have enough knowledge related to suicide and have to cooperate with other people. Through these efforts, Korea community would have established social safety networks to improve the community 's mental health. The most important factor in suicide prevention and declining the suicide rate is reducing the stigma and increase the self-help seeking behaviors associated with suicide and mental health. Therefore, suicide is not an individual problem solved by suicidal patient, but a community's problem solved by community in recognizing, managing and preventing suicide.

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Preparation to Perform Activities of Suicide Prevention according to Professional Type (지역사회 정신 건강 서비스, 자살 전문직 유형에 따른 자살예방행동 준비도)

  • Park, Kyongran;Lee, Gyungjoo;Kwon, Min;Yeom, Mijung;Yang, Soo
    • Journal of Korean Public Health Nursing
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    • v.29 no.1
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    • pp.40-52
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    • 2015
  • Purpose: This study examined the characteristics of preparation to perform activities of suicide prevention according to professional type. Methods: A structural survey was conducted from Dec. 10, 2012 to Jan. 4, 2013 for 355 participants working at suicide prevention institutions in S city. The data were analyzed in terms of frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS/WIN 18.0. Results: Self-evaluation knowledge of characteristics was a significant distance depending on education and economic status. Participants were classified according to four groups based on professional type; public health nurse, social worker, fire officer, and administrative staff. Significant differences in experiences in suicide, the several items of self-evaluation knowledge, and the preparation to perform activities of suicide prevention were observed according to professional type (p<.05). Correlation among the experience, self-evaluation knowledge and preparation to perform activities of suicide prevention showed a positive correlation in public health nurse, social worker, and administrative staff (p<.05). In all professional types, the variable that predicted preparation to perform activities of suicide prevention was self-evaluation knowledge (p<.001). Conclusion: Tailor-made suicide prevention programs that affect changes in preparation to perform activities of suicide prevention should be developed by professional types.

Self-poisoning as a Target Group for Prevention of Suicide (자살 예방을 위한 집중관리 대상으로서의 중독)

  • Kwak, Moon Hwan;Kang, Hyun Young;Lee, Si Jin;Han, Kap Su;Kim, Su Jin;Lee, Eu Jung;Lee, Sung Woo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.2
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    • pp.93-101
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    • 2018
  • Purpose: The Korean government has tried to decrease the suicide death rate over the last decade. Suicide attempts, particularly non-fatal attempts, are the most powerful known risk factor for a completed suicide. An analysis of suicide attempt methods will help establish the effective preventive action of suicide. Fit prevention according to the method of suicide attempt may decrease the incidence of suicide death. Self-poisoning is suggested as a major method of both suicide attempts and suicide death. The aim of this study was to determine if a self-poisoning patient is a suitable target for the prevention of the suicide. Methods: This was retrospective analysis of a prospective cohort, which included patients who presented to the emergency department (ED) after a self-harm or suicide attempt from Jan 2013 to Dec 2017. The proportion of methods in suicide attempts, psychological consultation, and fatality according to the suicide attempt method were analyzed. The types of poison were also analyzed. Results: Poisoning was the most common method of suicide attempts (52.1%). The rate of psychological consultations were 18.8% for all patients and 29.1% for poison patients (p<0.001). The rate of mortality in poisoning was 0.6%. Psychological consultation was performed more frequently in admission cases than discharged cases. The most common materials of poisons was psychological medicines and sedatives that had been prescribed at clinics or hospital. Conclusion: Self-poisoning is a major method of suicide attempt with a high rate of psychiatric consultation, low mortality rate, versus others methods. The prevention of suicide death for suicide attempts may focus on self-poisoning, which is the major method of suicide attempts. A suitable aftercare program for self-poisoning may be an effective method for preventing suicide if an early diagnosis and management of psychiatric disorders through psychiatric consultation can be made, and early connection to social prevention program for non-fatal patients are possible.

The Influencing Factors on GateKeeper Behavior of Adolescents for Suicide Prevention (청소년의 자살예방을 위한 게이트키퍼 행동 영향요인)

  • Oh, Kyongok;Gang, Moonhee
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.431-438
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    • 2017
  • The purpose of the study was to identify the factors on Gatekeeper behavior of adolescents for suicide prevention. The participants were five high school students from D metropolitan city. The collected data were analysed using t-test, ANOVA, Multiple regression with SPSS 21.0 program. In the results of the study, Gatekeeper behavior showed significant difference by gender(t=2.85, p=.005), type of school(t=-2.81, p=.006), experience of significant others' suicide(t=-2.09, p=.038). Gatekeeper behavior had a positive relationship with the perception toward suicide prevention(r=.23, p=.006) and the knowledge about suicide prevention(r=.42, p<.001). In regression analysis, significant influencing factors on Gatekeeper behavior were the perception toward suicide prevention (${\beta}=.20$, p=.006) and the knowledge about suicide prevention(${\beta}=.35$, p<.001), and these variables showed 24.3% of variance. Therefore, it need to develop the intervention for improving positive perception and active knowledge about suicide prevention in adolescents. In addition, future study to identify various predictable variables is needed.

The Korea National Suicide Survey (KNSS) : Rationale and Design

  • Kim, Bora;Jung, Keum Ji;Lee, Sang Uk;Sea, Jonghan;Kim, Eun Young;Kim, Se Hyun;Jee, Sun Ha;Park, Jong-Ik;Kim, Kyungil;Ahn, Yong Min
    • Korean Journal of Biological Psychiatry
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    • v.22 no.1
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    • pp.1-6
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    • 2015
  • Suicide, the fourth leading cause of death in Korea, is a serious national problem. The Korea National Suicide Survey (KNSS) is the result of the first legislation to address this issue, "Article 11 of THE ACT FOR THE PREVENTION OF SUICIDE AND THE CREATION OF A CULTURE OF RESPECT FOR LIFE" (the "Act for the Prevention of Suicide"). To overcome the limitations of previous studies, the KNSS was designed by collaborators from a variety of fields : psychology, epidemiology, social welfare, and psychiatry. The KNSS was composed of four substudies that addressed the multifaceted process involved in suicide-related behavior over time, exploring general attitudes toward suicide and suicidal ideation, suicide planning, suicide attempts, and completed suicides. Study 1 examined the risk factors for suicide based on data regarding completed suicides ; Study 2 adopted the approach of a psychological autopsy ; Study 3 focused on suicide attempters ; and Study 4 explored attitudes toward suicide in the general population. The KNSS was designed to provide a comprehensive understanding of suicide from a longitudinal, multifaceted perspective to serve as a basis for policies aimed at suicide prevention.

A Methodological Review of Psychological Autopsy for Adolescents (청소년 자살자에 대한 심리적 부검 방법론에 대한 고찰)

  • Kwon, Hoin;Kim, Ran;Bhang, Soo-Young;Hong, Hyun Ju;Kweon, Yong Sil
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.3
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    • pp.121-127
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    • 2014
  • Recently, local governments and suicide prevention centers have been trying to implement psychological autopsy. This effort has focused on adult suicide so far ; however, there are some difficulties in its application to adolescent suicide. Therefore, in this study, psychological autopsy studies of Korea were reviewed, and a methodology for adolescents' psychological autopsy was suggested. For the effective performance of the psychological autopsy in adolescent suicide, cooperation with each area of the government and implementation of bodies is necessary. In addition, the central system, which disseminates the standardized interview to the community and manages the data nationwide, should be prepared. Also, in order to improve the accuracy of diagnosis and to obtain various types of information, a structured interview should be adopted as the psychological autopsy, as well as considering the use of social media. Investigation of specific risk factors for adolescent suicide through psychological autopsy can enable determination of the intervention point for effective suicide prevention.

A Study on the Effectiveness of the ROK Soldiers' Suicide Prevention Program for Conscripted Airmen (한국군 자살예방 프로그램의 효과성에 관한 실증연구)

  • Lee, Do Kyun;Lee, Dae Sik;Sung, Kyu Sun;Byun, Sang Hae
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.7 no.4
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    • pp.179-186
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    • 2012
  • The purpose of this research is to analyze how the suicide prevention affects private soldiers' stress-coping method, problem-solving ability, depression, and idea of suicide. In order to achieve such research hypothesis, Air Force ${\bigcirc}{\bigcirc}$ Unit has previously classified 64 soldiers, who have signs of suicide, and are assorted to have suicidal symptoms by the Unit, and think that they have such symptoms and need our program. Following that, overall 16 times of suicide prevention program was carried out for them. For a statistical process of collected materials after testing the effectiveness of Korean Soldiers suicide prevention program, we practiced Frequency Analysis, Analysis of Variance, Correlation Analysis, and Paired t-test by using the statistical package program of SPSS 12.0 for Windows. In result, suicide prevention program shows positive effects upon improving stress-coping method and problem-solving ability as well as reducing depression and suicide thoughts.

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Effects of Social Support on the Relationships between Perceived Stress and Psychological Burnout of Suicide Prevention Counselor (자살예방상담원의 지각된 스트레스와 사회적 지지가 심리적 소진에 미치는 영향)

  • Lee, Mi-Rim
    • The Journal of the Korea Contents Association
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    • v.14 no.2
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    • pp.308-318
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    • 2014
  • The purpose of this study was to analyze the relationships of Perceived stress, Social Support and Psychological burnout of Suicide Prevention Counselors. The subjects for this study were 132 Suicide Prevention Counselors. The data was conducted by using a correlations coefficient and the multiple regression analysis. The results of the study were as follows: First, correlations among variables of Perceived Stress and Social Support on subordinate variable of Psychological burnout of Suicide Prevention Counselors were significant. Second, Perceived Stress and Social Support have a significant influence on Psychological burnout of Suicide Prevention Counselors. Third, Social Support showed mediating effects between Stress and Psychological burnout. According to the results of this study, in order to reduce Perceived Stress and Psychological burnout of Suicide Prevention Counselors, we suggested that we would be required to receive Social Support of Suicide Prevention Counselors.