• 대한불안의학회지
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• 제9권2호
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• pp.135-139
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• 2013

Objective : This study was conducted to examine the relationship between the annual changes of suicide methods and suicide rates in South Korea. We compared the suicide methods in South Korea with those in six other OECD countries, Japan, Finland, France, United States, Canada and Australia. Methods : Data of suicide rates and methods since the year 2000 were obtained from the official electronic mortality data published by the seven countries and from the World Health Organization [WHO] mortality database. We compared the correlation between suicide methods and suicidal rates in South Korea using Spearman's correlation test. Results : The proportion of hanging steadily increased, whereas self-poisoning steadily decreased from 2000 to 2011. The increased use of hanging was associated with the increase of suicide rates in South Korea. The preference for jumping as a suicide method in South Korea can be notably compared to that of other countries. Conclusion : Preference use of lethal methods, such as hanging, may play a great role in the increase of suicide rates in South Korea. The limitation of physical and cognitive access to lethal methods can be an effective suicide prevention strategy.

• 한국융합학회논문지
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• 제8권8호
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• pp.291-298
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• 2017

본 연구는 노인집단(예비노인층과 노인층)의 지역별 자살률과 사회경제적 요인을 검토하고, 자살률과 사회 경제적 요인의 관련성을 분석하며, 또 지역별 노인집단 자살률의 격차요인을 파악한 후 이를 바탕으로 노인집단 자살 예방서비스의 제공 전략을 수립하는데 필요한 정책적 제언을 도출하고자 한다. 이를 위하여 최근 10년(2006-2015) 동안 통계청에서 발표한 지역별 노인집단 자살률 통계자료를 활용하여 사회경제적 요인과 노인집단 자살의 관련성을 분석하였다. 분석결과, 복지예산비중, 이혼율, 경제활동 참가율, 재정자립도 등의 사회경제적 요인들이 연령대별과 지역특성별로 노인집단 자살률에 상이한 영향을 미치고 있는 것으로 나타났다. 따라서 예비노인층과 노인층의 자살예방을 위해 중앙정부의 자살예방 대책에 대한 가이드라인 제시와 예산지원 하에 지역차원에서의 연령대별 예방대책의 수립을 제언하였다.

• 디지털융복합연구
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• 제18권7호
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• pp.9-19
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• 2020

본 연구는 지역 간 자살률 차이를 분석하고 사회복지 등 지역 특성이 자살률에 미치는 영향을 확인하기 위하여 수행되었다. 주요 분석결과는 다음과 같다. 첫째, 특별시와 광역시의 자살률이 광역도에 비해 크게 낮았고, 시·구가 군지역에 비해 낮아서 농어촌 지역의 자살률이 높았다. 둘째, 사회복지요인에 따라서는 인구 10만명 당 문화시설과 사회복지시설 수가 많은 지역의 자살률이 높았고, 정신 보건시설 수가 적은 지역과 사회복지예산비율이 낮은 지역의 자살률이 높아서 농어촌 특성을 가지고 있는 지역의 자살률이 높았다. 셋째, 지역사회 특징이 자살률 차이에 미치는 영향을 분석한 결과 경제여건이 나쁜 지역, 노인 인구비율·이혼률이 높은 지역, 사회보장 수급자 수·독거노인 가구 수가 적은 지역의 자살률이 높아서 농어촌 특성을 가진 지역일수록 자살률이 높았다. 끝으로 사회복지요인은 지역 자살률 차이에 영향을 미치지 않았다. 지역에서 제공되는 사회복지서비스와 투입되는 예산이 자살률 감소에 실질적인 영향을 미치지 못하는 것으로 평가된다. 향후 지역사회 자살률을 낮출 수 있는 지역사회복지 실천의 질적, 양적 개선이 필요하다.

• 한국콘텐츠학회논문지
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• 제22권7호
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• pp.318-331
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• 2022

세계적으로 높은 우리나라 노인자살률을 해결하기 위하여 정부는 2004년 제1차 자살예방기본계획을 시점으로 하여 자살예방정책을 추진하여왔지만, 여전히 노인자살률은 개선되지 못하고 있다. 본 연구는 자살문제 해결에 있어 지방 정부의 역할에 주목하고, 지역 단위의 자살예방정책과 노인자살률의 관계를 규명하기 위하여 2015~2017년까지의 3개년 자료를 시군구 단위에서 분석하였다. 노인자살률에 영향을 줄 수 있는 사회자 본 요인, 인구사회학적 요인, 의료이용접근성 요인 등을 통제하고자 다중회귀분석과 로지스틱회귀분석을 실시하였다. 분석결과, 자살률이 높은 지역에 자살조례 제정과 기초 자살예방센터·정신건강복지센터의 설치 등이 이뤄지고 있음을 확인할 수 있었고, 자살률이 높은 지역에서는 센터설립 후 경과기간이 길면 자살률이 감소하는 것을 확인할 수 있었다. 자살률은 지역의 복지정책에 영향을 받는 것으로 분석되어 자살예방정책은 복지정책 강화와 연계하여 추진되어야 한다는 점을 확인할 수 있었다.

• 대한불안의학회지
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• 제3권1호
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• pp.46-51
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• 2007

Objectives : By comparing the prevalence rates of suicide-related behaviors (suicide ideation, plan and attempt) between depressive disorder and anxiety disorder patients, we tried to find the characteristics of suicide-related behaviors in these patients. Methods : Four hundred-three patients participated in the study and the prevalence rates of suicide-related behaviors were investigated using Korean version of Mini International Neuropsychiatric Interview plus. Pearson Chi-Square test was used to find the association between depressive or anxiety disorders and suiciderelated behaviors. Results : Statistically significant differences were found between depressive disorder group and anxiety disorder group in terms of suicide ideation ($X^2$=6.173, df=1, p=0.013) and suicide attempt ($X^2$=8.008, df=1, p=0.005). We also found that patients in depressive disorder group were more likely to have suicide ideation (Odds Ratio=2.049, 95% Confidence Interval=1.155-3.635), and attempt suicide (Odds Ratio=4.970, 95% Confidence Interval=1.466-16.845) than patients in anxiety disorder group. Conclusion : These findings suggest that suicide ideation and suicide attempt rates are higher in depressive disorders than in anxiety disorders.

• 여성건강간호학회지
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• 제29권4호
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• pp.348-356
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• 2023

Purpose: This study aims to analyze the number of suicide deaths in women, trends in suicide mortality, characteristics of suicide by age, and outcomes of suicide means over the past decade (2011-2021) in South Korea. Methods: Using cause of death data from Statistics Korea, an in-depth analysis of Korean women's suicide trends was conducted for the period of 2011-2021. Results: In 2021, women's suicide death in Korea was 4,159, a rate of 16.2 per 100,000 population. The rate increased by 1.4% from the previous year. Since 2011, women's suicide rate has been on a steady downward trend, but since 2018, it has been on the rise again. Suicide rates among women in their 20s and 30s have increased, especially since the coronavirus disease 2019 pandemic, and suicide rates among women over 70 years remain high. As compared to 2011, pesticide poisoning and hanging among the means of suicide have decreased significantly, while drug and carbon monoxide continue to increase. Conclusion: Suicide rates for Korean women in their 20s and 30s have increased significantly in recent years, and those for women over 70 years remain high. Therefore, it is necessary to investigate the causes and establish national policies for targeted management of these age groups, which contributes significantly to the rising suicide rate among Korean women.

• Journal of Preventive Medicine and Public Health
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• 제36권1호
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• pp.85-91
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• 2003

Objectives : We investigated the effects of the economic growth and unemployment rates on the suicide rate in Korea, between 1983 and 2000, using a time-series regression model. The purpose of this study was to model and test the magnitude of the rate of suicide, with the Korean unemployment rate and GDP. Methods : Using suicide rate per 100,000 Koreans and the unemployment rates between 1983 and 2000, as published by the Korea National Statistical Office, and the rate of fluctuation of the Korean GDP (Gross Domestic Product), as provided by the Bank of Korea, as an index of the economic growth rate, a time-series regression analysis, with a first-order autoregressive regression model, was peformed. Results : An 81.5% of the variability in the suicide rate was explained by GDP, and 82.6% Of that was explained by the unemployment rate. It was also observed that the GDP negatively correlated with the suicide rate, while the unemployment and suicide rates were positively correlated. For subjects aged over 20, both the GDP and unemployment rate were found to be a significant factors in explaining suicide rates, with coefficients of determination of 86.5 and 87.9%, respectively. For subjects aged under 20, however, only the GDP was found to be a significant factor in explaning suicide rates (the coefficient of determination is 38.4%). Conclusion : It was found that the suicide rate was closely related to the National's economic status of Korea, which is similar to the results found in studies in other countries. We expected, therefore, that this study could be used as the basis for further suicide-related studies.

• 생물정신의학
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• 제27권2호
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• pp.64-73
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• 2020

Suicidality is the most serious complication of mood disorders and psychosis; effective treatment should reduce suicide rates. The Organization for Economic Cooperation and Development age-standardized suicide rate in Korea was 22.6 in 2018, much higher compared to other countries worldwide. As mental and psychiatric problems are the main reasons for suicide attempts, accounting for 31.6% in 2018, targeting such problems should be the focus of efforts to reduce suicide rates. However, the ability of current pharmacotherapeutic and psychotherapeutic interventions to reduce suicide rates is limited due to their delayed effects. Therefore, electroconvulsive therapy (ECT) has been proposed as an alternative treatment. This approach is effective for treating most mental disorders associated with high suicide rates, including severe depression, bipolar disorder, and intractable psychotic disorders; ECT is also effective for Parkinson's disease, which has the highest suicide rate among all disorders in Korea. The acute, long-term, and prophylactic effects of ECT on suicidality have been reported in the literature, and treatment guidelines outside of Korea recommend that ECT be used at an early stage for rapid reduction of suicide rates, as opposed to being applied as a treatment of last resort. However, only ~0.092 of every 10000 members of the Korean general population received ECT in 2018; this is much lower than the average rate worldwide, of 2.2 per 10000. Elimination of obstacles to the use of ECT, early crisis intervention involving administration of ECT for rapid stabilization, and maintenance ECT to prevent recurrence should reduce suicide rates.

• 보건행정학회지
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• 제33권2호
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• pp.194-292
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• 2023

Background: This study aimed to update suicide-related indicators, including the number of suicidal deaths, suicide rate, and the prevalence of suicidal ideation and suicide attempts. We observed trends in suicide-related indicators based on up-to-date information. Methods: This study used five data sources to evaluate the trends of suicide-related indicators: Statistics Korea (1983-2021), Korean Wealth Panel Study (KOWEPS, 2012-2021), and Korea Health Panel Survey (KHP, 2010-2013, 2016-2019), Korean National Health and Nutrition Examination (KNHANES, 2007-2013, 2015-2021), Korean Community Health Survey (KCHS, 2008-2009, 2013, 2017, 2021). Results: The suicide rate per 100,000 population increased from 25.7 in 2020 to 26.0 in 2021. The rates of suicidal ideation from recently available data were 4.28% (KNHANES, 2021), 6.52% (KCHS, 2021), 1.61% (KOWEPS) and 7.10% (KHP, 2019). The suicidal attempts rates were 0.46% (KNHANES, 2021) and 0.34% (KCHS, 2021). The annual percentage change (APC) of suicide rate showed that suicide rates increased in the younger population (APC=9.02% in <19 years, APC=5.13 in 20-39 years) although the rates decreased in the older population (APC=-3.37 in 60-79 years, APC=-2.25 in >80 years). Conclusion: The suicide rate and related indicators increased in 2021 compared to 2020. Thus, continuous observation and appropriate suicide prevention policies as well as studies about the factors that affected the increase in 2021 are needed.

• Journal of Preventive Medicine and Public Health
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• 제45권2호
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• pp.70-77
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• 2012

Objectives: Identify the characteristics related to the suicide rates in rural and urban areas of Korea and discover the factors that influence the suicide rate of the rural and urban areas. Methods: Using the data on causes of death from 2006 to 2008, the suicide rates were calculated and compared after age-standardization based on gender, age group and urbanicity. And, in order to understand the factors that influence suicide rate, total 10 local characteristics in four domains - public service, social integration, residential environment, and economic status - were selected for multiple regression analysis. Results: The suicide rates were higher in men than women, in rural areas than urban, and in older people than the younger. Generally, although there were variations according to age group and urbanicity, suicide rates were significantly related to residential environment and regional economic status but not related to regional welfare spending and social integration. In addition, the population over the age of 65 years, only regional economic status has significantly influence on their suicide rates. Conclusions: The influence of characteristics of regions on suicide rate is various by age-group, gender, and urbanicity. Therefore, in order to lower suicide rate and reduce the gap between regions, various approaches must be adopted by taking into account the socioeconomic characteristics of the regions.