심리부검 데이터를 활용한 시기별 자살사망 경고신호 연구
A Study on Sequential Warning Signs of Suicide Using Psychological Autopsy Data
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Objectives This study analyzed the sequential warning signs of suicide to identify remote, intermediate, and urgent signs. Methods Data from 978 cases collected through psychological autopsy interviews conducted by the Korea Foundation for Suicide Prevention from 2016 to 2023 were analyzed. Trained interviewers conducted the interviews using the Korea Psychological Autopsy Checklist. Frequency analysis and cross-tabulation were performed to identify high-frequency warning signs by their timing. Results Ten high-frequency warning signs were identified. Among them, the warning signs with the highest ranking of remote occurrences were talking about suicide, complaints of discomfort, making self-deprecating remarks, changes in sleep patterns, and engaging in substance abuse. The warning signs with the highest ranking of intermediate occurrences were changes in eating conditions, difficulty concentrating, social withdrawal, anger and irritation, and depression and lethargy. In particular, changes in eating conditions and depression and lethargy had a higher proportion of urgent occurrences compared to remote occurrences. Conclusion The high-frequency warning signs identified in this study must be widely understood and recognized by the general public, families of individuals with mental illnesses, medical professionals, and social welfare workers. Furthermore, techniques for recognizing and responding to the warning signs must be developed and incorporated into educational programs.
Abstract
Objectives This study analyzed the sequential warning signs of suicide to identify remote, intermediate, and urgent signs. Methods Data from 978 cases collected through psychological autopsy interviews conducted by the Korea Foundation for Suicide Prevention from 2016 to 2023 were analyzed. Trained interviewers conducted the interviews using the Korea Psychological Autopsy Checklist. Frequency analysis and cross-tabulation were performed to identify high-frequency warning signs by their timing. Results Ten high-frequency warning signs were identified. Among them, the warning signs with the highest ranking of remote occurrences were talking about suicide, complaints of discomfort, making self-deprecating remarks, changes in sleep patterns, and engaging in substance abuse. The warning signs with the highest ranking of intermediate occurrences were changes in eating conditions, difficulty concentrating, social withdrawal, anger and irritation, and depression and lethargy. In particular, changes in eating conditions and depression and lethargy had a higher proportion of urgent occurrences compared to remote occurrences. Conclusion The high-frequency warning signs identified in this study must be widely understood and recognized by the general public, families of individuals with mental illnesses, medical professionals, and social welfare workers. Furthermore, techniques for recognizing and responding to the warning signs must be developed and incorporated into educational programs.