우리나라 정신건강의학과 전공의의 자살에 대한 지식, 태도 및 경험에 대한 고찰 : 횡단연구
Investigation of Knowledge, Attitudes, and Experience Regarding Suicidal Behaviors among Psychiatric Residents in Korea : A Cross-Sectional Study
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초록
Objectives This study investigated the effects of the grade of residents, sociodemographic vari¬ables, and clinical experience with suicidal patients on the knowledge and attitudes toward sui¬cide among psychiatric residents in Korea. Methods A self-reporting survey including 30 questions was conducted together with an inves¬tigation of the sociodemographic background of the research subjects. The questionnaire was com¬posed of general knowledge questions on suicide, suicide-related personal experience, attitudes toward suicide, and the treatment experience of suicide attempt patients. Chi-square test and bi¬nary logistic regression analysis were used to determine the differences and associations among the attitudes toward suicide, clinical experience of suicide, and sociodemographic characteris¬tics. Results A significantly higher response rate was presented in the 4th grade on general knowl¬edge of suicide and treatment experience with suicide attempt patients than in the 1st grade. Residents with previous history of psychiatric treatment suicide plans, or attempts presented a significantly higher level of permissive attitude toward suicide. Residents who had a previous his¬tory of suicide attempt among their own patients were more likely to think that they were more capable to prevent suicide of patients. Conclusion Effective clinical practices are essential considering the fact that the highest sui¬cide risk groups will inevitably be referred to psychiatric clinical services. The authors expect that the study results regarding suicide-related knowledge, attitudes, and the experience of psychiat¬ric residents will contribute to the development of effective resident training programs for suicide-related clinical practice in Korea.
Abstract
Objectives This study investigated the effects of the grade of residents, sociodemographic vari¬ables, and clinical experience with suicidal patients on the knowledge and attitudes toward sui¬cide among psychiatric residents in Korea. Methods A self-reporting survey including 30 questions was conducted together with an inves¬tigation of the sociodemographic background of the research subjects. The questionnaire was com¬posed of general knowledge questions on suicide, suicide-related personal experience, attitudes toward suicide, and the treatment experience of suicide attempt patients. Chi-square test and bi¬nary logistic regression analysis were used to determine the differences and associations among the attitudes toward suicide, clinical experience of suicide, and sociodemographic characteris¬tics. Results A significantly higher response rate was presented in the 4th grade on general knowl¬edge of suicide and treatment experience with suicide attempt patients than in the 1st grade. Residents with previous history of psychiatric treatment suicide plans, or attempts presented a significantly higher level of permissive attitude toward suicide. Residents who had a previous his¬tory of suicide attempt among their own patients were more likely to think that they were more capable to prevent suicide of patients. Conclusion Effective clinical practices are essential considering the fact that the highest sui¬cide risk groups will inevitably be referred to psychiatric clinical services. The authors expect that the study results regarding suicide-related knowledge, attitudes, and the experience of psychiat¬ric residents will contribute to the development of effective resident training programs for suicide-related clinical practice in Korea.
참고문헌 (33)
- The world health report 2004, "WHO", WHO, ~ (2004)
- Annual report on the cause of death statistics 2014, "National statistical office", National Statistical Office, ~ (2014)
- OECD, "Suicide in health at a glance 2013" (2013), OECD Publishing
- 하규섭, "자살예방 및 생명존중문화조성을 위한 법률은 자살률을 낮출 수 있을까?", 대한의사협회지, 54(8), pp.792~794 (2011), 대한의사협회
- Hunt IM, "Suicide in current psychiatric in-patients: a case-control study the national confidential inquiry into suicide and homicide", Psychol Med, 37, pp.831~837 (2007)
- Jeon HJ, "Unplanned versus planned suicide attempters, precipitants, methods, and an association with mental disorders in a Korea-based community sample", J Affect Disord, 127, pp.274~280 (2010)
- 박재영, "인구사회적 요인, 암, 일부 정신질환 등이 자살에 미치는 영향: 성별, 연령별 분석", 예방의학회지, 41(1), pp.51~60 (2008), 대한예방의학회
- 2012National survey on sucide, "Park JI", Korea Sucide Prevention Center, ~ (2012)
- 강상경, "우울이 자살을 예측하는가? : 우울과 자살태도 관계의 성별·연령 차이", 사회복지연구, 41(2), pp.67~100 (2010), 한국사회복지연구회
- A study on the development of a suicide prevention system in medical practice, "Jung JW", Korea Institute for Health and Social Affairs, ~ (2010)
- Domino G, "Attitudes toward suicide in Japanese and American medical students", Suicide Life Threat Behav, 21, pp.345~359 (1991)
- Kodaka M, "A systematic review of scales that measure attitudes toward suicide", Int J Soc Psychiatry, 57, pp.338~361 (2011)
- Ban YG, "A preliminary study on the attitude toward suicides in normal persons", J Korean Neuropsychiatr Assoc, 28, pp.155~167 (1989)
- Hwang SW, "A comparative study between ordinary citizens and police officers in suicide recognition", J Soc Sci, 28, pp.121~143 (2013)
- Jin HK, "Attitude and nursing performance of emergency room nurses toward attempted suicide patients", pp.2013
- Kim HJ, "Knowledge, attitudes, and experience regarding suicidal behavior among mental health workers in Gangwon province of Korea", pp.2015
- 권중일, "의사와 보건인력을 대상으로 한 자살에 대한 인식과 태도, 개인적 경험에 관한 연구", 신경정신의학, 52(4), pp.231~242 (2013), 대한신경정신의학회
- 김성남, "지역사회 정신보건관련 센터 근무자와 병원 근무자들의 자살에 대한 인식 및 태도", 예방의학회지, 42(3), pp.183~189 (2009), 대한예방의학회
- Moon KS, "Community leaders’ attitude toward suicide", pp.1986
- Park JH, "A comparative study of attitude toward suicide among physicians, psychiatrists and normal subjects", J Korean Neuropsychiatr Assoc, 28, pp.1022~1033 (1989)
- Grimholt TK, "Perceived competence and attitudes towards patients with suicidal behaviour:a survey of general practitioners, psychiatrists and internists", BMC Health Servic Res, 14, pp.208~215 (2014)
- Jiao Y, "Crosssectional study of attitudes about suicide among psychiatrists in Shanghai", BMC Psychiatry, 14, pp.87~ (2014)
- Renberg ES, "Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a swedish population", Suicide Life Threat Behav, 33, pp.52~64 (2003)
- Renberg ES, "Building models for the relationship between attitudes toward suicide and suicidal behavior:based on data from general population surveys in Sweden, Norway, and Russia", Suicide Life Threat Behav, 38, pp.661~675 (2008)
- Survey on the attitude toward respect for life and suicide in the general public, "Seo DW", Korean Association for Suicide Prevention, ~ (2009)
- 김혜진, "정신보건사업 종사자의 자살관련 지식, 태도 및 경험에 관한 예비 연구", 신경정신의학, 54(3), pp.338~349 (2015), 대한신경정신의학회[DOI]
- Report on the analysis of attitudes toward suicide for the development of suicide prevention strategies in Gangwon province, "Gangwon provincal health center", Gangwon Provincal Health Center, ~ (2013)
- Singh BK, "Public approval of suicide: a situational analysis", Suicide Life Threat Behav, 16, pp.409~418 (1986)
- 강선경, "청년기 정신질환자를 위한 사회연결망 개입에 대한 질적연구 정신보건 전문요원을 위한 함의", 정신보건과 사회사업, (13), pp.121~139 (2002), 한국정신보건사회복지학회
- Oh SK, "The relations among adolescent’s suicidal attitudes, suicidal risks, and needs of life-esteem education participation", pp.2006
- Lee EJ, "Attitudes toward the suicide of Korean medical students", J Korean Neuropsychiatr Assoc, 19, pp.12~26 (1980)
- Domino G, "Cross-cultural attitudes towards suicide: the SOQ and a personal odyssey", Arch Suicide Res, 9, pp.107~122 (2005)
- Stein D, "The association between adolescents’ attitudes toward suicide and their psychosocial background and suicidal tendencies", Adolescence, 27, pp.949~959 (1992)