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자살시도 위험요인 및 자살에 대한 태도 연구

Psychosocial Correlates of Attempted Suicide and Attitudes Toward Suicide

김재민|윤진상|김선영|박지현|배경열|김세현|양수진|신일선|유준안|김성완
대한신경정신의학회 (Korean Neuropsychiatric Association)|2010.07|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제49권 제4호|pp. 367-373

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참고문헌

주제분류정신과학

초록

Objectives: To examine psychosocial correlates of suicide attempts in a community population. Methods: This study investigated suicide attempt history, demographic and psychosocial characteristics including depression using the Beck Depression Inventory (BDI), and responses to a questionnaire about attitudes toward suicide in a community sample. The demographic and psychosocial correlates of suicide attempts were evaluated using univariate and multivariate analyses. Results: A total of 1,578 people completed the survey. Of these, 100 people (6.3%) had attempted suicide. In the univariate analyses, risk factors for attempted suicide were divorce, lower level of education, lack of a stable job, living in a rented house, undergoing psychiatric treatment, a family history of psychiatric illness, and being depressed (BDI ≥22). In the multivariate analysis, living in a rented house, undergoing psychiatric treatment, and being depressed were significantly associated with attempted suicide. Of the individuals who had attempted suicide, 42.0% were currently depressed, whereas the prevalence of depression in those who had not attempted suicide was 9.1%. In addition, individuals who had attempted suicide had permissive attitudes toward suicide and negative attitudes toward treatment for suicidal behavior. Conclusion: Attempted suicide was significantly associated with depression. Therefore, immediate and appropriate psychiatric treatment for depression in those attempting suicide is crucial.

Abstract

Objectives: To examine psychosocial correlates of suicide attempts in a community population. Methods: This study investigated suicide attempt history, demographic and psychosocial characteristics including depression using the Beck Depression Inventory (BDI), and responses to a questionnaire about attitudes toward suicide in a community sample. The demographic and psychosocial correlates of suicide attempts were evaluated using univariate and multivariate analyses. Results: A total of 1,578 people completed the survey. Of these, 100 people (6.3%) had attempted suicide. In the univariate analyses, risk factors for attempted suicide were divorce, lower level of education, lack of a stable job, living in a rented house, undergoing psychiatric treatment, a family history of psychiatric illness, and being depressed (BDI ≥22). In the multivariate analysis, living in a rented house, undergoing psychiatric treatment, and being depressed were significantly associated with attempted suicide. Of the individuals who had attempted suicide, 42.0% were currently depressed, whereas the prevalence of depression in those who had not attempted suicide was 9.1%. In addition, individuals who had attempted suicide had permissive attitudes toward suicide and negative attitudes toward treatment for suicidal behavior. Conclusion: Attempted suicide was significantly associated with depression. Therefore, immediate and appropriate psychiatric treatment for depression in those attempting suicide is crucial.

참고문헌 (44)

  1. Nock MK, "Suicide and suicidal behavior", Epidemiol Rev, 30, pp.133~154 (2008)
  2. Korea National Statistical Office, "Annual report on the cause of death statistics of 2008", ~ (2008)
  3. Beck AT, "Clinical predictors of eventual suicide: a 5- to 10-year prospective study of suicide attempters", J Affect Disord, 17, pp.203~209 (1989)
  4. Leon AC, "Statistical issues in the identification of risk factors for suicidal behavior: the application of survival analysis", Psychiatry Res, 31, pp.99~108 (1990)
  5. Isometsa ET, "Suicide attempts preceding completed suicide", Br J Psychiatry, 173, pp.531~535 (1998)
  6. Phillips MR, "Risk factors for suicide in China: a national case-control psychological autopsy study", Lancet, 360, pp.1728~1736 (2002)
  7. 강봉진, "교정시설에서의 자살시도 특징 및 정신사회적 위험요인", 신경정신의학, 48(5), pp.368~373 (2009), 대한신경정신의학회
  8. Gehin A, "Ten year follow-up study of 65 suicidal adolescents", J Can Acad Child Adolesc Psychiatry, 18, pp.117~125 (2009)
  9. De Leo D, "Repetition of suicidal behaviour in elderly Europeans: a prospective longitudinal study", J Affect Disord, 72, pp.291~295 (2002)
  10. 정우영, "자살 및 자살시도자의 임상적 특성과 2~4년내 재시도율", 신경정신의학, 48(6), pp.487~494 (2009), 대한신경정신의학회
  11. Kessler RC, "Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003", JAMA, 293, pp.2487~2495 (2005)
  12. Weissman MM, "Prevalence of suicide ideation and suicide attempts in nine countries", Psychol Med, 29, pp.9~17 (1999)
  13. Nock MK, "Cross-national prevalence and risk factors for suicidal ideation, plans, and attempts", Br J Psychiatry, 192, pp.98~105 (2008)
  14. Beautrais AL, "Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: a case-control study", Am J Psychiatry, 153, pp.1009~1014 (1996)
  15. Vijayakumar L, "Suicide prevention: the urgent need in developing countries", World Psychiatry, 3, pp.158~159 (2004)
  16. 허지원, "자살 시도에 영향을 미치는 정신사회적 요인", 신경정신의학, 46(2), pp.129~135 (2007), 대한신경정신의학회
  17. 허지원, "자살 시도한 주요 우울 장애 환자의 인구통계학적 특성", 우울조울병, 6(2), pp.114~119 (2008), 대한우울•조울병학회
  18. Nam YY, "Impulsivity as a predictor of violence of suicide attempts in schizophrenic patients", Schizophrenia Clinics, 7, pp.29~34 (2004)
  19. Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
  20. Shin MS, "The cut-off score for the Korean version of Beck depression inventory", Korean J Clin Psychol, 12, pp.71~81 (1993)
  21. 서동우, "생명존중 및 자살에 대한 국민태도조사", 한국자살예방협회 심포지움 (2005), 한국자살예방협회
  22. 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)
  23. Domino G, "Attitudes toward suicide: a factor analytic approach", J Clin Psychol, 38, pp.257~262 (1982)
  24. The Korean National Statistical Office, "2005 Population and housing census report", ~ (2007)
  25. Vijayakumar L, "Suicide in developing countries (2): risk factors", Crisis, 26, pp.112~119 (2005)
  26. Blackmore ER, "Psychosocial and clinical correlates of suicidal acts: results from a national population survey", Br J Psychiatry, 192, pp.279~284 (2008)
  27. Kessler RC, "Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey", Arch Gen Psychiatry, 56, pp.617~626 (1999)
  28. 남윤영, "우리나라 자살의 경향과 특징", 한국자살예방협회 심포지움 (2005), 한국자살예방협회
  29. Biddle L, "Suicide rates in young men in England and Wales in the 21st century: time trend study", BMJ, 336, pp.539~542 (2008)
  30. Abel EL, "Educational attainment and suicide rates in the United States", Psychol Rep, 97, pp.25~28 (2005)
  31. Kposowa AJ, "Marital status and suicide in the National Longitudinal Mortality Study", J Epidemiol Community Health, 54, pp.254~261 (2000)
  32. Corcoran P, "Suicide and marital status in Northern Ireland. Soc Psychiat Epidemiol 2009. In press", ~ (2009)
  33. Melhem NM, "Familial pathways to early-onset suicidal behavior: familial and individual antecedents of suicidal behavior", Am J Psychiatry, 164, pp.1364~1370 (2007)
  34. Brent DA, "Suicidal behavior runs in families. A controlled family study of adolescent suicide victims", Arch Gen Psychiatry, 53, pp.1145~1152 (1996)
  35. Barraclough B, "A hundred cases of suicide: clinical aspects", Br J Psychiatry, 125, pp.355~373 (1974)
  36. Robins E, "Some clinical considerations in the prevention of suicide based on a study of 134 successful suicides", Am J Public Health Nations Health, 49, pp.888~899 (1959)
  37. Rich CL, "San Diego Suicide Study. III. Relationships between diagnoses and stressors", Arch Gen Psychiatry, 45, pp.589~592 (1988)
  38. Isometsa ET, "Psychological autopsy studies--a review", Eur Psychiatry, 16, pp.379~385 (2001)
  39. 노명선, "대학생들의 자살관련행동에 관한 연구", 신경정신의학, 46(1), pp.35~40 (2007), 대한신경정신의학회
  40. 조준호, "자살시도자에 대한 진료 체계 및 응급의학과-정신과 의료진의 인식 비교", 대한응급의학회지, 19(5), pp.535~540 (2008), 대한응급의학회
  41. 김성완, "자살에 대한 태도 및 자살행동 연구", 생물치료정신의학, 14(1), pp.43~48 (2008), 대한생물치료정신의학회
  42. Beautrais AL, "Knowledge and attitudes about suicide in 25-year-olds", Aust N Z J Psychiatry, 38, pp.260~265 (2004)
  43. Oyama H, "Suicide prevention manual for the elderly provided by a group of medical, mental health, and welfare professionals, 2003, Shindan- to-chiryo-sha, Tokyo, Japan", ~ (2003)
  44. Beautrais AL, "Further suicidal behavior among medically serious suicide attempters", Suicide Life Threat Behav, 34, pp.1~11 (2004)

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