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번개탄을 이용한 자살에 대한 전반적 고찰과 예방 대책

Overview of Suicide by Charcoal Burning and Prevention Strategies

정수연|안명희|홍진표|이아롱|이태엽
대한신경정신의학회 (Korean Neuropsychiatric Association)|2014.01|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제53권 제1호|pp. 1-7

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참고문헌

키워드

자살Suicide번개탄Carbon monoxide poisoningBriquette일산화탄소 중독연탄Charcoal burning
주제분류정신과학

초록

번개탄을 이용한 자살은 홍콩, 대만에서는 흔한 자살 방법이며, 국내에서도 빠른 속도로 증가하고 있었다. 번개탄을 이용한 자살기도는 치명도가 높을 뿐 아니라, 일산화탄소 중독으로 인한 지연성 신경정신과적 증상을 나타내는 경우가 많다. 번개탄을 이용한 자살의 위험인자는 중년의 나이, 남성,이혼 혹은 미혼, 경제 활동 중이며 경제적 어려움을 겪는 인구 및 기저 정신과적, 신체적 질환의 부재 등이 있다. 일산화탄소 중독 자살 예방을 위해서는 번개탄에 대한 물리적 접근성을 제한하고, 언론의 자살방법 보도 지침이 엄격히 준수되도록 해야 하며, 번개탄 품질을 개선하여 그 독성을약화해야 한다. 그 외에도 포괄적 자살예방활동을 번개탄 자살에 초점을 맞추어 강화하여야 한다. 번개탄 자살에 대한 적절한 예방대책이 시행되어야 향후 국내 자살률을 낮출 수있을 것이다.

Abstract

Suicide by charcoal burning is common in Asian countries such as Hong Kong and Taiwan. Suicideby charcoal burning has recently shown a rapid increase in Korea, following a celebrity suicide,which was extensively reported by the media. Not only is suicide by charcoal burning fatal,but it also causes delayed neuropsychiatric symptoms through carbon monoxide poisoning. Riskfactors associated with charcoal-burning suicide include middle age, male, divorced or unmarried,and economically active but with financial difficulties. To prevent suicide by charcoal burning,limited access to charcoal, responsible media reporting as recommended by internationalguidelines, and detoxification of charcoal by modifying the raw material should all be considered. In addition, suicide prevention programs should increasingly focus on suicide by charcoal burning. Relevant measures to prevent suicide by charcoal burning will be essential in order to lowerthe overall suicide rate in Korea.

참고문헌 (63)

  1. "Suicide prevention (SUPRE)" (2013)[URL]
  2. National mortality data, 2011, "Statistics Korea", Statistics Korea, ~ (2012)
  4. Liu KY, "Charcoal burning suicides in Hong Kong and urban Taiwan: an illustration of the impact of a novel suicide method on overall regional rates", J Epidemiol Community Health, 61, pp.248~253 (2007)
  6. "The National Institute of the Korean Language Dictionary for the Standard Korean Language" (2013)[URL]
  7. Denning DG, "Method choice, intent, and gender in completed suicide", Suicide Life Threat Behav, 30, pp.282~288 (2000)
  8. Lester D, "The effects of detoxification of domestic gas on suicide in the United States", Am J Public Health, 80, pp.80~81 (1990)
  9. Kreitman N, "The coal gas story. United Kingdom suicide rates, 1960-71", Br J Prev Soc Med, 30, pp.86~93 (1976)
  10. Mott JA, "National vehicle emissions policies and practices and declining US carbon monoxide-related mortality", JAMA, 288, pp.988~995 (2002)
  11. Vossberg B, "The role of catalytic converters in automobile carbon monoxide poisoning: a case report", Chest, 115, pp.580~581 (1999)
  12. Department of Health, Executive Yuan, Taiwan, "2011 statistics of causes of death", ~ (2013)
  13. Kamizato E, "Factors affecting the choice of suicide method in Okayama: a database analysis from a forensic perspective", Acta Med Okayama, 63, pp.177~186 (2009)
  14. Zhang J, "Mitochondrial oxidative stress after carbon monoxide hypoxia in the rat brain", J Clin Invest, 90, pp.1193~1199 (1992)
  15. Thom SR, "Dehydrogenase conversion to oxidase and lipid peroxidation in brain after carbon monoxide poisoning", J Appl Physiol, 73, pp.1584~1589 (1992)
  16. Henry CR, "Myocardial injury and long-term mortality following moderate to severe carbon monoxide poisoning", JAMA, 295, pp.398~402 (2006)
  17. Sohn YH, "The brain lesion responsible for parkinsonism after carbon monoxide poisoning", Arch Neurol, 57, pp.1214~1218 (2000)
  18. Kales SN, "Carbon monoxide intoxication", Am Fam Physician, 48, pp.1100~1104 (1993)
  19. Ernst A, "Carbon monoxide poisoning", N Engl J Med, 339, pp.1603~1608 (1998)
  20. Turino GM, "Effect of carbon monoxide on the cardiorespiratory system. Carbon monoxide toxicity: physiology and biochemistry", Circulation, 63, pp.253A~259A (1981)
  21. Becker LC, "Augmentation of myocardial ischemia by low level carbon monoxide exposure in dogs", Arch Environ Health, 34, pp.274~279 (1979)
  22. DeBias DA, "Effects of carbon monoxide inhalation on ventricular fibrillation", Arch Environ Health, 31, pp.42~46 (1976)
  23. Williams J, "Carbon monoxide poisoning and myocardial ischemia in patients with burns", J Burn Care Rehabil, 13(2 Pt 1), pp.210~213 (1992)
  24. Hardy KR, "Thom SR. Pathophysiology and treatment of carbon monoxide poisoning", J Toxicol Clin Toxicol, 32, pp.613~629 (1994)
  25. Bogusz M, "A comparison of two types of acute carbon monoxide poisoning", Arch Toxicol, 33, pp.141~149 (1975)
  26. Weaver LK., "Clinical practice. Carbon monoxide poisoning", N Engl J Med, 360, pp.1217~1225 (2009)
  27. Hart IK, "Cunningham NE. Neurological manifestation of carbon monoxide poisoning", Postgrad Med J, 64, pp.213~216 (1988)
  28. Olson KR, "Carbon monoxide poisoning: mechanisms, presentation, and controversies in management", J Emerg Med, 1, pp.233~243 (1984)
  29. Cognitive outcomes 6 years after acute carbon monoxide poisoning, "Undersea Hyperb Med", 2008, 258~
  30. Neurological outcomes 6 years after acute carbon monoxide poisoning, "Undersea Hyperb Med", 2008, 258~259
  31. Parkinson RB, "White matter hyperintensities and neuropsychological outcome following carbon monoxide poisoning", Neurology, 58, pp.1525~1532 (2002)
  32. Pulsipher DT, "Basal ganglia volumes following CO poisoning: a prospective longitudinal study", Undersea Hyperb Med, 33, pp.245~256 (2006)
  33. Gale SD, "MRI, quantitative MRI, SPECT, and neuropsychological findings following carbon monoxide poisoning", Brain Inj, 13, pp.229~243 (1999)
  34. Pace N, "Acceleration of carbon monoxide elimination in man by high pressure oxygen", Science, 111, pp.652~654 (1950)
  35. Tibbles PM, "Treatment of carbon monoxide poisoning: a critical review of human outcome studies comparing normobaric oxygen with hyperbaric oxygen", Ann Emerg Med, 24, pp.269~276 (1994)
  36. Law CK, "The contribution of charcoal burning to the rise and decline of suicides in Hong Kong from 1997-2007", Soc Psychiatry Psychiatr Epidemiol, 46, pp.797~803 (2011)
  37. Yip P, "Suicide in Hong Kong: epidemiology, changing patterns, associated phenomena and prevention", Irish Psychiatrist, 12, pp.23~24 (2011)
  38. Schmitt MW, "Trends in suicide by carbon monoxide inhalation in King County, Washington:1996-2009", J Forensic Sci, 56, pp.652~655 (2011)
  39. Kato K, "Frequency and clinical features of suicide attempts in elderly patients in Japan", Psychiatry Clin Neurosci, 67, pp.119~122 (2013)
  40. Pan YJ, "Suicide by charcoal burning in Taiwan, 1995-2006", Affect Disord, 120, pp.254~257 (2010)
  41. Chan KP, "Charcoal-burning suicide in posttransition Hong Kong", Br J Psychiatry, 186, pp.67~73 (2005)
  42. Lee DT, "Burning charcoal: a novel and contagious method of suicide in Asia", Arch Gen Psychiatry, 59, pp.293~294 (2002)
  43. Tsai CW, "Why do people choose charcoal burning as a method of suicide? An interview based study of survivors in Taiwan", J Affect Disord, 131, pp.402~407 (2011)
  44. Chen EY, "A cluster analysis of the circumstances of death in suicides in Hong Kong", Suicide Life Threat Behav, 37, pp.576~584 (2007)
  45. Leung CM, "Burning charcoal: an indigenous method of committing suicide in Hong Kong", J Clin Psychiatry, 63, pp.447~450 (2002)
  46. Chen YY, "Rethinking suicide prevention in Asian countries", Lancet, 372, pp.1629~1630 (2008)
  47. Yip PS, "Restricting the means of suicide by charcoal burning", Br J Psychiatry, 196, pp.241~242 (2010)
  48. Kuo CJ, "Suicide by charcoal burning in Taiwan: implications for means substitution by a case-linkage study", Soc Psychiatry Psychiatr Epidemiol, 43, pp.286~290 (2008)
  49. Hawton K, "UK legislation on analgesic packs: before and after study of long term effect on poisonings", BMJ, 329, pp.1076~ (2004)
  50. Conner KR, "State firearm laws and rates of suicide in men and women", Am J Prev Med, 25, pp.320~324 (2003)
  51. Mann JJ, "Suicide prevention strategies: a systematic review", JAMA, 294, pp.2064~2074 (2005)
  52. Beautrais AL, "Effectiveness of barriers at suicide jumping sites: a case study", Aust N Z J Psychiatry, 35, pp.557~562 (2001)
  53. Law CK, "Evaluating the effectiveness of barrier installation for preventing railway suicides in Hong Kong", J Affect Disord, 114, pp.254~262 (2009)
  54. Sakinofsky I, "The international handbook of suicide and attempted suicide", pp.385~404 (2000), John Wiley & Sons
  55. Owens D, "Fatal and non-fatal repetition of selfharm", Systematic review. Br J Psychiatry, 181, pp.193~199 (2002)
  57. Morii D, "Japanese experience of hydrogen sulfide: the suicide craze in 2008", Occup Med Toxicol, 5, pp.28~ (2010)
  58. Chen YY, "The impact of media reporting of the suicide of a singer on suicide rates in Taiwan", Soc Psychiatry Psychiatr Epidemiol, 47, pp.215~221 (2012)
  59. Chen YY, "The impact of media reporting on the emergence of charcoal burning suicide in Taiwan", PLoS One, 8, pp.e55000~ (2013)
  60. Chan KP, "Media influence on suicide. Media’s role is double edged", BMJ, 326, pp.498~ (2003)
  61. World Health Organization, "Primary prevention of mental, neurological and psychosocial disorders. Geneva", World Health Organization, ~ (1998)
  62. United Nations, "Prevention of suicide: guidelines for the formulation and implementation of national strategies", United Nations, ~ (1996)
  63. Ahn HJ, "Research on waste wood recycle promotion plan" (2006), National Assembly

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