의사와 보건인력을 대상으로 한 자살에 대한 인식과 태도, 개인적 경험에 관한 연구
Attitude toward Suicide and Personal Experiences of Suicide among Doctors and Health Care Workers in Korea
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Objectives The aim of this study was to investigate attitudes toward suicide and personal experiences with suicide among doctors and health care workers in Korea. Methods A total of 622 participants were included in this study and 617 participants completed a self-report questionnaire that included 31 items; 184 doctors and 433 health care workers. A questionnaire was used for assessment of demographic characteristics, attitude toward suicide,and personal experiences with suicide in doctors and health care workers. The collected data were evaluated using chi-square and binary logistic regression analyses. A probability level of p<0.05 was considered statistically significant. Results More permissive attitudes toward suicide showed an association with doctor group and non-religious group (p<0.05). Religious group and older age showed an association with a more negative attitude (p<0.05). The lifetime and one-year prevalence rates of suicidal ideation were 31.4% and 9.8%, respectively, in all participants. The lifetime prevalence of suicidal ideation was higher in the religious group (33.9%, p<0.05). Among all participants, 32.1% reported loss of a patient by suicide, and 29.9% reported contact with a patient at risk of suicide or with depression. In addition, 72.5% reported contact with a depressed patient. Conclusion Attitudes toward suicide among doctors and health care workers were shown to differ significantly between age, gender, doctor group and health care worker group, religious group and non-religious group. The reported level of suicidal ideation among doctors and health care workers is worthy of concern. Research is needed for establishment of effective prevention strategies on the basis of our findings.
Abstract
Objectives The aim of this study was to investigate attitudes toward suicide and personal experiences with suicide among doctors and health care workers in Korea. Methods A total of 622 participants were included in this study and 617 participants completed a self-report questionnaire that included 31 items; 184 doctors and 433 health care workers. A questionnaire was used for assessment of demographic characteristics, attitude toward suicide,and personal experiences with suicide in doctors and health care workers. The collected data were evaluated using chi-square and binary logistic regression analyses. A probability level of p<0.05 was considered statistically significant. Results More permissive attitudes toward suicide showed an association with doctor group and non-religious group (p<0.05). Religious group and older age showed an association with a more negative attitude (p<0.05). The lifetime and one-year prevalence rates of suicidal ideation were 31.4% and 9.8%, respectively, in all participants. The lifetime prevalence of suicidal ideation was higher in the religious group (33.9%, p<0.05). Among all participants, 32.1% reported loss of a patient by suicide, and 29.9% reported contact with a patient at risk of suicide or with depression. In addition, 72.5% reported contact with a depressed patient. Conclusion Attitudes toward suicide among doctors and health care workers were shown to differ significantly between age, gender, doctor group and health care worker group, religious group and non-religious group. The reported level of suicidal ideation among doctors and health care workers is worthy of concern. Research is needed for establishment of effective prevention strategies on the basis of our findings.
참고문헌 (33)
- "Suicide Prevention"[URL]
- Annual Report on the Cause of Death Statistics (2008), "National Statistics Office", National Statistics Office, ~ (2009)
- Annual Report on the Cause of Death Statistics (2010), "National Statistics Office", National Statistics Office, ~ (2011)
- Annual Report on the Cause of Death Statistics (2011), "National Statistics Office", National Statistics Office, ~ (2012)
- Ministry of Health and Welfare, "Health and Welfare Minitry White Paper (2011)", pp.765~ (2012), Ministry of Health and Welfare
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Association
- Mann JJ, "Suicide prevention strategies: a systematic review", JAMA, 294, pp.2064~2074 (2005)
- Kato TA, "Development of 2-hour suicide intervention program among medical residents: first pilot trial", Psychiatry Clin Neurosci, 64, pp.531~540 (2010)
- Report on the social survey, "Statistics Korea", Statistics Korea, 43~ (2012)
- Pirkis J, "Suicide and recency of health care contacts. A systematic review", Br J Psychiatry, 173, pp.462~474 (1998)
- Luoma JB, "Contact with mental health and primary care providers before suicide: a review of the evidence", Am J Psychiatry, 159, pp.909~916 (2002)
- Andersen UA, "Contacts to the health care system prior to suicide: a comprehensive analysis using registers for general and psychiatric hospital admissions, contacts to general practitioners and practising specialists and drug prescriptions", Acta Psychiatr Scand, 102, pp.126~134 (2000)
- Waern M, "Suicidal feelings in the last year of life in elderly people who commit suicide", Lancet, 354, pp.917~918 (1999)
- Rutz W, "Long-term effects of an educational program for general practitioners given by the Swedish Committee for the Prevention and Treatment of Depression", Acta Psychiatr Scand, 85, pp.83~88 (1992)
- Szanto K, "A suicide prevention program in a region with a very high suicide rate", Arch Gen Psychiatry, 64, pp.914~920 (2007)
- Shim JW, "우리나라 국민의 생명존중 및 자살에 관한 의식 조사", The 4th Seoul International Conference on suicide prevention (2010), Korean Association for Suicide Prevention
- Ban YJ, "A preliminary study on the attitude toward suicides in normal persons", J Korean Neuropsychiatr Assoc, 28, pp.155~167 (1989)
- Domino G, "Attitudes toward suicide: a factor analytic approach", Clin Psychol, 38, pp.257~262 (1982)
- Sadock BJ, "Kaplan and Sadock’s comprehensive textbook of psychiatry", pp.2717~ (2009), Lippincott Williams & Wilkins
- Jeon HJ, "Permissive attitude toward suicide and future intent in individuals with and without depression: results from a nationwide survey in Korea", J Nerv Ment Dis, 201, pp.286~291 (2013)
- Kodaka M, "Exploration of factors associated with social worker attitudes toward suicide", Int J Soc Psychiatry (2012)
- 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)
- Oncü B, "Attitudes of medical students, general practitioners, teachers, and police officers toward suicide in a Turkish sample", Crisis, 29, pp.173~179 (2008)
- 김성완, "자살시도 위험요인 및 자살에 대한 태도 연구", 신경정신의학, 49(4), pp.367~373 (2010), 대한신경정신의학회
- "Korea Health Statistics 2011 : Korea National Health and Nutrition Examination Survey(KHANANES V-2)", pp.155~ (2011), Korea Centers for Disease control & Prevention
- Jeon HJ, "Lifetime prevalence and correlates of suicidal ideation, plan, and single and multiple attempts in a Korean nationwide study", J Nerv Ment Dis, 198, pp.643~646 (2010)
- Eskin M, "A cross-cultural investigation of suicidal behavior and attitudes in Austrian and Turkish medical students", Soc Psychiatry Psychiatr Epidemiol, 46, pp.813~823 (2011)
- Tyssen R, "Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors", J Affect Disord, 64, pp.69~79 (2001)
- Hawton K, "Suicide in doctors: a study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, 1979-1995", Epidemiol Community Health, 55, pp.296~300 (2001)
- Fridner A, "Survey on recent suicidal ideation among female university hospital physicians in Sweden and Italy (the HOUPE study): cross-sectional associations with work stressors", Gend Med, 6, pp.314~328 (2009)
- Shim EJ, "Suicidality and its associated factors in cancer patients: results of a multi-center study in Korea", Int J Psychiatry Med, 43, pp.381~403 (2012)
- Nkansah-Amankra S, "A longitudinal evaluation of religiosity and psychosocial determinants of suicidal behaviors among a population-based sample in the United States", J Affect Disord, 139, pp.40~51 (2012)
- Chemtob CM, "Patients’ suicides: frequency and impact on psychiatrists", Am J Psychiatry, 145, pp.224~228 (1988)