심리부검에 대한 고찰과 제언
Recommendation for psychological autopsy Studies
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초록
심리부검이란 주변인의 진술과 기록을 통해 자살자의 심리행동 양상을 파악하여 자살의 원인을 추정하는 절차를 의미한다. 심리부검은 자살의 원인을 통합적으로 밝혀낼 수 있을 뿐 아니라, 자살 예방을 위한 효과적인 정책 수립의 기반이 될 수 있기 때문에 그 필요성이 지속적으로 제기되어왔다. 국내에서도 각 지자체와 지역사회 자살예방센터를 중심으로 확대 실시되고 있으나 다양한 실행주체들이 추진하고 있는 심리부검의 타당성과 그 효과에 대해서는 아직까지 논의된 바가 거의 없다. 본 연구에서는 국내 자살률 감소를 위한 장기 정책 목표를 바탕으로 국내외에서 실시된 심리부검의 절차, 심리부검에 포함할 내용, 선행 연구결과를 검토한 후, 향후 심리부검을 실시할 때 고려할 점을 제언하였다.
Abstract
The psychological autopsy is a method to estimate causes of suicidal death by collecting data from interviewing suicide victim’s family added with additional life records. Recently, local governments and suicide prevention centers have been trying to implement psychological autopsy. but there is paucity of efforts examining the validity and effectiveness of the psychological autopsy. Therefore, this paper reviewed psychological autopsy studies and risk factors in Western and Asia countries. and then a methodology for the Korean version of psychological autopsy was suggested. After investigating the specific risk factors for korean suicide through psychological autopsy, then it can be possible to grasp the intervention point for effective suicide prevention. We also propose future directions for psychological autopsy study and interventions in Korea.
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