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논문KCI 등재

자살과 정신 장애

Suicide and Psychiatric Disorder

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참고문헌

키워드

주제분류정신과학

초록

자살은 정신장애와 밀접한 관계를 가지고 있고, 정신장애를 가진 환자의 과도한 사망율에 기여한다. 이런 연관성은 자살에 대한 정신 부검 연구와 특정 질환의 자살 사망율을 연구함으로써 평가되어 왔다. 이런 접근법은 자살 당시에 자살자의 90% 이상에서 하나 이상의 정신장애를 가지고 있고, 어떤 정신장애는 자살 위험을 증가시킨다는 것이다. 자살에 있어서 아주 중요한 정신의학적 요인들은 우울장애, 물질사용장애, 정신분열병 등이며, 이에 관한 많은 연구들의 결과를 종합해 볼때, 대부분의 정신장애가 자살 혹은 자살 기도와 뚜렷한 관련이 있다는 것이다. 이 논문에서는 자살과 정신장애에 관한 이전의 여러 문헌을 조사하여 자살과 정신장애의 연관성을 고찰해 보았다.

Abstract

Suicide has a strong association with mental disorder and contributes to the excess mortality of the mentally ill. This association has been assessed by 'psychological autopsy' of consecutive series of suicides and by studying the suicide mortality of particular disorders. These approaches have shown that more than 90% of persons who die from suicide satisfy the criteria for one or more psychiatric disorders at the time they kill themselves and that certain mental illnesses have increased suicide risks. Highly significant psychiatric factors in suicide include depressive disorders, substance abuse, schizophrenia, and other mental disorders. Numerous studies have documented a strong association between mental disorders and suicide or suicide attempt. The purpose of this review article is to describe the nature of the relationship between suicide and mental disorders by searching of some previous suicide/mental disorder literature.

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