Standardized Suicide Prevention Program for Gatekeeper Intervention of North Korean Defectors in South Korea
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초록
Objective North Korean defectors (NKDs) have experienced substantial difficulties during the migration and settlement in South Korea. They have a high prevalence of depression, post-traumatic stress disorder, and suicidal behaviors. The high prevalence of mental disorders among NKDs can lead to a high suicide rate. However, there are no suicide prevention programs for NKDs. This study aims to customize a suicide prevention program with content suitable for NKDs’ particular circumstances.Methods A multidisciplinary research team developed this program based on domestic and international gatekeeper training programs for suicide prevention and articles related to suicide prevention.Results We developed a multi-part gatekeeper training program, “Suicide CARE for NKDs.” In the “Introduction,” trainees learn about the need for the program and its importance. In “Careful observation,” trainees learn to recognize linguistic, behavioral, and situational signals of suicide risk. In “Active listening,” trainees learn how to ask about suicidal thoughts and to listen empathetically. In “Risk evaluation and expert referral,” trainees learn to evaluate suicide risk and to connect NKDs with institutes or services.Conclusion We expect this program to become useful for training gatekeepers to prevent suicide among NKD. A future follow-up study is needed to confirm the efficacy of the program.
Abstract
Objective North Korean defectors (NKDs) have experienced substantial difficulties during the migration and settlement in South Korea. They have a high prevalence of depression, post-traumatic stress disorder, and suicidal behaviors. The high prevalence of mental disorders among NKDs can lead to a high suicide rate. However, there are no suicide prevention programs for NKDs. This study aims to customize a suicide prevention program with content suitable for NKDs’ particular circumstances.Methods A multidisciplinary research team developed this program based on domestic and international gatekeeper training programs for suicide prevention and articles related to suicide prevention.Results We developed a multi-part gatekeeper training program, “Suicide CARE for NKDs.” In the “Introduction,” trainees learn about the need for the program and its importance. In “Careful observation,” trainees learn to recognize linguistic, behavioral, and situational signals of suicide risk. In “Active listening,” trainees learn how to ask about suicidal thoughts and to listen empathetically. In “Risk evaluation and expert referral,” trainees learn to evaluate suicide risk and to connect NKDs with institutes or services.Conclusion We expect this program to become useful for training gatekeepers to prevent suicide among NKD. A future follow-up study is needed to confirm the efficacy of the program.
참고문헌 (30)
- "Settlement support for North Korean defectors. 1. Number of North Korean defectors entering South Korea"[URL]
- Ji Hyun An, "Prevalence and Correlates of Suicidal Thoughts and Behaviors among North Korean Defectors", PSYCHIATRY INVESTIGATION, 15(5), pp.445~451 (2018), 대한신경정신의학회
- 조영아, "북한이탈주민의 우울 예측 요인: 3년 추적 연구", 한국심리학회지: 상담 및 심리치료, 17(2), pp.467~484 (2005), 한국상담심리학회
- 이경은, "북한이탈주민의 외상후 스트레스장애의 임상적 특성", 대한불안의학회지, 14(2), pp.80~87 (2018), 대한불안의학회[DOI]
- Nock MK, "Cross-national prevalence and risk factors for suicidal ideation, plans and attempts", Br J Psychiatry, 192, pp.98~105 (2008)
- Värnik P, "Suicide in the world", Int J Environ Res Public Health, 9, pp.760~771 (2012)
- Lustig SL, "Review of child and adolescent refugee mental health", J Am Acad Child Adolesc Psychiatry, 43, pp.24~36 (2004)
- Akinyemi OO, "Suicidal ideation: are refugees more at risk compared to host population? Findings from a preliminary assessment in a refugee community in Nigeria", Asian J Psychiatr, 18, pp.81~85 (2015)
- Yoshimasu K, "Suicidal risk factors and completed suicide : meta-analyses based on psychological autopsy studies", Environ Health Prev Med, 13, pp.243~256 (2008)
- Lahti A, "Suicide in children and young adolescents : a 25-year database on suicides from Northern Finland", J Psychiatr Res, 58, pp.123~128 (2014)
- Lee Hwa-Young, "Se-Won Lim and Standardized Suicide Prevention Program for Gatekeeper Intervention in Korea (Bogo Deudgo Malhagi, Suicide CARE)", PSYCHIATRY INVESTIGATION, 17(11), pp.1045~1047 (2020), 대한신경정신의학회[DOI]
- Na Kyoung-Sae, "Contents of the Standardized Suicide Prevention Program for Gatekeeper Intervention in Korea, Version 2.0", PSYCHIATRY INVESTIGATION, 17(11), pp.1149~1157 (2020), 대한신경정신의학회[DOI]
- Korean Suicide Prevention Center, "Registration system for domestic gatekeeper training programs to introduce evidence-based suicide prevention interventions", Korean Suicide Prevention Center, ~ (2021)
- "Best Practices Registry archive:resources and programs"[URL]
- Park Seon-Cheol, "“Suicide CARE” (Standardized Suicide Prevention Program for Gatekeeper Intervention in Korea): An Update", PSYCHIATRY INVESTIGATION, 17(9), pp.911~924 (2020), 대한신경정신의학회[DOI]
- Fazel M, "Prevalence of serious mental disorder in 7000 refugees resettled in western countries : a systematic review", Lancet, 365, pp.1309~1314 (2005)
- Sack WH, "Does PTSD transcend cultural barriers? A study from the Khmer adolescent refugee project", J Am Acad Child Adolesc Psychiatry, 36, pp.49~54 (1997)
- 김연희, "북한이탈주민 정신건강 문제 유병율과 영향요인: 2007년 입국자 중심으로", 통일정책연구, 19(2), pp.141~174 (2010), 통일연구원
- 이혜린, "북한이탈주민의 삶의 만족도와 정신 건강 실태 변화에 대한 2년간 추적 연구", 대한불안의학회지, 15(2), pp.109~114 (2019), 대한불안의학회[DOI]
- An JH, "The relationship between depressive symptoms and psychological resilience among North Korean defectors", J Korean Assoc Soc Psychiatry, 22, pp.67~74 (2017)
- Holmes G, "The long-term efficacy of suicide prevention gatekeeper training : a systematic review", Arch Suicide Res, 25, pp.177~207 (2021)
- Hegerl U, "The alliance against depression : 2-year evaluation of a community-based intervention to reduce suicidality", Psychol Med, 36, pp.1225~1233 (2006)
- 조영아, "남한 내 7년 이상 거주한 북한이탈주민의 정신건강 예측요인", 한국심리학회지: 상담 및 심리치료, 21(1), pp.329~348 (2009), 한국상담심리학회
- Zalsman G, "Suicide prevention strategies revisited : 10-year systematic review", Lancet Psychiatry, 3, pp.646~659 (2016)
- Isaac M, "Gatekeeper training as a preventative intervention for suicide : a systematic review", Can J Psychiatry, 54, pp.260~268 (2009)
- Sea J, "Characteristics of Korean suicide : a casecontrol psychological autopsy study", Korean Soc Sci Rev, 3, pp.129~155 (2013)
- Yook V, "Psychological autopsy study comparing suicide decedents with and without a history of suicide attempts in a nationwide sample of South Korea", Suicide Life Threat Behav, 52, pp.190~198 (2022)
- Posselt M, "Suicide prevention gatekeeper training for those supporting refugees and asylum seekers : perspectives of participants", Adv Ment Health, 19, pp.260~271 (2021)
- Shannon PJ, "Beyond stigma : barriers to discussing mental health in refugee populations", J Loss Trauma, 20, pp.281~296 (2015)
- Song SJ, "Indero : intergenerational trauma and resilience between Burundian former child soldiers and their children", Fam Process, 53, pp.239~251 (2014)