Gender Differences in Suicidal Behavior in Korea
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초록
Objective: To examine gender differences in the characteristics of suicidal behavior in South Korea. Methods: Between August 2003 and December 2006, 344 suicide attempters (116 men, 228 women) participated in this study. The attempters were nterviewed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), and the lethality of the attempt was measured using the Lethality Suicide Attempt Rating Scale-II (LSARS-II) and Risk-Rescue Rating Scale (RRRS). Results: Significantly more women than men were admitted to emergency rooms due to attempted suicide during the study period. The male attempters were older and had a higher rate of employment than the females. Depression was the most common psychiatric disorder in both genders. The lesion/toxicity scores of the RRRS indicated that the male suicide attempters used higher doses or more toxic agents than the female attempters. The most common methods of suicide were ingestion and cutting in both sexes. Although there were significant gender differences in the RRRS risk score and RRRS total scores, there was no gender difference in the LSARS-II scores, which suggests that patients of both sexes share a similar ambivalence regarding suicide completion or death. Conclusion: Our study should be understood within the context of the specific cultural background of South Korea. We found that males and females use similar methods when attempting suicide and share a similar ambivalence regarding the outcome of the attempt; however, there was a difference in severity of the attempt between the two groups. Our findings may aid in the identification of more effective methods of intervention to prevent suicide.
Abstract
Objective: To examine gender differences in the characteristics of suicidal behavior in South Korea. Methods: Between August 2003 and December 2006, 344 suicide attempters (116 men, 228 women) participated in this study. The attempters were nterviewed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), and the lethality of the attempt was measured using the Lethality Suicide Attempt Rating Scale-II (LSARS-II) and Risk-Rescue Rating Scale (RRRS). Results: Significantly more women than men were admitted to emergency rooms due to attempted suicide during the study period. The male attempters were older and had a higher rate of employment than the females. Depression was the most common psychiatric disorder in both genders. The lesion/toxicity scores of the RRRS indicated that the male suicide attempters used higher doses or more toxic agents than the female attempters. The most common methods of suicide were ingestion and cutting in both sexes. Although there were significant gender differences in the RRRS risk score and RRRS total scores, there was no gender difference in the LSARS-II scores, which suggests that patients of both sexes share a similar ambivalence regarding suicide completion or death. Conclusion: Our study should be understood within the context of the specific cultural background of South Korea. We found that males and females use similar methods when attempting suicide and share a similar ambivalence regarding the outcome of the attempt; however, there was a difference in severity of the attempt between the two groups. Our findings may aid in the identification of more effective methods of intervention to prevent suicide.
참고문헌 (40)
- Kim YK, "Clinical application of low serum cholesterol as an indicator for suicide risk in major depression", J Affect Disord, 81, pp.161~166 (2004)
- Brown GK, "Suicide intent and accurate expectations of lethality: predictors of medical lethality of suicide attempts", J Consult Clin Psychol, 72, pp.1170~1174 (2004)
- Harris EC, "Suicide as an outcome for mental disorders. A meta-analysis", Br J Psychiatry, 170, pp.205~228 (1997)
- De Wilde EJ, "Social support, life events, and behavioral characteristics of psychologically distressed adolescents at high risk for attempting suicide", Adolescence, 29, pp.49~60 (1994)
- van Heeringen K, "The suicidal process and related concepts" (2001), John Wiley & Sons
- Kumar CT, "Characteristics of high intent suicide attempters admitted to a general hospital", J Affect Disord, 91, pp.77~81 (2006)
- Wunderlich U, "Gender differences in adolescents and young adults with suicidal behaviour", Acta Psychiatr Scand, 104, pp.332~339 (2001)
- Zhang J, "Culture, risk factors and suicide in rural China: a psychological autopsy case control study", Acta Psychiatr Scand, 110, pp.430~437 (2004)
- Raja M, "Suicide attempts: differences between unipolar and bipolar patients and among groups with different lethality risk", J Affect Disord, 82, pp.437~442 (2004)
- Beck AT, "Development of suicidal intent scales. In: The prediction of suicide", pp.45~56 (1974), Charles Press
- Haw C, "Correlates of relative lethality and suicidal intent among deliberate self-harm patients", Suicide Life Threat Behav, 33, pp.353~364 (2003)
- Plutchik R, "Is there a relation between the seriousness of suicidal intent and the lethality of the suicide attempt?", Psychiatry Res, 27, pp.71~79 (1989)
- Stengel E, "The complexity of motivations to suicidal attempts", J Ment Sci, 106, pp.1388~1393 (1960)
- Wetzel RD, "Factor structure of Beck’s Suicide Intent Scales", Psychol Rep, 40, pp.295~302 (1977)
- "Suicide; Gender differences in suicide methods were examined. Women’s Health Weekly", ~ (2006)
- Canetto SS, "Gender and the primary prevention of suicide mortality", Suicide Life Threat Behav, 25, pp.58~69 (1995)
- Chiu HFK, "Elderly suicide in Hong Kong- a case-controlled psychological autopsy study", Acta Psychiatr Scand, 109, pp.299~305 (2004)
- OECD, "Statistics and indicators for 30 countries, Health data", ~ (2005)
- Spitzer RL, "The structured clinical interview for DSM-III-R (SCID). I: History, rationale, and description", Arch Gen Psychiatry, 49, pp.624~629 (1992)
- Smith K, "Lethality of suicide attempt rating scale", Suicide Life Threat Behav, 14, pp.215~242 (1984)
- Berman AL, "The LSARS-II: Lethality of Suicide Attempt Rating Scale-Updated", Suicide Life Threat Behav, 33, pp.261~276 (2003)
- Weisman AD, "Risk-rescue rating in suicide assessment", Arch Gen Psychiatry, 26, pp.553~560 (1972)
- Spirito A, "Use of the Risk-Rescue Rating Scale with Adolescent Suicide Attempters: a cautionary note", Death Stud, 15, pp.269~ (1991)
- Hawton K, "Sex and suicide. Gender differences in suicidal behaviour", Br J Psychiatry, 177, pp.484~485 (2000)
- Phillips MR, "Suicide rates in China, 1995-99", Lancet, 359, pp.835~840 (2002)
- Platt S, "Parasuicide in Europe: the WHO", EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989, 1992, pp.85, 97~104
- Aghanwa H, "The determinants of attempted suicide in a general hospital setting in Fiji Islands: a gender-specific study", Gen Hosp Psychiatry, 26, pp.63~69 (2004)
- Angst F, "Mortality of patients with mood disorders: follow-up over 34-38 years", J Affect Disord, 68, pp.167~181 (2002)
- Gould MS, "Psychopathology associated with suicidal ideation and attempts among children and adolescents", J Am Acad Child Adolesc Psychiatry, 37, pp.915~923 (1998)
- Kim YK, "Low plasma BDNF is associated with suicidal behavior in major depression", Prog Neuropsychopharmacol Biol Psychiatry, 31, pp.78~85 (2007)
- Kim YK, "Increased plasma nitric oxide level associated with suicide attempt in depressive patients", Prog Neuropsychopharmacol Biol Psychiatry, 30, pp.1091~1096 (2006)
- Nierenberg AA, "Mood disorders and suicide", J Clin Psychiatry, 62, pp.27~30 (2001)
- Suominen K, "Mental disorders and comorbidity in attempted suicide", Acta Psychiatr Scand, 94, pp.234~240 (1996)
- Langhinrichsen-Rohling J, "Gender differences in the suicide-related behaviors of adolescents and young adults", Sex Roles, 39, pp.839~854 (1998)
- Osváth P, "The main factors of repetition: review of some results of the Pecs Center in the WHO", EURO Multicentre Study on Suicidal Behaviour, 2003, pp.24, 151~154
- Stillion JM, "Suicide across the life span: Premature Exits (2nd ed)" (1996), Taylor & Francis
- Marks A, "Socialization, Firearms, and Suicide", Social Problems, 23, pp.622~629 (1976)
- Lester D, "The association between the quality of life and suicide and homicide rates", J Soc Psychol, 124, pp.247~248 (1984)
- Marks A, "Toward a sociocultural perspective on means of self-destruction", Life Threat Behav, 4, pp.3~16 (1974)
- Morris P, "Ethnicity and suicidal behaviour in malaysia: a review of the literature", Transcult Psychiatry, 38, pp.51~63 (2001)