치명도가 높은 자살기도자의 심리적, 행동적 특성에 대한 후향적 회상연구

초록

Objectives This study was conducted to examine the factors affecting suicide decision and to understand in detail their psychological and behavioral changes with high lethality suicide at¬tempters who were supposed to be similar to suicide completers. Methods Twenty patients who visited Kangwon National University Hospital or Chuncheon National Hospital participated in this study. After applying suicide lethality with Risk-Rescue Rat¬ing Scale, high lethality attempters were screened. Each subject participated in an in-depth inter¬view with a semi-structured interview schedule. Results The participants had high mean Risk-Rescue Rating Score (45.0±8.7), indicating that the study was conducted with the most lethal suicide attempters. Most attempters had chosen their methods of suicide impulsively without consideration for lethality, and most attempters re¬ported that they chose suicide methods from recall of reports by mass media ; 70% of attempt¬ers had more than one previous suicide attempt and their suicide methods have been changed to increase the suicide success rate. Most common accompanying emotions before suicide at¬tempts were hopelessness, helplessness, worthlessness, and loneliness. Most important precipi¬tating factors of suicide were economic difficulties. Conclusion These characteristics regarding suicide attempts led us to a detailed understand¬ing. These results are expected to provide valuable information for development of evidence based suicide prevention policies and strategies.

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