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국군 맞춤형 PTSD 예방 및 치료 가이드라인 개발 연구
백명재 ( Myungjae Baik ),조수철 ( Soochurl Cho ),김지혜 ( Jihye Kim ),이보미 ( Bomi Lee ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1
Objectives; This guideline has been developed to advise on the prevention and management of PTSD in ROK military. Our primary objective is providing useful evidence-based practice in the field and clinical setting. Methods; The guideline is based on a systematic review of various clinical guidelines of PTSD including previous PTSD guideline in ROK military and US DOD. And we supplement the guideline for Psychological First Aids(PFA) with stabilization therapy. Results; Our guideline is composed of 5 modules and each module has separate algorithm. Core module represents an overview of this guideline. Module A is for individuals experiencing acute stress reaction. Module B consists of assessment. diagnosis and treatment process of PTSD. Module C provides the best available evidence based treatment for individuals experiencing acute stress reaction or PTSD. Module D recommends basic principles for leadership. Conclusions; Developed by a panel of multidisciplinary experts, it provides a clear explanation of the logical relationships between various care options and health outcomes. Every healthcare professional in military can utilize for evaluating the appropriateness of applying them in the setting of any particular clinical situation.
전한가람 ( Hankaram Jeon ),백명재 ( Myungjae Baik ),이도형 ( Dohyeong Lee ),조수철 ( Soochurl Cho ) 국군의무사령부 2016 대한군진의학학술지 Vol.47 No.1
This research explores important aspects of the history of Korean military psychiatry, which has played a significant role in mental health enhancing of Korean soldiers. Since the onset of modern psychiatry in Korea decades ago, Korean military psychiatry has made a great contribution to the development of Korean psychiatry. Furthermore, Korean military psychiatry is playing a leading role on the treatment and management of patients with adjustment disorder and post-traumatic stress disorder in Korea recently. At this point in time, it is necessary to review the history of Korean military psychiatry, and to make a plan for the future of Korean military psychiatry.
현진희,You Sungeun,Sohn Sunju,Kim Seok-Joo,Bae Jeongyee,Baik Myungjae,Cho In Hee,Choi Hyunjung,Choi Kyeong-Sook,Chung Chan-Seung,Jeong Chanyoung,Joo Hyesun,Kim Eunji,Kim Heeguk,Kim Hyun Soo,Ko Jinsun,Lee 대한의학회 2020 Journal of Korean medical science Vol.35 No.22
As of April 18, 2020, there have been a total of 10,653 confirmed cases and 232 deaths due to coronavirus disease 2019 (COVID-19) in Korea. The pathogen spread quickly, and the outbreak caused nationwide anxiety and shock. This study presented the anecdotal records that provided a detailed process of the multidisciplinary teamwork in mental health during the COVID-19 outbreak in the country. Psychosocial support is no less important than infection control during an epidemic, and collaboration and networking are at the core of disaster management. Thus, a multidisciplinary team of mental health professionals was immediately established and has collaborated effectively with its internal and external stakeholders for psychosocial support during the COVID-19 outbreak.
Lee Yeon Jung,Lee Hyeon-Ah,Kim Kyong Ah,Baik Myungjae,Paik Jong-Woo,Seol Jinmi,Lee Sang Min,Lee Eun-Jin,Lee Haewoo,Lim Meerae,Jun Jin Yong,Ki Seon Wan,Jeon Hong Jin,Kwon Sun Jung,Lee Hwa-Young 대한신경정신의학회 2023 PSYCHIATRY INVESTIGATION Vol.20 No.5
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.
Seon-Cheol Park,Kyoung-Sae Na,Sun-Jung Kwon,Minjae Kim,Hyoung-Jun Kim,Myungjae Baik,Jinmi Seol,Eun Ji An,Sang Min Lee,Eun-Jin Lee,Meerae Lim,Sung Joon Cho,Gwang Hun Kim,Nari Kim,Hong Jin Jeon,Jong-Woo 대한신경정신의학회 2020 PSYCHIATRY INVESTIGATION Vol.17 No.9
Objective In 2011, “Suicide CARE” (Standardized Suicide Prevention Program for Gatekeeper Intervention in Korea) was originally developed for the early detection of warning signs of suicide completion, since there is a tendency to regard emotional suppression as a virtue of Korean traditional culture. A total of 1.2 million individuals completed the training program of “Suicide CARE” in Korea. Methods More sophisticated suicide prevention approaches according to age, sex, and occupation have been proposed, demanding for a more detailed revision of “Suicide CARE.” Thus, during the period from August 2019 to February 2020, “Suicide CARE” has been updated to version 2.0. The assessments on domestic gatekeeper training programs for suicide prevention, international gatekeeper training programs for suicide prevention, psychological autopsy interview reports between 2015 and 2018, and the evaluation of feedback from people who completed “Suicide CARE” version 1.6 training were performed. Results We describe the revision process of “Suicide CARE,” revealing that “Suicide CARE” version 2.0 has been developed using an evidence-based methodology. Conclusion It is expected that “Suicide CARE” version 2.0 be positioned as the basic framework for many developing gatekeeper training programs for suicide prevention in Korea in the near future.
Kyoung-Sae Na,Seon-Cheol Park,Sun-Jung Kwon,Minjae Kim,Hyoung-Jun Kim,Myungjae Baik,Jinmi Seol,Eun Ji An,Sang Min Lee,Eun-Jin Lee,Meerae Lim,Sung Joon Cho,Gwang Hun Kim,Nari Kim,Hong Jin Jeon,Jong-Woo 대한신경정신의학회 2020 PSYCHIATRY INVESTIGATION Vol.17 No.11
Objective Suicide is a huge nationwide problem that incurs a lot of socio-economic costs. Suicide also inflicts severe distress on the people left behind. The government of the Republic of Korea has been making many policy efforts to reduce suicide rate. The gatekeeper program, ‘Suicide CARE’, is one of the meaningful modalities for preventing suicide. Methods Multidisciplinary research team collaborated to update the ‘Suicide CARE’ to version 2.0. Results In the ‘Introductory part’, the authors have the time to think about the necessity and significance of the program before conducting full-scale gatekeeper training. In the ‘Careful observation’ part, trainees learn how to understand and recognize the various linguistic, behavioral, and situational signals that a person shows before committing suicide. In the ‘Active listening’ part, trainees learn how to ask suicide with a value-neutral attitude as well listening empathetically. In the ‘Risk evaluation and Expert referral’ part, trainees learn intervening strategies to identify a person’s suicidal intention, plan, and past suicide attempts, and connect the person to appropriate institutes or services. Conclusion Subsequent studies should be conducted to verify the efficacy of the gatekeeper program.