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    의사와 보건인력을 대상으로 한 자살에 대한 인식과 태도, 개인적 경험에 관한 연구 = Attitude toward Suicide and Personal Experiences of Suicide among Doctors and Health Care Workers in Korea

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    https://www.riss.kr/link?id=A103919651

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Objectives The aim of this study was to investigate attitudes toward suicide and personal experiences with suicide among doctors and health care workers in Korea.
    Methods A total of 622 participants were included in this study and 617 participants completed a self-report questionnaire that included 31 items; 184 doctors and 433 health care workers.
    A questionnaire was used for assessment of demographic characteristics, attitude toward suicide,and personal experiences with suicide in doctors and health care workers. The collected data were evaluated using chi-square and binary logistic regression analyses. A probability level of p<0.05 was considered statistically significant.
    Results More permissive attitudes toward suicide showed an association with doctor group and non-religious group (p<0.05). Religious group and older age showed an association with a more negative attitude (p<0.05). The lifetime and one-year prevalence rates of suicidal ideation were 31.4% and 9.8%, respectively, in all participants. The lifetime prevalence of suicidal ideation was higher in the religious group (33.9%, p<0.05). Among all participants, 32.1% reported loss of a patient by suicide, and 29.9% reported contact with a patient at risk of suicide or with depression.
    In addition, 72.5% reported contact with a depressed patient.
    Conclusion Attitudes toward suicide among doctors and health care workers were shown to differ significantly between age, gender, doctor group and health care worker group, religious group and non-religious group. The reported level of suicidal ideation among doctors and health care workers is worthy of concern. Research is needed for establishment of effective prevention strategies on the basis of our findings.
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    Objectives The aim of this study was to investigate attitudes toward suicide and personal experiences with suicide among doctors and health care workers in Korea. Methods A total of 622 participants were included in this study and 617 participants co...

    Objectives The aim of this study was to investigate attitudes toward suicide and personal experiences with suicide among doctors and health care workers in Korea.
    Methods A total of 622 participants were included in this study and 617 participants completed a self-report questionnaire that included 31 items; 184 doctors and 433 health care workers.
    A questionnaire was used for assessment of demographic characteristics, attitude toward suicide,and personal experiences with suicide in doctors and health care workers. The collected data were evaluated using chi-square and binary logistic regression analyses. A probability level of p<0.05 was considered statistically significant.
    Results More permissive attitudes toward suicide showed an association with doctor group and non-religious group (p<0.05). Religious group and older age showed an association with a more negative attitude (p<0.05). The lifetime and one-year prevalence rates of suicidal ideation were 31.4% and 9.8%, respectively, in all participants. The lifetime prevalence of suicidal ideation was higher in the religious group (33.9%, p<0.05). Among all participants, 32.1% reported loss of a patient by suicide, and 29.9% reported contact with a patient at risk of suicide or with depression.
    In addition, 72.5% reported contact with a depressed patient.
    Conclusion Attitudes toward suicide among doctors and health care workers were shown to differ significantly between age, gender, doctor group and health care worker group, religious group and non-religious group. The reported level of suicidal ideation among doctors and health care workers is worthy of concern. Research is needed for establishment of effective prevention strategies on the basis of our findings.

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    참고문헌 (Reference)

    1 김성완, "자살시도 위험요인 및 자살에 대한 태도 연구" 대한신경정신의학회 49 (49): 367-373, 2010

    2 Shim JW, "우리나라 국민의 생명존중 및 자살에 관한 의식 조사" Korean Association for Suicide Prevention 2010

    3 Fridner A, "Survey on recent suicidal ideation among female university hospital physicians in Sweden and Italy (the HOUPE study): cross-sectional associations with work stressors" 6 : 314-328, 2009

    4 Mann JJ, "Suicide prevention strategies: a systematic review" 294 : 2064-2074, 2005

    5 Hawton K, "Suicide in doctors: a study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, 1979-1995" 55 : 296-300, 2001

    6 Pirkis J, "Suicide and recency of health care contacts. A systematic review" 173 : 462-474, 1998

    7 World Health Organization, "Suicide Prevention"

    8 Shim EJ, "Suicidality and its associated factors in cancer patients: results of a multi-center study in Korea" 43 : 381-403, 2012

    9 Tyssen R, "Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors" 64 : 69-79, 2001

    10 Waern M, "Suicidal feelings in the last year of life in elderly people who commit suicide" 354 : 917-918, 1999

    1 김성완, "자살시도 위험요인 및 자살에 대한 태도 연구" 대한신경정신의학회 49 (49): 367-373, 2010

    2 Shim JW, "우리나라 국민의 생명존중 및 자살에 관한 의식 조사" Korean Association for Suicide Prevention 2010

    3 Fridner A, "Survey on recent suicidal ideation among female university hospital physicians in Sweden and Italy (the HOUPE study): cross-sectional associations with work stressors" 6 : 314-328, 2009

    4 Mann JJ, "Suicide prevention strategies: a systematic review" 294 : 2064-2074, 2005

    5 Hawton K, "Suicide in doctors: a study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, 1979-1995" 55 : 296-300, 2001

    6 Pirkis J, "Suicide and recency of health care contacts. A systematic review" 173 : 462-474, 1998

    7 World Health Organization, "Suicide Prevention"

    8 Shim EJ, "Suicidality and its associated factors in cancer patients: results of a multi-center study in Korea" 43 : 381-403, 2012

    9 Tyssen R, "Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors" 64 : 69-79, 2001

    10 Waern M, "Suicidal feelings in the last year of life in elderly people who commit suicide" 354 : 917-918, 1999

    11 Statistics Korea, "Report on the social survey" Statistics Korea 43-, 2012

    12 Jeon HJ, "Permissive attitude toward suicide and future intent in individuals with and without depression: results from a nationwide survey in Korea" 201 : 286-291, 2013

    13 Chemtob CM, "Patients’ suicides: frequency and impact on psychiatrists" 145 : 224-228, 1988

    14 Rutz W, "Long-term effects of an educational program for general practitioners given by the Swedish Committee for the Prevention and Treatment of Depression" 85 : 83-88, 1992

    15 Jeon HJ, "Lifetime prevalence and correlates of suicidal ideation, plan, and single and multiple attempts in a Korean nationwide study" 198 : 643-646, 2010

    16 "Korea Health Statistics 2011 : Korea National Health and Nutrition Examination Survey(KHANANES V-2)" Korea Centers for Disease control & Prevention 155-, 2011

    17 Sadock BJ, "Kaplan and Sadock’s comprehensive textbook of psychiatry" Lippincott Williams & Wilkins 2717-, 2009

    18 Ministry of Health and Welfare, "Health and Welfare Minitry White Paper (2011)" Ministry of Health and Welfare 765-, 2012

    19 Kodaka M, "Exploration of factors associated with social worker attitudes toward suicide" 2012

    20 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Association 1994

    21 Renberg ES, "Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population" 33 : 52-64, 2003

    22 Kato TA, "Development of 2-hour suicide intervention program among medical residents: first pilot trial" 64 : 531-540, 2010

    23 Andersen UA, "Contacts to the health care system prior to suicide: a comprehensive analysis using registers for general and psychiatric hospital admissions, contacts to general practitioners and practising specialists and drug prescriptions" 102 : 126-134, 2000

    24 Luoma JB, "Contact with mental health and primary care providers before suicide: a review of the evidence" 159 : 909-916, 2002

    25 Domino G, "Attitudes toward suicide: a factor analytic approach" 38 : 257-262, 1982

    26 Oncü B, "Attitudes of medical students, general practitioners, teachers, and police officers toward suicide in a Turkish sample" 29 : 173-179, 2008

    27 National Statistics Office, "Annual Report on the Cause of Death Statistics (2011)" National Statistics Office 2012

    28 National Statistics Office, "Annual Report on the Cause of Death Statistics (2010)" National Statistics Office 2011

    29 National Statistics Office, "Annual Report on the Cause of Death Statistics (2008)" National Statistics Office 2009

    30 Szanto K, "A suicide prevention program in a region with a very high suicide rate" 64 : 914-920, 2007

    31 Ban YJ, "A preliminary study on the attitude toward suicides in normal persons" 28 : 155-167, 1989

    32 Nkansah-Amankra S, "A longitudinal evaluation of religiosity and psychosocial determinants of suicidal behaviors among a population-based sample in the United States" 139 : 40-51, 2012

    33 Eskin M, "A cross-cultural investigation of suicidal behavior and attitudes in Austrian and Turkish medical students" 46 : 813-823, 2011

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