This study is aimed to analyse the causes and characteristics of suicide in jeonbuk region using psychological autopsy. Psychological autopsy is a technique to get comprehensive analysis on suicidal death by collecting data from interviewing suicide victim’s family, relatives, and friends added with additional data of police report, hospital records, and suicide victim's lifetime records for objective evidence. For the data from 42 cases(male 24, female 18) of suicides that occurred between May 2013 and April 2014 with agreement for psychological autopsy, we analyzed a survey that recorded by interviewers who had a consultation based on half-structured psychological interview panel. As the result, out of 42 cases, 30(71%) had previous suicidal attempts and 21(50%) had a family history of suicides. Psychiatric disorders(38%) was the most common cause of suicide followed by interpersonal problems(31%). Among psychiatric problems, depressive disorder was the most common. many suicide victims had previously received psychiatric treatments but discontinued the therapy later on. The results showed that suicide is strongly related to mental disorders and psychiatric therapy should be continued until full recovery. Preventive efforts should focus on persons who have a history of previous suicidal attempts and have a family history of suicide. Implications of these findings are discussed and directions for future research are advanced.
권호인, 김 란, 방수영, 홍현주, 권용실 (2014). 청소년 자살자에 대한 심리적 부검 방법론에 대한 고찰. 소아청소년 정신의학, 25(3), 121-127.
도순원 (2012). 심리부검의 의의와 사례에 관한 연구. 경북대학교 수사과학대학원 석사학위논문.
문국진 (1991). 자살의 증명과 심리부검. 대한법의학회지 15(1), 1-13.
보건복지부 (2014). 2013년 자살실태조사 요약보고서.
서종한, 이창환, 김경일, 김성혜 (2012). 한국 자살사망자 특징: 사례-대조 심리적 부검 연구. 한국심리학회지: 일반, 31(2), 323-344.
신성원 (2005). 심리부검 연구의 실무적 활용 및 윤리적 고려사항, 한국범죄심리연구, 1(1), 231-252.
이구상, 최민정, 김수정, 박재영, 이명수, 서지혜, 이소영 (2012). 자살사망자의 축약 심리적 부검에 관한 연구. 정신보건, 3(1), 18-24.
이창룡 (2013). 한국형 심리적 부검 프로토콜 활용에 관한 연구. 경기대학교 대학원 석사학위논문.
정상혁 (2005). 우리나라 자살의 사회․경제적 비용부담에 관한 연구. 국립서울병원 국립정신보건교육연구센터 용역보고서 11. 1-128.
제영묘 (2004). 자살과 정신 장애. 생물치료정신의학 10(1), 3-10.
통계청 (2014). 2013년 사망원인 통계.
한국자살예방협회 (2009). 자살사망자 심리적 부검 및 자살시도자 사례관리서비스 구축방안. 보건복지부.
한국자살예방협회 (2011). 자살예방기본계획. 한국자살예방협회.
Asgård, U., & Carlsson-Bergström, M. (1991). Interviews with Survivors of Suicides: Procedures and Follow-up of Interview Subjects. The Journal of Crisis Intervention and Suicide Prevention, 12, 21-33.
Barraclough, B., Bunch, J., Nelson, B., & Sainsbury, P. (1974). A Hundred cases of suicide: Clinical aspects. The British Journal of Psychiatry, 12, 355-373.
Bartol, C. R., & Bartol, A. M. (2004). Introduction to Forensic Psychology:Research and Application, California: SAGE Publication.
Beskow, J., Runeson, B., & Asgård, U. (1990). Psychological Autopsies: Methods and Ethics. Suicide and Life-Threatening Behavior, 20, 307-323.
Cavanagh, J. T. O., Carson, A. J., Sharpe, M., & Lawrie, S. M. (2003). Psychological autopsy studies of suicide: a systematic review. Psychological Medicine, 33, 395-405.
Cavanagh, J. T., Owens, D. G., & Johnstone, E. C. (1999). Life events in suicide and underestimated death in South-East Scotland: A case-control study using the method of psychological autopsy method. Psychological Medicine, 29, 1141-1149.
Chang, S., Gunnell, D., Sterne, J. A. C., Lu, T., & Cheng, A. T. A. (2009). Was the Economic Crisis 1997-1998 Responsible for Rising Suicide Rates in East/Southeast Asia? A Time-Trend Analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Social Science & Medicine, 68, 1322-1331.
Chen, Y. Y., Wu, KC. C., Yousuf, S., & Yip, P. S. (2012). Suicide in Asia: opportunities and challenges. Epidemiologic Reviews 34, 129-144.
Cheng, A. T. A., Chen, T. H. H., Chen, CC., & Jenkins, R. (2000). Psychosocial and psychiatric risk factors for suicide: Case-control psychological autopsy study. British Journal of Psychiatry 177, 360-365.
Gau, S. S., & Cheng, A. T. (2004). Mental illness and accidental death: Case-control psychological autopsy study. British Journal of Psychiatry, 185, 422-428.
Hales, R. E., & Yudofsky, S. C. (2003). The American Psychiatric Publishing textbook of clinical psychiatry. 4th ed. Washington, DC: American Psychiatric Press, 1459-1463.
Harris, E. C., & Barraclough, B. (1997). Suicide as an outcome for mental disorders: a meta-analysis. British Journal of Psychiatry, 170, 205-228.
Hawton, K., Smith. S., Rue, J., Haw. C., Barbour, F., Clements, A., et al. (2002). Suicide in Female Nurses in England and Wales. Psychological Medicine, 32, 239-250.
Henriksson, M. M., Aro, H. M., Marttune, M. J., Heikkinen, M. E., Isometsä, E. T., Kuoppasalmi, K. I., et al. (1993). Mental Disorders and Comorbidity in Suicide. American Journal of Psychiatry, 150, 935-940.
Isometsä, E. T. (2001). Psychological Autopsy Studies-A Review. European Psychiatry, 16, 379-385.
Kleinman, A. M. (1977). Depression, somatization and the “new cross cultural psychiatry”. Social Science Medicine. 11, 3-10.
Phillips, M. R., Yang, G., Zhang, Y., Wang, L. Ji, H., & Zhou, M. (2002). Risk factors for suicide in China: A national case-control psychological autopsy study. The Lancet, 360, 1728-1736.