심리부검 데이터를 활용한 시기별 자살사망 경고신호 연구

• 영문명: A Study on Sequential Warning Signs of Suicide Using Psychological Autopsy Data
• 발행기관: 대한신경정신의학회
• 저자명: 최진화 김혜진 이선아 황태연
• 간행물 정보: 『신경정신의학』제64권 제4호, 258~265쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2025.11.30

국문 초록

Objectives: This study analyzed the sequential warning signs of suicide to identify remote, inter\-mediate, and urgent signs. Methods: Data from 978 cases collected through psychological autopsy interviews conducted by the Korea Foundation for Suicide Prevention from 2016 to 2023 were analyzed. Trained interview\-ers conducted the interviews using the Korea Psychological Autopsy Checklist. Frequency analy\-sis and cross-tabulation were performed to identify high-frequency warning signs by their timing. Results: Ten high-frequency warning signs were identified. Among them, the warning signs with the highest ranking of remote occurrences were talking about suicide, complaints of discomfort, making self-deprecating remarks, changes in sleep patterns, and engaging in substance abuse. The warning signs with the highest ranking of intermediate occurrences were changes in eating conditions, difficulty concentrating, social withdrawal, anger and irritation, and depression and lethargy. In particular, changes in eating conditions and depression and lethargy had a higher pro\-portion of urgent occurrences compared to remote occurrences. Conclusion: The high-frequency warning signs identified in this study must be widely understood and recognized by the general public, families of individuals with mental illnesses, medical profes\-sionals, and social welfare workers. Furthermore, techniques for recognizing and responding to the warning signs must be developed and incorporated into educational programs.

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키워드

Psychological autopsy High-frequency warning sign of suicide Sequential classification