Department of Psychiatry, School of Medicine, Jeju National University, Jeju, Republic of Korea.
Department of Psychiatry, School of Medicine, Jeju National University, Jeju, Republic of Korea.
J Affect Disord. 2018 Jan 1;225:1-3. doi: 10.1016/j.jad.2017.07.048. Epub 2017 Jul 27.
The Jeju April 3 incident refer to a series of armed uprisings and counterinsurgency that occurred between 1948 and 1954 on Jeju Island, South Korea. These events resulted not only in an estimated 15,000-30,000 deaths but also in numerous casualties and the destruction of many villages on the island. We investigated the relationship between lifetime suicidal attempts, current suicidal risk, and exposure to the traumatic experiences associated with the Jeju April 3 incident.
The present study assessed the lifetime suicidal behaviors of 110 aging survivors of the Jeju April 3 incident and 492 community-dwelling older adults who had not personally experienced this incident. Participants completed a questionnaire gathering demographic information and the Mini International Neuropsychiatric Interview (M.I.N.I.) items on suicidal ideation, suicide plans, and suicide attempts. To obtain information regarding depressive symptoms, we administered the Center for Epidemiologic Studies-Depression Scale (CES-D).
The prevalence rate for suicidal ideation within the past month in survivors was 42.7%, 95%CI [33.88, 52.07], and that in the comparison group was 15.4%, 95%CI [12.53, 18.91]. The survivor group reported higher rates of lifetime suicide attempts (8.2%, 95%CI [4.36, 14.82]) than the comparison group (2.0%, 95%CI [1.11, 3.70]).
The cross-sectional nature of the study design limits the interpretation of results.
These findings suggest that the psychological consequences of the Jeju April 3 incident, which occurred almost 70 years ago, may be long lasting. Our data can also contribute to interventions designed to prevent the development of serious psychological sequelae following traumatic events.
济州 4·3 事件指的是 1948 年至 1954 年间在韩国济州岛发生的一系列武装起义和反叛乱事件。这些事件不仅导致约 15000-30000 人死亡，还造成岛上许多村庄的大量人员伤亡和破坏。我们调查了一生中自杀企图、当前自杀风险与济州 4·3 事件相关创伤经历暴露之间的关系。
本研究评估了 110 名济州 4·3 事件老年幸存者和 492 名没有亲身经历过这一事件的社区居住老年人的终生自杀行为。参与者完成了一份问卷，收集人口统计学信息和迷你国际神经精神访谈（MINI）项目关于自杀意念、自杀计划和自杀企图的信息。为了获得有关抑郁症状的信息，我们使用了流行病学研究中心抑郁量表（CES-D）。
幸存者在过去一个月内出现自杀意念的患病率为 42.7%，95%CI[33.88，52.07]，而对照组为 15.4%，95%CI[12.53，18.91]。幸存者组报告的一生中自杀企图率（8.2%，95%CI[4.36，14.82]）高于对照组（2.0%，95%CI[1.11，3.70]）。
研究设计的横断面性质限制了结果的解释。
这些发现表明，济州 4·3 事件的心理后果可能持续时间很长，该事件发生在近 70 年前。我们的数据还可以为旨在预防创伤事件后出现严重心理后果的干预措施做出贡献。
