Department of Health Policy and Management, Seoul National University College of Medicine, 103 Daehangno, Jongno-gu, Seoul 03080, Korea.
Psychiatry Res. 2021 Apr;298:113787. doi: 10.1016/j.psychres.2021.113787. Epub 2021 Feb 9.
This study compared the suicide rates among different groups of occupations in Korea and their changes from 1993 through 2017. The suicide rate tended to be low in the high skill occupations except the manager group. The suicide rates showed increases around the financial crises of 1997 and 2008 in most occupations, and the sharpest increase was observed in the managers. The suicide rate in the manager group, which was the lowest among all occupation groups until the mid 2000s, showed the sharpest increase and became the highest since 2012 among all occupation groups. The sustained reduction in suicide rates among the skilled agricultural, forestry and fishery workers in Korea, following the implementation of paraquat control since 2005, shows that means restriction is an effective and essential way for reducing suicides. While more efforts should be put into means restriction, policy makers should focus on changing public perceptions of suicide in order that it would not be accepted as a possible solution for the difficulties in life.
本研究比较了韩国不同职业群体的自杀率及其在 1993 年至 2017 年期间的变化。除管理人员群体外,高技能职业的自杀率往往较低。在大多数职业中,自杀率在 1997 年和 2008 年金融危机前后有所上升,管理人员的上升幅度最大。管理人员群体的自杀率在 2000 年代中期之前是所有职业群体中最低的,但自 2012 年以来,其自杀率上升最快,成为所有职业群体中最高的。自 2005 年百草枯管制以来,韩国熟练农业、林业和渔业工人的自杀率持续下降,这表明限制手段是减少自杀的有效和必要途径。虽然应该加大力度限制手段,但决策者应该注重改变公众对自杀的看法,以免自杀被视为解决生活困难的一种可行办法。