Lee Kounseok, Cho Yongrae, Kim Daeho
Department of Psychiatry, Hanyang University College of Medicine, Seoul, Republic of Korea.
Department of Psychology, Hallym University, Chuncheon, Republic of Korea.
Psychiatry Clin Psychopharmacol. 2021 Dec 1;31(4):442-448. doi: 10.5152/pcp.2021.21082. eCollection 2021 Dec.
Natural disasters often cause a wide array of post-traumatic psychological difficulties among survivors. Increased suicide risk was recently added to the list of lingering traumatic reactions that interfere with natural disaster survivors' adjustment and recovery. The purpose of this study was to investigate the relationship between psychological symptoms, perceived social support, and the risk of suicide among natural disaster survivors in Korea.
A total of 451 Korean national disaster survivors participated in this study. Their depressive and post-traumatic stress symptoms, perceived social support, and suicide risk were measured. The participants were classified into three groups (minimal, low, and high suicide risk), and the psychosocial factors of the three groups were compared.
The risk of suicide increased with the severity of depressive symptoms and decreased as social support (particularly family support) increased. Depressive symptoms were identified as the most potent predictor of suicidality.
Several psychosocial factors, particularly depressive symptoms, may have an impact on suicide risk in natural disaster survivors. Therefore, it is essential to focus on their depressive symptoms when assessing and treating natural disaster survivors.
自然灾害常常在幸存者中引发一系列广泛的创伤后心理问题。近期，自杀风险增加被列入妨碍自然灾害幸存者适应与康复的持续性创伤反应清单之中。本研究旨在探讨韩国自然灾害幸存者的心理症状、感知到的社会支持与自杀风险之间的关系。
共有451名韩国国家灾难幸存者参与了本研究。对他们的抑郁和创伤后应激症状、感知到的社会支持以及自杀风险进行了测量。参与者被分为三组（自杀风险极低、低和高），并对三组的心理社会因素进行了比较。
自杀风险随着抑郁症状的严重程度增加而上升，随着社会支持（尤其是家庭支持）的增加而降低。抑郁症状被确定为自杀倾向最有力的预测因素。
若干心理社会因素，尤其是抑郁症状，可能会对自然灾害幸存者的自杀风险产生影响。因此，在评估和治疗自然灾害幸存者时，关注他们的抑郁症状至关重要。
