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韩国自杀预防的国家政策、服务提供、项目与数据

National Policy, Service Delivery, Programs, and Data for Suicide Prevention in Korea.

作者信息

You Deuk-Kweon, Choi Jin-Hwa, Hwang Tae-Yeon

机构信息

The Korea Foundation for Suicide Prevention, Seoul, Republic of Korea.

Department of Counseling Psychology, Seowon University, Cheongju, Republic of Korea.

出版信息

Psychiatry Investig. 2025 Aug;22(8):840-850. doi: 10.30773/pi.2024.0371. Epub 2025 Aug 7.

DOI:10.30773/pi.2024.0371
PMID:40840923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12370428/
Abstract

OBJECTIVE

Following the 1997 IMF economic crisis, Korea experienced a rapid increase in the suicide rate and has maintained the highest rate among OECD countries. This narrative review examines the development of suicide prevention policies, service delivery systems, and laws aimed at reducing suicide rates and their impact on national suicide prevention efforts in Korea.

METHODS

A comprehensive data review of clinical research and reports on suicide prevention was conducted. Key findings were summarized, and outcomes related to suicide prevention programs were analyzed.

RESULTS

This paper presents data including mortality statistics, statistics on suicide attempts, psychological autopsies, and comprehensive investigations of suicide deaths. It also reviews the trends and changes in the National Suicide Prevention Action Plans established since 2004 and explains the Suicide Prevention Act enacted in 2011. Additionally, the authors discuss key delivery systems for community suicide prevention services and programs for the early detection and intervention of depression.

CONCLUSION

The analysis revealed that suicide prevention research, policies, and delivery systems in Korea are highly systematic. However, challenges remain in the effectiveness of some suicide prevention efforts. This paper addresses these challenges and suggests ways to improve national suicide prevention efforts in preparation for the 6th Action Plan.

摘要

目的

1997年国际货币基金组织经济危机之后,韩国的自杀率迅速上升,且一直保持经合组织国家中的最高水平。本叙述性综述考察了旨在降低自杀率的自杀预防政策、服务提供系统和法律的发展情况及其对韩国全国自杀预防工作的影响。

方法

对自杀预防的临床研究和报告进行了全面的数据审查。总结了主要研究结果,并分析了与自杀预防项目相关的成果。

结果

本文呈现了包括死亡率统计、自杀未遂统计、心理解剖以及自杀死亡综合调查等数据。还回顾了自2004年以来制定的《国家自杀预防行动计划》的趋势和变化,并解释了2011年颁布的《自杀预防法》。此外,作者们讨论了社区自杀预防服务的关键提供系统以及抑郁症早期检测和干预项目。

结论

分析表明,韩国的自杀预防研究、政策和提供系统具有高度系统性。然而,一些自杀预防工作的有效性仍存在挑战。本文探讨了这些挑战,并为制定第六个行动计划提出了改善全国自杀预防工作的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/912d9c58d907/pi-2024-0371f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/2d2ec523d4be/pi-2024-0371f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/7c372311e79b/pi-2024-0371f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/b4f7fb2b2ba7/pi-2024-0371f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/41c19110b88f/pi-2024-0371f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/912d9c58d907/pi-2024-0371f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/2d2ec523d4be/pi-2024-0371f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/7c372311e79b/pi-2024-0371f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/b4f7fb2b2ba7/pi-2024-0371f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/41c19110b88f/pi-2024-0371f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1b/12370428/912d9c58d907/pi-2024-0371f5.jpg

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本文引用的文献

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Evaluating the Longitudinal Efficacy of Suicide CARE (a Korean Standard Gatekeeper Training Program) in a General Community Sample: A Randomized Controlled Trial.评估自杀关怀(一项韩国标准守门人培训项目)在普通社区样本中的纵向疗效:一项随机对照试验。
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Suicide mortality rates in Japan before and beyond the COVID-19 pandemic era.日本在新冠疫情大流行时代之前及之后的自杀死亡率。
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The effectiveness of a suicide prevention program in primary care clinics supported by community public health resources: A difference-in-differences analysis.社区公共卫生资源支持下的基层医疗诊所预防自杀项目的效果:一项差分分析。
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Suicide Following the COVID-19 Pandemic Outbreak: Variation Across Place, Over Time, and Across Sociodemographic Groups. A Systematic Integrative Review.新冠大流行后的自杀情况:不同地区、不同时间和不同社会人口群体的差异。系统综合评价。
Curr Psychiatry Rep. 2023 Jul;25(7):283-300. doi: 10.1007/s11920-023-01427-7. Epub 2023 May 25.
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