우리나라 정신건강의학과 전공의의 자살에 대한 지식, 태도 및 경험에 대한 고찰 : 횡단연구

Abstract

Objectives This study investigated the effects of the grade of residents, sociodemographic vari¬ables, and clinical experience with suicidal patients on the knowledge and attitudes toward sui¬cide among psychiatric residents in Korea. Methods A self-reporting survey including 30 questions was conducted together with an inves¬tigation of the sociodemographic background of the research subjects. The questionnaire was com¬posed of general knowledge questions on suicide, suicide-related personal experience, attitudes toward suicide, and the treatment experience of suicide attempt patients. Chi-square test and bi¬nary logistic regression analysis were used to determine the differences and associations among the attitudes toward suicide, clinical experience of suicide, and sociodemographic characteris¬tics. Results A significantly higher response rate was presented in the 4th grade on general knowl¬edge of suicide and treatment experience with suicide attempt patients than in the 1st grade. Residents with previous history of psychiatric treatment suicide plans, or attempts presented a significantly higher level of permissive attitude toward suicide. Residents who had a previous his¬tory of suicide attempt among their own patients were more likely to think that they were more capable to prevent suicide of patients. Conclusion Effective clinical practices are essential considering the fact that the highest sui¬cide risk groups will inevitably be referred to psychiatric clinical services. The authors expect that the study results regarding suicide-related knowledge, attitudes, and the experience of psychiat¬ric residents will contribute to the development of effective resident training programs for suicide-related clinical practice in Korea.