J Korean Neuropsychiatr Assoc.  2013 Jul;52(4):231-242.

Attitude toward Suicide and Personal Experiences of Suicide among Doctors and Health Care Workers in Korea

Affiliations
  • 1Department of Psychiatry, School of Medicine, Gachon University, Incheon, Korea. leeyj1203@gmail.com
  • 2Incheon Metropolitan City Mental Health Center, Incheon, Korea.
  • 3Department of Psychiatry, School of Medicine, Kyung Hee University, Seoul, Korea.
  • 4Hwaseong Community Mental Health Center, Hwaseong, Korea.

Abstract


OBJECTIVES
The aim of this study was to investigate attitudes toward suicide and personal experiences with suicide among doctors and health care workers in Korea.
METHODS
A total of 622 participants were included in this study and 617 participants completed a self-report questionnaire that included 31 items; 184 doctors and 433 health care workers. A questionnaire was used for assessment of demographic characteristics, attitude toward suicide, and personal experiences with suicide in doctors and health care workers. The collected data were evaluated using chi-square and binary logistic regression analyses. A probability level of p<0.05 was considered statistically significant.
RESULTS
More permissive attitudes toward suicide showed an association with doctor group and non-religious group (p<0.05). Religious group and older age showed an association with a more negative attitude (p<0.05). The lifetime and one-year prevalence rates of suicidal ideation were 31.4% and 9.8%, respectively, in all participants. The lifetime prevalence of suicidal ideation was higher in the religious group (33.9%, p<0.05). Among all participants, 32.1% reported loss of a patient by suicide, and 29.9% reported contact with a patient at risk of suicide or with depression. In addition, 72.5% reported contact with a depressed patient.
CONCLUSION
Attitudes toward suicide among doctors and health care workers were shown to differ significantly between age, gender, doctor group and health care worker group, religious group and non-religious group. The reported level of suicidal ideation among doctors and health care workers is worthy of concern. Research is needed for establishment of effective prevention strategies on the basis of our findings.

Keyword

Suicide; Attitude toward suicide; Doctor; Primary health care

MeSH Terms

Delivery of Health Care
Depression
Humans
Korea
Logistic Models
Prevalence
Primary Health Care
Surveys and Questionnaires
Suicidal Ideation
Suicide

Reference

1. WHO. World Health Organization. Suicide Prevention (SUPRE). cited 2013 May 5. Available from: http://www.who.int/mental_health/prevention/suicide.
2. National Statistics Office. Annual Report on the Cause of Death Statistics (2008). 2009. National Statistics Office;(Korean).
3. National Statistics Office. Annual Report on the Cause of Death Statistics (2010). 2011. National Statistics Office;(Korean).
4. National Statistics Office. Annual Report on the Cause of Death Statistics (2011). 2012. National Statistics Office;(Korean).
5. Ministry of Health and Welfare, Korea. Health and Welfare Minitry White Paper (2011). 2012. Seoul: Ministry of Health and Welfare, Korea;765.
6. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 1994. 4th ed. Washington (DC): American Psychiatric Association.
7. Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: a systematic review. JAMA. 2005. 294:2064–2074.
8. Kato TA, Suzuki Y, Sato R, Fujisawa D, Uehara K, Hashimoto N, et al. Development of 2-hour suicide intervention program among medical residents: first pilot trial. Psychiatry Clin Neurosci. 2010. 64:531–540.
Article
9. Statistics Korea. Report on the social survey. 2012. Daejeon: Statistics Korea;43.
10. Pirkis J, Burgess P. Suicide and recency of health care contacts. A systematic review. Br J Psychiatry. 1998. 173:462–474.
11. Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002. 159:909–916.
Article
12. Andersen UA, Andersen M, Rosholm JU, Gram LF. Contacts to the health care system prior to suicide: a comprehensive analysis using registers for general and psychiatric hospital admissions, contacts to general practitioners and practising specialists and drug prescriptions. Acta Psychiatr Scand. 2000. 102:126–134.
Article
13. Waern M, Beskow J, Runeson B, Skoog I. Suicidal feelings in the last year of life in elderly people who commit suicide. Lancet. 1999. 354:917–918.
Article
14. Rutz W, von Knorring L, Wålinder J. Long-term effects of an educational program for general practitioners given by the Swedish Committee for the Prevention and Treatment of Depression. Acta Psychiatr Scand. 1992. 85:83–88.
Article
15. Szanto K, Kalmar S, Hendin H, Rihmer Z, Mann JJ. A suicide prevention program in a region with a very high suicide rate. Arch Gen Psychiatry. 2007. 64:914–920.
Article
16. Shim JW. Uri nara kungmin ui saengmyong chonjung mit chasal e kwanhan uisik chosa. 2010. In : The 4th Seoul International Conference on suicide prevention; 2010 Sep 10; Seoul: Korean Association for Suicide Prevention.
17. Ban YJ, Park YM, Suk JH. A preliminary study on the attitude toward suicides in normal persons. J Korean Neuropsychiatr Assoc. 1989. 28:155–167.
18. Domino G, Moore D, Westlake L, Gibson L. Attitudes toward suicide: a factor analytic approach. J Clin Psychol. 1982. 38:257–262.
Article
19. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's comprehensive textbook of psychiatry. 2009. Philadelphia (PA): Lippincott Williams & Wilkins;2717.
20. Jeon HJ, Park JH, Shim EJ. Permissive attitude toward suicide and future intent in individuals with and without depression: results from a nationwide survey in Korea. J Nerv Ment Dis. 2013. 201:286–291.
Article
21. Kodaka M, Inagaki M, Postuvan V, Yamada M. Exploration of factors associated with social worker attitudes toward suicide. Int J Soc Psychiatry. In press 2012.
Article
22. Renberg ES, Jacobsson L. Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide Life Threat Behav. 2003. 33:52–64.
Article
23. Oncü B, Soyka C, Ihan IO, Sayil I. Attitudes of medical students, general practitioners, teachers, and police officers toward suicide in a Turkish sample. Crisis. 2008. 29:173–179.
Article
24. Kim SW, Bae KY, Kim JM, Kim SY, Yoo JA, Yang SJ, et al. Psychosocial correlates of attempted suicide and attitudes toward suicide. J Korean Neuropsychiatr Assoc. 2010. 49:367–373.
25. Korea Health Statistics 2011. Korea National Health and Nutrition Examination Survey(KHANANES V-2). 2011. Cheongwon: Korea Centers for Disease control & Prevention;155.
26. Jeon HJ, Lee JY, Lee YM, Hong JP, Won SH, Cho SJ, et al. Lifetime prevalence and correlates of suicidal ideation, plan, and single and multiple attempts in a Korean nationwide study. J Nerv Ment Dis. 2010. 198:643–646.
Article
27. Eskin M, Voracek M, Stieger S, Altinyazar V. A cross-cultural investigation of suicidal behavior and attitudes in Austrian and Turkish medical students. Soc Psychiatry Psychiatr Epidemiol. 2011. 46:813–823.
Article
28. Tyssen R, Vaglum P, Grønvold NT, Ekeberg O. Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. J Affect Disord. 2001. 64:69–79.
Article
29. Hawton K, Clements A, Sakarovitch C, Simkin S, Deeks JJ. Suicide in doctors: a study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, 1979-1995. J Epidemiol Community Health. 2001. 55:296–300.
Article
30. Fridner A, Belkic K, Marini M, Minucci D, Pavan L, Schenck-Gustafsson K. Survey on recent suicidal ideation among female university hospital physicians in Sweden and Italy (the HOUPE study): cross-sectional associations with work stressors. Gend Med. 2009. 6:314–328.
Article
31. Shim EJ, Park JH. Suicidality and its associated factors in cancer patients: results of a multi-center study in Korea. Int J Psychiatry Med. 2012. 43:381–403.
Article
32. Nkansah-Amankra S, Diedhiou A, Agbanu SK, Agbanu HL, Opoku-Adomako NS, Twumasi-Ankrah P. A longitudinal evaluation of religiosity and psychosocial determinants of suicidal behaviors among a population-based sample in the United States. J Affect Disord. 2012. 139:40–51.
Article
33. Chemtob CM, Hamada RS, Bauer G, Kinney B, Torigoe RY. Patients' suicides: frequency and impact on psychiatrists. Am J Psychiatry. 1988. 145:224–228.
Article
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