Psychiatry Investig.  2024 Oct;21(10):1149-1166. 10.30773/pi.2024.0195.

Development of a Clinical Guideline for Suicide Prevention in Psychiatric Patients Based on the ADAPTE Methodology

• Yang JH
• Yoo J
• Kang DH
• Park CHK
• Rhee SJ
• Kim MJ
• Lee SY
• Shim SH
• Moon JJ
• Cho SJ
• Kim SG
• Kim MH
• Lee J
• Kang WS
• Lee WY
• Ahn YM

• KMID: 2560169
• DOI: http://doi.org/10.30773/pi.2024.0195

Abstract

Objective
Suicide is a significant public health issue, with South Korea having the highest suicide rate among Organisation for Economic Cooperation and Development countries. This study aimed to develop clinical guidelines for suicide prevention in psychiatric patients in Korea using the ADAPTE methodology.
Methods
The development process involved a comprehensive review of literature, expert consultations, and consensus-building using the Nominal Group Technique and Delphi method. The guidelines focus on evidence-based psychiatric treatments, including both pharmacological and non-pharmacological approaches, tailored to the Korean context. Key findings underscoring the need for standardized treatment protocols for patients with major psychiatric disorders, including bipolar disorder, major depressive disorder, and schizophrenia.
Results
The guidelines incorporate treatments like lithium, clozapine, atypical antipsychotics, electroconvulsive therapy, and cognitive behavioral therapy, which have shown effectiveness in suicide prevention. Applicability and acceptability within Korea’s healthcare system were addressed, ensuring feasibility given the country’s medical insurance coverage and accessibility. The guidelines were validated through expert reviews and Delphi rounds, achieving consensus on the final recommendations.
Conclusion
The developed guidelines provide a structured, evidence-based approach to reducing suicide rates among psychiatric patients in Korea. Future research will focus on expanding these guidelines to include screening protocols for high-risk groups.

Keyword

Suicide prevention; Suicide; Clinical guidelines; ADAPTE; Guideline