Abstract
Objectives
This study was conducted to investigate knowledge, attitude, and experience regarding suicidal behavior among mental health workers in Gangwon province of Korea to use as a basis for development of suicide prevention and education programs.
Methods
Questionnaires consisted of 31 questions including general knowledge regarding suicide statistics and suicide related legislation, attitude toward suicide, awareness of suicide, and individual experiences of suicidal behaviors. Chi-square and binary logistic regression analyses were used to determine differences and association among attitude toward suicide, individual experience of suicide, and sociodemographic characteristics.
Results
Taboo attitude toward suicide showed association with age and male. Males thought that social responsibility for suicide is necessary. Religiously non-affiliated group and people who had previous suicidal ideation and attempts showed a more permissive attitude toward suicide.
Conclusion
The findings of this study suggest that demographic characteristics and previous individual experience of suicidal behaviors might influence attitude toward suicide. These personal characteristics should be considered in development of suicide prevention programs for mental health workers.
References
1. National Statistical Office. Annual report on the cause of death statistics. Korea: National Statistical Office;2014.
2. Domino G, Takahashi Y. Attitudes toward suicide in Japanese and American medical students. Suicide Life Threat Behav. 1991; 21:345–359.
3. Domino G, Moore D, Westlake L, Gibson L. Attitudes toward suicide: a factor analytic approach. J Clin Psychol. 1982; 38:257–262.
4. Diekstra RFW, Kerkhof AJFM. Attitudes towards suicide: The Development of a suicide-attitude questionnaire (SUIATT). In : Möller HJ, Schmidtke A, Welz R, editors. Current Issues of Suicidology. Berlin: Springer;1988. p. 462–476.
5. 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.
6. Park JI, Kim YJ. Factor analysis of Questionnaire about suicide attitude of Korean version (ATTS-20). Ment Health Soc Work. 2014; 42:91–113.
7. Limbacher M, Domino G. Attitudes toward Suicide among Attempters, Contemplators, and Nonattempters. Omega (Westport). 1985; 16:325–334.
8. Beautrais AL, John Horwood L, Fergusson DM. Knowledge and attitudes about suicide in 25-year-olds. Aust N Z J Psychiatry. 2004; 38:260–265.
9. Leane W, Shute R. Youth suicide: the knowledge and attitudes of Australian teachers and clergy. Suicide Life Threat Behav. 1998; 28:165–173.
10. Maine S, Shute R, Martin G. Educating parents about youth suicide: knowledge, response to suicidal statements, attitudes, and intention to help. Suicide Life Threat Behav. 2001; 31:320–332.
11. Sato R, Kawanishi C, Yamada T, Hasegawa H, Ikeda H, Kato D, et al. Knowledge and attitude towards suicide among medical students in Japan: preliminary study. Psychiatry Clin Neurosci. 2006; 60:558–562.
12. Shim JW. Survey on awreness and attitudes about suicide of Korean. In : The 4th Seoul International Conference on suicide prevention; 2010 Sep 10; Seoul: Korean Association for Suicide Prevention;2010.
13. 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.
14. Ministry of Health and Welfare, Korea. Health and Welfare Ministry White paper. Seoul: Ministry of Health and Welfare, Korea;2014. p. 219–248.
15. 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.
16. Kim SN, Lee KS, Lee SY, Yu JH, Hong AR. [Awareness and attitude toward suicide in community mental health professionals and hospital workers]. J Prev Med Public Health. 2009; 42:183–189.
17. Kwon JI, Lee YJ, Kwon SJ, Paik JW, Jeon JH, Kang SG, et al. Attitude toward suicide and personal experiences of suicide among doctors and health care workers in Korea. J Korean Neuropsychiatr Assoc. 2013; 52:231–242.
18. Neimeyer RA, Fortner B, Melby D. Personal and professional factors and suicide intervention skills. Suicide Life Threat Behav. 2001; 31:71–82.
19. Goldney RD, Fisher LJ. Have broad-based community and professional education programs influenced mental health literacy and treatment seeking of those with major depression and suicidal ideation? Suicide Life Threat Behav. 2008; 38:129–142.
20. Canetto SS, Sakinofsky I. The gender paradox in suicide. Suicide Life Threat Behav. 1998; 28:1–23.
21. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's comprehensive textbook of psychiatry. 8th ed. Philadelphia (PA): Lippincott Williams & Wilkins;2014. p. 763.
22. Renberg ES, Hjelmeland H, Koposov R. Building models for the relationship between attitudes toward suicide and suicidal behavior: based on data from general population surveys in Sweden, Norway, and Russia. Suicide Life Threat Behav. 2008; 38:661–675.
23. Domino G. Community attitudes toward physician assisted suicide. Omega (Westport). 2002-2003; 46:199–214.
24. Robins E, Gassner S, Kayes J, Wilkinson RH Jr, Murphy GE. The communication of suicidal intent: a study of 134 consecutive cases of successful (completed) suicide. Am J Psychiatry. 1959; 115:724–733.
25. Bagley C, Ramsay R. Attitudes toward suicide, religious values and suicidal behavior. The role of attitude and imitation. In : Diekstra RF, editor. Suicide and its prevention. Leiden: EJ Brill;1989. p. 78–90.
26. Dervic K, Oquendo MA, Grunebaum MF, Ellis S, Burke AK, Mann JJ. Religious affiliation and suicide attempt. Am J Psychiatry. 2004; 161:2303–2308.
27. Hirsch JK. A review of the literature on rural suicide: risk and protective factors, incidence, and prevention. Crisis. 2006; 27:189–199.
28. Arnautovska U, Grad OT. Attitudes toward suicide in the adolescent population. Crisis. 2010; 31:22–29.
29. 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.
30. 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.