Journal List > J Korean Med Assoc > v.55(4) > 1042551

Park and Park: Why do suicide and depression occur?

Abstract

As suicide deaths have been rapidly increasing among the Korean people, the clinical conditions associated with suicide including major depressive disorder (MDD) have also been in the public eye for decades. Thus we discuss the relationship between suicide and depression from the psychosocial perspective. Because the introjected aggression or hostility may be essential psychodynamic factors in suicide and depression, the clinical psychiatrist's or psychotherapist's empathy may be the important psychotherapeutic method in the recovery of object relationships or relieving suicidal patients' self-destructive tendencies. Although various and diverse psychological features have been suggested as the predictive factors of suicide, they have not yet been demonstrated by any statistical models. Psychiatrists should be aware that suicide or suicidal behaviors might be strongly associated with sociocultural background in Korea. Further research may be needed in the area of the relationship among suicide, depression, and sociocultural correlates.

Acknowledgement

This study was supported by a grant of the Korean Health 21 Care Technology R & D Project, Ministry of Health and Welfare, Republic of Korea (A102065).

References

1. Litman RE. Enelow AJ, editor. Evaluation and management of suicidal patient. Depression in medical practice. 1970. West Point: Merck Sharp & Dohme;139–156.
2. Statistics Korea. The leading causes of death in Korea [Internet]. cited 2012 Mar 7. Daejeon: Statistics Korea;Available from: http://kostat.go.kr/wnsearch/search.jsp.
3. Sudack HS. Sadock BJ, Kaplan HI, editors. Suicide. Kaplan and Sadock's comprehensive textbook of psychiatry. 2005. 9th ed. Baltimore: Lippincott Williams & Wilkins;2442.
4. Ernst C, Mechawar N, Turecki G. Suicide neurobiology. Prog Neurobiol. 2009. 89:315–333.
crossref
5. Gabbard GO. Psychodynamic psychiatry in clinical practice. 2005. 4th ed. Washington, DC: American Psychiatric Publishing.
6. Freud S. Freud S, Strachey J, Freud A, Strachey A, Tyson A, editors. Mouring and melancholia (1917). The standard edition of the complete psychological works of Sigmund Freud. 1958. Vol. 12. London: Hogarth Press;237–260.
7. Freud S. Freud S, Strachey J, Freud A, editors. The ego and id (1923). The standard edition of the complete psychological works of Sigmund Freud. 1961. Vol. 19. London: Hogarth Press;1–66.
8. Menninger KA. Psychoanalytic aspects of suicide. Int J Psychoanal. 1933. 14:376–390.
9. Fenichel O. The psychoanalytic theory of neurosis. 1945. New York: W. W. Norton.
10. Tarachow S. An introduction to psychotherapy. 1986. 4th ed. Madison: International University Press.
11. Clark DC, Fawcett J. Jacobs D, editor. An empirical based model of suicide risk assessment for patients with affective disorder. Suicide and clinical practice. 1992. Washington, DC: American Psychiatric Press;55–73.
12. Goldstein RB, Black DW, Nasrallah A, Winokur G. The prediction of suicide. Sensitivity, specificity, and predictive value of a multivariate model applied to suicide among 1906 patients with affective disorders. Arch Gen Psychiatry. 1991. 48:418–422.
13. Olin HS. Psychotherapy of the chronically suicidal patient. Am J Psychother. 1976. 30:570–575.
crossref
14. Saul LJ. The childhood emotional pattern: the key to personality, its disorders and therapy. 1977. New York: Van Nostrand Reinhold Co..
15. Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, Hegerl U, Lonnqvist J, Malone K, Marusic A, Mehlum L, Patton G, Phillips M, Rutz W, Rihmer Z, Schmidtke A, Shaffer D, Silverman M, Takahashi Y, Varnik A, Wasserman D, Yip P, Hendin H. Suicide prevention strategies: a systematic review. JAMA. 2005. 294:2064–2074.
16. Richman J, Eyman JR. Lester D, editor. Psychotherapy of suicide: individual, group, and family approaches. Understanding suicide: the state of the art. 1990. Philadelphia: Charles C Thomas;139–158.
17. Smith K, Eyman J. Lerner HD, Lerner PM, editors. Ego structure and object differentiation in suicidal patients. Primitive mental states and the Rorschach. 1988. Madison: International Universities Press;175–202.
18. Roh S, Park YC. Characteristics of depression in Korea and non-pharmacological treatment. Korean J Biol Psychiatry. 2006. 13:226–233.
19. Park YC. The high risk group of suicide completion. Yonhap News. 2010. 03. 31.
20. Park YC. The cause of 'thoughtless offences' is social stress. Yonhap News. 2009. 08. 27.
21. Park YC. A graduation ceremony in trouble. Yonhap News. 2010. 02. 16.
22. Park YC. Song Jee-Sun's suicide. Yonhap News. 2011. 05. 24.
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