일부 강원지역에 있어서의 자살기도자에 대한 사회정신의학적 연구

A Social Psychiatric Some Areas of Study on Suicide Attempters in Kangwon District in Korea

During a 6 month period from April to Sept. in 1979，99 suicide attempters were brought to Emergency Room of Wonju Christian Hospital of Yonsei Univ. (located in Wonju city, KangwonDo). Complete psychiatric studies were performed with 37 attempters who were admitted, and through which social psychiatric materials were obtained. They were analyzed and compared with suicidal attempters in Seoul. The results were as follows： The male and female ratio was 1.2 : 1 and most attempters were in their 20s and 40s. In 70.3%, attempts were made without informing the suicidal intent previously. First attempters were 83.3 %. 59. %% of the suicidal attempt was carried out between the day and the next after precipitating incidents took place. In 35. \% suicidal attempts were made between noon and 6 PM of the day. The herbicides and insecticides were used most frequently (40.4%), whereas psychotropic drugs were used by 22.2% of the subjects and 35% of attempters could not be diagnosed at the time studies. The main precipitating factors were the interpersonal conflict in the family (49.5%) and of finacial difficulty (13.5%). 56.1% of the relatives of attempters showed genuinely serious worry or concern for the attempters. These attitudes were 4 times as high as for male attempters than for female attempters. But the attitude of rage or hostility toward the attempters were 2 times as high as for female attempters than for male attempters. It seemed that most attempts (67.5%) were psychᄋdynamically motivated by introjected hostility and loss of love object, and attempts were made more impulsively without prolonged psychopathology, and 62.6% of attempters regreted their impulsive acts after their attempt. It appears that these characteristic trends are related to the traditional sociocultural background, particularly Confucianism and Shamanism. And it is a known fact that Kangwon district is still maintaining stronger traditional sociocultural background than urban areas especially large cities in Korea.