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J Korean Med Assoc > Volume 54(4); 2011 > Article
Nam, Heo, Jun, Lee, Cho, Han, and Kim: Depression, suicide, and Korean society

Abstract

The number of Korean people who are currently suffering from depressive disorders that require medical treatment is assumed to be more than 2 million. However, only around 15% of those with depressive disorder are actively receiving medical treatment, and this leads to an increasing suicide rate. Hence, the National Evidence-based Healthcare Collaborating Agency held a round-table conference to provide information on depression and suicide and suggested a reasonable policy through comprehensive discussion with experts. The prevalence of depression, which is closely related to suicide rates, is lower in Korea than in the U.S., but the rate of suicide is the highest among Organisation for Economic Co-operation and Development countries. It is thought that the underestimated prevalence of depression is owing to the inconsistency between the diagnostic criteria of depression and characteristics of depression in Korea. Therefore, it is necessary to develop Korean diagnostic criteria for depression reflecting cultural characteristics and conduct a regular and organized nationwide survey. Moreover, a term related to suicide officially used by Statistics Korea is 'intentional self-injury'. However, in a Korea-based community study, it was found that 60% to 72% of those attempting suicide had mental disorders; thus suicide is not merely an intentional self-injury but a medical condition that should be treated. To reduce suicide, both medical and social approaches are necessary. Furthermore, a strengthening of the public perception that a medical approach is important for suicide prevention is greatly needed. Moreover, it is necessary to prepare an effective national suicide prevention strategy through studies evaluating the suicide prevention policies currently implemented and psychological autopsy of suicide deaths similar to those practiced in Finland.

References

1. World Health Organization. Pharmacological treatment of mental disorders in primary health care 2009;Geneva: World Health Organization.

2. Jeon HJ, Lee JY, Lee YM, Hong JP, Won SH, Cho SJ, Kim JY, Chang SM, Lee D, Lee HW, Cho MJ. 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.

3. Cho MJ, Chang SM, Hahm BJ, Chung IW, Bae A, Lee YM, Ahn JH, Won SH, Son J, Hong JP, Bae JN, Lee DW, Cho SJ, Park JI, Lee JY, Kim JY, Jeon HJ, Lee HW. Prevalence and correlates of major mental disorders among Korean adults: a 2006 National Epidemiologic Survey. J Korean Neuropsychiatr Assoc 2009;48:143-152.

4. Statistics Korea. Death statistics in 2009 2010;Daejeon: Statistics Korea.

5. Organization for Economic Cooperation and Development. OECD health data 2009: statistics and indicators for 30 countries 2010;Paris: Organization for Economic Cooperation and Development.

6. Lee HW, Choi JH, Park YC. Public awareness about depression written in the notes on overcoming the depression. Ment Health Res 2006;25:33-39.

7. Chang SM, Hahm BJ, Lee JY, Shin MS, Jeon HJ, Hong JP, Lee HB, Lee DW, Cho MJ. Cross-national difference in the prevalence of depression caused by the diagnostic threshold. J Affect Disord 2008;106:159-167.

8. World Health Organization. Suicide prevention (SUPRE) 2009;Geneva: World Health Organization.

9. Ahn JH. A study on relationship between non-pharmacological treatments and adherence to antidepressant pharmacotherapies in Korea. Proceedings of the 1st Round-Table Conference on depression, suicide and Korean society 2010 Aug 26. Seoul, Korea.



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