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자살 위험성 및 자살 시도 방지에 대한 전기경련치료의 역할

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Author(s)
Hee Cheol KimSeong Hoon JeongYong Min AhnSeung Hyun ParkYong Sik KimIn Won Chung
Keimyung Author(s)
Kim, Hee Chul
Department
Dept. of Psychiatry (정신건강의학)
Journal Title
생물정신의학
Issued Date
2020
Volume
27
Issue
2
Keyword
Mental healthCrisis interventionSuicidalityElectroconvulsive therapy
Abstract
Suicidality is the most serious complication of mood disorders and psychosis; effective treatment should reduce suicide rates. The Organization for Economic Cooperation and Development age-standardized suicide rate in Korea was 22.6 in 2018, much higher compared to other countries worldwide. As mental and psychiatric problems are the main reasons for suicide attempts, accounting for 31.6% in 2018, targeting such problems should be the focus of efforts to reduce suicide rates. However, the ability of current pharmacotherapeutic and psychotherapeutic interventions to reduce suicide rates is limited due to their delayed effects. Therefore, electroconvulsive therapy (ECT) has been proposed as an alternative treatment. This approach is effective for treating most mental disorders associated with high suicide rates, including severe depression, bipolar disorder, and intractable psychotic disorders; ECT is also effective for Parkinson's disease, which has the highest suicide rate among all disorders in Korea. The acute, long-term, and prophylactic effects of ECT on suicidality have been reported in the literature, and treatment guidelines outside of Korea recommend that ECT be used at an early stage for rapid reduction of suicide rates, as opposed to being applied as a treatment of last resort. However, only ~0.092 of every 10000 members of the Korean general population received ECT in 2018; this is much lower than the average rate worldwide, of 2.2 per 10000. Elimination of obstacles to the use of ECT, early crisis intervention involving administration of ECT for rapid stabilization, and maintenance ECT to prevent recurrence should reduce suicide rates.
Alternative Title
The Electroconvulsive Therapy in the Prevention of Suicide Risks and Attempts
Keimyung Author(s)(Kor)
김희철
Publisher
School of Medicine (의과대학)
Citation
Hee Cheol Kim et al. (2020). 자살 위험성 및 자살 시도 방지에 대한 전기경련치료의 역할. 생물정신의학, 27(2), 64–73. doi: 10.22857/kjbp.2020.27.2.004
Type
Article
ISSN
2005-7571
Source
https://www.kci.go.kr/kciportal/landing/article.kci?arti_id=ART002643963
DOI
10.22857/kjbp.2020.27.2.004
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42912
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
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