Development of a Clinical Guideline for Suicide Prevention in Psychiatric Patients Based on the ADAPTE Methodology

• 발행기관: 대한신경정신의학회
• 저자명: Jeong Hun Yang Jieun Yoo Dae Hun Kang C. Hyung Keun Park Sang Jin Rhee Min Ji Kim Sang Yeol Lee Se-Hoon Shim Jung-Joon Moon Seong-Jin Cho Shin Gyeom Kim Min-Hyuk Kim Jinhee Lee Won Sub Kang Weon-Young Lee Yong Min Ahn
• 간행물 정보: 『Psychiatry Investigation』제21권 제10호, 1149~1166쪽, 전체 18쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2024.10.31

국문 초록

Objective Suicide is a significant public health issue, with South Korea having the highest suicide rate among Organisation for Economic Cooperation and Development countries. This study aimed to develop clinical guidelines for suicide prevention in psychiatric patients in Korea using the ADAPTE methodology. Methods The development process involved a comprehensive review of literature, expert consultations, and consensus-building using the Nominal Group Technique and Delphi method. The guidelines focus on evidence-based psychiatric treatments, including both pharmacological and non-pharmacological approaches, tailored to the Korean context. Key findings underscoring the need for standardized treatment protocols for patients with major psychiatric disorders, including bipolar disorder, major depressive disorder, and schizophrenia. Results The guidelines incorporate treatments like lithium, clozapine, atypical antipsychotics, electroconvulsive therapy, and cognitive behavioral therapy, which have shown effectiveness in suicide prevention. Applicability and acceptability within Korea’s healthcare system were addressed, ensuring feasibility given the country’s medical insurance coverage and accessibility. The guidelines were validated through expert reviews and Delphi rounds, achieving consensus on the final recommendations. Conclusion The developed guidelines provide a structured, evidence-based approach to reducing suicide rates among psychiatric patients in Korea. Future research will focus on expanding these guidelines to include screening protocols for high-risk groups.

목차

INTRODUCTION

METHOD

RESULTS

DISCUSSION

REFERENCES

키워드

Suicide prevention Suicide Clinical guidelines ADAPTE Guideline