Psychiatry Investig.  2019 Feb;16(2):130-138. 10.30773/pi.2018.11.14.

Development of Korean Disaster Mental Health Support Guidelines: Results of a Scoping Review and a Delphi Survey

  • 1Department of Psychiatry, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
  • 2Center for Preventive Medicine and Public Health, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
  • 3Department of Behavioral Health, Brian Allgood Army Hospital/121st Combat Support Hospital, Seoul, Republic of Korea.
  • 4Department of Psychiatry, Seoul Medical Center, Seoul, Republic of Korea.
  • 5Department of Psychiatry, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Republic of Korea.
  • 6National Center for Trauma, National Center for Mental Health, Seoul, Republic of Korea.


It is necessary to develop new guidelines to delineate the best ways of providing psychosocial care to ensure mental health following a disaster.
This study applied the scoping review method as a means of establishing evidence-based guidelines for disaster mental health services. A total of 440 literatures were selected through a scoping review of 20,864 documents. Twenty-three recognized experts were invited to participate in the survey and a two-round online Delphi survey was conducted.
The concordance rate in the Delphi Round 1 was 95.1%. Six items were excluded and new items were formulated with experts' suggestions. A total of 23 statements were slightly modified to clarify their meaning. In the Delphi Round 2, all items were met with consensus. The three items with the highest consensus among the experts were related to the protection of personal information and privacy. The item with the lowest consensus among experts was related to debriefing. Other items were related to establishing mental health support centers and suicide prevention activities.
140 items were developed through scoping reviews based on evidence-based methodology. These items were used to describe the disaster mental health support identified in Delphi. The guideline will provide a foundation for effective preparation and response in disaster situations.


Disasters; Mental health; Scoping review; Delphi process

MeSH Terms

Mental Health Services
Mental Health*
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