Psychiatry Investig.  2020 Nov;17(11):1149-1157. 10.30773/pi.2020.0271.

Contents of the Standardized Suicide Prevention Program for Gatekeeper Intervention in Korea, Version 2.0

Affiliations
  • 1Department of Psychiatry, Gachon University College of Medicine, Gil Medical Center, Incheon, Republic of Korea
  • 2Department of Psychiatry, Inje University Haeundae Paik Hospital, Busan, Republic of Korea
  • 3Suicide Prevention Center, Republic of Korea Air Force, Daejeon, Republic of Korea
  • 4Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea
  • 5Workplace Mental Health Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
  • 6Gyeonggi Provincial Mental Health Center, Suwon, Republic of Korea
  • 7Department of Psychiatry, Kyung Hee University College of Medicine, Seoul, Republic of Korea
  • 8Department of Social Welfare, Suwon Science College, Hwaseong, Republic of Korea
  • 9Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
  • 10Korea Association for Suicide Prevention, Seoul, Republic of Korea
  • 11Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
  • 12Korea Suicide Prevention Center, Seoul, Republic of Korea
  • 13Department of Psychiatry, Soonchunhyang University Cheonan Hospital, Cheonan, Republic of Korea

Abstract


Objective
Suicide is a huge nationwide problem that incurs a lot of socio-economic costs. Suicide also inflicts severe distress on the people left behind. The government of the Republic of Korea has been making many policy efforts to reduce suicide rate. The gatekeeper program, ‘Suicide CARE’, is one of the meaningful modalities for preventing suicide.
Methods
Multidisciplinary research team collaborated to update the ‘Suicide CARE’ to version 2.0.
Results
In the ‘Introductory part’, the authors have the time to think about the necessity and significance of the program before conducting full-scale gatekeeper training. In the ‘Careful observation’ part, trainees learn how to understand and recognize the various linguistic, behavioral, and situational signals that a person shows before committing suicide. In the ‘Active listening’ part, trainees learn how to ask suicide with a value-neutral attitude as well listening empathetically. In the ‘Risk evaluation and Expert referral’ part, trainees learn intervening strategies to identify a person’s suicidal intention, plan, and past suicide attempts, and connect the person to appropriate institutes or services.
Conclusion
Subsequent studies should be conducted to verify the efficacy of the gatekeeper program.

Keyword

Suicide, Prevention, Gatekeeper, Mental health, Public health
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