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KMID : 0378019820250080067
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New Medical Journal
1982 Volume.25 No. 8 p.67 ~ p.74
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Suicide Attempt in Korea and it´s Sociocultural Characteristics
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Abstract
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During a 6 month period from April to Sept. of 1979, 99 suicide attempts were experienced at Emergency Room of Won ju Christian Hospital of Yonsei Univ. (located in Won ju city, Kangwon-Do) The authors analyzed their psychodynamics through deep psychiatric interview with the patients and their relatives, and psychological tests including MMPI and TAT in 37 attempts who were admitted, and authors found that the psychodynamics of suicide in this study were somewhat different from those of typical suicide seen in westernized society. It was inferred that these characteristic dynamics can be produced because Kangwon district has been keeping relatively traditional sociocultural background comparing to other areas of Korea, especially large city. Literatures suggested that, in generally speaking, suicide is psychopathology accompanied by longstanding underlyning condition such as depression or chronic alcoholism and usually committed after sufficient mental elaboration such as obsessive rumination and wishfulfilled fantasies followed by object loss and introjection mechanism.
On the contrary, in this study, suicide seemed to be attempted much more impulsely without such longstanding elaboration and those attempts seemed to be influenced by much more primitive unconsious characters originated from sociocultural tradition of Korea. It could be analyzed that this characteristic trend might be caused by 4 psychodyanmic factors.
1) The ambivalent dependency and strongly repressed hostility developed from traditional Confucianism and large family structure of Korea.
2) The traditional attitude accepts the tragic life as a fate without active struggle to it.
3) The future life after death is recognized simply as the extension of present life, not as metaphysical conceptualized world.
4) The traditional belief from shamanism that the spirit bearing a grudge ("Han") can gratified concretly unfulfilled wish through death.
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