자살시도자에 대한 무작위대조군연구의 등록 현황 분석: WHO-ICTRP를 중심으로

• Published in: 동의신경정신과학회지 Vol. 34; no. 3; pp. 213 - 234
• Main Authors: 박민령, Min-ryeong Park, 이지원, Ji-won Lee, 황인준, In-jun Hwang, 권찬영, Chan-young Kwon
• Format: Journal Article
• Language: Korean
• Published: 대한한방신경정신과학회 30.09.2023
• Subjects: Korean medicine; Randomized controlled clinical trial; Suicide attempter; WHO-ICTRP; Korean medicine; Randomized controlled clinical trial; WHO-ICTRP; Suicide attempter
• ISSN: 1226-6396; 2234-4942

Objectives: To investigate current status of randomized controlled clinical trial (RCT) registration for suicide attempters. Methods: The World Health Organization International Clinical Trials Registry Platform (WHO-ICTRP) was used to search for data using ‘suicide’ as a search term. All registration information of RCTs registered up to April 2023 were collected. Results: Among a total of 68 RCTs registered, the United States ranked the highest in terms of quantity in this field (n=30, 46.15%), whereas Asia had only six (8.82%). A total of 62 (91.18%) RCTs involved individual interventions, while nine (13.24%) RCTs involved group interventions. Among individual interventions, 11 (16.18%) and 54 (79.41%) RCTs were on pharmacotherapy and psychotherapy, respectively. Within psychotherapy, there were a total of 17 (25%) studies utilizing digital media, with cognitive behavioral therapy (CBT) via phone being the most common approach. Among non-digital media-based studies, CBT was used the most frequently (n=11, 16.18%), followed by attempted suicide short intervention program (n=6, 8.82%). There were no studies using interventions from East Asian traditional medicine, including Korean medicine (KM). The most frequently used main outcome was the Beck scale for suicidal ideation. Conclusions: Studies on suicide attempts in Asia, especially in South Korea, are very scarce. Despite vigorous psychotherapeutic research in this field, KM psychotherapy has not been used. Thus, KM clinical trial for suicide attempters might be planned in the future based on our findings.