ISSN 2586-0151 (Print)
ISSN 2586-0046 (Online)
Volume 13, Number 2 (2/2017)
Original Article <page. 74-85 >

Development of 10 Self-Help Guidelines for Suicide Prevention : A Delphi Study

Hyochul Lee, MD1;Jihyun Ahn, MD1;Kyungeun Lee, MD1;Haesoo Kim, MA1;Changhyung Hong, MD, PhD2;Kangsup Oh, MD, PhD3; and Jin Pyo Hong, MD, PhD1;

1;Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, 2;Department of Psychiatry, Ajou University Hospital, Ajou University School of Medicine, Suwon, 3;Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University, School of Medicine, Seoul, Korea

Objective : A variety of approaches are needed to solve high suicide rates in Korean society. Although suicide prevention education has been provided for the public and suicide risk groups in Korea, a systematic discussion of simple, effective suicide prevention guidelines for the general public has yet to be made. Self-help guidelines for suicide prevention, which can help prevent suicide in at risk individuals, will be developed through expert questionnaires.

Methods : In order to develop the draft guidelines, suicide prevention self-help phrases were gathered and compiled from homepages and publicity materials of domestic and international suicide prevention and related organizations. A panel of 16 suicide prevention experts conducted primary and secondary surveys using the Delphi method, which derives results from consensus among expert groups. The validity and appropriateness of the guidelines was analyzed using content validity ratios (CVR).

Results : Of 33 candidate phrases selected for the suicide prevention guidelines, 9 showed high CVR after the secondary Delphi round. The highest level of support with total agreement was given to 'Do not be alone, stay with someone'. However, more than half of the panelists evaluated 14/27 of the primary Delphi round and 12/26 of the secondary Delphi round phrases as invalid. The researchers completed 10 self-help guidelines for suicide prevention, after eliminating 1 redundant phrase and including 2 additional phrases that showed relatively high CVR.

Conclusion : We have developed 10 self-help guidelines for suicide prevention through the consensus of experts. Further studies on the effects of the guidleines relative to suicide rates are needed after widespread dissemination.


Key words : Suicide;Secondary prevention;Tertiary prevention;Guideline;Delphi technique.

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