Korean Clinical Psychology Association

Current Issue

Korean Journal of Clinical Psychology - Vol. 38 , No. 2

[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 38 , No. 1 , pp.45-59
ISSN: 2466-197X (Online)
publication date 28 Feb 2019
Received 13 Nov 2018 Revised 10 Jan 2019 Accepted 11 Feb 2019
DOI: https://doi.org/10.15842/kjcp.2019.38.1.004

삶의 중단 여부 결정에 관여하는 판단 요소들
최소영 ; 박기환
가톨릭대학교 심리학과

Judgment Factors Involved in Taking a Decision to End One’s Life
Soyoung Choi ; Kee-Hwan Park
Department of Psychology, The Catholic University of Korea, Bucheon, Korea
Correspondence to : Kee-Hwan Park, Department of Psychology, The Catholic University of Korea, 43 Jibong-ro, Wonmi-gu, Bucheon, Korea; E-mail: psyclinic@catholic.ac.kr


© 2019 Korean Clinical Psychology Association

초록

본 연구는 삶의 중단을 두고 갈등하는 자살의 심리적 과정을 경험의 지속 여부에 관한 의사결정의 한 유형으로 개념화하고, 자살 의사결정에 관여하는 주된 판단 요인들을 확인하고자 하였다. 본 연구의 목적은 현재 및 과거 경험에 대한 평가와 미래 예측이라는 판단 요소들이 서로 어떤 관련성을 가지는지, 각각이 자살 결정에 어떤 영향을 미치는지 확인하는 것이다. 이를 위해, 고통스러운 현재와 비관적인 미래는 동일하되, 과거 삶이 불리하거나 우호적인 것으로 기술된 두 가지 종류의 시나리오에 128명의 대학생과 대학원생들을 무작위로 할당해 평정하도록 하였다. 그 결과 첫째, 과거 삶 만족도와 현재 고통 심각도, 미래개선 가능성 중 죽음을 선택할 의사와 가장 관련성이 높은 변인은 미래개선 가능성으로 나타났다. 둘째, 현재 고통 심각도는 불리한 과거 삶 조건에서만 죽음을 선택할 의사를 예측했다. 마찬가지로 불리한 과거 삶 조건에서만 과거 삶 만족도와 현재 고통 심각도가 미래개선 가능성에 대해 유의한 상관을 보였다. 셋째, 불리한 과거 삶이든 우호적인 과거 삶이든 과거 삶 만족도는 죽음을 선택할 의사를 예측하지 못하였다. 본 연구 결과는 자살 의사결정이 일반적인 의사결정과 마찬가지로 경험에 대한 평가와 미래 예측이라는 두 가지 판단에 기초하며, 과거 삶에 역경이 많았던 사람들은 자살위기에서 직면한 고통을 어떻게 평가하는가가 미래 예측이나 자살 결정에 영향을 줄 수 있음을 보여준다. 또 미래에 대한 긍정적인 기대 정도가 자살 결정을 억제하는 가장 중요한 변인임을 시사한다.

Abstract

In this study we conceptualized the psychological process of suicide as a type of decision whether to continue an experience and tried to identify the main judgment factors involved in suicide decision making. The purpose of this study was to examine the relationship between the evaluation of present and past experiences and future prediction, and how each one affects suicide decision. For this purpose, 128 undergraduate and graduate students were randomly assigned to two types of scenarios. Each scenario described adverse or favorable past life experiences while present and future conditions are the same. The results of this study were as follows: first, among past life satisfaction, current pain severity, and positive future expectation, the most relevant variable affecting the choice to die was positive future expectation. Second, current pain severity predicted the choice to die only under adverse past life conditions. Similarly, past life satisfaction and current pain severity showed significant correlation with positive future expectation, only under adverse past life conditions. Third, past life satisfaction did not predict the choice to die. The results of this study suggest that suicide decision making is based on two judgments - evaluation of experience and future prediction. The future predictions or suicide decisions of those who had a lot of adversity in their past lives may be influenced by how they assess the pain they face in the suicide crisis. Additionally, the results suggest that positive expectations for the future are the most important variables that inhibit suicide decisions.


Keywords: suicide, decision making, experience evaluation, future prediction
키워드: 자살, 의사결정, 경험 평가, 미래 예측

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