Relationship Between Trauma, Discrimination, and Suicidal Ideation Among North Korean Defectors

被引:0
|
作者
Lim, Kyungho [1 ,2 ]
Baek, Jiwon [3 ]
Kim, Hokon [4 ]
Kim, Ocksim [4 ]
Chu, Sang Hui [1 ,3 ,4 ,5 ]
Jung, Young-Chul [1 ,2 ,5 ]
机构
[1] Yonsei Univ, Coll Med, Dept Psychiat, 50-1 Yon sei Ro, Seoul 03722, South Korea
[2] Yonsei Univ, Coll Med, Inst Behav Sci Med, Seoul, South Korea
[3] Yonsei Univ, Coll Nursing, Mo Im Kim Nursing Res Inst, Seoul, South Korea
[4] Yonsei Univ, Brain Korea FOUR Project 21, Coll Nursing, Dept Nursing, Seoul, South Korea
[5] Yonsei Univ, Inst Innovat Digital Healthcare, Seoul, South Korea
基金
新加坡国家研究基金会;
关键词
Keywords Refugees; Suicidal ideation; Trauma; Discrimination; Democratic People's Republic of Korea; MENTAL-HEALTH; PREVALENCE; STRESS;
D O I
10.30773/pi.2023.0351
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective This study aimed to explore the relationship between suicidal ideation and specific trauma and social discrimination among Methods A total of 448 North Korean defectors were recruited from online and offline communities and counseling centers. Participants provided sociodemographic and psychiatric history information via an online survey. Various assessment tools, including the TrauLoneliness Scale (short-form), and World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF), were employed. Multiple logistic regression analysis was used to examine the association between suicidal ideation and different types of trauma and discrimination. Results Among participants, 38.4% reported experiencing suicidal ideation. The most prevalent trauma was "unwanted separation from spouse, parent, or sibling" (69.4%), and the primary form of discrimination was "unfairness during employment" (35.7%). After adjusting for relevant variables, experiencing "extreme life-threatening hardship," "unwanted separation from a child," and "discrimination in income" significantly increased the likelihood of suicidal ideation. Importantly, unlike other refugee groups, interpersonal violence like torture or sexual abuse did not significantly contribute to suicidal ideation in this population. These findings highlight the unique vulnerabilities of North Korean defectors and suggest that income-related discrimination, unwanted separation from children, and life-threatening hardships are critical factors influencing suicidal ideation. Limitations such as recall biases and the cross-sectional nature of the data should be acknowledged. Conclusion This study underscores the need for tailored psychiatric support for North Korean defectors, recognizing their distinctive needs compared to other refugee populations. Psychiatry Investig 2024;21(11):1203-1210
引用
收藏
页码:1203 / 1210
页数:8
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