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작성일 : 19-02-15 20:07
자살의 위험 징후와 도움을 줄 수 있는 방법
 글쓴이 : 한국청소년…
조회 : 11,549  

자살의 위험 징후와 도움을 줄 수 있는 방법


1. 자살징후란 무엇인가?

자살징후를 알아차리는 것은 매우 중요합니다. 1명이 자살을 하면 주변의 6명이 영향을 받는다고 합니다. 자살 징후를 잘 숙지해서 적절하게 도움을 줄 수 있다면 모두의 정신건강을 위해 좋을 것입니다.

• 농담식으로라도 자살이나 죽음에 대해 자주 언급합니다.
• 대인관계를 기피하고 대외적 활동이 줄어듭니다. 또는 반대로 평소에 자주 안 만나던 사람들을 일부러 챙겨서 만나러 다닙니다.
• 술을 평소보다 자주 마십니다.
• 소중하게 간직하던 물건들을 다른 사람에게 나눠 줍니다.
• 죽음에 관한 시를 쓰거나 낙서를 합니다.
• 사후세계에 관심을 보입니다.
• 평상시와 달리 주변을 정리정돈 합니다.
• 평상시보다 더 밝고 평온해 보이며 주변 상황에 초연해 집니다.
• 식사량과 수면양이 평상시에 비해 지나치게 줄거나 늘어납니다.

이 행동들의 공통점은 평상시 잘 안하던 행동들이라는 점입니다. 하나하나의 행동만으로는 자살징후라고 알아내기 어렵습니다. 하지만 최근의 상황을 잘 아는 주변인이라면 위의 징후들 중 두 세 개 이상의 모습들을 보이는 경우 알아차릴 수 있을 것입니다. 혹시나 가까운 사람에게서 자살위험징후를 발견하면 어떻게 해야 될까요?

정답은 질문하라입니다. 상대방은 당신이 묻지 않으면 스스로 대답하지 않을 것입니다. 가까운 사람에게서 자살위험 징후를 발견하면?


2. 자살위기에 있는 사람을 어떻게 도울 수 있는가?

1) 도움을 주고자 할 때 해야 할 것과 하지 말아야 할 것입니다.

* DO(해야 할 것)
• 집중해서 차분히 들으십시오.
• 상대방의 감정을 이해하고 공감하십시오.
• 수용과 존중의 태도를 보이십시오.
• 상대방의 의견에 대한 존중의 의미를 전달하십시오.
• 솔직하고 진실되게 말하십시오.
• 당신의 관심, 도움의지, 따뜻함을 보여 주십시오.
• 내담자의 감정에 집중 하십시오.

* DON'T(하지 말아야 할 것)
• 너무 잦은 질문으로 내용을 끊지 마십시오.
• 감정적이되거나 충격을 받았다는 느낌을 주지 마십시오.
• 당신이 바쁘다는 뉘앙스를 풍기지 마십시오.
• 베푸는 듯한 느낌을 주지 마십시오.
• 너무 자세히 캐묻지 말고 분명하지 않은 말을 하지 마십시오.
• 과중한 부담을 주는 질문은 삼가하십시오.


2) 주변사람이 자살하려는 의도를 보이면 처음에 어떻게 말해야 하나요?

구체적으로 단도직입적으로 묻는 것이 좋습니다. ‘설마’라고 생각하지 말고 ‘혹시 자살을 생각하고 있냐?’ 라고 구체적으로 질문하는 것이 중요한 첫걸음이 됩니다. 괜히 자살에 대해 언급하였다가 도리어 화를 내거나 자살을 유도하게 되는 것은 아닌지 걱정하지 마십시오. 수많은 임상 경험에 따르면 실제로 이런 경우 보다는 자살에 대해 질문해준 것에 대하여 고맙게 생각하는 경우가 많습니다. 상대가 그것을 인정한다면 천천히 조심스럽게 얼마나 자주 생각을 하는지, 구체적인 방법이나 시기를 생각해 놓았는지 등에 대하여 질문하는 것이 좋습니다.


3) 자살생각이 실제로 있는 사람의 자살을 구체적으로 어떻게 막을 수 있을까요?

우선 자살 생각이 있다는 것을 알게 되면 가족이나 친지들에게 알려야 합니다. 가족의 격려와 후원등이 든든한 방패가 될 수 있기 때문입니다. 또한 절대 혼자 있게 해서는 안됩니다. 자살은 철저하게 혼자하는 행동으로 주변에 누군가 있다면 시도하기 어렵습니다. 자살을 시도할 수 있는 위험한 물건이나 상황 가까이에 있지 않게 합니다. 자살의 구체적인 방법을 생각해 놓았는지 묻고 그러한 물건들은 가급적 가까운 가족이나 친지들이 치우도록 돕습니다. 마지막으로 전문가의 도움을 받게 합니다. 정신질환에 대한 약물 치료를 시작할 수도 있고 보다 효과적인 상담을 받을 수 있도록 연결해 주는 것이 중요합니다.



출처 : [네이버 지식백과] 자살 예방 [suicide prevention] (국가건강정보포털 의학정보, 국가건강정보포털)



Lisa 23-03-07 09:08
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Katina 23-06-07 11:05
답변 삭제  
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Parker 23-06-09 12:05
답변 삭제  
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