Suicide in South Korea

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South Korea's suicide rate per 100,000 people compared to other countries, World Health Organization, 2016. Scholar Peeter Varnik claims that a simple majority of total suicides occur in just six countries, South Korea one of them. Suicide rates map.png
South Korea's suicide rate per 100,000 people compared to other countries, World Health Organization, 2016. Scholar Peeter Värnik claims that a simple majority of total suicides occur in just six countries, South Korea one of them.
The most recent available data on OECD countries' suicide rates per 100 000 persons (November 2, 2022). South Korea has the highest rate in the OECD. OECD-2022-suicide.jpg
The most recent available data on OECD countries' suicide rates per 100 000 persons (November 2, 2022). South Korea has the highest rate in the OECD.

South Korea has the fourth highest suicide rate in the world and the highest among OECD countries. [3] The elderly in South Korea are at the highest risk of suicide, but deaths from teen suicide have been rising since 2010. In 2022 suicide caused more than half of all deaths among South Koreans in their twenties. It is the leading cause of death for those between the age of 10 and 39, in line with most OECD countries. [3] [4] [5]

Contents

Relative poverty among senior citizens in South Korea, although declining since 2011, has contributed to their high rate of suicide. Because of a poorly-funded social safety net for the elderly, many choose to take their own life so as not to be a financial burden to their families. The social tradition of children looking after their parents in old age has largely disappeared in 21st century Korea. [6] Rural residents tend to have higher suicide rates due to self-reported high rates of elderly discrimination, reaching 85.7% for those in their 50s, especially when applying for jobs. [7] Poverty, age discrimination, and suicide often occur together. [8]

In 2011 the South Korean government enacted the suicide prevention act, which created a network of government funded suicide prevention and mental health welfare centers across the country. [3] They had an effect of decreasing suicide rates when the number of suicides per 100,000 people declined by 4.1% from 28.5 in 2013 to 27.3 in 2014, the lowest in six years since 2008's 26.0 people. [9] [10]

A 2024 TIME Magazine investigation reported that South Korea's suicide prevention and mental health welfare centers receive insufficient government funding, data, and support. Senior officials from six local centers alleged that the central government withholds suicide-related data from them "to shield districts, cities, and provinces with high rates of suicide from reputational damage," obstructing their efforts "to enact policies that would meet the needs of their communities and, ultimately, save lives." [11]

Statistics

Suicide is the biggest cause of death to those in their 10s, 20s and 30s. 2015 Cause of death by age in South Korea.svg
Suicide is the biggest cause of death to those in their 10s, 20s and 30s.
Suicide rate by gender and age in South Korea 2012, per 100,000 people Suicide rate in South Korea 2012.svg
Suicide rate by gender and age in South Korea 2012, per 100,000 people
The poverty rate of elderly people in South Korea is the highest among the OECD countries. 2011 Poverty rate by age group in South Korea.svg
The poverty rate of elderly people in South Korea is the highest among the OECD countries.

Age

An extremely high suicide rate among the elderly is a major contributing factor to South Korea's overall suicide rate. As people age, certain sociopsychological factors such as income decline due to retirement, increased medical costs, physical deterioration or disabilities, loss of spouse or friends and no sense of purpose increases the risk of suicide [12] Many impoverished elderly people choose to die by suicide as to not be a burden on their families, since the South Korean welfare system is poorly funded and the tradition of children caring for their parents in old age has largely disappeared in the 21st century. [6] As a result, people living in rural areas have higher suicide rates.

Although lower than the rate for the elderly, grade school and college students in Korea have a higher than average suicide rate. [13]

Over a 5 year period, the number of suicide or self-inflicted injuries has increased from 4,947 in 2015 to 9,828 in 2019, and most cases involved people aged between 9 and 24. Kang Byung-won, a Parliament member from the Democratic party announced that "26.9 young South Koreans either attempt suicide or suffer self-inflicted injuries per day." [14]

Gender

On average, men have a suicide rate that is twice as high as women. [10] However, the suicide attempt rate is higher for women than men. [13] According to a study, because men use more severe and lethal suicide methods, men have higher suicidal completion rate than women. The Risk-Rescue Rating Scale (RRRS), which measures the lethality of the suicidal method by gauging the ratio between five risk and five rescue factors, averaged out to be 37.18 for men and 34.00 for women. [15] One study has translated this to the fact that women attempt to die by suicide more as a demonstration, while men die by suicide with a determined purpose. [16]

Compared to other OECD countries, South Korea's female suicide rate is the highest, [3] with 15.0 deaths by suicide per 100,000 deaths, while the South Korean male suicide rate is the third highest in the OECD, with 32.5 per every 100,000 deaths. [17] Women also had a higher increase of proportional suicide rate over men between 1986 and 2005. Men increased by 244%, while women increased by 282%. [17]


During the pandemic, there was a rise in suicide rates among young women, referred to by some as a "silent massacre." In South Korea, due to societal norms that discourage companies from hiring women because of concerns about pregnancy, childbirth, and marriage, many women worked in service industries. During the pandemic, they faced severe financial hardship, which seemingly led some to choose suicide. However, compared to male suicide rates, this issue did not receive as much attention, prompting some to call it a "silent massacre. [18]

Marital status

Studies suggest that suicide rates are different between marital statuses. Individuals who were never married or had a change in their marital status due to divorce, death or separation are at a higher risk of suicide than married individuals. [12] Divorced individuals are the most at-risk group, followed by individuals who have never married and widowed individuals were the lowest at-risk group. [12] Family relationships also contributed to the mental health of men and women. The study of divorce, separated or widowed statuses showed that individuals dissatisfied with family relationships were at a higher risk of depression, thoughts of suicide and low self-esteem. [19]

Roy Baumeister's escape theory is used to further explain the differences in suicide rates between marital statuses. According to Baumeister, the escape theory has six steps, increasing the chance of dying by suicide if the criteria for all six steps are met. [12] Baumeister states that depression alone does not lead to suicide because most depressed individuals do not attempt suicide and not all who have attempted suicide are clinically depressed. [20] According to Baumeister, [20] the model can be viewed as a decision tree: First, the individual has a severe failure or setback that falls below theirs or society's high expectations and standards. Second, the individual starts to make unfavorable self-attributions about themselves causing them to mentally spiral downwards. [20]

Third, the individual will fuel their suicidal ideation by believing the failure or setback is because they are inadequate, unlikable, and guilty and a bad person. Fourth, the individual's negative emotions lead them to believe they fall short of perceived expectations. Fifth, the individual will start to experience cognitive deconstruction by shifting to low levels of thinking and becoming emotionless. Sixth, cognitive deconstruction remove inhibitions making it difficult to recognize the consequences of suicide. [20] Losing a spouse to death, divorce or separation might increase an individual's attempt at suicide.

Socioeconomic status

Socioeconomic status is measured by a population's level of education, degree of urbanity and deprivation of the residence. [21] Low socioeconomic status, high stress, inadequate sleep, alcohol use, and smoking are associated with suicidal tendencies among adolescents. [22] The economic hardship factor is noted as the most frequently referred cause for elderly suicides. As 71.4% of the elderly population is uneducated and 37.1% of them live in rural areas, they are more likely to face economic hardship, which can lead to health problems and family conflicts. [21] All these factors together lead to an increase in suicidal ideation and completion. [21]

Regions

Gangwon has a 37.84% higher suicide rate than the rate for all of South Korea. [23] Following Gangwon, Chungnam rates second and Jeonbuk rates third. [23] Ulsan, Gangwon, and Incheon have the highest suicide rate for people above age 65. [23] Daegu has the highest suicide rate for those ages 40 to 59. [23] Gangwon, Jeonnam, and Chungnam have the highest suicide rates for those ages 20 to 39. [23]

Methods

Yeontan burning has been used as a suicide method in South Korea. Japanese Rentan.JPG
Yeontan burning has been used as a suicide method in South Korea.
The Mapo Bridge in Seoul is locally known as "Suicide Bridge" and "The Bridge of Death" due to its frequent usage as a suicide site. Seoul-Han.River-01.jpg
The Mapo Bridge in Seoul is locally known as "Suicide Bridge" and "The Bridge of Death" due to its frequent usage as a suicide site.

Because South Korean law heavily restricts firearms possession, only one-third of South Korean women use violent methods to die by suicide. Poisoning is the most commonly used method for South Korean women, with pesticides accounting for half of suicide deaths amongst women. [24] 58.3% of suicides from 1996 to 2005 used pesticide poisoning. [25] Another prevalent method by which South Koreans die by suicide is hanging. [26] A study by Jeon et al. has shown a difference between the methods used by suicide attempters who did plan and did not plan their attempts. Unplanned suicide attempters tend to use chemical agents or falling three times as often as planned suicide attempters. [27]

A study by Subin Park et al. states that a major reason for the general upward trend in the South Korean suicide rate from 2000 to 2011 was the increase in suicides by hanging. Throughout that time period, hanging grew to be perceived as more painless, socially acceptable, and accessible, and became a much more common method throughout the first decade of the 21st century. [28]

Carbon monoxide poisoning

In recent years amid the rise of suicide rates, yeontan burning has been used as a method of suicide by carbon monoxide poisoning. [29]

Bridge jumping

Bridge jumping has also been used as a method of suicide. The Mapo Bridge in Seoul, is considered a suicide bridge, [30] [31] locally known as "Suicide Bridge" and "The Bridge of Death". [32] [33] [34] [35] [36] South Korean authorities have tried to counter this by calling the bridge "The Bridge of Life" and posting reassuring messages on the ledges. [37]

Notable cases

Actress Lee Eun-ju died by suicide at age 24. Lee Eun-ju in 2004.JPG
Actress Lee Eun-ju died by suicide at age 24.
President Roh Moo-hyun died by suicide on 23 May 2009 in his home village of Bongha Maeul. RohMoo-hyun.jpg
President Roh Moo-hyun died by suicide on 23 May 2009 in his home village of Bongha Maeul.
Goo Hara, a former member of the group KARA, died from an apparent suicide after being cyberbullied by malicious commenters online. 170807 guhara (cropped).jpg
Goo Hara, a former member of the group KARA, died from an apparent suicide after being cyberbullied by malicious commenters online.

Causes

The topic of suicide remains taboo in South Korea because it is often viewed as a personal weakness or failure. Those who struggle with suicidal thoughts have cited societal pressure to succeed, isolation, worthlessness and discrimination as contributing factors. [52]

Media

According to the Werther effect, some people attempt suicide as a reaction to another suicide. This applies also for South Korea. [53] According to a study, South Korea experiences a surge in suicides after the deaths of celebrities. [54] The study has found three out of eleven cases of celebrity suicide resulted in a higher suicide rate of the population. [54] The study controlled for the potential effects of confounding factors, such as seasonality and unemployment rates, and yet celebrity suicides still had a strong correlation to increased rate of suicide rates for nine weeks. [54]

The degree of media coverage of celebrity suicides impacts the degree of increase of suicide rates. In the study, the three celebrity suicides that received wide media coverage led to a surge in suicide rates, and the other celebrity suicides with low media coverage did not lead to an increase in the suicide rate. [54] In addition to the increased suicidal ideation, celebrity suicides lead people to use the same methods to attempt suicide. [55] Following actress Lee Eun-ju's death in 2005, more people used the same method of hanging. [55]

An ongoing study has suggested that high use of the internet in South Korea is associated with suicides. [56] Among 1,573 high school students, 1.6% of the population suffered from Internet addiction and 38.0% had a risk of Internet addiction. [56] The students with, or at risk of, Internet addiction had a higher rate of suicidal ideation compared to those without Internet addiction. [56] However, the correlational nature of the study makes it difficult to determine the causal direction of this relationship.

Education

In South Korea, every student is obligated to take the College Scholastic Ability Test (CSAT). On this day, underclassmen gather and cheer on their seniors as they enter the school to take their exams. The government has mandated forbidding planes from flying during this time to make sure there are no distractions to these students. [57]

Education in South Korea is extremely competitive, making it difficult to get into an esteemed university. A South Korean student's school year lasts from March to February. The year divides into two semesters: one from March until July, and another from August to February. The average South Korean high school student also spends roughly 16 hours a day on school and school-related activities. They attend after school programs called hagwons and there are over 100,000 of them throughout South Korea, making them a 20 billion dollar industry. [58]

Again, this is because of the competitiveness of acceptance into a good university. Most South Korean test scores are graded on a curve, leading to more competition. Since 2012, students in South Korea go to school from Monday to Friday. Before 2005, South Korean students went to school every day from Monday to Saturday.

Although South Korean education consistently ranks near the top in international academic assessments such as PISA, [22] the enormous stress and pressure [59] on its students is considered by many to constitute child abuse. [60] [61] It has been blamed for high suicide rates in South Korea among those aged 10–19. [62] Studies have shown that 46% of high school students in Seoul, South Korea are depressed due to academic stress, which leads to suicidal ideation and suicide attempts. [63] South Korea's competitive educational system and the stressful academic environment, plus the social expectations requiring students to excel in academics have negatively affected the physical, mental and emotional wellbeing of the students. [63]

In April 2023, three teenagers died after jumping from high-rise buildings within five days of each other in a district known for its elite schools and expensive tutoring centers. [64]

Family

Many people have been left orphaned or have lost a parent due to the Korean War. Within a random group of 12,532 adults, 18.6% of the respondents have lost their biological parent(s), with maternal death having a bigger impact on the rate of suicide attempts than paternal death. [65] A study has shown that men have the highest rate of suicide attempts when they experience maternal death from the ages of 0–4 and 5–9. Women have the highest suicide attempt rate when they experience maternal death from the ages of 5–9. [65]

Economy

In 1997 and 1998, the 1997 Asian financial crisis hit South Korea. [66] During and after the economic recession of 1998, South Korea experienced a sharp economic recession of −6.9% and a surge of unemployment rate of 7.0%. [66] A study has shown that this economic downfall had a strong correlation with an increase in suicide rates. [66] Increase in unemployment and higher divorce rate during the economic downturn lead to clinical depression, which is a common factor that leads to suicide. [66] Moreover, according to Durkheim, economic downfall disturbs the social standing of an individual, meaning that the individual's demands and expectations can no longer be met. A person who cannot readjust to the deprived social order caused by economic downfall is more likely to die by suicide. [66]

Analyzing the suicides up to 2003, Park and Lester [67] note that unemployment is a major factor of high suicide rate. In South Korea, it has been the traditional duty of children to take care of their parents. [67] However, as "cultural tradition of filial obligation is not congruent with the increasingly competitive, specialized labor market of the modern era", the elderly may seek to die by suicide so as to lessen the burden on their children. [67]  

Bullying of LGBT youth

In a 2017 study, 80% of South Korean LGBT youth reported being the subjects of homophobic slurs from their peers, and approximately 80% reported hearing slurs from teachers. [68] The harassment suffered by LGBT youth extends beyond merely verbal abuse. Studies show that there is a strong link between experience of violence for youth who have same-sex attraction, specifically in women who sleep with both men and women. [63] Some studies suggest the main reason for suicidal ideation in youth is their exposure to violence in school. [69]

Studies have found that in gay and lesbian South Korean youth, feelings of isolation and perceived burdensomeness are present at higher rates than in their heterosexual counterparts. Isolation is in reference to the continuous exposure to anti-LGBT rhetoric which creates a hostile atmosphere to navigate. [70] The hostility decreases the likelihood of other LGBT people being available for connection, which increases the feelings of alienation. Perceived burdensomeness is in reference to feeling like an individual is a burden to their friends and/or family. These factors combined create feelings of hopelessness which then lead to suicide ideation. [70]

Mental illness

In South Korea, mental illness is taboo, even within a family. Over 90% of suicide victims could be diagnosed with a mental disorder, but only 15% of them received proper treatment. Over two million people suffer from depression annually in South Korea, but only 15,000 choose to receive regular treatment. Because mental illnesses are looked down upon in Korean society, families often discourage those with mental illnesses from seeking treatment. [71] Since there is such a strong negative stigma on the treatment of mental illnesses, many symptoms go unnoticed and can lead to many irrational decisions including suicide. Alcohol is often used to self-medicate, and a significant percentage of attempted suicides occur while drunk. [72]

COVID-19

As the COVID-19 pandemic in South Korea continued, many men in their 50s and women in their 20s struggled, which led some to die by suicide. [73]

Responses

South Korea's reported suicide rate has consistently been declining since 2012. South Korea has implemented the Strategies to Prevent Suicide (STOPS), a project whose "initiatives aimed at increasing public awareness, improving media reporting of suicide, screening for persons at high risk of suicide, restricting access to means, and improving treatment of suicidally depressed patients". All of these methods strive to increase public awareness and governmental support for suicide prevention. Currently, South Korea and other countries that have implemented this initiative are in the process of evaluating how much influence this initiative has on the suicide rate. [74] The education ministry created a smartphone app to check students' social media posts, messages and web searches for words related to suicide. [75]

Because the media coverage and portrayal of suicide influence the suicide rate, the government has "promulgated national guidelines for reporting on suicide in print media". The national guideline helps the media coverage to focus more on warning signs and possibilities of treatment, rather than factors that lead to suicide. [74]

Another method that South Korea has implemented is educating gatekeepers. [3] The gatekeeper education primarily consists of knowledge of suicide and dealing with suicidal individuals, and this education is provided to teachers, social workers, volunteers and youth leaders. [74] The South Korean government educates gatekeepers within at-risk communities, such as female elders or low-income families. To maximize the effect of gatekeepers, the government has also implemented evaluation programs to report the results. [74]

Physical measures are also taken to prevent suicide. The government has reduced "access to lethal means of self-harm". As mentioned above in the methods, the government has restricted access to poisoning agents, monoxide from charcoal, and finally train platforms. This is to help decrease impulsive suicidal behavior. [74]

See also

General:

Related Research Articles

<span class="mw-page-title-main">Copycat suicide</span> Emulation of another suicide

A copycat suicide is defined as an emulation of another suicide that the person attempting suicide knows about either from local knowledge or due to accounts or depictions of the original suicide on television and in other media. The publicized suicide serves as a trigger, in the absence of protective factors, for the next suicide by a susceptible or suggestible person. This is referred to as suicide contagion.

According to a 2023 Centers for Disease Control and Prevention study, suicide is the second leading cause of death for adolescents between the ages of 10 and 14, and the third leading cause of death for those between 15 and 25

A suicide method is any means by which a person may choose to end their life. Suicide attempts do not always result in death, and a non-fatal suicide attempt can leave the person with serious physical injuries, long-term health problems, or brain damage.

<span class="mw-page-title-main">Suicide prevention</span> Collective efforts to reduce the incidence of suicide

Suicide prevention is a collection of efforts to reduce the risk of suicide. Suicide is often preventable, and the efforts to prevent it may occur at the individual, relationship, community, and society level. Suicide is a serious public health problem that can have long-lasting effects on individuals, families, and communities. Preventing suicide requires strategies at all levels of society. This includes prevention and protective strategies for individuals, families, and communities. Suicide can be prevented by learning the warning signs, promoting prevention and resilience, and committing to social change.

There are more than 700,000 estimated suicide deaths every year. Suicide affects every demographic, yet there are some populations that are more impacted than others. For example, among 15–29 year olds, suicide is much more prominent; this being the fourth leading cause of death within this age group.

<span class="mw-page-title-main">Suicidal ideation</span> Thoughts, ideas, or ruminations about the possibility of ending ones life

Suicidal ideation, or suicidal thoughts, is the thought process of having ideas, or ruminations about the possibility of completing suicide. It is not a diagnosis but is a symptom of some mental disorders, use of certain psychoactive drugs, and can also occur in response to adverse life circumstances without the presence of a mental disorder.

Suicide risk assessment is a process of estimating the likelihood for a person to attempt or die by suicide. The goal of a thorough risk assessment is to learn about the circumstances of an individual person with regard to suicide, including warning signs, risk factors, and protective factors. Risk for suicide is re-evaluated throughout the course of care to assess the patient's response to personal situational changes and clinical interventions. Accurate and defensible risk assessment requires a clinician to integrate a clinical judgment with the latest evidence-based practice, although accurate prediction of low base rate events, such as suicide, is inherently difficult and prone to false positives.

Youth suicide is when a young person, generally categorized as someone below the legal age of majority, deliberately ends their own life. Rates of youth suicide and attempted youth suicide in Western societies and other countries are high. Among youth, attempting suicide is more common among girls; however, boys are more likely to actually perform suicide. For example, in Australia suicide is second only to motor vehicle accidents as its leading cause of death for adolescents and young adults aged 15 to 25.

<span class="mw-page-title-main">Suicide</span> Intentional act of causing ones own death

Suicide is the act of intentionally causing one's own death. Mental disorders, physical disorders, and substance abuse are risk factors.

<span class="mw-page-title-main">Gender differences in suicide</span>

Gender differences in suicide rates have been shown to be significant. There are different rates of suicides and suicidal behavior between males and females. While females more often have suicidal thoughts, males die by suicide more frequently. This discrepancy is also known as the gender paradox in suicide.

Research has found that attempted suicide rates and suicidal ideation among lesbian, gay, bisexual, transgender and queer (LGBTQ) youth are significantly higher than among the general population.

World Suicide Prevention Day (WSPD) is an awareness day always observed on 10 September every year, in order to provide worldwide commitment and action to prevent suicides, with various activities around the world since 2003. The International Association for Suicide Prevention (IASP) collaborates with the World Health Organization (WHO) and the World Federation for Mental Health (WFMH) to host World Suicide Prevention Day. In 2011 an estimated 40 countries held awareness events to mark the occasion. According to WHO's Mental Health Atlas released in 2014, no low-income country reported having a national suicide prevention strategy, while less than 10% of lower-middle income countries, and almost a third of upper-middle and high-income countries had.

<span class="mw-page-title-main">Suicide in the United States</span> Statistics and causes of suicide in the U.S.

Suicide is a major national public health issue in the United States. The country has one of the highest suicide rates among wealthy nations. In 2020, there were 45,799 recorded suicides, up from 42,773 in 2014, according to the CDC's National Center for Health Statistics (NCHS). On average, adjusted for age, the annual U.S. suicide rate increased 30% between 2000 and 2020, from 10.4 to 13.5 suicides per 100,000 people. From 2000 to 2020, more than 800,000 people died by suicide in the United States. Males represented 78.7% of all suicides between 2000 and 2020. In 2022, a record high 49,500 people died by suicide. The 2022 rate was the highest level since 1941, at 14.3 per 100,000 persons. This rate was surpassed in 2023, when it increased to over 14.7 per 100,000 persons.

A suicide attempt is an act in which an individual tries to kill themselves but survives. Mental health professionals discourage describing suicide attempts as "failed" or "unsuccessful", as doing so may imply that a suicide resulting in death is a successful or desirable outcome.

In 2014, the WHO ranked Nepal as the 7th in the global suicide rate. The estimated annual suicides in Nepal are 6,840 or 24.9 suicides per 100,000 people. Data on suicide in Nepal are primarily based on police reports and therefore rely on mortality statistics. However, the burden of suicide in communities is likely to be higher, particularly among women, migrant workers, and populations affected by disasters.

In colleges and universities in the United States, suicide is one of the most common causes of death among students. Each year, approximately 24,000 college students attempt suicide while 1,100 attempts end up being fatal, making suicide the second-leading cause of death among U.S. college students. Roughly 12% of college students report the occurrence of suicide ideation during their first four years in college, with 2.6% percent reporting persistent suicide ideation. 65% of college students reported that they knew someone who has either attempted or died by suicide, showing that the majority of students on college campuses are exposed to suicide or suicidal attempts.

Over the past few decades, mental health has become an increasingly serious issue in health in South Korea. A 2021 survey conducted by the Ministry of Health and Welfare found that 32.7% of males and 22.9% of females in South Korea developed symptoms of mental illness at least one time in their lives. Suicide in South Korea is the most frequent cause of death for people aged 9 to 24. Mental health issues are most common among the elderly and adolescents.

Suicide among Native Americans in the United States, both attempted and completed, is more prevalent than in any other racial or ethnic group in the United States. Among American youths specifically, Native American youths also show higher rates of suicide than American youths of other races. Despite making up only 0.9% of the total United States population, American Indians and Alaska Natives (AIANs) are a significantly heterogeneous group, with 560 federally recognized tribes, more than 200 non-federally recognized tribes, more than 300 languages spoken, and one half or more of them living in urban areas. Suicide rates are likewise variable within AIAN communities.

<span class="mw-page-title-main">LGBTQ health in South Korea</span>

The health access and health vulnerabilities experienced by the lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual (LGBTQIA) community in South Korea are influenced by the state's continuous failure to pass anti-discrimination laws that prohibit discrimination based on sexual orientation and gender identity. The construction and reinforcement of the South Korean national subject, "kungmin," and the basis of Confucianism and Christian churches perpetuates heteronormativity, homophobia, discrimination, and harassment towards the LGBTQI community. The minority stress model can be used to explain the consequences of daily social stressors, like prejudice and discrimination, that sexual minorities face that result in a hostile social environment. Exposure to a hostile environment can lead to health disparities within the LGBTQI community, like higher rates of depression, suicide, suicide ideation, and health risk behavior. Korean public opinion and acceptance of the LGBTQI community have improved over the past two decades, but change has been slow, considering the increased opposition from Christian activist groups. In South Korea, obstacles to LGBTQI healthcare are characterized by discrimination, a lack of medical professionals and medical facilities trained to care for LGBTQI individuals, a lack of legal protection and regulation from governmental entities, and the lack of medical care coverage to provide for the health care needs of LGBTQI individuals. The presence of Korean LGBTQI organizations is a response to the lack of access to healthcare and human rights protection in South Korea. It is also important to note that research that focuses on Korean LGBTQI health access and vulnerabilities is limited in quantity and quality as pushback from the public and government continues.

"Suicidal ideation" or suicidal thoughts are the precursors of suicide, which is the leading cause of death among youth. Ideation or suicidal thoughts are categorized as: considering, seriously considering, planning, or attempting suicide and youth is typically categorized as individuals below the age of 25. Various research studies show an increased likelihood of suicide ideation in youth in the LGBT community.

References

  1. Värnik, Peeter (2012). "Suicide in the World". International Journal of Environmental Research and Public Health. 9 (3): 760–771. doi: 10.3390/ijerph9030760 . PMC   3367275 . PMID   22690161.
  2. "Suicide rates". OEXD.
  3. 1 2 3 4 5 Mitsanas, Michael; Lee, Chou (June 12, 2024). "How Data Restrictions and Funding Constraints Hamper South Korea's Suicide Prevention Efforts". TIME .
  4. Kirk, Donald. "What 'Korean Miracle'? 'Hell Joseon' Is More Like It As Economy Flounders". Forbes . Archived from the original on 2018-06-12. Retrieved 2018-06-09.
  5. "Suicide, No.1 cause of deaths in Koreans aged 10-39". 27 September 2022. Archived from the original on 11 January 2023. Retrieved 11 January 2023.
  6. 1 2 Kathy Novak (October 23, 2015). "'Forgotten': South Korea's elderly struggle to get by". CNN. Archived from the original on August 12, 2020. Retrieved August 8, 2016.
  7. "Age discrimination rife in Korea despite legislation". The Korea Herald . March 27, 2012. Archived from the original on July 23, 2018. Retrieved July 23, 2018.
  8. J. Lee; J. Yang; J. Lyu (June 30, 2017). "Suicide Among the Elderly in Korea: A Meta-Analysis". Innovation in Aging. 1 (suppl_1): 419. doi:10.1093/geroni/igx004.1507. PMC   6244789 .
  9. "지난해 한국 자살률 소폭 감소...여전히 OECD 1위". 2015-09-23. Archived from the original on 2019-10-03. Retrieved 2015-09-23.
  10. 1 2 Kim, Kristen (12 June 2015). "Attitudes toward suicide among college students in South Korea and the United States". International Journal of Mental Health Systems. 8 (1): 17. doi: 10.1186/1752-4458-8-17 . PMC   4025558 . PMID   24843383.
  11. Mitsanas, Michael; Lee, Chou (2024-06-13). "Exclusive: How Insufficient Data and Funding Hamper Suicide Prevention in South Korea". TIME. Retrieved 2024-06-14.
  12. 1 2 3 4 Kim, Jung Woo; Jung, Hee Young; Won, Do Yeon; Noh, Jae Hyun; Shin, Yong Seok; Kang, Tae In (2019). "Suicide Trends According to Age, Gender, and Marital Status in South Korea". OMEGA - Journal of Death and Dying. 79 (1): 90–105. doi:10.1177/0030222817715756. ISSN   0030-2228. PMID   28622733. S2CID   43235972.
  13. 1 2 Kim, Kristen; Park, Jong-Ik (2014). "Attitudes toward suicide among college students in South Korea and the United States". Int J Ment Health Syst. 8 (17): 17. doi: 10.1186/1752-4458-8-17 . PMC   4025558 . PMID   24843383.
  14. Times, New Straits (6 October 2020). "Suicide, self-harm cases double among South Korea youth | New Straits Times". NST Online. Archived from the original on 29 October 2020. Retrieved 26 October 2020.
  15. Hur, Ji-Won, Bun-Hee Lee, Sung-Woo Lee, Se-Hoon Shim, Sang-Woo Han, and Yong-Ku Kim. "Gender Differences in Suicidal Behavior in Korea." Psychiatry Investigation, 2008, 28.
  16. Cheong, Kyu-Seok, Min-Hyeok Choi, Byung-Mann Cho, Tae-Ho Yoon, Chang-Hun Kim, Yu-Mi Kim, and In-Kyung Hwang. "Suicide Rate Differences by Sex, Age, and Urbanicity, and Related Regional Factors in Korea." Journal of Preventive Medicine and Public Health, 2012, 70.
  17. 1 2 Kwon, Jin-Won, Heeran Chun, and Sung-Il Cho. "A Closer Look at the Increase in Suicide Rates in South Korea from 1986–2005." BMC Public Health, 2009, 72.
  18. Im, Jaewoo (2021-05-03). "응급실서 확인한 '조용한 학살 '…20대 여성 자살 시도 34% 늘었다". 한겨레 (in Korean). Retrieved 2024-10-22.
  19. Yi, Jong-Hyun; Hong, Jihyung (2020). "Socioeconomic Status and Later-life". American Journal of Health Behavior. 44 (2): 200–213. doi: 10.5993/AJHB.44.2.8 . PMID   32019653.
  20. 1 2 3 4 Baumeister, Roy F (1990). "Suicide as escape from self". Psychological Review. 97 (1): 90–113. doi:10.1037/0033-295X.97.1.90. PMID   2408091. S2CID   39375561.
  21. 1 2 3 Kim, Myoung-Hee, Kyunghee Jung-Choi, Hee-Jin Jun, and Ichiro Kawachi. "Socioeconomic Inequalities in Suicidal Ideation, Parasuicides, and Completed Suicides in South Korea."Social Science & Medicine 70, no. 8 (2010): 1254-261.
  22. 1 2 "Lee, Gyu‐Young; Choi, Yun‐Jung Research in Nursing & Health, Vol 38(4), Aug, 2015 pp. 301-310". 12 June 2015.{{cite journal}}: Cite journal requires |journal= (help)
  23. 1 2 3 4 5 Park, E, Hyun, Cl Lee, EJ Lee, and SC Hong. "A Study on Regional Differentials in Death Caused by Suicide in South Korea." Europe PubMed Central, 2007.
  24. Chen, Ying-Yeh, Nam-Soo Park, and Tsung-Hsueh Lu. "Suicide Methods Used by Women in Korea, Sweden, Taiwan and the United States." Journal of the Formosan Medical Association 108, no. 6 (2009): 452-59.
  25. Lee, Won Jin, Eun Shil Cha, Eun Sook Park, Kyoung Ae Kong, Jun Hyeok Yi, and Mia Son. "Deaths from Pesticide Poisoning in South Korea: Trends over 10 years." International Archives of Occupational and Environmental Health 82, no. 3 (2008): 365-71.
  26. Kim, Seong Yi, Myoung-Hee Kim, Ichiro Kawachi, and Youngtae Cho. "Comparative Epidemiology of Suicide in South Korea and Japan: Effects of Age, Gender and Suicide Methods." Crisis: The Journal of Crisis Intervention and Suicide Prevention, 2011, 5-14.
  27. Jeon, Hong Jin, Jun-Young Lee, Young Moon Lee, Jin Pyo Hong, Seung-Hee Won, Seong-Jin Cho, Jin-Yeong Kim, Sung Man Chang, Hae Woo Lee, and Maeng Je Cho. "Unplanned versus Planned Suicide Attempters, Precipitants, Methods, and an Association with Mental Disorders in a Korea-based Community Sample." Journal of Affective Disorders 127, no. 1-3 (2010): 274-80.
  28. Park, Subin; Ahn, Myung-Hee; Lee, Ahrong; Hong, Jin-Pyo (4 June 2014). "Associations between changes in the pattern of suicide methods and rates in Korea, the US, and Finland". International Journal of Mental Health Systems. 8: 22. doi: 10.1186/1752-4458-8-22 . PMC   4062645 . PMID   24949083.
  29. "Jong-hyun Dead, K-Pop SHINee Singer Dies, Apparent Suicide". 18 December 2017. Archived from the original on 21 April 2018. Retrieved 10 April 2018.
  30. "Bridge Signs Used in South Korea Anti-Suicide Efforts". The World from PRX. Archived from the original on 2018-04-04. Retrieved 2018-04-10.
  31. "Seoul anti-suicide initiative backfires, deaths increase by more than six times". 26 February 2014. Archived from the original on 4 April 2018. Retrieved 10 April 2018.
  32. Mission Field Media (27 June 2014). "Mapo Bridge a.k.a. "Suicide Bridge" - Seoul, South Korea". Archived from the original on 9 August 2019. Retrieved 10 April 2018 via YouTube.
  33. VICE (2 May 2016). "On Patrol with South Korea's Suicide Rescue Team". Archived from the original on 27 October 2017. Retrieved 10 April 2018 via YouTube.
  34. Oussayma Canbarieh (31 January 2015). "Mapo - The Bridge of Death 마포대교". Archived from the original on 28 August 2018. Retrieved 10 April 2018 via YouTube.
  35. futuexfuture (22 December 2016). "생명의 다리 (Bridge of Life) - 마포대교 Mapo Bridge & Suicide Prevention (ENG)". Archived from the original on 18 May 2019. Retrieved 10 April 2018 via YouTube.
  36. Briggs, Kevin (14 May 2014). "The bridge between suicide and life". Archived from the original on 2018-04-26. Retrieved 2018-04-10 via www.ted.com.
  37. PERPERIDIS SPYRIDONAS (18 June 2013). "AD SAMSUNG BRIDGE OF LIFE SOUTH KOREA". Archived from the original on 15 January 2019. Retrieved 10 April 2018 via YouTube.
  38. "Grief, Speculation Greet Mysterious Lee Eun-ju Suicide". The Chosun Ilbo . 2005-02-24. Archived from the original on 2020-02-20. Retrieved 2014-04-24.
  39. Looi, Elizabeth, "Korean singer found hanged Archived 2011-10-17 at the Wayback Machine ", Malaysia Star, January 25, 2007.
  40. Yi, Whan-woo (6 January 2013). "Choi Jin-sil tragedy relived". The Korea Times . Archived from the original on 2013-01-08. Retrieved 2013-01-08.
  41. McCurry, Justin (1 April 2009). "Storm in South Korea over Jang Ja-yeon's suicide". The Guardian . Archived from the original on 15 May 2020. Retrieved 24 November 2019.
  42. "Former South Korea president Roh Moo-hyun leaps to death in ravine". The Guardian. 2009-05-23. Archived from the original on 2021-12-10. Retrieved 2021-12-09.
  43. telegraph.co.uk Henry Samuel, Daul Kim found hanged after posting web messages Archived 2018-01-17 at the Wayback Machine 20 Nov 2009
  44. Kreps, Daniel (18 October 2014). "Korean Safety Official Commits Suicide Following Concert Tragedy". Rolling Stone . Archived from the original on 20 September 2015. Retrieved 19 September 2015.
  45. BBC News South Korea in turmoil over corruption scandal Archived 2018-02-18 at the Wayback Machine Stephen Evans, 4/21/2015
  46. "[Update] SHINee's Jonghyun dies in hospital". 2017-12-18. Archived from the original on 2017-12-18. Retrieved 2017-12-19.{{cite web}}: CS1 maint: bot: original URL status unknown (link)
  47. "The Full Text Of Jonghyun's Suicide Note". Star2.com. 19 December 2017. Archived from the original on 19 January 2018. Retrieved 21 December 2017.
  48. "Wailing fans bid farewell to South Korean singer, officials flag suicide concerns". reuters.com. 21 December 2017. Archived from the original on 4 August 2019. Retrieved 4 August 2019.
  49. Kelly, Emma (October 14, 2019). "Former f(x) star Sulli suspected to have died by suicide". Metro. Archived from the original on October 14, 2019. Retrieved October 14, 2019.
  50. Sun, Rebecca (3 January 2024). "Could 'Parasite' Star Lee Sun-kyun's Death Lead to a Social Reckoning in Korea?". The Hollywood Reporter. Retrieved 15 January 2024.
  51. "Actor Song Jae-lim found dead at 39". koreatimes. November 12, 2024. Retrieved November 13, 2024.
  52. Rashid, Raphael (29 April 2023). "South Korea may look perfect, but behind the facade lies a devastating suicide crisis". The Guardian.
  53. Hahn Yi, Jeongeun Hwang, Hyun-Jin Bae & Namkug Kim (2019): Age and sex subgroups vulnerable to copycat suicide: evaluation of nationwide data in South Korea Archived 2019-11-30 at the Wayback Machine , Scientific Reports.
  54. 1 2 3 4 Fu, King-Wa, C. H. Chan, and Michel Botbol. "A Study of the Impact of Thirteen Celebrity Suicides on Subsequent Suicide Rates in South Korea from 2005 to 2009." PLoS ONE, 2013, E53870.
  55. 1 2 Ji, Nam Ju, Weon Young Lee, Maeng Seok Noh, and Paul S.f. Yip. "The Impact of Indiscriminate Media Coverage of a Celebrity Suicide on a Society with a High Suicide Rate: Epidemiological Findings on Copycat Suicides from South Korea." Journal of Affective Disorders 156 (2014): 56-61.
  56. 1 2 3 Kim, K., E. Ryu, M. Chon, E. Yeun, S. Choi, J. Seo, and B. Nam. "Internet Addiction In Korean Adolescents And Its Relation To Depression And Suicidal Ideation: A Questionnaire Survey." International Journal of Nursing Studies 43, no. 2 (2006): 185-92.
  57. Hu, Elise (November 12, 2015). "Even The Planes Stop Flying For South Korea's National Exam Day". NPR. Archived from the original on December 24, 2017. Retrieved April 4, 2018.
  58. Chakrabarti, Reeta (December 2, 2013). "South Korea's schools: Long days, high results". BBC News . Archived from the original on October 29, 2016. Retrieved June 21, 2018.
  59. Kang, Yewon (March 20, 2014). "Poll Shows Half of Korean Teenagers Have Suicidal Thoughts". The Wall Street Journal . Archived from the original on May 4, 2016. Retrieved April 6, 2016.
  60. Koo, Se-Woong (August 1, 2014). "An Assault Upon Our Children". The New York Times . Archived from the original on October 28, 2015. Retrieved November 25, 2015.
  61. Ravitch, Diane (August 3, 2014). "Why We Should Not Copy Education in South Korea". Archived from the original on September 19, 2014. Retrieved November 25, 2015.{{cite web}}: CS1 maint: bot: original URL status unknown (link)
  62. Carney, Matthew (June 16, 2015). "South Korean education success has its costs in unhappiness and suicide rates". Australian Broadcasting Corporation. Archived from the original on April 17, 2021. Retrieved April 6, 2016.
  63. 1 2 3 Kwak, Chae Woon; Ickovics, Jeannette R. (2019-06-01). "Adolescent suicide in South Korea: Risk factors and proposed multi-dimensional solution". Asian Journal of Psychiatry. 43: 150–153. doi:10.1016/j.ajp.2019.05.027. ISSN   1876-2018. PMID   31151083. S2CID   172137934. Archived from the original on 2021-05-30. Retrieved 2020-12-10.
  64. Rashid, Raphael (29 April 2023). "South Korea may look perfect, but behind the facade lies a devastating suicide crisis". The Guardian.
  65. 1 2 Jeon, Hong Jin, Jin Pyo Hong, Maurizio Fava, David Mischoulon, Maren Nyer, Aya Inamori, Jee Hoon Sohn, Sujeong Seong, and Maeng Je Cho. "Childhood Parental Death and Lifetime Suicide Attempt of the Opposite-Gender Offspring in a Nationwide Community Sample of Korea." Suicide and Life-Threatening Behavior 43, no. 6 (2013): 598-610.
  66. 1 2 3 4 5 Chang, Shu-Sen, David Gunnell, Jonathan A.c. Sterne, Tsung-Hsueh Lu, and Andrew T.a. Cheng. "Was the Economic Crisis 1997–1998 Responsible for Rising Suicide Rates in East/Southeast Asia? A Time–trend Analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand." Social Science & Medicine 68, no. 7 (2009): 1322-331.
  67. 1 2 3 B. C. Ben Park; David Lester (2008). "South Korea". In Paul S. F. Yip (ed.). Suicide in Asia: Causes and Prevention. Hong Kong University Press. pp. 27–30. ISBN   978-962-209-943-2 . Retrieved 14 January 2013.
  68. Rainbow Action. (2017). Human Rights Violations on the Basis of Sexual Orientation, Gender Identity, and HIV Status in the Republic of Korea.Retrieved from https://ilga.org/downloads/stakeholders_report_Republic_of_Korea_UPR28.pdf
  69. "Protecting sexual minorities". The Korea Times . 2013-08-23. Retrieved 2019-06-14.
  70. 1 2 Kim, SungYeon; Yang, Eunjoo (February 2015). "Suicidal Ideation in Gay Men and Lesbians in South Korea: A Test of the Interpersonal-Psychological Model". Suicide and Life-Threatening Behavior. 45 (1): 98–110. doi:10.1111/sltb.12119. PMID   25220014.
  71. Lee, Claire (Jan 27, 2016). "Avoiding psychiatric treatment linked to Korea's high suicide rate". Archived from the original on April 4, 2019. Retrieved November 19, 2016.
  72. "The "Scourge of South Korea": Stress and Suicide in Korean Society". Archived from the original on 2018-06-17. Retrieved 2018-06-21.
  73. ""50대 남자도 외롭다"…코로나 장기화로 자살예방센터 전화 급증". The Chosun Ilbo (in Korean). 2022-04-06. Archived from the original on 2022-04-11. Retrieved 2022-04-11.
  74. 1 2 3 4 5 Hendin, Herbert, Shuiyuan Xiao, Xianyun Li, Tran Thanh Huong, Hong Wang, and Ulrich Hegerl. "Suicide Prevention in Asia: Future Directions." WHO. Accessed November 4, 2014. http://www.who.int/mental_health/resources/suicide_prevention_asia_chapter10.pdf Archived 2020-12-07 at the Wayback Machine
  75. pbs.org South Korea announces app to combat student suicide Archived 2017-09-13 at the Wayback Machine DANIEL COSTA-ROBERTS March 15, 2015