정책연구자료
서울시자살예방사업전달체계모형구축에관한연구
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첨부된 문서
문서 설명 (초록)
초록
？ 연구목적 : 자살예방의 시너지 효과를 위해 자살예방 전달체계 모형구축을 제안하고, 전달체계의 효율적 운영방안을 모색
？ 연구방법 : 연구모형 분석 틀, 연구의 범위, 양적 연구와 질적 연구
？ 연구모형 분석 틀 : 통합성, 접근성, 전문성, 책무성을 중심
？ 연구 범위 : 본 연구는 서울시자살예방 전달체계를 연구대상으로
하되, 특히 공공부분의 자살예방 전달체계를 중점 연구범위로 한정
？ 양적 연구 : 서울시 및 25개 기초지자체에서 제출한 예·결산 및
사업 설명자료, 자살예방사업 일반적 현황, 자살예방사업 업무환경
현황, 자살예방콜센터 현황, 관련 법령, 성과계획, 관련 연구기관
의 연구보고서, 사망원인통계, 주민등록인구통계, 사회조사 결과,
OECD Health Data 등을 빈도분석 했음.
？ 질적 연구 : 자살자 유족을 비롯하여 전달체계 상의 유관기관 및
정책결정자를 대상으로 초점집단인터뷰(FGI)와 개별 심층 인터뷰
？ 연구내용
？ 외국의 자살예방 전달체계 사례 분석
？ 서울시 자살률 추이 분석
？ 초점집단 인터뷰를 통한 서울시 자살예방사업 관련 유관기관 및 자
살예방 센터 조직체계 간의 전달체계 분석
？ 서울시 자살예방 관련 예산 및 인력 분석
？ 서울시 및 25개 기초지자체의 자살예방 조례 분석
？ 자살예방 전달체계의 문제점
？ 2015년 자살률은 인구 10만 명당 26.5명, 하루 평균 6.3명이
자살로 사망(약 3시간 48분마다 1명꼴로 자살)
？ 서울시 자살예방 전달체계의 통합성, 전문성, 접근성, 책무성 등의
결여로 자살예방의 비효율성 발생
？ 자살예방 예산 및 인력의 부족 현상으로 자살률 감소의 장애
？ 서울시 자살예방 및 생명존중문화 조성 조례에서 수행체계 관련 개
정의 필요성이 있음
？ 자살예방 전달체계의 개선과제
？ 서울시 부시장(자살예방위원회: 공공+민간의 공동위원장) → 서울
시자살예방센터(컨트롤 타워의 기능과 역할) → 중간거점형위기관
리센터(4~5개)와 중간거점형유족지원센터(2개) → 지방자살예방
센터
？ 자살예방위원회의 위원장을 공공영역과 민간영역에서 각각 1인으
로 하여 공동위원장으로 자살예방의 아웃소싱 참여유도
？ 중간거점형자살예방센터의 설치는 기초지자체별 자살예방센터의 설
치보다 예산 및 인력 절감의 효과가 있고, 대도시형 지역기반 자살
예방에 중추적인 역할과 기능이 부여됨으로써 자살률 감소에 효과
성 및 효율성이 기대됨.
？ 자살예방 관련 예산 배분의 재조정이 필요함 : 서울시자살예방센터
에 전체 자살예방사업의 컨트롤타워 역할과 기능을 부여
？ 조례의 개정 및 신설이 요구됨 : 자살자유가족의 심리안정지원 및
시설운영방안, 전달체계 구축 방안, 자살예방위원회 구성 및 운영,
자살예방센터의 설치 운영 관련 조례 내용의 개정 및 신설이 요구됨
？ 자살률이 특히 높은 몇 개 기초지자체를 1차로 선정하여 시범사업
실시 후 효과성과 효율성 검토 후 체계적 방안으로 중간거점형자살
예방센터의 증가를 필요로 함.
서울시자살예방사업전달체계모형구축에관한연구
문서 설명 (목차)
목 차
I. 서 론 ······························································································1
1. 연구의 필요성 ·························································································1
2. 연구수행체계 ···························································································4
가. 연구모형 ···································································································4
나. 연구범위 ···································································································5
다. 연구방법 ···································································································5
II. 자살예방 전달체계에 관한 이론적 배경 ·································9
1. 자살예방 전달체계 ·················································································9
가. 자살예방 전달체계의 개념 ···································································9
나. 자살예방 전달체계의 필요성 ·····························································10
다. 자살예방 전달체계의 원칙과 기능···················································11
2. 자살예방 전달체계 모형 ·····································································17
가. 사회복지전달체계에 관한 정부간관계(IGR) 이론 ·······················17
나. 정부간관계(IGR) 이론을 적용한 자살예방 전달체계 모형·······19
다. 서울시 자살예방 전달체계 모형 : 정부간관계 이론 적용 ·········22
3. 외국의 자살예방 전달체계 사례 ························································24
가. 미국의 자살예방 전달체계 사례·······················································24
나. 일본의 자살예방 전달체계 사례·······················································29
다. 아일랜드의 자살예방 전달체계 사례···············································34
4. 우리나라의 자살예방 전달체계 구조 ················································39
가. 우리나라의 자살예방 전달체계 구조···············································39
나. 우리나라의 자살예방 전달체계 사업내용 현황 ·····························40
다. 우리나라의 자살예방 전달체계의 시사점·······································42
III. 서울시 자살예방 조사결과 분석 ···········································46
1. 서울시 자살예방 현황 분석 ·······························································46
가. 서울시 자살 실태 ·················································································46
나. 서울시 자살예방 사업 현황·······························································52
2. 질적 연구 및 토론회 결과 분석 ························································70
가. 질적 연구 결과 분석···········································································70
나. 자살예방 정책 토론회 결과 분석 ·····················································87
IV. 자살예방 및 생명존중문화조성을 위한 조례 ·····················92
1. 서울특별시 자살예방 및 생명존중문화 조성을 위한 조례 ·············92
가. 자살예방시행계획수립 ·········································································93
나. 자살예방위원회 구성 및 운영···························································94
다. 지역사회 협력체계 구축 ···································································96
라. 지방자살예방센터의 설치 운영 ·························································96
2. 자살예방 전달체계 구축을 위한 시사점 ···········································98
가. 자살예방 전달체계와 협력체계의 조정 필요성 ·····························98
나. 자살예방위원회 구성의 다양성 ·························································98
다. 협력적 전달체계 구축의 필요성·······················································98
3. 자살예방 전달체계 모형의 종합분석 ················································99
가. 현행 서울시 자살예방 전달체계 모델의 문제점···························99
나. 외국사례의 자살예방 전달체계 모델의 시사점 요약················106
다. 자살예방 서비스 전달체계의 문제점 요약 ··································109
V. 서울시 자살예방 전달체계 모델 제시 ································110
1. 중간거점형 위기관리센터 모델 ·······················································110
가. 개요 ······································································································110
나. 조직 운영 ····························································································110
2. 중간거점형 유족지원센터 모델 ·······················································111
가. 개요 ······································································································111
나. 조직 운영 ····························································································111
3. 서울시 및 중간 거점형 자살예방센터 전체 인력 구성 ················113
4. 서울시자살예방센터 전체 전달체계 모형 ······································114
5. 서울시자살예방센터 간 전달체계 ···················································115
6. 지역밀착형 거점형태 자살예방센터의 장？단점 ···························115
가. 장점 ······································································································115
나. 단점 ······································································································115
VI. 결론 및 제언 ············································································117
1. 결 론 ··································································································117
가. 자살예방 인력 ····················································································117
나. 자살예방 예산 ····················································································118
다. 자살예방사업 ······················································································119
라. 전달체계 ····························································································121
마. 자살예방 조례 ····················································································122
2. 제 언 ··································································································124
가. 서울시자살예방 조례········································································124
나. 서울시 기초지자체 자살예방 ························································124
다. 자살예방 예산 ····················································································126
라. 전달체계 구축 ····················································································126
참고문헌 ·····························································································128
I. 서 론 ······························································································1
1. 연구의 필요성 ·························································································1
2. 연구수행체계 ···························································································4
가. 연구모형 ···································································································4
나. 연구범위 ···································································································5
다. 연구방법 ···································································································5
II. 자살예방 전달체계에 관한 이론적 배경 ·································9
1. 자살예방 전달체계 ·················································································9
가. 자살예방 전달체계의 개념 ···································································9
나. 자살예방 전달체계의 필요성 ·····························································10
다. 자살예방 전달체계의 원칙과 기능···················································11
2. 자살예방 전달체계 모형 ·····································································17
가. 사회복지전달체계에 관한 정부간관계(IGR) 이론 ·······················17
나. 정부간관계(IGR) 이론을 적용한 자살예방 전달체계 모형·······19
다. 서울시 자살예방 전달체계 모형 : 정부간관계 이론 적용 ·········22
3. 외국의 자살예방 전달체계 사례 ························································24
가. 미국의 자살예방 전달체계 사례·······················································24
나. 일본의 자살예방 전달체계 사례·······················································29
다. 아일랜드의 자살예방 전달체계 사례···············································34
4. 우리나라의 자살예방 전달체계 구조 ················································39
가. 우리나라의 자살예방 전달체계 구조···············································39
나. 우리나라의 자살예방 전달체계 사업내용 현황 ·····························40
다. 우리나라의 자살예방 전달체계의 시사점·······································42
III. 서울시 자살예방 조사결과 분석 ···········································46
1. 서울시 자살예방 현황 분석 ·······························································46
가. 서울시 자살 실태 ·················································································46
나. 서울시 자살예방 사업 현황·······························································52
2. 질적 연구 및 토론회 결과 분석 ························································70
가. 질적 연구 결과 분석···········································································70
나. 자살예방 정책 토론회 결과 분석 ·····················································87
IV. 자살예방 및 생명존중문화조성을 위한 조례 ·····················92
1. 서울특별시 자살예방 및 생명존중문화 조성을 위한 조례 ·············92
가. 자살예방시행계획수립 ·········································································93
나. 자살예방위원회 구성 및 운영···························································94
다. 지역사회 협력체계 구축 ···································································96
라. 지방자살예방센터의 설치 운영 ·························································96
2. 자살예방 전달체계 구축을 위한 시사점 ···········································98
가. 자살예방 전달체계와 협력체계의 조정 필요성 ·····························98
나. 자살예방위원회 구성의 다양성 ·························································98
다. 협력적 전달체계 구축의 필요성·······················································98
3. 자살예방 전달체계 모형의 종합분석 ················································99
가. 현행 서울시 자살예방 전달체계 모델의 문제점···························99
나. 외국사례의 자살예방 전달체계 모델의 시사점 요약················106
다. 자살예방 서비스 전달체계의 문제점 요약 ··································109
V. 서울시 자살예방 전달체계 모델 제시 ································110
1. 중간거점형 위기관리센터 모델 ·······················································110
가. 개요 ······································································································110
나. 조직 운영 ····························································································110
2. 중간거점형 유족지원센터 모델 ·······················································111
가. 개요 ······································································································111
나. 조직 운영 ····························································································111
3. 서울시 및 중간 거점형 자살예방센터 전체 인력 구성 ················113
4. 서울시자살예방센터 전체 전달체계 모형 ······································114
5. 서울시자살예방센터 간 전달체계 ···················································115
6. 지역밀착형 거점형태 자살예방센터의 장？단점 ···························115
가. 장점 ······································································································115
나. 단점 ······································································································115
VI. 결론 및 제언 ············································································117
1. 결 론 ··································································································117
가. 자살예방 인력 ····················································································117
나. 자살예방 예산 ····················································································118
다. 자살예방사업 ······················································································119
라. 전달체계 ····························································································121
마. 자살예방 조례 ····················································································122
2. 제 언 ··································································································124
가. 서울시자살예방 조례········································································124
나. 서울시 기초지자체 자살예방 ························································124
다. 자살예방 예산 ····················································································126
라. 전달체계 구축 ····················································································126
참고문헌 ·····························································································128
문서 정보
| 관리번호 | D0000029487452 | 등록일 | 20170325 |
|---|---|---|---|
| 유형 | 정책연구자료 | 생산년도 | 2016 |
| 분야 | 기타 | 지역 | 서울시 전체 |
| 원본시스템 | 서울특별시의회 | 제공부서 | 서울특별시의회 |
| 작성자(책임자) | 박봉길 | 생산일 | 2016-12-09 |
| 소요예산 | |||
| 이용조건 |   | ||
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