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South Korea has held the highest suicide rate in the OECD for years — more than double the global average. It also has one of the lowest doctor-to-patient ratios in the developed world. The math is grim, and well-documented. What it doesn’t explain is why so many Koreans who need help still won’t walk through a psychiatrist’s door. The reason often comes down to two letters and a number. In Korea’s national health insurance system, every psychiatric visit is logged under an “F code” — the classification used for mental and behavioral disorders. F32 for depression. F41 for anxiety. F90 for ADHD. The codes are protected by medical confidentiality law and cannot be shared without the patient’s consent. And yet the fear of the F code is one of the most persistent reasons Koreans avoid psychiatric care. Patients worry the code will resurface — in a future insurance application, a background check, some unspecified moment where a single record might cost them something. It is a fear shaped less by what the law permits than by what Korean society still quietly believes: that depression i