Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Contributing Factors for the Registration Rates within Emergency Department Based Post-suicidal Care Program

자살시도 후 생존 퇴원한 환자에서 지역정신건강센터 등록 요인 분석 - 응급실 기반 자살시도자 관리시스템 자료 중심으로 -

  • Kim, Dong-Ki (Department of Emergency Medicine, Chonnam National University, School of Medicine) ;
  • Chun, Byeong Jo (Department of Emergency Medicine, Chonnam National University, School of Medicine) ;
  • Moon, Jong Mi (Department of Emergency Medicine, Chonnam National University, School of Medicine) ;
  • Cho, Yong Soo (Department of Emergency Medicine, Chonnam National University, School of Medicine) ;
  • Bae, Kyung-Yeol (Department of Psychiatry, Chonnam National University Medical School) ;
  • Kim, Hyun Jung (Emergency Department based Suicide Surveillance Team, Chonnam National University Hospital) ;
  • Kim, Mi Jin (Emergency Department based Suicide Surveillance Team, Chonnam National University Hospital)
  • 김동기 (전남대학교 의과대학 응급의학교실) ;
  • 전병조 (전남대학교 의과대학 응급의학교실) ;
  • 문정미 (전남대학교 의과대학 응급의학교실) ;
  • 조용수 (전남대학교 의과대학 응급의학교실) ;
  • 배경열 (전남대학교 의과대학 정신건강의학교실) ;
  • 김현정 (전남대학교병원 생명사랑위기대응센터) ;
  • 김미진 (전남대학교병원 생명사랑위기대응센터)
  • Received : 2016.05.20
  • Accepted : 2016.06.03
  • Published : 2016.06.30
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Abstract

Purpose: This study was conducted to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED). Methods: This prospective observational study was conducted between January and September 2015 at the academic ED in the tertiary urban hospital. The variables examined included gender, age, address, type of insurance, history of previous psychiatric disease, suicide methods, number of previous attempts, CES-D (The Center for Epidemiologic Studies-Depression Scale), and disposition at ED. Univariate and multivariate logistic regression analysis were conducted to identify factors affecting the registration rate for the community-based post suicidal care program. Results: Overall, 331 suicides were investigated, 61 (18.4%) of which were registered in the post-suicide care program. Factors such as a intervention by psychiatric physician (OR: 3.287, 95%; CI: 1.207-9.624) and levels of depression by CES-D score of 16-24 (OR: 3.635; CI: 1.055-12.526) were significantly correlated with registration for the program. Conclusion: The registration rate for the community-based post suicidal care program was influenced by frequent intervention by a psychiatric physician and levels of depression by CES-D score of 16-24.

Keywords

References

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