The pre-hospital analysis of patients with suicide attempts in Gangwon-do

일개 도 지역 자살 시도 환자에 대한 병원전 단계 분석

  • Kim, Gi Whan (Department of Emergency Medicine, Kangwon National University Hospital) ;
  • Cho, Jun Hwi (Department of Emergency Medicine, Kangwon National University Hospital) ;
  • Moon, Joong Bum (Department of Emergency Medicine, Kangwon National University Hospital) ;
  • Park, Chan Woo (Department of Emergency Medicine, Kangwon National University Hospital) ;
  • Shin, Myoung Cheol (Department of Emergency Medicine, Kangwon National University Hospital) ;
  • Kim, Ka Eul (Department of Emergency Medicine, Kangwon National University Hospital) ;
  • Lee, Joon Seok (Department of Emergency Medicine, Kangwon National University Hospital) ;
  • Park, Yoon Soo (Department of Emergency Medicine, Kangwon National University Hospital) ;
  • Ohk, Taek Geun (Department of Emergency Medicine, Kangwon National University Hospital)
  • 김기환 (강원대학교병원 응급의학과) ;
  • 조준휘 (강원대학교병원 응급의학과) ;
  • 문중범 (강원대학교병원 응급의학과) ;
  • 박찬우 (강원대학교병원 응급의학과) ;
  • 신명철 (강원대학교병원 응급의학과) ;
  • 김가을 (강원대학교병원 응급의학과) ;
  • 이준석 (강원대학교병원 응급의학과) ;
  • 박윤수 (강원대학교병원 응급의학과) ;
  • 옥택근 (강원대학교병원 응급의학과)
  • Received : 2018.07.01
  • Accepted : 2018.10.05
  • Published : 2018.12.31

Abstract

Objective: This study examined the characteristics of suicidal attempters, including pre-hospital patients and those who visited the emergency department. Methods: Suicidal attempters who had been reported to the 119 call center were selected between July 2015 and June 2016. Sex, age, place, methods of suicidal attempt, season, time, and suicide success rate were reviewed in the fire center records. Results: A total 961 suicide attempters were enrolled. Among them, 53.6% were males who had an approximately 2.6 times higher mortality than that of females (9.2%). The most preferred place to commit suicide was the home in both sexes (68.0% in male, 82.8% in female) and the most preferred methods was drug intoxication, particularly pesticide. The method with the highest mortality was hanging and the lowest was self-harm. The season of the highest mortality was spring. The success of suicide and the time variation were similar. Most of the un-transferred patients also selected fatal suicide attempts compared to transfer patients. Conclusion: Unlike previous studies, this study includes information on un-transferred patients. Overall, the probability of death was highest as more than 50 years men chose hanging as a method, which had an influence on the un-transferred patients group.

Keywords

References

  1. Statistics Korea. Causes of death statistics in 2016 [Internet]. Daejeon: Statistics Korea; 2018 [cited 2017 Jun 27]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E12&conn_path=I2.
  2. OECD. Suicide rates [Internet]. Paris: Organisation for Economic Co-operation and Development; 2016 [cited 2018 May 9]. Available from: https://data.oecd.org/healthstat/suicide-rates.htm.
  3. Statistics Korea. Causes of death statistics in 2016 [Internet]. Daejeon: Statistics Korea; 2018 [cited 2018 Jun 28]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E11&conn_path=I2.
  4. Bae JH, Um KW. Factors affecting suicide attempt of the elderly. J Korean Gerontol Soc 2009;29:1427-44.
  5. Park JH, No YH, Wi DH. Clinical analysis of attempted suicide in the elderly. J Korean Soc Emerg Med 2001;12:135-42.
  6. Kim J, Oh J. Characteristics of self-injury, suicide by sex, age, educational attainments and occupation. J Korean Soc Emerg Med 2014;25:152-8.
  7. Park K, Lee JS, Kim Y, Kim YI, Kim J. The socioeconomic cost of injuries in South Korea. J Prev Med Public Health 2009;42:5-11. https://doi.org/10.3961/jpmph.2009.42.1.5
  8. Kim H, Kim B, Kang SG, et al. Attempted suicides in South Korea: a multi-center analysis of causes, methods, and psychiatric diagnoses of suicidal attempters in 2013. Korean J Biol Psychiatry 2015;22:187-94.
  9. Lee CA, Choi SC, Jung KY, et al. Characteristics of patients who visit the emergency department with selfinflicted injury. J Korean Med Sci 2012;27:307-12. https://doi.org/10.3346/jkms.2012.27.3.307
  10. Lee JH, Oh SH, Park KN, et al. Epidemiologic study of poisoned patients who presented to the emergency department of a high end medical facility in Seoul 1998-2009. J Korean Soc Clin Toxicol 2010;8:7-15.
  11. Lee HS, Han J, Kim JH, et al. Epidemiologic characteristics of intentional poisoning: emergency department based injury in-depth surveillance during 2011-2015. J Korean Soc Clin Toxicol 2017;15:131-9.
  12. Statistics Korea. Epidemiological survey of psychiatric illnesses in Korea, 2016 [Internet]. Daejeon: Statistics Korea; 2017 [cited 2018 Jun 27]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=TX_117_2009_HB025&conn_path=I2.
  13. Jeon HJ. Epidemiologic studies on depression and suicide. J Korean Med Assoc 2012;55:322-8. https://doi.org/10.5124/jkma.2012.55.4.322
  14. Choi DC, Kim HR, Kim CH, et al. Sociodemographic characteristics of suicide attempters visiting emergency room. Korean J Psychopathol 2000;9:36-49.
  15. Park SH, Lim DO. Daily and monthly death pattern an intentional self-harm by hanging, strangulation and suffocation in Korea, 2011. Health Policy Manag 2013;23:260-5. https://doi.org/10.4332/KJHPA.2013.23.3.260
  16. Kim JY, Hong JP, Hwang JW, Jhoo JH, Kyeon YG, Lee K. Retrospective recall study about psychological and behavioral characteristics in high lethality suicide attempters. J Korean Neuropsychiatr Assoc 2015;54:435-43. https://doi.org/10.4306/jknpa.2015.54.4.435
  17. Song TM, Jin D, Song J, An JY, Cho YH. A comparative analysis of suicide characteristics by age group in Korea. J Korea Soc Health Info Stat 2013;38:122-42.
  18. Cho MJ, Kim KH. Diagnostic validity of the CES-D(Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993;32:381-99.