일개 도 지역 자살 시도 환자에 대한 병원전 단계 분석

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

  • 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)
  • 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)
  • 투고 : 2018.07.01
  • 심사 : 2018.10.05
  • 발행 : 2018.12.31

초록

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.

키워드

참고문헌

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