자살 및 자해행동으로 반복 입원하는 소아청소년 환자들의 위험요인에 대한 후향적 연구
Retrospective Study on Risk Factors for Repeated Hospitalization in Adolescents With Suicidal and Self-Harm Behaviors
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Objectives This retrospective study aimed to identify the sociodemographic and clinical risk factors associated with repeated hospitalizations in adolescents with suicidal and self-harm behaviors. Methods This study reviewed the medical records of 86 adolescents aged 11 to 19 years, first hospitalized between January 2019 and December 2022. The participants were categorized into a re-admission group (hospitalized three or more times within 1 year of the first admission) and a control group (hospitalized one to two times). The groups were compared based on the sociodemographic characteristics and psychological assessments. Results The school attendance status at the last admission was significantly different between the two groups, with the re-admission group showing greater attendance difficulties. In addition, the number of suicide attempts was higher in the re-admission group, while other sociodemographic factors and psychological assessment results showed no significant differences between the groups. Conclusion School attendance has emerged as a key differentiating factor in the likelihood of repeated psychiatric hospitalizations among adolescents with suicidal and self-harm behaviors. Therefore, enhancing school engagement through targeted interventions may help reduce the risk of re-admission in this vulnerable population.
Abstract
Objectives This retrospective study aimed to identify the sociodemographic and clinical risk factors associated with repeated hospitalizations in adolescents with suicidal and self-harm behaviors. Methods This study reviewed the medical records of 86 adolescents aged 11 to 19 years, first hospitalized between January 2019 and December 2022. The participants were categorized into a re-admission group (hospitalized three or more times within 1 year of the first admission) and a control group (hospitalized one to two times). The groups were compared based on the sociodemographic characteristics and psychological assessments. Results The school attendance status at the last admission was significantly different between the two groups, with the re-admission group showing greater attendance difficulties. In addition, the number of suicide attempts was higher in the re-admission group, while other sociodemographic factors and psychological assessment results showed no significant differences between the groups. Conclusion School attendance has emerged as a key differentiating factor in the likelihood of repeated psychiatric hospitalizations among adolescents with suicidal and self-harm behaviors. Therefore, enhancing school engagement through targeted interventions may help reduce the risk of re-admission in this vulnerable population.