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전북특별자치도정신건강복지센터 3개년 정신위기개입 응급출동 분석

A Three-Year Analysis of Emergency Response for Psychiatric Crisis Intervention at the Jeonbuk State Mental Health Welfare Center

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주제분류정신과학

초록

Objectives This paper provides evidence for the improvement of the local and national longterm psychiatric emergency response system by analyzing emergency response cases for psychiatric crisis intervention conducted over three years at the Jeonbuk State Mental Health Welfare Center. Methods From August 1, 2020, to December 31, 2023, 314 cases of emergency response for psychiatric crisis intervention were analyzed. The analysis included factors such as gender, age, marital status, location, classification of psychiatric crises, referral pathways, intervention response time, counseling history, location of intervention, types of mental health issues, types of suicidal issues, psychiatric treatment history, suicide plans and attempts, outcomes of major interventions, levels of depression, alcohol consumption, and suicidal behavior. Results The emergency response for psychiatric crisis intervention had a higher proportion of suicide counseling compared to general mental health emergencies, and most cases were referred through administrative agencies such as the police and fire department. The majority of intervention targets were first-time counselees, classified as high-risk individuals because of depression, alcohol consumption, and suicidal behavior, and either discontinued or were maintaining medication treatment. Conclusion This study illustrated the major role of emergency response in psychiatric crisis intervention and the need for strengthening networks with police, fire departments, and relevant agencies, and improving the treatment of care staff and public awareness. In addition, this study provides evidence for predicting risk factors and offering preventive and preemptive measures.

Abstract

Objectives This paper provides evidence for the improvement of the local and national longterm psychiatric emergency response system by analyzing emergency response cases for psychiatric crisis intervention conducted over three years at the Jeonbuk State Mental Health Welfare Center. Methods From August 1, 2020, to December 31, 2023, 314 cases of emergency response for psychiatric crisis intervention were analyzed. The analysis included factors such as gender, age, marital status, location, classification of psychiatric crises, referral pathways, intervention response time, counseling history, location of intervention, types of mental health issues, types of suicidal issues, psychiatric treatment history, suicide plans and attempts, outcomes of major interventions, levels of depression, alcohol consumption, and suicidal behavior. Results The emergency response for psychiatric crisis intervention had a higher proportion of suicide counseling compared to general mental health emergencies, and most cases were referred through administrative agencies such as the police and fire department. The majority of intervention targets were first-time counselees, classified as high-risk individuals because of depression, alcohol consumption, and suicidal behavior, and either discontinued or were maintaining medication treatment. Conclusion This study illustrated the major role of emergency response in psychiatric crisis intervention and the need for strengthening networks with police, fire departments, and relevant agencies, and improving the treatment of care staff and public awareness. In addition, this study provides evidence for predicting risk factors and offering preventive and preemptive measures.

참고문헌 (29)

  1. Ministry of Health and Welfare, "2020 guidances on mental health projects", Ministry of Health and Welfare, ~ (2020)
  2. National Center for Mental Health, "Psychiatric emergency manual 2.0", National Center for Mental Health, ~ (2018)
  3. Priority measures for the protection and rehabilitation support of severe mental illness patients, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2019)
  4. Korean Neuropsychiatric Association, "Textbook of neuropsychiatry", pp.725~744 (2017), iMiS Company
  5. Model development of psychiatric emergency medical service system, "Shin SD", National Center for Mental Health, 47~48 (2010)
  6. Lee JS, "A report of the survey on the current state of the psychiatric emergency response in Seoul", Ment Health, 13, pp.2~21 (2023)
  7. Kim SY, "A report of the survey on the current state of the psychiatric emergency response in Seoul", Ment Health, 11, pp.38~54 (2021)
  8. Park HS, "Survey of psychiatric emergency response and psychological trauma of performing manpower : focused on mental health welfare center in Busan", Soc Welf Policy Pract, 8, pp.211~252 (2022)
  9. A study on psychiatric emergency response from Jeollabuk-do Mental Health Welfare Center, "Jeonbuk State Mental Health Welfare Center", Jeonbuk State Mental Health Welfare Center, 6~8 (2022)
  10. Lee H, "State and Improvement policy of psychiatric emergency during COVID-19 pandemic", J Korean Neuropsychiatr Assoc, 60, pp.23~27 (2021)
  11. National Center for Mental Health, "A manual for the mental health information system (MHIS), revised edition 2024", National Center for Mental Health, ~ (2024)
  12. Bengelsdorf H, "A crisis triage rating scale. Brief dispositional assessment of patients at risk for hospitalization", J Nerv Ment Dis, 172, pp.424~430 (1984)
  13. National Center for Mental Health, "A guide to risk assessment in psychiatric emergencies", National Center for Mental Health, ~ (2020)
  14. Radloff LS, "The CES-D scale : a self-report depression scale for research in the general population", Appl Psychol Meas, 1, pp.385~401 (1977)
  15. Chon KK, "Integrated adaptation of CES-D in Korea", Korean J Health Psychol, 6, pp.59~76 (2001)
  16. Babor TF, "AUDIT:the alcohol use disorders identification test: guidelines for use in primary health care" (2001), World Health Organization
  17. Joe KH, "Optimum cutoff score for screening of hazardous drinking using the Korean version of alcohol use disorder identification test(AUDIT-K)", J Korean Acad Addict Psychiatry, 13, pp.34~40 (2009)
  18. Linehan MM, "Assessment of suicide ideation and parasuicide : hopelessness and social desirability", J Consult Clin Psychol, 49, pp.773~775 (1981)
  19. Osman A, "The suicidal behaviors questionnaire-revised(SBQ-R) : validation with clinical and nonclinical samples", Assessment, 8, pp.443~454 (2001)
  20. National Center for Mental Health, "2020 standard guidelines for mental health screening tools and use", National Center for Mental Health, ~ (2020)
  21. Ro SH, "A phenomenological study on the experiences of mental health social workers’ suicide intervention service provision", Ment Health Soc Work, 47, pp.60~88 (2019)
  22. Kim EA, "A focus group study on the experiences of psychiatric emergency response among mental health professionals", Soc Welf Policy Pract, 9, pp.237~282 (2023)
  23. Jo HA, "The 3 year-analyses of the emergency call within the mental healthcare center of the district", J Korean Assoc Soc Psychiatry, 26, pp.77~85 (2021)
  24. Lee KJ, "Survey of frontline police officers’responses and requirements in psychiatric emergency situations", Int J Environ Res Public Health, 18, pp.237~ (2021)
  25. 2023 Jeollabuk-do mental health awareness survey, "Jeonbuk State Mental Health Welfare Center", Jeonbuk State Mental Health Welfare Center, ~ (2023)
  26. Kim J, "Pharmacotherapeutic strategies to prevent relapse in schizophrenia", J Korean Neuropsychiatr Assoc, 57, pp.225~229 (2018)
  27. Ham BJ, "Current pharmacotherapy of depression", J Korean Med Assoc, 52, pp.518~524 (2009)
  28. Lee KH, "Treatment of suicide patients", J Korean Soc Biol Ther Psychiatry, 10, pp.15~24 (2004)
  29. Jung WY, "Clinical characteristics of completed versus non-completed suicide and re-attempt rates in 2-4 years", J Korean Neuropsychiatr Assoc, 48, pp.487~494 (2009)

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