자살시도 후 생존 퇴원한 환자에서 지역정신건강센터 등록 요인 분석 - 응급실 기반 자살시도자 관리시스템 자료 중심으로 -
Contributing Factors for the Registration Rates within Emergency Department Based Post - suicidal Care Program
0
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (10)
- "2014 Cause of death"[URL]
- "2010 Statistics of injury types and causes" (2010)[URL]
- Cho MJ, "Diagnostic validity of the CES-D (Korean version) in the Assessment of DSM-III-R major depression", J Korean Neuropsychiatry Assoc, 32, pp.381~399 (1993)
- Lee MK, "A Standardization Study of Beck Depression Inventory 1-Korean Version (K-BDI)", Korean J Psychopathol, 4, pp.77~95 (1995)
- Lee JC, "The Factors Affecting the Registration Rates for Emergency Department Based Post-suicidal Care Program", J Korean Soc Clin Toxicol, 13, pp.25~32 (2015)
- Stewart SE, "Suicidal children and adolescents with first emergency room presentations:predictors of six-month outcome", J Am Acad Child Adolesc Psychiatry, 40, pp.580~587 (2001)
- Harris EC, "Suicide as an outcome for mental disorders. A meta-analysis", Br J Psychiatry, 170, pp.205~228 (1997)
- 장남길, "응급실로 내원한 자살시도자를 대상으로 지역사회와 연계하여 시행한 자살 관리 프로그램의 효용성", 대한응급의학회지, 23(5), pp.696~704 (2012), 대한응급의학회
- Kapur N, "Emergency department management and outcome for self-poisoning: a cohort study", Gen Hosp Psychiatry, 26(1), pp.36~41 (2004)