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자살 임박 시기 알코올 사용과 자살 기도의 특성

Higher Blood Alcohol Concentration Levels at the Time of Attempting Suicide Predict Poorer Medical Outcomes

김성진|김현정|정도운|강제욱|문정준|전동욱|공보금|김임규|임지섭
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2016.02|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제22권 제1호|pp. 54-61

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참고문헌

키워드

자살자살시도약물중독Suicide알코올AlcoholDrug intoxicationSuicidal attempt
주제분류정신과학

초록

Objective：The aim of this study was to analyze the clinical characteristics of individuals who used alcohol at the time of attempting suicide. Methods：We divided 143 individuals who attempted suicide by consuming drugs into two groups on the basis of their blood alcohol concentration level: drinker group(n=79) and non-drinker group(n=64). We compared epidemiological characteristics and suicidal behavior between the groups by using the Suicidal Intent Scale(SIS) and the Risk Rescue Rating Scale(RRRS). In addition, we administered the Glasgow Coma Scale(GCS) and the Acute Physiology and Chronic Health Evaluation-II(APACHE-II) to evaluate the medical lethality of the individuals who attempted suicide. We used Student’s t-test, Pearson’s correlation analysis, and multiple linear regression to analyze the data. Results：The drinker group scored lower on the SIS’s planning subscale than the non-drinker group did(p=0.022). The drinker group’s blood alcohol concentration levels were negatively correlated with the rescue potential of their suicidal attempt(p=0.031) and the APACHE-II score(p=0.003). Higher blood alcohol concentration levels predicted poorer medical outcomes measured by the APACHE-II(p=0.004). Conclusion：Our findings support the notion that alcohol use increases suicidal impulsivity, decreases rescue potential, and worsens medical outcomes. Therefore, suicide prevention programs need to include education and counseling about the risks associated with alcohol use. KEY WORDS：Alcohol · Drug intoxication · Suicide · Suicidal

Abstract

Objective：The aim of this study was to analyze the clinical characteristics of individuals who used alcohol at the time of attempting suicide. Methods：We divided 143 individuals who attempted suicide by consuming drugs into two groups on the basis of their blood alcohol concentration level: drinker group(n=79) and non-drinker group(n=64). We compared epidemiological characteristics and suicidal behavior between the groups by using the Suicidal Intent Scale(SIS) and the Risk Rescue Rating Scale(RRRS). In addition, we administered the Glasgow Coma Scale(GCS) and the Acute Physiology and Chronic Health Evaluation-II(APACHE-II) to evaluate the medical lethality of the individuals who attempted suicide. We used Student’s t-test, Pearson’s correlation analysis, and multiple linear regression to analyze the data. Results：The drinker group scored lower on the SIS’s planning subscale than the non-drinker group did(p=0.022). The drinker group’s blood alcohol concentration levels were negatively correlated with the rescue potential of their suicidal attempt(p=0.031) and the APACHE-II score(p=0.003). Higher blood alcohol concentration levels predicted poorer medical outcomes measured by the APACHE-II(p=0.004). Conclusion：Our findings support the notion that alcohol use increases suicidal impulsivity, decreases rescue potential, and worsens medical outcomes. Therefore, suicide prevention programs need to include education and counseling about the risks associated with alcohol use. KEY WORDS：Alcohol · Drug intoxication · Suicide · Suicidal

참고문헌 (35)

  1. OECD, "Society at a glance 2014: Organisation for Economic Co-operation and Development", ~ (2014)
  2. 통계청, "2013년 사망원인통계", ~ (2013)
  3. Beautrais AL, "Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: a case-control study", Am J Psychiatry, 153, pp.1009~1014 (1996)
  4. Mann JJ, "A current perspective of suicide and attempted suicide", Ann Intern Med, 136, pp.302~311 (2002)
  5. Nordentoft M, "Absolute risk of suicide after first hospital contact in mental disorder", Arch Gen Psychiatry, 68, pp.1058~1064 (2011)
  6. Rihmer Z, "Suicide risk in mood disorders", Curr Opin Psychiatry, 20, pp.17~22 (2007)
  7. DeJong TM, "Apples to oranges?: a direct comparison between suicide attempters and suicide completers", J Affect Disord, 124, pp.90~97 (2010)
  8. Rudd MD, "Warning signs for suicide?", Suicide Life Threat Behav, 33, pp.99~100 (2003)
  9. Brown GK, "Risk factors for suicide in psychiatric outpatients: a 20-year prospective study", J Consult Clin Psychol, 68, pp.371~377 (2000)
  10. Rudd MD, "Warning signs for suicide:theory, research, and clinical applications", Suicide Life Threat Behav, 36, pp.255~262 (2006)
  11. Moscicki EK, "Epidemiology of completed and attempted suicide: Toward a framework for prevention", Clinical Neuroscience Research, 1, pp.310~323 (2001)
  12. 최호선, "법의부검으로 확인된 자살례에 있어서 음주와의 상관관계에 관한 연구", 대한법의학회지, 36(1), pp.63~67 (2012), 대한법의학회[DOI]
  13. Brent DA, "Age- and sex-related risk factors for adolescent suicide", J Am Acad Child Adolesc Psychiatry, 38, pp.1497~1505 (1999)
  14. Sher L, "Alcohol consumption and suicide", QJM, 99, pp.57~61 (2006)
  15. Hufford MR, "Alcohol and suicidal behavior", Clin Psychol Rev, 21, pp.797~811 (2001)
  16. Powell K, "Alcohol consumption and nearly lethal suicide attempts", Suicide and Life-Threatening Behavior, 32, pp.30~41 (2002)
  17. 이현경, "우리나라 성인의 문제음주와 우울 및 자살생각과의 연관성", 알코올과 건강행동연구, 12(1), pp.155~168 (2011), 한국알코올과학회
  18. Beck RW, "Cross-validation of the Suicidal Intent Scale", Psychol Rep, 34, pp.445~446 (1974)
  19. Beck AT, "Assessment of suicidal intention: the Scale for Suicide Ideation", J Consult Clin Psychol, 47, pp.343~352 (1979)
  20. Baca-Garcia E, "Suicide attempts and impulsivity", Eur Arch Psychiatry Clin Neurosci, 255, pp.152~156 (2005)
  21. Misson H, "Factor analyses of the Suicidal Intent Scale(SIS) and the Risk-Rescue Rating Scale(RRRS):toward the identification of homogeneous subgroups of suicidal behaviors", J Affect Disord, 121, pp.80~87 (2010)
  22. Diaz FJ, "Dimensions of suicidal behavior according to patient reports", Eur Arch Psychiatry Clin Neurosci, 253, pp.197~202 (2003)
  23. Weisman AD, "Risk-rescue rating in suicide assessment", Arch Gen Psychiatry, 26, pp.553~560 (1972)
  24. Chan B, "The use of Glasgow Coma Scale in poisoning", J Emerg Med, 11, pp.579~582 (1993)
  25. Sam KG, "Poisoning severity score, APACHE II and GCS: effective clinical indices for estimating severity and predicting outcome of acute organophosphorus and carbamate poisoning", J Forensic Leg Med, 16, pp.239~247 (2009)
  26. Knaus WA, "APACHE II: a severity of disease classification system", Crit Care Med, 13, pp.818~829 (1985)
  27. 대한민국 자살현황 연간보고서, "보건복지부", ~ (2011)
  28. Finkelstein Y, "Risk of Suicide Following Deliberate Self-poisoning", JAMA Psychiatry, 72, pp.570~575 (2015)
  29. Nemtsov A, "Suicides and alcohol consumption in Russia, 1965-1999", Drug Alcohol Depend, 71, pp.161~168 (2003)
  30. Razvodovsky Y, "Alcohol consumption and suicide rate in belarus", Psychiatria Danubina, 18, pp.64~ (2006)
  31. Scocco P, "Prevalence of suicide ideation, plans, and attempts and related risk factors in Italy: results from the European Study on the Epidemiology of Mental Disorders--World Mental Health study", Compr Psychiatry, 49, pp.13~21 (2008)
  32. Borges G, "Suicide attempts and alcohol consumption in an emergency room sample", J Stud Alcohol, 57, pp.543~548 (1996)
  33. De Leo D, "Definitions of suicidal behavior: lessons learned from the WHO", EURO multicentre Study, 2006, pp.27, 4~15
  34. Beck AT, "Classification of suicidal behaviors: I. Quantifying intent and medical lethality", Am J Psychiatry, 132, pp.285~287 (1975)
  35. Oquendo MA, "The biology of impulsivity and suicidality", Psychiatr Clin North Am, 23, pp.11~25 (2000)

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