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논문KCI 등재

청소년 자살 재시도자의 특성에 관한 연구 -응급실 방문 환자를 중심으로-

Study on the characteristics of adolescent suicide re-attempters -Focusing on Patients Visiting the Emergency Room-

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초록

Purpose: This study requested and used the raw data of an in-depth investigation of emergency room-injured patients to analyze the characteristics of youths who have attempted intentional self-harm and suicide and the characteristics of youths who have repeatedly self-harmed and attempted suicide. Methods: This study utilized raw data from an in-depth survey of emergency room injury patients conducted from 2019 to 2020, extracted self-harm and suicide patients aged 9-24 years, defined as adolescents under the Youth Basic Act, and analyzed 2,595 subjects. A chi-square test was performed to identify factors related to suicide reattempts. In addition, multiple logistic regression analysis was used to analyze the factors affecting suicide re-attempts in depth. Results: Women were 2.96 times more likely to re-attempt suicide than men (95% CI: 2.468-3.550, p<.001). In terms of reasons for suicide attempts, the probability of re-attempting suicide because of psychiatric problems was 1.354 times higher based on relationship conflict (p<.01). In terms of suicide attempt methods, falls were 0.295 times lower based on burns (p<.001). In terms of suicide attempt outcomes, survival was 0.183 times lower for those who attempted suicide again based on death (p<.05). Conclusion: Ongoing care and support are needed for adolescents who survive suicide attempts. They should be provided with professional counseling and treatment, and programs should be established to help them adapt well to school and society.

Abstract

Purpose: This study requested and used the raw data of an in-depth investigation of emergency room-injured patients to analyze the characteristics of youths who have attempted intentional self-harm and suicide and the characteristics of youths who have repeatedly self-harmed and attempted suicide. Methods: This study utilized raw data from an in-depth survey of emergency room injury patients conducted from 2019 to 2020, extracted self-harm and suicide patients aged 9-24 years, defined as adolescents under the Youth Basic Act, and analyzed 2,595 subjects. A chi-square test was performed to identify factors related to suicide reattempts. In addition, multiple logistic regression analysis was used to analyze the factors affecting suicide re-attempts in depth. Results: Women were 2.96 times more likely to re-attempt suicide than men (95% CI: 2.468-3.550, p<.001). In terms of reasons for suicide attempts, the probability of re-attempting suicide because of psychiatric problems was 1.354 times higher based on relationship conflict (p<.01). In terms of suicide attempt methods, falls were 0.295 times lower based on burns (p<.001). In terms of suicide attempt outcomes, survival was 0.183 times lower for those who attempted suicide again based on death (p<.05). Conclusion: Ongoing care and support are needed for adolescents who survive suicide attempts. They should be provided with professional counseling and treatment, and programs should be established to help them adapt well to school and society.

참고문헌 (19)

  1. "Korean Statistical Information Service" (2023)[URL]
  2. Kim JH, "Ego vulnerability of suicidal thoughts and suicidal behaviors : An integrated utilization of implicit-explicit discrepancies and projective measurements", doctor, pp.2024
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  12. Kim DH, "Latent class identification and prediction for pattern of non-suicidal self-injury and suicidal ideation among out-of-school adolescents", Journal of Youth Welfare, 26(2), pp.27~53 (2024)[DOI]
  13. "Emergency Department based Injury Surveillance System" (2024)[URL]
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  16. Lee JH, "Gender differences in suicide ideation", J Health Info Stat, 47(4), pp.250~257 (2022)[DOI]
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  19. JUNG J, "A multicenter observational study on the impact of psychiatric care in previous suicide attempts on mortality in patients admitted to the emergency department for a recurrent suicide attempt", KSEM, 2, pp.507~508 (2015)

관련 논문AI추천

응급실에 내원한 자살 시도자의 특성과 반복 자살 시도에 영향을 미치는 요인구본훈, 김혜금, 서완석, 이영지, 천은진, 최진희대한생물치료정신의학회 · 생물치료정신의학2020 · 제26권 제1호Factors predicting meaningful suicide attempts: multiple attempts and index methods구청모, 권혜은, 김문규, 김형진, 배고은, 윤서희, 은소현, 정현수대한소아응급의학회 · 대한소아응급의학회지2023 · 제10권 제1호응급실을 방문한 자살시도 청소년 임상적 특성의 남녀 차이권재현, 김민정, 김옥준, 김진아, 백소현, 안영주대한소아응급의학회 · 대한소아응급의학회지2020 · 제7권 제2호Increasing Trend and Characteristics of Korean Adolescents Presenting to Emergency Department for Self-Harm: A 5-Year Experience, 2015 to 2019송동호, 안재은, 오동훈, 이정한, 천근아, 천주아연세대학교의과대학 · Yonsei Medical Journal2020 · 제61권 제7호자살 및 자해행동으로 반복 입원하는 소아청소년 환자들의 위험요인에 대한 후향적 연구김희진, 이소연, 이정한, 정영철, 정하경, 천근아대한신경정신의학회 · 신경정신의학2025 · 제64권 제4호청소년 자살시도 환자의 임상적 특성 및 예후 연관 요인: 중독 대 비중독이명훈, 장재호, 조진성, 최우성, 최재연대한소아응급의학회 · 대한소아응급의학회지2020 · 제7권 제2호

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