청소년 자살시도 환자의 임상적 특성 및 예후 연관 요인: 중독 대 비중독Clinical features of adolescents with suicide attempt and the factors associated with their outcomes: poisoning versus non-poisoning
- Other Titles
- Clinical features of adolescents with suicide attempt and the factors associated with their outcomes: poisoning versus non-poisoning
- Authors
- 이명훈; 장재호; 조진성; 최우성; 최재연
- Issue Date
- Dec-2020
- Publisher
- 대한소아응급의학회
- Keywords
- Adolescent; Child; Emergency Service; Hospital; Poisoning; Suicide; Attempted; Wounds and Injuries
- Citation
- 대한소아응급의학회지, v.7, no.2, pp.85 - 93
- Journal Title
- 대한소아응급의학회지
- Volume
- 7
- Number
- 2
- Start Page
- 85
- End Page
- 93
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/79397
- ISSN
- 2383-4897
- Abstract
- Purpose: Methods for suicide attempt are largely divided into poisoning and non-poisoning, which differ in clinical features and severity. We aimed to investigate the clinical features of adolescents with suicide attempt and factors associated with poor outcomes from the 2 methods.
Methods: A retrospective study was conducted on adolescents (10-18 years) who visited the emergency department after suicide attempt from 2011 through 2018. The adolescents were divided into the poisoning and non-poisoning groups. We analyzed the differences of clinical features and outcomes between the 2 groups. Poor outcomes were defined as hospitalization to the intensive care unit or death. Factors associated with poor outcomes were investigated using multivariable logistic regression.
Results: Of 4,335 adolescents in total, 2,134 (49.2%) were categorized as the poisoning group. In this group, the adolescents with poor outcomes used acetaminophen most frequently (26.5%), followed by sedative or antipsychotics (22.3%). In the nonpoisoning group, those with the outcomes used fall from height (73.2%) most commonly, followed by hanging (21.0%). The factors associated with the outcomes were age (for increment of 1 year; odds ratio, 1.11; 95% confidence interval, 1.02-1.22) in the poisoning group, and being boys (1.34; 1.03-1.73) and non-use of alcohols (2.87; 1.73-4.74) in the non-poisoning group.
Conclusion: In adolescents who used poisoning for suicide attempt, increasing age is associated with poor outcomes. The outcomes are associated with being boys and non-use of alcohols in those who used non-poisoning methods.
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