응급실 기반 자살 시도자 사후 관리사업의 등록률에 영향을 미치는 인자The Factors Affecting the Registration Rates for Emergency Department Based Post-suicidal Care Program
- Other Titles
- The Factors Affecting the Registration Rates for Emergency Department Based Post-suicidal Care Program
- Authors
- 이준철; 강형구; 김창선; 오재훈; 임태호; 안동현; 이정임; 박민희; 김경희
- Issue Date
- Jun-2015
- Publisher
- 대한임상독성학회
- Keywords
- Affecting factor; Registration; Social support; Suicide
- Citation
- 대한임상독성학회지, v.13, no.1, pp.25 - 32
- Indexed
- OTHER
- Journal Title
- 대한임상독성학회지
- Volume
- 13
- Number
- 1
- Start Page
- 25
- End Page
- 32
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/156919
- ISSN
- 1738-1320
- Abstract
- Purpose: The aim of this study was 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 March and December 2013 at the academic ED at the tertiary urban hospital. During the study period, the pre-designed registry was recorded. The variables examined included the following: patients’ demographic data (Sex, age, address, type of insurance, marital status, level of education, and history of previous psychiatric disease), suicide-related data (suicidal methods, combined drink of alcohol and number of previous attempts), and management-related data (disposition at ED, physician’s training level, etc.). Univariated and multivariated logistic regression analyses were performed for identification of factors affecting the registration rate for the community-based post suicidal care program. Results: A total of 163 suicides were included during the study period. Of these, 33 (20.2%) patients were registered in the post-suicide care program. Factors including a patient’s address (OR: 14.92, 95% CI: 3.606-61.711), immediate intervention by psychiatric healthcare center (OR: 5.05, CI: 1.688-15.134), admissions in hospital (OR: 3.69, CI: 1.286-10.605), and history of previous psychiatric disease (OR: 3.52, CI: 1.216-10.201) showed significant association with registration for the program. Conclusion: The community-based post-suicidal care program, which is available 24 hours a day, should be operated in each district in order to increase the registration rate. Emergency physicians should actively consider the inpatient treatment program for suicidal patients and strongly recommend registration to the program, particularly for patients without previous history of psychiatric disease.
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