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J Korean Soc Emerg Med > Volume 27(6); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(6): 595-601.
자살 시도로 응급실에 내원한 적응 장애 환자의 특성: 적응 장애의 중요성과 자살
민승준, 박은정, 김혁훈, 민영기
아주대학교 의과대학 응급의학교실
Characteristics of Adjustment Disorder Patients as Suicidal Attempters Visited Emergency Department: Significance of Adjustment Disorder and Suicide
Seung June Min, Eun Jung Park, Hyuk Hoon Kim, Young Gi Min
Deparment of Emergency Medicine, Ajou University School of Medicine, Gyeonggido, Korea
Correspondence  Young Gi Min ,Tel: 031-219-7750, Fax: 031-219-7760, Email: youngmd@ajou.ac.kr,
Received: June 28, 2016; Revised: June 30, 2016   Accepted: August 12, 2016.  Published online: December 31, 2016.
ABSTRACT
Purpose:
The aim of the current study was to examine the characteristics of suicidal attempters who visited the emergency department (ED) with a psychiatric diagnosis of adjustment disorder.
Method:
Suicidal attempters who had visited the ED were retrospectively selected between January 2015 and December 2015. Sex, age, marital status, psychiatric diagnosis, causes of suicidal attempt, methods of suicidal attempt, influence of alcohol, and results of ED management were reviewed in the medical records.
Results:
A total of 468 suicide attempters who had visited the ED were interviewed by psychiatrists, and 323 cases were included. Adjustment disorder is the most common diagnosis among these patients (N=202, 62.5%). There was no statistical difference between the adjustment disorder group and the non-adjustment disorder group with respect to marital status, psychiatric diagnosis, causes of suicidal attempt, methods of suicidal attempt, and results of ED management. The number of patients under the influence of alcohol who visited the ED was higher in the adjustment disorder group (p=0.04).
Conclusion:
Adjustment disorder is the most common diagnosis among suicidal attempters who visit the ED. Suicidal attempt in the adjustment disorder group is likely an impulsive decision, but their admission results are just as poor as the non-adjust disorder group.
Key words: Adjustment disorders, Prognosis, Suicide
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