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J Korean Soc Emerg Med > Volume 28(5); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(5): 493-501.
최초 자살시도 방법으로 중독을 선택한 환자의 임상적 특성: 물리적 자해 방법을 사용한 환자와의 비교
최규성1, 우재혁1, 임용수1, 김진주1, 장재호1, 최우성1, 민경진1, 조성진2, 강승걸2, 나경세2
1가천대학교 의과대학 길병원 응급의학과
2가천대학교 의과대학 길병원 정신건강의학과
The Characteristics of First Suicide Attempt Patients with Self-poisoning: Comparison of Patients with Self-injury
Kyu-Sung Choi1, Jae-Hyug Woo1, Yong-Su Lim1, Jin-Joo Kim1, Jae-Ho Jang1, Woo-Sung Choi1, Kyung-Jin Min1, Seong-Jin Cho2, Seung-Gul Kang2, Kyoung-Sae Na2
1Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
2Department of Psychiatry, Gachon University Gil Medical Center, Incheon, Korea
Correspondence  Jae-Hyug Woo ,Tel: 032-460-3901, Fax: 032-460-3019, Email: emmetalkiller@gilhospital.com,
Received: June 30, 2017; Revised: July 3, 2017   Accepted: August 24, 2017.  Published online: October 31, 2017.
ABSTRACT
Purpose:
This study was conducted to compare the characteristics of first suicide attempt patients with self-poisoning with those of self-injured patients.
Method:
In this retrospective data analysis, data were collected from emergency department patients who made a first suicide attempt between October 2013 and January 2017. Data included demographic, socioeconomic, physical and mental health status, method of suicide attempt, and authenticity of suicide intent. Patients were classified into a self-poisoning and self-injury group.
Results:
Among 2,252 patients, 788 patients were making their first suicide attempt. Of these patients, 443 were self-poisoning patients. Males were less common among the self-poisoning group. Cohabitants (303 [89.4%] vs. 193 [81.4%]; p=0.010), married state (214 [57.4%] vs. 108 [41.2%]; p<0.001), and asking for help after suicide attempt (136 [86.1%] vs. 103 [73.6%]; p=0.009) was more common in the self-poisoning group than the self-injury group. However, planned suicide attempt was more frequent in the self-injury group (26 [16.0%] vs. 9 [4.7%]; p=0.001). Moreover, authenticity of suicide intent was higher in the self-injury group (12 [11.3%] vs. 42 [40.4%]; p<0.001).
Conclusion:
In the self-poisoning group, there was a higher rate of females, married people, existing cohabitants, and tendency to ask for help after suicide attempt. There were also more impulsive suicide attempts in this group. The results presented herein will help prevent self-poisoning suicide attempts among high risk patients.
Key words: Suicide, Attempted, Poisoning, Injuries, Methods
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