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J Korean Soc Emerg Med > Volume 30(3); 2019 > Article
Journal of The Korean Society of Emergency Medicine 2019;30(3): 239-247.
모바일 메신저를 이용한 자살 및 자해기도자의 퇴원 후 사례관리
조창희1, 조영석1,2 , 조규종1, 이진혁1,3, 이종실2, 김인영2, 오원희4, 서홍택4, 김정미4
1한림대학교 강동성심병원 응급의학과
2한양대학교 의과대학 의공학교실
3강원대학교 의과대학 응급의학교실
4한림대학교 강동성심병원 사회사업팀
Effectiveness of post-discharge case management of patients who attempted suicide and self-injurious behavior through mobile messenger counseling
Changhee Jo1, Youngsuk Cho1,2 , Gyu Chong Cho1, Jinhyuck Lee1,3, Jongshill Lee2, In Young Kim2, Wonhee Oh4, Hongtaek Seo4, Jungmi Kim4
1Department of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, College of Medicine, Seoul, Korea
2Department of Biomedical Engineering, Hanyang University College of Medicine, Seoul, Korea
3Department of Emergency Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
4Social Work Department, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea
Correspondence  Youngsuk Cho ,Tel: 02-2224-2595, Fax: 02-488-0119, Email: faith2love@hanmail.net,
Received: October 2, 2018; Revised: October 25, 2018   Accepted: October 26, 2018.  Published online: June 30, 2019.
ABSTRACT
Objective:
Mobile messengers are becoming common methods to communicate among people in various fields. This study investigated the effectiveness of mobile messengers as a tool for post-discharge case management of emergency department patients who attempted suicide and self-harm.
Method:
This study was a retrospective observational study of data collected prospectively. A total of 327 patients who attempted suicide and self-harm in the emergency department were divided into two groups: a conventional protocol group with a face-to-face or phone call interview and a new protocol group with added mobile messenger counseling. The basic characteristics, such as sex, age, methods of suicide and self-harm attempt, consent for case management, and admission to a ward, were surveyed. The rates of successful case management (transfer to a local community center or follow-up to neuropsychiatric outpatient clinic, or both) were compared as a primary outcome between the two groups.
Results:
The conventional protocol group was 122 cases and the new protocol group was 205 cases. No significant differences in sex, age, methods of suicide and self-harm attempt, rate of consent to case management, and admission to a ward were observed between the two groups. On the other hand, the total successful management rate in mobile messenger group was higher than that of the other group (P=0.020).
Conclusion:
This study showed that mobile messengers could be an alternative communication tool for the post-discharge case management of patients who attempted suicide and self-injurious behavior. Nevertheless, a well-designed future study might be needed to determine if that method would reduce the reattempt rate.
Key words: Suicide; Self-injurious behavior; Cell phone
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