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J Korean Soc Emerg Med > Volume 35(1); 2024 > Article
Journal of The Korean Society of Emergency Medicine 2024;35(1): 43-50.
자살시도 환자 대상 응급실 기반 사례관리서비스에서 추적관찰 중단과 연관이 있는 요인
서민범1 , 김건2 , 이혜원3 , 이운정3 , 우선희3 , 김상윤1 , 김대희3
1가톨릭대학교 인천성모병원 응급의학과
2가톨릭대학교 인천성모병원 생명사랑위기대응센터
3가톨릭대학교 의과대학 응급의학과
Factors associated with follow-up loss of suicide attempted patients by emergency department-based case management services
Min Beom Suh1 , Geon Kim2 , Hye Won Lee3 , Woon Jeong Lee3 , Seon Hee Woo3 , Sang Yun Kim1 , Daehee Kim3
1Department of Emergency Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
2Life and Love Crisis Intervention Center, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
3Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence  Daehee Kim ,Tel: 032-280-6116, Fax: 032-285-6120, Email: kim_dae_hee@catholic.ac.kr,
Received: May 11, 2023; Revised: August 3, 2023   Accepted: August 28, 2023.  Published online: February 28, 2024.
ABSTRACT
Objective:
Emergency department-based interventions are known to be effective at reducing the risk of repeat suicide attempts among patients admitted to emergency departments after attempting suicide. However, the factors that influence loss to follow-up after emergency department-based interventions are not well known.
Method:
This study investigated suicide attempt patients who registered with an emergency department-based intervention and received counseling at least once from January 2019 to December 2020. Patients were allocated to a follow-up group or a loss-to-follow-up group depending on whether emergency department-based interventions had been performed more than three times. Clinical factors and socioeconomic status were considered independent variables. Logistic regression analysis was performed to identify factors that influenced loss to emergency department-based interventions.
Results:
Of 339 patients enrolled, 210 (61.9%) were lost to follow-up. Time taken to initiation of intervention after discharge (adjusted odds ratio [aOR]=2.42; 95% confidence interval [CI], 1.38-4.30) and suicide attempt associated with physical illness (aOR=0.31; 95% CI, 0.14-0.68) independently influenced loss to emergency department-based interventions.
Conclusion:
Initiation of intervention after discharge significantly influenced emergency department-based intervention follow-up loss of suicide attempt patients. The study suggests initiation of intervention prior to discharge might reduce the risk of repeat suicide attempts.
Key words: Suicide; Mental health; Emergencies
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