적극적 자살예방 중재 전략 개발을 위한 자살 의도를 노출한 자살시도자의 위험요인 분석
Analysis of risk factors affecting a suicidal attempter exposing suicidal intensions for the development of the active intervention strategy for suicide prevention
김지민, 이해주, 주가원, 김상철, 전혁진, 박관진, 인용남, 김훈, 이석우,
소속 상세정보
김지민 ( Kim Ji-Min )
충북대학교병원 응급의학과
이해주 ( Lee Hae-Ju )
충북대학교병원 응급의학과
주가원 ( Ju Ga-Won )
충북대학교병원 정신건강의학과
김상철 ( Kim Sang-Chul )
충북대학교병원 응급의학과
전혁진 ( Jeon Hyuk-Jin )
춘해대학교 응급구조학과
박관진 ( Park Gwan-Jin )
충북대학교병원 응급의학과
인용남 ( In Yong-Nam )
충북대학교병원 응급의학과
김훈 ( Kim Hoon )
충북대학교병원 응급의학과
이석우 ( Lee Seok-Woo )
충북대학교병원 응급의학과
KMID : 0385920190300020155
Abstract
Objective: This study examined the clinical characteristics of suicide attempters who exposed their suicidal intension to suggest an active intervention strategy for suicide prevention based on the regional emergency medical service system.
Method: A prospective database of suicide attempters who visited the emergency department of Chungbuk National University Hospital between October 2013 and December 2017 was used. All of the adult patients who provided consent for the initial assessment for suicidal attempters were eligible, excluding cases with unknown exposure of suicidal intension. The primary and secondary endpoints were the risk factors affecting exposure to the suicidal intension and characteristics of the exposure group. The adjusted odds ratios (AORs) of exposure to suicidal attempts after adjusting for potential confounders was calculated.
Results: Of a total 1,035 suicidal attempters enrolled, 332 (32.1%) were included in the exposure group. The exposure group was more likely to have an educational level above high school and no religion, and have suicidal characteristics at night time (18:00-08:00), under the influence of alcohol, suicidal plan before 1 week, and suicidal method involving asphyxia (P<0.05). The exposure group was more likely to have no guardian (AORs, 1.46; 95% confidence interval [CI], 1.00-2.12), use methods involving asphyxia (AORs, 2.07; 95% CI, 1.46-2.91), and attempt suicide at night (18:00 to 08:00) (AORs, 1.38; 95% CI, 1.05-1.83) compared to the no exposure group.
Conclusion: Models need to be established, where regional mental health welfare center, local government, fire headquarter, and tele-communication companies can participate in the implementation of an active intervention strategy.
키워드
Attempted suicide; Suicidal ideation; Emergency medical services; Prevention and control
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