모바일 메신저를 이용한 자살 및 자해기도자의 퇴원 후 사례관리
Effectiveness of post-discharge case management of patients who attempted suicide and self-injurious behavior through mobile messenger counseling
조창희, 조영석, 조규종, 이진혁, 이종실, 김인영, 오원희, 서홍택, 김정미,
소속 상세정보
조창희 ( Jo Chang-Hee )
한림대학교 강동성심병원 응급의학과
조영석 ( Cho Young-Suk )
한림대학교 강동성심병원 응급의학과
조규종 ( Cho Gyu-Chong )
한림대학교 강동성심병원 응급의학과
이진혁 ( Lee Jin-Hyuck )
한림대학교 강동성심병원 응급의학과
이종실 ( Lee Jong-Shill )
한양대학교 의과대학 의공학교실
김인영 ( Kim In-Young )
한양대학교 의과대학 의공학교실
오원희 ( Oh Won-Hee )
한림대학교 강동성심병원 사회사업팀
서홍택 ( Seo Hong-Taek )
한림대학교 강동성심병원 사회사업팀
김정미 ( Kim Jung-Mi )
한림대학교 강동성심병원 사회사업팀
KMID : 0385920190300030239
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.
키워드
Suicide; Self-injurious behavior; Cell phone
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