Case management of suicide attempters seen in emergency rooms: result and factors affecting consent to follow-up

Kim, Hojung; Kim, Shin-Gyeom; Oh, Heeju; Choi, Sunjin

J Korean Soc Emerg Med > Volume 29(2); 2018 > Article

Original Article

Journal of The Korean Society of Emergency Medicine 2018;29(2): 160-169.

응급실기반 자살시도자의 사후관리 사업 동의의 결과와 동의에 영향을 미치는 인자 연구

김호중¹

, 김신겸²

, 오희주³

, 최선진³

¹순천향대학교 부천병원 응급의학과
²순천향대학교 부천병원 정신건강의학과
³순천향대학교 부천병원 생명사랑팀

Case management of suicide attempters seen in emergency rooms: result and factors affecting consent to follow-up

¹Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
²Department of Psychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
³Department of Suicide Prevention, Soonchunhyang University Bucheon Hospital, Bucheon, Korea

Correspondence

Hojung Kim ,Tel: 032-621-6649, Fax: 032-621-6909, Email: lovelydr@schmc.ac.kr,

Received: October 30, 2017; Revised: January 8, 2018 Accepted: February 19, 2018. Published online: April 30, 2018.

ABSTRACT

Objective:
The purpose of this study was to identify the factors that influence the consent of case management for suicide prevention.
Method:
This study included 232 suicide attempters from September 1, 2015 to August 31, 2016 at the Emergency Medical Center of Soonchunhyang University Bucheon Hospital, Korea. A retrospective chart analysis was performed using a chi-square test or Fisher exact test, as well as univariate and multivariate logistic regression analysis (R ver. 3.3.3).
Results:
The positive factors affecting case management consent were direct face-to-face counseling with a case manager, patient’s age, suicide attempt without alcohol, first suicide attempt, and no psychiatric history. In addition, suicide attempters who underwent follow-up case management were more likely to participate in outpatient mental health care. Through the case manager, continuous emotional support and encouragement were provided to the suicide attempt, which proved to be effective.
Conclusion:
This study emphasizes the importance of case management for suicide attempters visiting the emergency medical center and suggests that the cooperation of national and regional systems should be expanded to increase the case participation rate.

Key words: Suicide; Attempted suicide; Case management