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J Korean Soc Emerg Med > Volume 31(1); 2020 > Article
Journal of The Korean Society of Emergency Medicine 2020;31(1): 58-65.
1개 대학병원에 내원한 자살시도 사망자와 생존자의 비교 분석
황병선1 , 조준휘1,2 , 문중범1,2 , 옥택근1,2 , 신명철1,2 , 김가을1,2 , 이준열1,2 , 박윤수1,2 , 이강욱3 , 이희영4 , 양고은5 , 박찬우1,2
1강원대학교병원 응급의학과
2강원대학교 의학전문대학원 응급의학교실
3강원대학교 의학전문대학원 정신건강의학교실
4강원대학교 의학전문대학원 내과학교실
5강원대학교 의학전문대학원 영상의학교실
Comparative analysis of suicide attempt deaths and suicide survivors at one university hospital
Byeong Seon Hwang1 , Jun Hwi Cho1,2 , Joong Bum Moon1,2 , Taek Geun Ohk1,2 , Myoung Cheol Shin1,2 , Ka Eul Kim1,2 , Jun Yeol Lee1,2 , Yoon Soo Park1,2 , Kanguk Lee3 , Hui Young Lee4 , Go Eun Yang5 , Chanwoo Park1,2
1Department of Emergency Medicine, Kangwon National University Hospital, Chuncheon, Korea
2Department of Emergency Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
3Department of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Korea
4Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
5Department of Radiology, Kangwon National University School of Medicine, Chuncheon, Korea
Correspondence  Chanwoo Park ,Tel: 033-258-2438, Fax: 033-258-2451, Email: bonaeboa@naver.com,
Received: June 27, 2019; Revised: September 4, 2019   Accepted: November 11, 2019.  Published online: February 28, 2020.
ABSTRACT
Objective:
This study analyzed the characteristics of people who attempted suicide that resulted in deaths as compared to that of the suicide survivors.
Method:
This study included 799 suicide attempts that occurred from March 1, 2015, to March 31, 2019 at the emergency department of the university hospital in a city of around 300,000 people. Suicide attempts were classified into the survivor and death groups, and the characteristics of each group were compared. The suicide deaths due to re-attempts were also analyzed.
Results:
There were more males than females in the death groups. There was a high proportion of people aged 50 or older in the death groups. Hanging, carbon monoxide poisoning, and jumping from great heights were the most commonly used methods of suicide in the death groups. In the selected death group, psychiatric symptom, physical illness, and economic problem among the suicidal causes and depressive disorder among the psychiatric diagnoses were factors that increase the risk of suicide death. Sixty-three point four percent of the survival groups and 52.5% of the selected deaths had not received psychiatric care. On the analysis of suicide deaths due to re-attempts, the average number of suicide attempts was 2.45±0.9. The time from the first suicide attempt to the last suicide attempt was 13.8±10.4 months.
Conclusion:
If it is necessary to make a treatment decision for a suicide attempt in a limited time, such as the case of treating a suicide attempter who visits an emergency department, it is necessary to consider the characteristic factors of the death attempts of suicidal people.
Key words: Suicide; Death; Emergencies
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