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1개 대학병원에 내원한 자살시도 사망자와 생존자의 비교 분석

Comparative analysis of suicide attempt deaths and suicide survivors at one university hospital

대한응급의학회지 2020년 31권 1호 p.58 ~ 65
황병선 ( Hwang Byoung-Seon ) - 강원대학교병원 응급의학과

조준휘 ( Cho Jun-Hwi ) - 강원대학교병원 응급의학과
문중범 ( Moon Joong-Bum ) - 강원대학교병원 응급의학과
옥택근 ( Ohk Taek-Geun ) - 강원대학교병원 응급의학과
신명철 ( Shin Myoung-Cheol ) - 강원대학교병원 응급의학과
김가을 ( Kim Ka-Eul ) - 강원대학교병원 응급의학과
이준열 ( Lee Joon-Yeol ) - 강원대학교병원 응급의학과
박윤수 ( Park Yoon-Soo ) - 강원대학교병원 응급의학과
이강욱 ( Lee Kang-Uk ) - 강원대학교 의학전문대학원 정신건강의학교실
이희영 ( Lee Hui-Young ) - 강원대학교 의학전문대학원 내과학교실
양고은 ( Yang Go-Eun ) - 강원대학교 의학전문대학원 영상의학교실
박찬우 ( Park Chan-Woo ) - 강원대학교병원 응급의학과

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.

키워드

Suicide; Death; Emergencies
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