응급실을 내원한 자해 환자들의 특징
Characteristics of Patients Who Visit the Emergency Department with Self-inflicted Injury
- 주제(키워드) Suicide , Attempted , Suicidal Ideation , Emergency
- 발행기관 아주대학교
- 지도교수 조준필
- 발행년도 2012
- 학위수여년월 2012. 8
- 학위명 박사
- 학과 및 전공 일반대학원 의학계열
- 실제URI http://www.dcollection.net/handler/ajou/000000012724
- 본문언어 영어
- 저작권 아주대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
During visits to emergency medical facilities, the primary care of and risk identification for individuals who have attempted suicide is considered an important element in suicide prevention. With the ultimate goal of helping to prevent suicide, the aim of the present study was to determine the characteristics of patients with self-inflicted injuries who presented in the emergency department. Patients with self-inflicted injuries who visited 1 of 3 sentinel emergency medical centers from 2007 through 2009 were included in the study. The characteristics, methods, and reasons for suicide attempts were evaluated. Moreover, predictors of severe outcomes were evaluated. A total of 2,996 patients with self-inflicted injuries visited the three centers during a period of 3 years. The male-to-female suicide ratio was 1:1.38 (P < 0.001). The mean age was 41 years. Poisoning was the most common method of self-inflicted injury (68.7%) among all age groups. Medication was the primary means of injury in the < 50 age group, and the use of agricultural chemicals was the primary means in the ≥ 50 age group. The reasons for attempting suicide varied among the age groups. The predictors of severe outcome were male gender, older age, and not having consumed alcohol.
more목차
Ⅰ. INTRODUCTION 1
Ⅱ. MATERIALS AND METHODS 4
Ⅲ. RESULTS 7
A. General characteristics 7
B. Method of self-inflicted injury 8
C. Reasons for suicide attempts 8
D. Outcome of injury treatment 12
E. Predictors of severe outcome 13
Ⅳ. DISCCUSSION 16
Ⅴ. CONCLUSION 22
