응급실에 내원한 약물음독의 자살 시도자에서 정신건강의학과 진료참여의 제한점

Other Titles
Limitation of Psychiatric Intervention for Suicidal Drug Intoxication Patients in Emergency Room
Authors
이주환양승준은승완진상찬최우익정성원
Department
Dept. of Emergency Medicine (응급의학); Dept. of Psychiatry (정신건강의학)
Issue Date
2016
Citation
대한임상독성학회지, Vol.14(1) : 37-46, 2016
ISSN
1738-1320
Abstract
Purpose: This study was designed to determine the factors hindering psychiatric intervention for suicide attempters in the emergency room (ER). Methods: Participants were 299 patients aged 18 years or older admitted to the ER for suicidal drug overdose between July 2012 and June 2014. Patients were divided into two groups according to whether they had received psychiatric treatment in the ER. Medical histories and follow-up treatments were determined by examining patients’ medical records and through phone surveys, and were then compared using χ2-test and Fisher’s exact test. In addition, the rate of satisfaction of the treatment group and the reasons for their dissatisfaction were also determined. Results: The treatment and non-treatment groups comprised 135 (45%) and 164 patients (55%), respectively. Factors influencing participation in psychiatric intervention were previous history of suicide attempts (p=0.004), history of psychiatric disorder (p<0.001), time of day (p=0.039), and day of the week (p=0.040) of arrival in the ER. Whether or not the patient received follow-up psychiatric treatment was not significantly relevant (p=0.300). Of the 82 patients who participated in the treatment satisfaction survey, 50.2% reported being unsatisfied, mainly because of unfriendly medical personnel (36.6%), discomfort regarding other people’s perceptions (24.4%), and cursory care (14.6%). Conclusion: To raise the participation rate of psychiatric consult, cooperation with psychiatry at night and on weekends is required, and incorporation of patients without previous history of suicidal attempt or other psychiatric disorder is important. Resolution of complaints toward psychiatric consult in suicide attempt survivors is also required.
Keywords
PsychiatrySuicideEmergency servicePoisoning
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33349
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
Keimyung Author(s)
진상찬; 최우익; 정성원
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