대학병원 응급실을 내원한 자살 시도자들의 특성

Abstract

Objectives：This study aimed to investigate the demographic and psychosocial characteristics and suicide-related clinical variables of suicide attempters and provide empirical data to establish a suicide prevention program. Methods：The subjects were 279(122 male and 157 female) suicide attempters who were admitted to the emergency centers of 4 university hospitals in a large city between June 2011 and March 2014. Their psychosocial and demographic characteristics and suicide-related clinical variables were studied through interviews, questionnaires(on suicide intention, lethality, risk, and rescue) and their electronic medical records. Results：The main findings were as follows : among subjects in their 20s, there was a significantly higher proportion of women, while among subjects older than 60 years, there was a significantly higher proportion of men. The rate of attempting suicide in autumn was significantly higher in females while that in summer was significantly higher in males. The rate of attempting suicide in the morning was significantly higher in older(≥60 years) subjects while that at night and dawn was significantly higher in subjects below 60 years. Among interpersonal relationship problems, couple relationship problems were the most common motive for suicide attempt. Depressive disorders were the most common psychiatric illness. Conclusion：This study indicates the necessity of suicide prevention measures, tailored to several psychosocial factors(place, time-of-day, season, and so on) according to age and gender, are suited to the regional characteristics. It also reveals the necessity of intervention for couple relationship problems and appropriate psychiatric treatment for depression in order to prevent suicide