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Characteristics of High-intent Suicide Attempters Admitted to Emergency Departments

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Author(s)
Seonjin WooSang Won LeeKwanghun LeeWan Seok SeoJonghun LeeHee-Cheol KimSeunghee Won
Keimyung Author(s)
Kim, Hee Chul
Department
Dept. of Psychiatry (정신건강의학)
Journal Title
Journal of Korean Medical Science
Issued Date
2018
Volume
33
Issue
41
Keyword
Attempted SuicideIntentionEmergency Department
Abstract
Background:
The suicide rate in Korea has been the highest among the Organization for Economic Cooperation and Development countries since 2003. However, there is a lack of in-depth data regarding the characteristics of suicide attempters. Understanding the intent of suicide attempters will help improve the effectiveness of suicide prevention strategies. Therefore, to provide a resource for developing the necessary interventions, this study aimed to examine the differences in suicide-related and clinical variables according to the strength of suicidal intent.

Methods:
The subjects were 328 suicide attempters admitted to emergency departments at 5 university hospitals in Daegu-Gyeongbuk province between 2011 and 2014. We used various scales to examine suicide-related and clinical variables and a structured questionnaire to explore psychosocial characteristics. We evaluated suicidal intent using the Pierce Suicide Intent Scale and a clinician-rated scale that measured suicidal authenticity.

Results:
Individuals with high suicidal intent were significantly older, had higher Hamilton Depression Rating Scale (HDRS) scores, higher rates of premeditation, and sustained suicidal ideation. Furthermore, suicide methods, timing, and psychiatric treatment histories differed by the strength of subjects' suicidal intent. Moreover, multiple logistic regression showed that depressed mood as a reason for attempting suicide, premeditation, and higher HDRS scores were significantly associated with higher suicidal intent.

Conclusion:
Depression, premeditation, older age, and sustained suicidal ideation were characteristics of individuals with high suicidal intent, and it is necessary to evaluate and monitor these factors to prevent repeated suicide attempts.
Keimyung Author(s)(Kor)
김희철
Publisher
School of Medicine (의과대학)
Citation
Seonjin Woo et al. (2018). Characteristics of High-intent Suicide Attempters Admitted to Emergency Departments. Journal of Korean Medical Science, 33(41), e259–e259. doi: 10.3346/jkms.2018.33.e259
Type
Article
ISSN
1598-6357
Source
https://jkms.org/DOIx.php?id=10.3346/jkms.2018.33.e259
DOI
10.3346/jkms.2018.33.e259
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42229
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
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