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약물음독 환자의 정신과 추적진료 양상
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김승호 | - |
dc.contributor.author | 박인철 | - |
dc.contributor.author | 윤유상 | - |
dc.date.accessioned | 2017-10-26T06:09:41Z | - |
dc.date.available | 2017-10-26T06:09:41Z | - |
dc.date.issued | 2005 | - |
dc.identifier.issn | 1226-4334 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/150591 | - |
dc.description.abstract | Purpose: Many patients who intentionally poison themselves are reported to have underlying mental problems and to repeat the attempted suicidal poisoning. As a first step to prevent this regretful complication, we looked into the present status of psychiatric follow-up of the patients who intentionally poisoned themselves. Methods: Using a chart review and telephone contact, we analyzed the psychiatric follow-up rate, the underlying psychiatric illness, the number of suicidal attempts, and the reasons for no follow-up for adult patients who intentionally poisoned themselves and who visited the Emergency Department of Severance Hospital from Mar. 2003 to Feb. 2004 with chart review, telephone contact. Results: Forty-nine of 119 suicide patients (41.2%) chose poisoning as a means of suicide. The results of emergency treatment of those 119 patients were 4 deaths during treatment, 36 admissions (15 psychiatry, 21 others), and 79 discharges including 5 transfers. The most common underlying psychiatric problem based on 103 initial psychiatric interviews was depressive disorder in 52(50.5%) patients. Not counting the 19 deaths and psychiatry admissions, 26 patients received psychiatric follow-up during admission or after discharge, and the remaining 74 patients were subjected to telephone surveys. In the telephone surveys, only 53 patients were contacted; 25 patients declined to answer the questions and out of the 28 patients who answered them, 5 patients had received psychiatric follow-up at other hospitals. The most common reason given by the other 23 patients for no follow-up was that it was not necessary (39.1%, 9/23). The overall follow-up rate was 39.2% (31/79). Of the 48 patients who answered the question on repeated suicide attempts, 3 patients had repeatedly attempted suicide. Conclusion: To prevent further suicide attempts and resultant deaths in cases of patients who intentionally poisoned themselves, we urgently need an integrated psychiatric follow- up care program that is activated through a collaborative effort before discharge from the emergency department. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한응급의학회 | - |
dc.relation.isPartOf | Journal of the Korean Society of Emergency Medicine (대한응급의학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | intention | - |
dc.subject.MESH | poisoning | - |
dc.subject.MESH | psychiatry | - |
dc.title | 약물음독 환자의 정신과 추적진료 양상 | - |
dc.title.alternative | Psychiatric Follow-up after ED Discharge in Cases of Intentional Poisoning | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Emergency Medicine (응급의학교실) | - |
dc.contributor.department | Dept. of Emergency Medicine (응급의학교실) | - |
dc.contributor.department | Dept. of Medical Education (의학교육학과) | - |
dc.contributor.googleauthor | 조진경 | - |
dc.contributor.googleauthor | 박인철 | - |
dc.contributor.googleauthor | 윤유상 | - |
dc.contributor.googleauthor | 김승호 | - |
dc.contributor.googleauthor | 이경룡 | - |
dc.identifier.doi | OAK-2005-04061 | - |
dc.contributor.localId | A00667 | - |
dc.contributor.localId | A01628 | - |
dc.contributor.localId | A02585 | - |
dc.relation.journalcode | J01868 | - |
dc.subject.keyword | intention | - |
dc.subject.keyword | poisoning | - |
dc.subject.keyword | psychiatry | - |
dc.contributor.alternativeName | Kim, Seung Ho | - |
dc.contributor.alternativeName | Park, In Cheol | - |
dc.contributor.alternativeName | Yoon, Yoo Sang | - |
dc.citation.volume | 16 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 158 | - |
dc.citation.endPage | 163 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.16(1) : 158-163, 2005 | - |
dc.date.modified | 2017-05-04 | - |
dc.identifier.rimsid | 44164 | - |
dc.type.rims | ART | - |
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