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약물음독 환자의 정신과 추적진료 양상

DC Field Value Language
dc.contributor.author김승호-
dc.contributor.author박인철-
dc.contributor.author윤유상-
dc.date.accessioned2017-10-26T06:09:41Z-
dc.date.available2017-10-26T06:09:41Z-
dc.date.issued2005-
dc.identifier.issn1226-4334-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/150591-
dc.description.abstractPurpose: 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.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한응급의학회-
dc.relation.isPartOfJournal of the Korean Society of Emergency Medicine (대한응급의학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHintention-
dc.subject.MESHpoisoning-
dc.subject.MESHpsychiatry-
dc.title약물음독 환자의 정신과 추적진료 양상-
dc.title.alternativePsychiatric Follow-up after ED Discharge in Cases of Intentional Poisoning-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Emergency Medicine (응급의학교실)-
dc.contributor.departmentDept. of Emergency Medicine (응급의학교실)-
dc.contributor.departmentDept. of Medical Education (의학교육학과)-
dc.contributor.googleauthor조진경-
dc.contributor.googleauthor박인철-
dc.contributor.googleauthor윤유상-
dc.contributor.googleauthor김승호-
dc.contributor.googleauthor이경룡-
dc.identifier.doiOAK-2005-04061-
dc.contributor.localIdA00667-
dc.contributor.localIdA01628-
dc.contributor.localIdA02585-
dc.relation.journalcodeJ01868-
dc.subject.keywordintention-
dc.subject.keywordpoisoning-
dc.subject.keywordpsychiatry-
dc.contributor.alternativeNameKim, Seung Ho-
dc.contributor.alternativeNamePark, In Cheol-
dc.contributor.alternativeNameYoon, Yoo Sang-
dc.citation.volume16-
dc.citation.number1-
dc.citation.startPage158-
dc.citation.endPage163-
dc.identifier.bibliographicCitationJournal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.16(1) : 158-163, 2005-
dc.date.modified2017-05-04-
dc.identifier.rimsid44164-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Medical Education (의학교육학과) > 1. Journal Papers

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