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약물음독 환자의 정신과 추적진료 양상

Other Titles
 Psychiatric Follow-up after ED Discharge in Cases of Intentional Poisoning 
Authors
 조진경  ;  박인철  ;  윤유상  ;  김승호  ;  이경룡 
Citation
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.16(1) : 158-163, 2005 
Journal Title
Journal of the Korean Society of Emergency Medicine(대한응급의학회지)
ISSN
 1226-4334 
Issue Date
2005
MeSH
intention ; poisoning ; psychiatry
Keywords
intention ; poisoning ; psychiatry
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.
Files in This Item:
T200500680.pdf Download
DOI
OAK-2005-04061
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
Yonsei Authors
Kim, Seung Ho(김승호)
Park, In Cheol(박인철) ORCID logo https://orcid.org/0000-0001-7033-766X
Yoon, Yoo Sang(윤유상)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150591
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