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Factors predicting meaningful suicide attempts: multiple attempts and index methods

Other Titles
 임상적으로 중요한 자살 시도의 위험인자: 다중 시도 및 첫 시도 방법 
Authors
 Chungmo Koo  ;  Goeun Bae  ;  Heoung Jin Kim  ;  Sohyun Eun  ;  Seo Hee Yoon  ;  Moon Kyu Kim  ;  Hyun Soo Chung  ;  Hye Eun Kwon 
Citation
 Pediatric Emergency Medicine Journal, Vol.10(1) : 31-35, 2023-01 
Journal Title
Pediatric Emergency Medicine Journal
ISSN
 2383-4897 
Issue Date
2023-01
Keywords
Adolescent ; Patient Reported Outcome Measures ; Poisoning ; Suicide, Attempted ; Suicide, Completed
Abstract
Purpose
This study investigated the association of the index method, defined as the method used in the first suicide attempt (SA), with the outcome of SAs among adolescents.
Methods
The study analyzed medical records of 227 adolescents aged 10-18 years with clear SAs who visited the emergency department of Severance Hospital in Seoul, Korea from January 2007 through February 2021, focusing on the index methods and meaningful SAs defined as hospitalization, death or transfer to another hospital for psychiatric hospitalization. The association of the index method with the meaningful SAs was quantified using logistic regression.
Results
Among the 227 adolescents, 80 underwent the meaningful SAs (35.2%). The adolescents with the meaningful SA chose drug intoxication, fall, and hanging as the index methods more frequently than those without the outcome, whereas they showed a reverse pattern in cutting (P < 0.001). The association of fall or cutting with the meaningful SAs remained significant after adjustment (fall: adjusted odds ratio, 6.93 [95% confidence interval, 1.70-28.26]; cutting: 0.39 [0.17-0.91]; compared with those undergoing drug intoxication). Multiple SAs were also associated with the meaningful SA (1.76 [1.04-3.13]).
Conclusion
This study identifies the index method and multiple SAs as factors associated with the meaningful SA among adolescents in the emergency department. This finding may be helpful in interviewing adolescents with SAs.
Files in This Item:
T202301581.pdf Download
DOI
10.22470/pemj.2022.00472
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Hye Eun(권혜은)
Kim, Moon Kyu(김문규) ORCID logo https://orcid.org/0000-0001-6186-3991
Bae, Go Eun(배고은)
Yoon, Seo Hee(윤서희) ORCID logo https://orcid.org/0000-0002-8361-9815
Eun, So Hyun(은소현)
Chung, Hyun Soo(정현수) ORCID logo https://orcid.org/0000-0001-6110-1495
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/193676
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