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Factors associated with referral to mental health services among suicide attempters visiting emergency centers of general hospitals in Korea: does history of suicide attempts predict referral?

Authors
 Sun-Jin Jo  ;  Myung-Soo Lee  ;  Hyeon Woo Yim  ;  Han Joon Kim  ;  Kyeongryong Lee  ;  Hyun Soo Chung  ;  Junho Cho  ;  Seung-Pil Choi  ;  Young Mi Seo 
Citation
 GENERAL HOSPITAL PSYCHIATRY, Vol.33(3) : 294-299, 2011 
Journal Title
GENERAL HOSPITAL PSYCHIATRY
ISSN
 0163-8343 
Issue Date
2011
MeSH
Adult ; Cross-Sectional Studies ; Emergency Service, Hospital* ; Female ; Forecasting ; Hospitals, General* ; Humans ; Male ; Mental Health Services* ; Referral and Consultation* ; Republic of Korea ; Suicide, Attempted/psychology* ; Surveys and Questionnaires
Keywords
Suicide attempt ; Emergency ; Referral ; General hospital
Abstract
OBJECTIVE: This study examined whether a history of past suicide attempts was a critical factor for referral to mental health services among suicide attempters visiting emergency centers of general hospitals in Korea.

METHOD: In this cross-sectional study, a resident of emergency medicine at each emergency center interviewed 310 suicide attempters visiting five tertiary general hospitals located in Seoul, using standardized questionnaires, during 7 months in 2007. We examined associations between suicide attempt history and referral to mental health services via multiple logistic regressions.

RESULTS: Subjects' rate of referral to mental health services was 47.3%. When we controlled for participant age, time of arrival at the emergency center, psychiatric treatment history, use of alcohol, suicide attempt lethality and subjective expectation to suicide attempts, past suicide attempts did not predict referral to mental health services (odds ratio=1.74; 95% confidence interval .88-3.43).

CONCLUSION: Psychiatric interventions for suicide reattempters visiting emergency centers are important for preventing suicide, but providers have not considered suicide attempt history as a critical factor for referral to mental health services. Therefore, we suggest that more effort is needed to systemize psychiatric interventions for suicide reattempters at emergency centers in Korea.
Full Text
http://www.sciencedirect.com/science/article/pii/S0163834311000107
DOI
10.1016/j.genhosppsych.2011.01.008
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Chung, Hyun Soo(정현수) ORCID logo https://orcid.org/0000-0001-6110-1495
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94440
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