학술논문
자살 시도 후 응급실을 방문한 환자들의 정신과 협진 후 추후 관찰
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- 영문명
- A Study for the Progress after Psychiatric Intervention for Patients Who Visit the Emergency Room due to Suicidal Attempts
- 발행기관
- 대한신경정신의학회
- 저자명
- 이영수 정승호 강민희 이정섭 배재남 김철응
- 간행물 정보
- 『신경정신의학』제50권 제4호, 310~315쪽, 전체 6쪽
- 주제분류
- 의약학 > 정신과학
- 파일형태
- 발행일자
- 2011.07.30
4,000원
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국문 초록
영문 초록
ObjectivesThis study aimed to examine the clinical characteristics of patients who attempted suicide and the effects of their admission to a psychiatric ward after suicide attempts.
Methods We enrolled 147 patients who had visited the emergency room of Inha University Hospital between January 2007 and December 2008. We reviewed their medical records and investigated demographic factors, clinical characteristics, and acute stressors. We compared the progress of patients who had been admitted to a psychiatric ward and the progress of patients who had not been admitted to a psychiatric ward, to investigate the effects of psychiatric admission.
Results In total, 73% of patients who attempted suicide were women with a mean age of 40.5 years. On the other hand, the mean age of the men who had attempted suicide was 60. In 40% of suicide attempts, patients visited the emergency room after drinking alcohol. The most common method of suicide was drug intoxication (82%). A quarter the of patients had a history of previous suicide attempts. The most common cause of suicide attempts was interpersonal conflict, including couple relationship problems, family problems, and peer group problems. But in men, economic problems and chronic illnesses are more important stressors. Many patients who visited the emergency room due to suicide attempts refused admission to a psychiatric ward because of poor insight, aversion to psychiatric wards, and economic problems. The follow-up rate of patients who were admitted to a psychiatric ward was 78%, and their average follow-up period was 286 days. On the other hand, the follow-up rate of patients who were not admitted to a psychiatric ward was 11% and their average follow-up period was 21 days.
Conclusion This study implies that interpersonal conflict is a significant cause of suicide attempts for both genders. Though many patients and their families refuse admission to a psychiatric ward, admission to a psychiatric ward is very important because it can serve psychiatric treatments for patients.
목차
서 론
방 법
결 과
고 찰
REFERENCES
해당간행물 수록 논문
- 정신분열병 외래 환자가 경험하는 낙인에 미치는 요인
- 도시화 수준에 따른 주요 정신질환 유병률의 지역 비교 : Korean Version of the Mini-International Neuropsychiatric Interview를 이용한 경기도 구리시·양평군 지역 비교
- 불안장애 및 주요우울장애 환자의 우울 증상의 차이
- 자살 시도 후 응급실을 방문한 환자들의 정신과 협진 후 추후 관찰
- 일 대학병원에 입원하는 알코올 의존 환자에서 동반되는 베르니케 뇌병증의 선별 및 치료
- 안면화상 환자에서 삶의 질에 영향을 주는 불안의 정도
- 남자 소방공무원의 외상적 사건 경험과 알코올 사용과의 관련성
- 정신분열병 환자의 음악 정서 인식
- 도파민 시스템과 항정신병 약물의 작용에 대한 이해
- Images in Psychiatry
- 수면무호흡증후군과 우울증상을 가진 환자
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