청소년 자살시도 환자의 임상적 특성 및 예후 연관 요인: 중독 대 비중독

이명훈; 장재호; 조진성; 최우성; 최재연

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자료유형: 학술저널

저자정보: 이명훈 (가천대학교 의과대학 길병원 응급의학교실) 장재호 (가천대학교 길병원 응급의학교실) 조진성 (가천의과학대학교 길병원 응급의학과) 최우성 (가천대학교 의과대학 길병원 응급의학과) 최재연 (가천대학교 의과대학 길병원 응급의학교실)

저널정보: 대한소아응급의학회 대한소아응급의학회지 대한소아응급의학회지 제7권 제2호

발행연도: 2020.1

수록면: 85 - 93 (9page)

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Purpose: Methods for suicide attempt are largely divided into poisoning and non-poisoning, which differ in clinical features and severity. We aimed to investigate the clinical features of adolescents with suicide attempt and factors associated with poor outcomes from the 2 methods. Methods: A retrospective study was conducted on adolescents (10-18 years) who visited the emergency department after suicide attempt from 2011 through 2018. The adolescents were divided into the poisoning and non-poisoning groups. We analyzed the differences of clinical features and outcomes between the 2 groups. Poor outcomes were defined as hospitalization to the intensive care unit or death. Factors associated with poor outcomes were investigated using multivariable logistic regression. Results: Of 4,335 adolescents in total, 2,134 (49.2%) were categorized as the poisoning group. In this group, the adolescents with poor outcomes used acetaminophen most frequently (26.5%), followed by sedative or antipsychotics (22.3%). In the nonpoisoning group, those with the outcomes used fall from height (73.2%) most commonly, followed by hanging (21.0%). The factors associated with the outcomes were age (for increment of 1 year; odds ratio, 1.11; 95% confidence interval, 1.02-1.22) in the poisoning group, and being boys (1.34; 1.03-1.73) and non-use of alcohols (2.87; 1.73-4.74) in the non-poisoning group. Conclusion: In adolescents who used poisoning for suicide attempt, increasing age is associated with poor outcomes. The outcomes are associated with being boys and non-use of alcohols in those who used non-poisoning methods.

#Adolescent #Child #Emergency Service #Hospital #Poisoning #Suicide #Attempted #Wounds and Injuries

참고문헌 (19)

참고문헌 신청

Ministry of Health & Welfare / Suicide prevention white paper

Parellada M / 2008 / Is attempted suicide different in adolescent and adults / Psychiatry Res 157:131~137

Hulten A / 2001 / Repetition of attempted suicide among teenagers in Europe : frequency, timing and risk factors / Eur Child Adolesc Psychiatry 10:161~169

Shain B / 2016 / Suicide and suicide attempts in adolescents / Pediatrics 138:e20161420

Tejedor MC / 1999 / Attempted suicide : repetition and survival findings of a follow-up study / Acta Psychiatr Scand 100:205~211

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