Effectiveness of post-discharge case management of patients who attempted suicide and self-injurious behavior through mobile messenger counseling
Journal of the Korean Society of Emergency Medicine
;
: 239-247, 2019.
Article
in Korean
| WPRIM
| ID: wpr-758464
ABSTRACT
OBJECTIVE:
Mobile messengers are becoming common methods to communicate among people in various fields. This study investigated the effectiveness of mobile messengers as a tool for post-discharge case management of emergency department patients who attempted suicide and self-harm.METHODS:
This study was a retrospective observational study of data collected prospectively. A total of 327 patients who attempted suicide and self-harm in the emergency department were divided into two groups a conventional protocol group with a face-to-face or phone call interview and a new protocol group with added mobile messenger counseling. The basic characteristics, such as sex, age, methods of suicide and self-harm attempt, consent for case management, and admission to a ward, were surveyed. The rates of successful case management (transfer to a local community center or follow-up to neuropsychiatric outpatient clinic, or both) were compared as a primary outcome between the two groups.RESULTS:
The conventional protocol group was 122 cases and the new protocol group was 205 cases. No significant differences in sex, age, methods of suicide and self-harm attempt, rate of consent to case management, and admission to a ward were observed between the two groups. On the other hand, the total successful management rate in mobile messenger group was higher than that of the other group (P=0.020).CONCLUSION:
This study showed that mobile messengers could be an alternative communication tool for the post-discharge case management of patients who attempted suicide and self-injurious behavior. Nevertheless, a well-designed future study might be needed to determine if that method would reduce the reattempt rate.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Suicide
/
Suicide, Attempted
/
Prospective Studies
/
Retrospective Studies
/
Follow-Up Studies
/
Self-Injurious Behavior
/
Case Management
/
Counseling
/
Cell Phone
/
Emergency Service, Hospital
Type of study:
Practice guideline
/
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2019
Type:
Article
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