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Characteristics of High-Intent Suicide Attempters Admitted to Emergency Departments
Journal of Korean Medical Science ; : e259-2018.
Artículo en Inglés | WPRIM | ID: wpr-717689
ABSTRACT

BACKGROUND:

The suicide rate in Korea has been the highest among the Organization for Economic Cooperation and Development countries since 2003. However, there is a lack of in-depth data regarding the characteristics of suicide attempters. Understanding the intent of suicide attempters will help improve the effectiveness of suicide prevention strategies. Therefore, to provide a resource for developing the necessary interventions, this study aimed to examine the differences in suicide-related and clinical variables according to the strength of suicidal intent.

METHODS:

The subjects were 328 suicide attempters admitted to emergency departments at 5 university hospitals in Daegu-Gyeongbuk province between 2011 and 2014. We used various scales to examine suicide-related and clinical variables and a structured questionnaire to explore psychosocial characteristics. We evaluated suicidal intent using the Pierce Suicide Intent Scale and a clinician-rated scale that measured suicidal authenticity.

RESULTS:

Individuals with high suicidal intent were significantly older, had higher Hamilton Depression Rating Scale (HDRS) scores, higher rates of premeditation, and sustained suicidal ideation. Furthermore, suicide methods, timing, and psychiatric treatment histories differed by the strength of subjects' suicidal intent. Moreover, multiple logistic regression showed that depressed mood as a reason for attempting suicide, premeditation, and higher HDRS scores were significantly associated with higher suicidal intent.

CONCLUSION:

Depression, premeditation, older age, and sustained suicidal ideation were characteristics of individuals with high suicidal intent, and it is necessary to evaluate and monitor these factors to prevent repeated suicide attempts.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Suicidio / Intento de Suicidio / Pesos y Medidas / Modelos Logísticos / Intención / Depresión / Urgencias Médicas / Servicio de Urgencia en Hospital / Organización para la Cooperación y el Desarrollo Económico / Ideación Suicida Tipo de estudio: Estudio pronóstico / Investigación cualitativa / Factores de riesgo País/Región como asunto: Asia Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2018 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Suicidio / Intento de Suicidio / Pesos y Medidas / Modelos Logísticos / Intención / Depresión / Urgencias Médicas / Servicio de Urgencia en Hospital / Organización para la Cooperación y el Desarrollo Económico / Ideación Suicida Tipo de estudio: Estudio pronóstico / Investigación cualitativa / Factores de riesgo País/Región como asunto: Asia Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2018 Tipo del documento: Artículo