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논문 기본 정보

자료유형
학술저널
저자정보
서민범 (가톨릭대학교 인천성모병원 응급의학과) 김건 (가톨릭대학교 인천성모병원 생명사랑위기대응센터) 이혜원 (가톨릭대학교 의과대학 응급의학과) 이운정 (가톨릭대학교 의과대학 응급의학과) 우선희 (가톨릭대학교 의과대학 응급의학교실) 김상윤 (가톨릭대학교 인천성모병원 응급의학과) 김대희 (가톨릭대학교 의과대학 응급의학과)
저널정보
대한응급의학회 대한응급의학회지 대한응급의학회지 제35권 제1호
발행연도
2024.2
수록면
43 - 50 (8page)

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초록· 키워드

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Objective: Emergency department-based interventions are known to be effective at reducing the risk of repeat suicide attempts among patients admitted to emergency departments after attempting suicide. However, the factors that influence loss to follow-up after emergency department-based interventions are not well known. Methods: This study investigated suicide attempt patients who registered with an emergency department-based intervention and received counseling at least once from January 2019 to December 2020. Patients were allocated to a followup group or a loss-to-follow-up group depending on whether emergency department-based interventions had been performed more than three times. Clinical factors and socioeconomic status were considered independent variables. Logistic regression analysis was performed to identify factors that influenced loss to emergency department-based interventions. Results: Of 339 patients enrolled, 210 (61.9%) were lost to follow-up. Time taken to initiation of intervention after discharge (adjusted odds ratio [aOR]=2.42; 95% confidence interval [CI], 1.38-4.30) and suicide attempt associated with physical illness (aOR=0.31; 95% CI, 0.14-0.68) independently influenced loss to emergency department-based interventions. Conclusion: Initiation of intervention after discharge significantly influenced emergency department-based intervention follow-up loss of suicide attempt patients. The study suggests initiation of intervention prior to discharge might reduce the risk of repeat suicide attempts.

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