응급실을 내원한 약물중독 자살시도자의 응급실 기반 자살시도자 사후관리사업 참여 영향요인

Abstract

Purpose: The purpose of this study was to identify factors that affect the participation of drug intoxication suicide attempters in emergency room-based post-suicide attempt care program for suicide attempters, which is implemented by the country to prevent re-attempts by suicide attempters. Method: This study targeted suicide attempters who attempted suicide by drugs intoxication and visited an emergency room from January 1, 2020 to December 31, 2021. This was a retrospective study that compared the general characteristics, drug intoxication-related characteristics, and treatment-related characteristics of participants and non-participants in an emergency room-based post-suicide attempt care program. Results: There were 416 subjects who visited the emergency room due to suicide attempt drug intoxication. 246 (59.1%) participated in the emergency room-based post-suicide attempt care program and 170 (40.9%) did not participate. Between participants and non-participants in emergency room-based post-suicide attempt care program was significant difference mental illness was significant difference mental illness (χ2=124.91, p<.001), hospital visit time (χ2=8.92, p=.030), systolic blood pressure (χ2=4.71, p=.030), and moderate severity (χ2=12.42, p=.006). Conclusion: Based on the results of this study, in order to increase the participation rate of drug intoxicated suicide attempters in the emergency room-based post-suicide attempter care program, it is necessary to strengthen the capacity of emergency room nurses who initially interview suicide attempters and provide discharge education to respond to suicide attempters. We also suggest developing strategies to prevent suicide re-attempts, such as the development of an administrative system that allows suicide attempters to connect with community counseling organizations after being discharged from the emergency room.