Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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The Relationship between Possibility of Bipolar Disorder and Suicidal Attempt in Emergency Room

자살시도로 응급실에 내원한 환자의 자살 위험성과 양극성 장애 가능성의 연관성

  • Huh, Lyang (Department of Psychiatry, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Kun Hyung (Department of Occupational and Environmental Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Chun, Jin Ho (Department of Preventive Medicine, Inje University College of Medicine) ;
  • Park, Young Min (Department of Psychiatry, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Young Hoon (Department of Psychiatry, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Lee, Bong Ju (Department of Psychiatry, Haeundae Paik Hospital, Inje University College of Medicine)
  • 허량 (인제대학교 의과대학 해운대백병원 정신건강의학과) ;
  • 김건형 (인제대학교 의과대학 부산백병원 직업환경의학과) ;
  • 전진호 (인제대학교 의과대학 예방의학교실) ;
  • 박영민 (인제대학교 의과대학 일산백병원 정신건강의학과) ;
  • 김영훈 (인제대학교 의과대학 해운대백병원 정신건강의학과) ;
  • 이봉주 (인제대학교 의과대학 해운대백병원 정신건강의학과)
  • Received : 2015.10.17
  • Accepted : 2015.12.10
  • Published : 2015.12.31
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Abstract

Objectives : The aim of this study was to investigate the factors including possibility of bipolar disorder that are related to intensity of suicidal idea. Methods : The study subjects consisted of 50 patients who did suicidal attempt and treated at the Inje University Haeundae Paik Hospital Emergency Room. All participants underwent psychiatric interview and underwent Columbia Suicide Severity Rating Scale(C-SSRS), Beck Depression Inventory(BDI), Korean Version of Mood Disorder Questionnaire(MDQ) and Bipolar Spectrum Diagnostic Scale(BSDS) to evaluate patient's suicide attempt, severity of depression and possibility of bipolar disorder. Results : Compared to non-high risk group, suicide high risk group showed significantly higher BDI(p<0.001) and intensity of ideation(IOI) in C-SSRS(p<0.001). Also intensity of ideation(IOI) was correlated with Mood Disorder Questionnaire(MDQ) bipolarity positive(p=0.033). Conclusions : The present study indicated that possibility of bipolar disorder plays a significant role in suicide attempters. Assessment of suicide ideation severity and possibility of bipolar disorder should be considered when suicide attempters come to emergency room.

연구목적 본 연구는 자살 시도자를 대상으로 자살 생각의 심각성과 관련된 요인들을 찾아보고자 하였다. 방 법 일 대학병원 응급실에 자살 시도로 내원한 환자 중 50명을 대상으로 임상가가 면담, Columbia Suicide Severity Rating Scale(C-SSRS), Beck Depression Inventory(BDI), Korean Version of Mood Disorder Questionnaire(K-MDQ), Bipolar Spectrum Diagnostic Scale(BSDS)를 시행하였다. 결 과 자살 경향이 높은 고위험군은 C-SSRS의 자살 생각의 심각성 점수와 BDI 점수가 높았고(p<0.001), MDQ에서 양극성 장애 가능성의 양성으로 판정된 자는 자살생각의 심각성 점수가 높았다(p=0.033). 결 론 자살 시도자의 자살 생각의 심각성과 양극성 장애의 가능성은 서로 연관성이 있을 것으로 생각된다.

Keywords

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