Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Gender Differences in the Effect of Alcohol Use on Intent and Lethality of Suicidal Attempts

알코올 사용이 자살시도의 심각성과 치명도에 미치는 영향-성별 차이를 중심으로

  • Lee, Jinhee (Department of Psychiatry, Yonsei University Wonju College of Medicine) ;
  • Min, Seongho (Department of Psychiatry, Yonsei University Wonju College of Medicine) ;
  • Ahn, Joung-Sook (Department of Psychiatry, Yonsei University Wonju College of Medicine) ;
  • Park, Ki-Chang (Department of Psychiatry, Yonsei University Wonju College of Medicine) ;
  • Kim, Min-Hyuk (Department of Psychiatry, Yonsei University Wonju College of Medicine) ;
  • Kim, Heungkyu (Department of Psychiatry, Yonsei University Wonju College of Medicine)
  • 이진희 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 민성호 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 안정숙 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 박기창 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 김민혁 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 김흥규 (연세대학교 원주의과대학 정신건강의학교실)
  • Received : 2016.11.18
  • Accepted : 2016.12.25
  • Published : 2016.12.31
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Abstract

Objectives : The aim of this study was to clarify the role of alcohol use disorders and acute alcohol consumption in suicide attempts by gender. Methods : Data of 1,152 suicide attempters(487 males and 742 females) who had visited an emergency center was gathered. Suicide attempts were categorized into three groups according to alcohol use: an alcohol use disorder group(AUD), an acute alcohol use group(AAU), and a no-alcohol use group(NAU). The intent and lethality of suicide attempts were evaluated by Suicidal Intents Scale and Risk-Rescue Rating Scale. Results : For Suicidal Intents Scale score, the male AUD group revealed a significantly lower mean score than the male AAU one. However, there were no statistically significant differences for female subjects across subgroups. With regard to the Risk-Rescue Rating Scale score, there were no significant differences for males, while the AUD group showed both the lowest highest rescue scores and lowest risk-rescue scores within female groups. Conclusions : AUD in females was more likely regarding impulsive suicide attempts with high rescue chances. Consuming alcohol might have different effect on suicide attempts by gender and our study shows that alcohol use is an important risk factor according to gender, particularly with regard to female suicide attempts.

연구목적 본 연구는 자살시도에서 알코올이 자살시도의 심각성 및 치명도에 미치는 영향이 성별에 따라 차이가 있는 지 여부를 확인하고자 하였다. 방 법 총 1,152명의 자살시도자(남성 487명, 여성 742명)를 분석 대상으로 하였으며, 음주 양상에 따라 알코올사용 장애군, 급성알코올사용군, 비알코올사용군으로 나누었다. 자살시도의 심각성과 치명도는 자살의도척도및 위험-구조평가척도로 평가하였다. 결 과 남성에서는 급성알코올사용군에 비해 알코올사용장애군에서 자살의도척도의 총점이 유의하게 낮았지만, 여성에서는 각 군 사이에 유의한 차이가 없었다. 위험-구조평가척도에서 남성은 각 군간에 차이가 없었으나, 여성은 알코올사용장애군에서 가장 높은 구조도와 가장 낮은 위험도 점수를 보였다. 결 론 알코올사용장애가 있는 여성 자살시도자는 구조가 쉬운 상황에서 충동적인 자살 시도를 하는 경향이 있다면, 남성은 알코올 사용장애 환자보다 급성 알코올 중독상태일 때 자살의도가 더 강했다. 자살시도자의 알코올의 사용이 성별에 따라 다른 영향을 미칠 수 있으며, 특히 여성에서 중요한 위험 요인임을 시사하고 있다.

Keywords

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