대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제14권1호
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  • Pages.37-46
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  • 2016
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  • 1738-1320(pISSN)
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  • 2508-6332(eISSN)
대한임상독성학회 (Korean society of Clincal Toxicology)
권호 표지

응급실에 내원한 약물음독의 자살 시도자에서 정신건강의학과 진료 참여의 제한점

Limitation of Psychiatric Intervention for Suicidal Drug Intoxication Patients in Emergency Room

  • 이주환 (계명대학교 의과대학 동산의료원 응급의학과) ;
  • 양승준 (계명대학교 의과대학 동산의료원 응급의학과) ;
  • 은승완 (계명대학교 의과대학 동산의료원 응급의학과) ;
  • 진상찬 (계명대학교 의과대학 동산의료원 응급의학과) ;
  • 최우익 (계명대학교 의과대학 동산의료원 응급의학과) ;
  • 정성원 (계명대학교 의과대학 동산의료원 정신건강의학과)
  • Lee, Joo Hwan (Department of Emergency Medicine, School of Medicine, Keimyung University, Dongsan Medical Center) ;
  • Yang, Seung Jun (Department of Emergency Medicine, School of Medicine, Keimyung University, Dongsan Medical Center) ;
  • Eun, Seung Wan (Department of Emergency Medicine, School of Medicine, Keimyung University, Dongsan Medical Center) ;
  • Jin, Sang Chan (Department of Emergency Medicine, School of Medicine, Keimyung University, Dongsan Medical Center) ;
  • Choi, Woo Ik (Department of Emergency Medicine, School of Medicine, Keimyung University, Dongsan Medical Center) ;
  • Jung, Sung Won (Department of Psychiatry, School of Medicine, Keimyung University, Dongsan Medical Center)
  • 투고 : 2016.03.04
  • 심사 : 2016.05.16
  • 발행 : 2016.06.30
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초록

Purpose: This study was designed to determine the factors hindering psychiatric intervention for suicide attempters in the emergency room (ER). Methods: Participants were 299 patients aged 18 years or older admitted to the ER for suicidal drug overdose between July 2012 and June 2014. Patients were divided into two groups according to whether they had received psychiatric treatment in the ER. Medical histories and follow-up treatments were determined by examining patients' medical records and through phone surveys, and were then compared using ${\chi}^2$-test and Fisher's exact test. In addition, the rate of satisfaction of the treatment group and the reasons for their dissatisfaction were also determined. Results: The treatment and non-treatment groups comprised 135 (45%) and 164 patients (55%), respectively. Factors influencing participation in psychiatric intervention were previous history of suicide attempts (p=0.004), history of psychiatric disorder (p<0.001), time of day (p=0.039), and day of the week (p=0.040) of arrival in the ER. Whether or not the patient received follow-up psychiatric treatment was not significantly relevant (p=0.300). Of the 82 patients who participated in the treatment satisfaction survey, 50.2% reported being unsatisfied, mainly because of unfriendly medical personnel (36.6%), discomfort regarding other people's perceptions (24.4%), and cursory care (14.6%). Conclusion: To raise the participation rate of psychiatric consult, cooperation with psychiatry at night and on weekends is required, and incorporation of patients without previous history of suicidal attempt or other psychiatric disorder is important. Resolution of complaints toward psychiatric consult in suicide attempt survivors is also required.

키워드

참고문헌

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