정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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대학병원에서 관찰한 코로나19가 소아청소년 자해에 미치는 영향

The Effects of COVID-19 on the Self-Harm in Children and Adolescents Observed in a University Hospital

  • 오새봄 (건양대학교병원 정신건강의학과) ;
  • 김승준 (건양대학교병원 정신건강의학과) ;
  • 김지웅 (건양대학교병원 정신건강의학과) ;
  • 오홍석 (건양대학교병원 정신건강의학과) ;
  • 임우영 (건양대학교병원 정신건강의학과) ;
  • 이나현 (건양대학교병원 정신건강의학과)
  • Oh, Sae-Bom (Department of Psychiatry, Konyang University Hospital) ;
  • Kim, Seung-Jun (Department of Psychiatry, Konyang University Hospital) ;
  • Kim, Ji-Woong (Department of Psychiatry, Konyang University Hospital) ;
  • Oh, Hong-Seok (Department of Psychiatry, Konyang University Hospital) ;
  • Im, Woo-Young (Department of Psychiatry, Konyang University Hospital) ;
  • Lee, Na-Hyun (Department of Psychiatry, Konyang University Hospital)
  • 투고 : 2021.07.12
  • 심사 : 2021.09.26
  • 발행 : 2021.12.31
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초록

연구목적 본 연구는 코로나19가 소아청소년 자해의 발생 및 심각도에 미치는 영향을 조사하고자 한다. 방 법 건양대학교병원 응급실을 내원한 만 18세 이하 환자를 대상으로 의무기록을 후향적으로 검토하여 코로나19 발생 전후 자해 시도로 응급실을 내원한 환자의 비율, 인구학적, 임상적 요인 및 자해 관련 양상을 비교하였다. 결 과 코로나19 발생 후 건양대학교 병원에 내원한 자해 소아청소년의 실인원과 연인원의 비율은 발생 전에 비해 유의미하게 증가하였다(𝛘2=14.397, p<0.001; 𝛘2=24.156, p<0.001). 코로나19 발생 전후로 응급실에 내원한 자해 소아청소년의 자해 과거력 및 정신건강의학과적 과거력, 타과 입원 비율은 유의미한 차이를 보였다(p<0.05; p<0.05; p<0.05). 결 론 코로나19 상황에서 소아청소년의 자해로 인한 응급실 내원 및 타과 입원 비율이 증가하는 것으로 나타났으며, 이전 자해 과거력 및 정신건강의학과 과거력이 있는 소아청소년에서 자해 발생이 유의미하게 증가한 것으로 나타났다. 범유행 상황에서 소아청소년 정신건강 고위험군의 평가와 개입에 대한 추가적 연구가 필요할 것으로 사료된다.

Objectives : The aim of the present study is to investigate the impact of COVID-19 on the incidence and severity of childhood and adolescent self-harm. Methods : Medical records were retrospectively reviewed for patients under the age of 18 who visited the emergency room of Konyang University Hospital to compare the rate of self-harm attempts and the demographic, clinical, and self-harm-related of self-harm attempters aspects before and after the COVID-19 outbreak. Results : During 11 months after the COVID-19 outbreak, the proportion of the number of children and adolescents patients with self-harm and their episodes increased significantly compared to that during 11 months before the COVID-19 outbreak (𝛘2=14.397, p<0.001; 𝛘2=24.156, p<0.001). Between about the year before and after the outbreak of COVID-19, there was a significant difference in the prior self-harm history and psychiatric history among children and adolescents who visited the emergency room and the ratio of hospitalization to other departments than department of psychiatry (p<0.05; p<0.05; p<0.05). Conclusions : In the COVID-19 situation, the proportion of children and adolescents who visited the emergency room due to self-harm and admission to other departments are increasing. And it has been shown that the incidence of self-harm has significantly increased in children and adolescents with a history of prior self-harm and psychiatric past history. These findings underscore the need for the psychiatric evaluation and intervention of self-harm related high-risk groups among children and adolescents in pandemic situations.

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