• Title/Summary/Keyword: Self-harm

Search Result 139, Processing Time 0.031 seconds

Demographic characteristics of patients admitted to the emergency department for intoxication and a time series analysis during the COVID-19 period (중독으로 응급의료센터에 내원한 환자의 일반적 특성 연구 및 코로나바이러스감염증-19 유행 기간의 시계열 분석 연구)

  • Bongmin Son;Nayoon Kang;Eunah Han;Gina Yu;Junho Cho;Jaiwoog Ko;Taeyoung Kong;Sung Phil Chung;Minhong Choa
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.21 no.2
    • /
    • pp.92-107
    • /
    • 2023
  • Purpose: This study investigated the characteristics and treatment outcomes of patients who visited the emergency department due to intoxication and analyzed the impact of the coronavirus disease 2019 (COVID-19) pandemic on their visits. Methods: A retrospective study was conducted using data from the National Emergency Department Information System (NEDIS) on patients who visited the emergency department due to intoxication between January 2014 and December 2020. In total, 277,791 patients were included in the study, and their demographic and clinical data were analyzed. A model was created from 2014 to 2019 and applied to 2020 (i.e., during the COVID-19 pandemic) to conduct a time series analysis distinguishing between unexpected accidents and suicide/self-harm among patients who visited the emergency department. Results: The most common reason for visiting the emergency department was unintentional accidents (48.5%), followed by self-harm/suicide attempts (43.8%). Unexpected accident patients and self-harm/suicide patients showed statistically significant differences in terms of sex, age group, hospitalization rate, and mortality rate. The time series analysis showed a decrease in patients with unexpected accidents during the COVID-19 pandemic, but no change in patients with suicide/self-harm. Conclusion: Depending on the intentionality of the intoxication, significant differences were found in the age group, the substance of intoxication, and the mortality rate. Therefore, future analyses of patients with intoxication should be stratified according to intentionality. In addition, the time series analysis of intentional self-harm/suicide did not show a decrease in 2010 in the number of patients, whereas a decrease was found for unintentional accidents.

The Correlation between TCI and BDI, STAI in Traffic Accident Patients (교통사고 염좌 환자에서 기질 및 성격에 따른 불안 우울 수준의 차이)

  • Kim, Ji-Young;Kim, Ji-Hwon;Jeong, Si-Yeong;Myoung, Sung-Min
    • Journal of Oriental Neuropsychiatry
    • /
    • v.21 no.4
    • /
    • pp.1-11
    • /
    • 2010
  • Objectives : The purpose of this study was investigated that correlation between Temperament and Character Inventory(TCI) and Beck Depression Inventory (EDI). State-Trait Anxiety Inventory(STAI) in traffic accident patients. Methods: We investigated 30 cases of traffic accident patients. The patients answered that questionnaire about temperament. character and depression. anxiety. TCI and BDI. STAI were used to get to know that answers. Results: Depression is positive correlated with novelty seeking and harm avoidance in temperament. In character. depression is negative correlated with self directedness, and positive correlated with self-transcendence. Anxiety is positive correlated with harm avoidance in temperament. and negative correlated with self directedness. Conclusions : The results of correlation between TCI and BD I. STAI in traffic accident patients were consistent with previous studies in general person.

Effect of Sensory Processing Patterns on Temperament and Character Traits in Undergraduate Students (대학생의 기질 및 성격발달에 감각처리가 미치는 영향)

  • Kim, Seul-Kee;Kang, Chan Mi;Kwon, Jin Ha;Kim, Min-Kyu;Kim, Seong-Hyun;Cho, Yu-Jeong;Kim, Eun Young
    • The Journal of Korean Academy of Sensory Integration
    • /
    • v.20 no.3
    • /
    • pp.38-47
    • /
    • 2022
  • Objective : We investigated how sensory processing patterns contribute to temperament and character traits in undergraduate students. Methods : A total of 107 undergraduate students were recruited in September 2022 via convenient sampling method. They completed the Adolescent/Adult Sensory Profile and the Temperament and Character Inventory. Multiple regression models were applied to analyze the effect of sensory processing quadrants (low registration, sensation seeking, sensory sensitivity, sensation avoiding) on each temperament (novelty seeking, harm avoidance, reward dependence, persistence) and character (self-directedness, cooperativeness, self-transcendence) traits. Results : Sensation seeking significantly predicted high levels of novelty seeking, reward dependence, persistence, self-directedness, and self-transcendence but low harm avoidance. Low registration predicted high harm avoidance but low levels of reward dependence, persistence, and self-directedness. Reward dependence was predicted by high sensory sensitivity and low sensation avoiding. Conclusion : This study demonstrated that sensory processing patterns affected novelty seeking, harm avoidance, reward dependence, persistence, self-directedness, and self-transcendence in young adults.

Relationships between Chronotypes and Temperament and Character Dimensions in Healthy Young Adults (젊은 성인에서 일주기유형과 기질 및 성격의 관련성)

  • Park, Chun Il;Kang, Jee In;Namkoong, Kee;Kim, Se Joo
    • Korean Journal of Biological Psychiatry
    • /
    • v.21 no.3
    • /
    • pp.93-98
    • /
    • 2014
  • Objectives Circadian rhythms have been known to have associations with psychiatric disorders and personality traits. The present study investigated the relationships between circadian typology and temperaments/characters in a non-clinical Korean population. Methods Two hundred six healthy Korean college students (male 109, female 97) participated in this study. The subjects completed the Composite Scale of Morningness for circadian typology and 140-item Temperament and Character Inventory-Revised-Short version (TCI-RS). Results Multivariate analyses of covariance showed a significant association between chronotypes and temperamental dimensions of the TCI-RS. Morning types were significantly associated with lower harm avoidance and higher persistence and self-directedness dimensions, compared to evening types and intermediate types. No interaction effects between sex and chronotypes were shown for temperamental dimensions. Conclusions The present findings suggest that high persistence and self-directedness characters are related to morning types and high harm avoidance temperament is more related to evening types.

Regional Suicide Mortality Rate in Korea (지역별 고의적 자해에 의한 사망수준에 관한 연구)

  • Park, Sang-Hwa;Kim, Young-Bae;Lim, Dar-Oh
    • The Korean Journal of Health Service Management
    • /
    • v.7 no.3
    • /
    • pp.287-296
    • /
    • 2013
  • The aim of this study was to compare the regional difference of death from intentional self-harm. The analysis was based on data of intentional self-harm deaths (31,450) from the 2010-2011 vital statistics of Korea. The suicide rate (per 100,000 population) was 46.2 in male and 22.3 in female. Gender ratio (male / female) of suicide rate was 2.07, and Jeju province had the lowest gender ratio (1.82), and Chungbuk province had the highest gender ratio (2.42). In the age-gender standardized death rate (per 100,000) of self-harm by region, the highest suicide rate was observed in Gangwon province (44.8) and Chungnam province (44.3), and the lowest in Seoul metropolitan city (28.9) and Ulsan metropolitan city (29.2). There was a significant increase in the rate of suicide in city areas (odds ratio: 1.11, 95% CI: 1.08-1.13), county areas (1.62, 1.56-1.67) as compared with the rate of suicide in metropolitan areas. The commonest methods of suicide were hanging (53.7 percent), self-poisoning by pesticides (16.8 percent) and jumping from a height (14.3 percent). The methods used for suicide differed between rural (county) and urban areas (metropolitan city and city). In county areas, 43 percent of suicides used pesticides as compared to only 7-18 percent of those in urban areas. In urban areas, jumping was more common (13-17 percent vs. 6 percent). There were no difference in hanging between urban and rural areas. The odds ratio of death by pesticides was 9.86 in rural areas compared with death rate of metropolitan areas. The odds ratio of death by jumping was 0.59 in rural compared with death rate of metropolitan areas.

Multi-Phasic Mental Health Characteristics according to Harm-Avoidance and Self-Directedness Profile of Cloninger's Biopsychosocial Model (클로닌저의 생리심리사회 모델에서 위험회피-자율성 프로파일에 따른 다면적 정신건강 특성)

  • Chae, Han;Lee, Soo Jin
    • Journal of Oriental Neuropsychiatry
    • /
    • v.33 no.3
    • /
    • pp.259-266
    • /
    • 2022
  • Objectives: The combination of Harm-Avoidance (HA) and Self-Directedness (SD) of Temperament and Character Inventory (TCI) has been reported pivotal for mental health; however its clinical usefulness in integrative medicine has not sufficiently reported. The purpose of this study was to illustrate multi-phasic mental health of subjective satisfaction with life, emotional well-being, and psychopathology, following the HA-SD profile groups. Methods: A total of 527 Korean university students reported HA and SD scores as to render their HA-SD profile, and multi-phasic mental health characteristics using Satisfaction with Life Scale (SWLS), Positive Affect and Negative Affect Schedule (PANAS), and Beck Depression Inventory (BDI) with composite well-being scales of SC (Sum of Self-Directedness and Cooperativeness score) and HI (Happiness Index, subtraction of Negative Affect (NA) score from Positive Affect (PA) score) as standardized. Pearson's correlation was used to report correlation coefficient, and the ANCOVA with age and sex as covariates, to show significant differences in mental health and well-being between the HA-SD profile groups. Results: The HA-SD profile groups showed distinctive multi-phasic mental health characteristics; health related scores of SWLS, PA, SC and HI decreased following the order of hS (low HA and high SD), HS (high HA and high SD), hs (low HA and low SD) and Hs (high HA and low SD) profile groups; however the non-health related scores of NA and BDI showed contrasting order. Conclusions: The HA-SD profile was found to be clinically useful for examining multi-phasic mental health and well-being status, and the TCI may be an imperative personality inventory for integrative medicine.

The Influence of Self-conscious Negative Emotions on the Non-suicidal Self-injury: Focused on the Mediating Effects of Emotion Regulation Strategies (자의식적 부정정서가 비자살적 자해에 미치는 영향: 정서조절전략의 매개효과를 중심으로)

  • Baek, Bo-Gyeom;Kim, Ji-In;Kwon, Ho-In
    • The Journal of the Korea Contents Association
    • /
    • v.19 no.3
    • /
    • pp.385-395
    • /
    • 2019
  • The purpose of this study was to investigate the mediating pathways of emotional regulators in relation to self-conscious negative emotions, including non-suicidal self-harm, guilt, shame, shyness, and internal hostility, further examining the gender difference in the mechanisms. The study subjects of were 652 college students from three universities in J district. Self-report questionnaires on self-harm, self-conscious negative emotions, and emotional control were administered to them. An analysis performed using model 4 of the process macro indicated that self-conscious negative emotions had a significant correlation with self-harming behavior and that this correlation was mediated by the emotional regulation of brooding. These results suggest that negative self-conscious emotions have a significant influence on self-harming behaviors, and brooding reinforces negative emotions then the risk of self-harming behaviors is amplified.

The Seasonal Pattern Assessment Questionnaire in Relation to the Temperament and Character Inventory of Personality in Korean High School Students (SPAQ에 의한 계절성과 TCI에 의해 평가된 기질과 성격과의 관련성 - 한국 고등학생을 대상으로 -)

  • Hong, Jun-Keun;Lee, Moon-Soo;Kim, Seung-Hyun;Joe, Sook-Haeng;Jung, In-Kwa
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.15 no.1
    • /
    • pp.35-43
    • /
    • 2007
  • Objectives : Recently, many authors investigated the relation of temperament and character to seasonality and the genetic factors in seasonality and personality. In this study, we investigated the relation between personality structure obtained from the psychobiological Temperament and Character Inventory (TCI) and self-reported seasonal variations in mood and behavior measured by the Seasonal Pattern Assessment Questionnaire (SPAQ). Methods : 600 high-school students who live in Seoul of Korea, were participated in this study. Subjects were surveyed with the Korean translation of the SPAQ of Rosenthal, an instrument for investigating mood and behavioral changes with respect to the seasons of the you. Korean version of the TCI of Cloninger was also used for assessment of personality. Results : Female students were significantly higher scores on harm avoidance, reward dependence, and cooperativeness than male students who had significant higher scores on persistence and self·transcendence than the formers. GSS were showed positive correlation with harm avoidance and self-transcendence, and negative correlation with cooperativeness and self-directedness. By employing logistic regressions, the regression coefficients of SAD were significantly negative in SD, and positive in ST. Also, the regression coefficients of S-SAD were significantly negative in CO, and positive in ST. Those with GSS at least 11 were significantly higher mean ST values compared to the remaining individuals, and those with worst in winter were significantly lower mean CO values compared to the remaining individuals. Those who considered the seasonality as a problem at least to a moderate degree were associated with high HA and ST. Conclusion : We add the evidence that the seasonality is related to the temperament and character. Although there have been many reports about the seasonality in relation to the temperament and character in foreign countries, there has been very limited report from Korea before. We hope that this result would be a helpful in the clinical field in Korea.

  • PDF

Factors Influencing Protective Behavior against Radiation Exposure of Radiological Technologist in Computed Tomography Examination Room (전산화단층촬영검사실 방사선사의 방사선피폭 방어행위에 영향을 미치는 요인 분석)

  • Kim, Ki-Jeong;Jung, Hong-Ryang;Hong, Dong-Hee
    • Journal of radiological science and technology
    • /
    • v.41 no.6
    • /
    • pp.581-586
    • /
    • 2018
  • This study was conducted to analyze factors Influencing Protective Behavior against Radiation Exposure using questionnaires for 231 radiological technologists working in Computed Tomography(CT) examination room with high radiation dose in diagnostic radiology field. Statistical analysis of the collected data revealed that the reasons for partially shielding the examination part in the CT scan were the lack of protective equipment, securing of radiation justification, being annoying and maybe not being harm to adults in order. It was also revealed that the variables influencing the protective behavior were protective behavior against radiation harm, self-efficacy, protective environment, organization culture, protective knowledge and protective instrument in order. The higher the radiological protective environment(${\beta}=0.245$) and the lower the radiological protective knowledge(${\beta}=-0.034$), the more influential the protective behavior against radiation harm was. In this study, it was shown that non examination parts were not shielded in the CT scan. Therefore, it is necessary to improve the level of protective environment, to cultivate knowledge to improve the protective behavior against radiation harm and to have an intervention strategy for concrete action.

The Correlation between the Effectiveness of Brief Qigong-based Stress Reduction Program(BQSRP) and Personality (기질 및 성격에 따른 기공기반 스트레스완화 프로그램의 효과)

  • Hwang, Eun-Young;Chung, Sun-Yong;Hwang, Wei-Wan;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
    • /
    • v.21 no.2
    • /
    • pp.45-60
    • /
    • 2010
  • Objectives : The aim of this study was to investigate the correlation between the effectiveness of Brief Qigong-based Stress Reduction Program(BQSRP) and personality. Methods : Twenty nine women and nine men from the community with symptoms of distress(mean age 39.4 years, SD=11.4) were randomized into a group receiving a 4-week intervention of BQSRP(n=19) or a waiting-list control group. All subjects completed the temperament and character inventory (TCI) before the intervention. Before and after the intervention period, questionnaires were completed on perceived stress scale(PSS), anxiety, and quality of life. Results : 1. Those who have higher temperament of harm avoidance or lower character of self-directedness showed higher PSS, Hwa-Byung character, Hwa-Byung symptom, STAI and lower WHOQOL-BREF scores. 2. In the BQSRP training group, a correlation analysis demonstrated an association between higher temperament of harm avoidance and greater improvement of perceived stress and an association between lower character of self-directedness and greater improvement of perceived stress. 3. Those who have high Hwa-Byung symptom scores prefer the breathing meditation and there were no differences in effects of BQSRP group by the preference Brief Qigong-based Meditation(BQM) component. Conclusions : These results suggest that a BQSRP training may be effective for those with higher harm avoidance trait and low self-directedness.