J Korean Soc Clin Toxicol.
2015 Jun;13(1):25-32.
The Factors Affecting the Registration Rates for Emergency Department Based Post-suicidal Care Program
- Affiliations
-
- 1Department of Emergency Medicine, Seoul Hospital, Hanyang University College of Medicine, Seoul, Republic of Korea. emer0905@gmail.com
- 2Department of Emergency Medicine, Guri Hospital, Hanyang University College of Medicine, Gyeonggi-do, Republic of Korea.
- 3Department of Psychiatrics, Hanyang University College of Medicine, Seoul, Republic of Korea.
- 4Seongdonggu Community Mental Health Center, Seoul, Republic of Korea.
- 5Seongdonggu Community Health Center, Seoul, Republic of Korea.
Abstract
- PURPOSE
The aim of this study was to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED).
METHODS
This prospective observational study was conducted between March and December 2013 at the academic ED at the tertiary urban hospital. During the study period, the pre-designed registry was recorded. The variables examined included the following: patients' demographic data (Sex, age, address, type of insurance, marital status, level of education, and history of previous psychiatric disease), suicide-related data (suicidal methods, combined drink of alcohol and number of previous attempts), and management-related data (disposition at ED, physician's training level, etc.). Univariated and multivariated logistic regression analyses were performed for identification of factors affecting the registration rate for the community-based post suicidal care program.
RESULTS
A total of 163 suicides were included during the study period. Of these, 33 (20.2%) patients were registered in the post-suicide care program. Factors including a patient's address (OR: 14.92, 95% CI: 3.606-61.711), immediate intervention by psychiatric healthcare center (OR: 5.05, CI: 1.688-15.134), admissions in hospital (OR: 3.69, CI: 1.286-10.605), and history of previous psychiatric disease (OR: 3.52, CI: 1.216-10.201) showed significant association with registration for the program.
CONCLUSION
The community-based post-suicidal care program, which is available 24 hours a day, should be operated in each district in order to increase the registration rate. Emergency physicians should actively consider the inpatient treatment program for suicidal patients and strongly recommend registration to the program, particularly for patients without previous history of psychiatric disease.
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