J Korean Soc Emerg Med.  2018 Apr;29(2):160-169. 10.0000/jksem.2018.29.2.160.

Case management of suicide attempters seen in emergency rooms: result and factors affecting consent to follow-up

• Kim H
• Kim SG
• Oh H
• Choi S

• KMID: 2435535
• DOI: http://doi.org/10.0000/jksem.2018.29.2.160

Abstract

OBJECTIVE
The purpose of this study was to identify the factors that influence the consent of case management for suicide prevention.
METHODS
This study included 232 suicide attempters from September 1, 2015 to August 31, 2016 at the Emergency Medical Center of Soonchunhyang University Bucheon Hospital, Korea. A retrospective chart analysis was performed using a chi-square test or Fisher exact test, as well as univariate and multivariate logistic regression analysis (R ver. 3.3.3).
RESULTS
The positive factors affecting case management consent were direct face-to-face counseling with a case manager, patient's age, suicide attempt without alcohol, first suicide attempt, and no psychiatric history. In addition, suicide attempters who underwent follow-up case management were more likely to participate in outpatient mental health care. Through the case manager, continuous emotional support and encouragement were provided to the suicide attempt, which proved to be effective.
CONCLUSION
This study emphasizes the importance of case management for suicide attempters visiting the emergency medical center and suggests that the cooperation of national and regional systems should be expanded to increase the case participation rate.

Keyword

Suicide; Attempted suicide; Case management

MeSH Terms

Case Management*
Counseling
Emergencies*
Emergency Service, Hospital*
Follow-Up Studies*
Gyeonggi-do
Humans
Korea
Logistic Models
Mental Health
Outpatients
Retrospective Studies
Suicide*
Suicide, Attempted