Korean J Psychosom Med.  2021 Dec;29(2):176-183. 10.22722/KJPM.2021.29.2.176.

Factors for Completing Case Management of Suicide Attempters: A Coihort Follow-Up Study Based on Data From Case Management of Emergency Room-Based Suicide Attempters

• Ryou JH
• Heo YK
• Kim DS
• Kim SM
• Han DH
• Min KJ

• KMID: 2524302
• DOI: http://doi.org/10.22722/KJPM.2021.29.2.176

Abstract

Objectives
：The purpose of this study was to find out how demographic factors, suicide attempt patterns, psychiatric history and management of suicide attempters affect the completion of emergency department (ED) based case management program.
Methods
：Among the patients who attempted suicide and visited the emergency department of Chung-Ang University Hospital from June 1, 2018 to May 31, 2021, 661 patients who agreed to case management were studied. After being discharged from the emergency department, subjects were registered for an eight-week follow-up service program. Hierarchical logistic regression analysis was conducted with demographic factors, suicide attempt patterns, psychiatric history and management as independent variables, and completion of case program as dependent variables.
Results
：Suicide attempt pattern had the most significant influence on the completion of case management program, followed by demographic factors, psychiatric history and management. Those who completed the case management program were significantly more likely to have suicide plans in the future, more authentic in sui-cide attempts, and had higher proportion of past suicide attempts than those who did not complete the program.
Conclusions
：To ensure that the subjects complete the follow-up project program and get connected to community services, an individualized approach with consideration of suicide attempt patterns, demographic factors, and psychiatric history is needed.

Keyword

Emergency department based case management program; Suicide attempt pattern; Medical history; Psychiatric history