Psychosocial Characteristics and Factors Associated with Referral to Psychiatric Care in the Suicide Attempters Visiting Emergency Center

응급실에 내원한 자살 시도자들의 정신사회학적 특성과 정신건강의학과 진료 의뢰 관련 요인

  • Kwon, Jung-Woo (Department of Psychiatry, Korea University College of Medicine) ;
  • Ko, Young-Hoon (Department of Psychiatry, Korea University College of Medicine) ;
  • Han, Chang-Su (Department of Psychiatry, Korea University College of Medicine) ;
  • Lee, Moon-Soo (Department of Psychiatry, Korea University College of Medicine) ;
  • Yoon, Ho-Kyung (Department of Psychiatry, Korea University College of Medicine) ;
  • Lee, Hongjae (Danwon Public Health Center)
  • 권정우 (고려대학교 의과대학 정신건강의학교실) ;
  • 고영훈 (고려대학교 의과대학 정신건강의학교실) ;
  • 한창수 (고려대학교 의과대학 정신건강의학교실) ;
  • 이문수 (고려대학교 의과대학 정신건강의학교실) ;
  • 윤호경 (고려대학교 의과대학 정신건강의학교실) ;
  • 이홍재 (안산시 단원 보건소)
  • Received : 2013.09.09
  • Accepted : 2013.10.11
  • Published : 2013.12.31

Abstract

Objectives: The purpose of this study was to examine the characteristics and the psychosocial factors associated to the referral to psychiatric care in the suicide attempters visiting emergency center. Methods: We conducted a systematic chart review of 377 suicidal attempters visiting emergency center of the Korea University Ansan Hospital between January 2008 and December 2011. We gathered a data contain 20 items including psychosocial characteristics and factors related to suicide and factors related to psychiatric treatment. Multivariate logistic regression models were fitted to data to estimate the unique effects of sex, drunken status, companion, suicidal methods, place of suicide and current use of psychiatric medication on the referral to psychiatric care. Results: The female gender(OR=1.63, 95% CI=0.99-2.69), suicidal attempts at home(OR=3.40, 95% I= 1.21-9.56) and drunken state at visit(OR=2.34, 95% CI=1.10-5.01) are the factors that predict the risk of the non-referral of the patients to psychiatric intervention. Place of suicidal attempt was the most important factor do play a role in determining whether referral to psychiatric care will take place or not. Current use of psychiatric medication showed a trend toward significance(p=0.08, OR=1.67, 95% CI=0.95-2.95). Conclusions: These results suggest that when deciding whether to adapt or to refuse the referral to psychiatric care, the factors such as suicidal intent, lethality of suicide methods, familiar factors and alcohol may contribute onto the referral to psychiatric care. Additional research is required to investigate an association of these factors with referral to psychiatric care.