정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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일 대학병원 응급실에 내원한 졸피뎀 음독 자살시도군의 특성

The Characteristics Related to Zolpidem-Using Suicide Attempts in Patients Who Visited Emergency Department

  • 맹헌규 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 이진희 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 민성호 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 김민혁 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 권윤나 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 진시영 (연세대학교 원주의과대학 정신건강의학교실) ;
  • 김흥규 (서울특별시 은평병원 정신건강의학과)
  • Maeng, Heongyu (Department of Psychiatry, Yonsei University, Wonju College of Medicine) ;
  • Lee, Jinhee (Department of Psychiatry, Yonsei University, Wonju College of Medicine) ;
  • Min, Seongho (Department of Psychiatry, Yonsei University, Wonju College of Medicine) ;
  • Kim, Min-Hyuk (Department of Psychiatry, Yonsei University, Wonju College of Medicine) ;
  • Kwan, Yunna (Department of Psychiatry, Yonsei University, Wonju College of Medicine) ;
  • Chin, Siyung (Department of Psychiatry, Yonsei University, Wonju College of Medicine) ;
  • Kim, Heungkyu (Department of Psychiatry, Seoul Metropolitan Eunpyeong Hospital)
  • 투고 : 2021.07.25
  • 심사 : 2021.09.28
  • 발행 : 2021.12.31
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초록

연구목적 본 연구는 응급실에 내원한 졸피뎀 음독 자살시도군과 다른 방법을 사용한 자살시도군을 비교하여 차이를 확인하고자 하였다. 방 법 2009년부터 2018년까지 응급실에 내원한 총2734명의 자살시도자를 대상으로 졸피뎀 음독 자살시도군, 졸피뎀 외 약물 음독 자살시도군, 비약물 자살시도군으로 분류하였으며, 세 군에 대하여 사회인구학적 특성, 자살시도와 관련된 임상적 특성들에 대해 교차분석과 회귀분석을 수행하였다. 결 과 졸피뎀 음독 자살시도군과 비약물적 자살시도군에서 차이를 보인 변수들에 대한 회귀 분석 결과에서, 안정제/수면제의 사용과 치명도가 낮거나 의도의 심각성이 높지 않은 경우가 졸피뎀 음독 자살시도의 발생과 연관성이 있었다. 유사한 특성을 보인 음독군 내에서도 안정제/수면제의 사용은 졸피뎀 음독 자살시도의 발생과 연관성이 있었다. 결 론 본 연구에서는 응급실에 내원한 졸피뎀 음독 자살시도군과 다른 방법을 사용한 자살시도군의 사회인구학적, 임상적 특성의 유의한 차이를 확인하였다. 이러한 결과는 추후 졸피뎀을 사용하는 것에 대한 약물적 치료를 계획하는데 도움이 될 수 있다.

Objectives : The purpose of this study is to identify differences between suicide attempters who used zolpidem and others who used different methods in emergency department. Methods : This study classified 2,734 suicide attempters, who went to emergency department from 2009 to 2018, into zolpidem user group, another drug user group and non-drug user group. For these three groups, chisquare test and logistic regression analysis were conducted regarding sociodemographic feature and clinical feature related with suicide. Results : In the result of logistic regression analysis of a variable, which showed meaningful difference between suicide attempter group who used zolpidem and the other group who did not use the drug, the occurrence of zolpidem-using suicide attempers was related with the case where anxiolytics/hypnotics was used or the case where lethality and intention was low. In the drug intoxication group which showed similar feature, there was also a relevance between anxiolytics/hypnotics and the occurrence of zolpidem-using suicide attempts. Conclusions : This study identified significant difference of sociodemographic and clinical feature in suicide attempter group who used zolpidem and the other group. This result can contribute to plan further medicinal treatment in using zolpidem.

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