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Korean J Emerg Med Ser > Volume 28(3); 2024 > Article
The Korean Journal of Emergency Medical Services 2024;28(3): 85-96.
DOI: https://doi.org/10.14408/KJEMS.2024.28.3.085    Published online December 31, 2024.
청소년 자살 재시도자의 특성에 관한 연구 -응급실 방문 환자를 중심으로-
김무현1  , 이정미2 
1동남보건대학교 응급구조학과 교수
2원광대학교 대학원 보건학과 교수
Study on the characteristics of adolescent suicide re-attempters -Focusing on Patients Visiting the Emergency Room-
Moo-Hyun Kim1  , Jeong Mi Lee2 
1Professor, Department of Paramedicine, Dongnam Health University
2Professor, Department of Public Health, Wonkwang University Graduate School
Correspondence  Jeong Mi Lee ,Tel: +82-31-249-6562, Fax: +82-31-249-6560, Email: rlaangussla@dongnam.ac.kr
Submitted: October 29, 2024  Accepted after revision: December 19, 2024
Abstract
Purpose
This study requested and used the raw data of an in-depth investigation of emergency room-injured patients to analyze the characteristics of youths who have attempted intentional self-harm and suicide and the characteristics of youths who have repeatedly self-harmed and attempted suicide.
Methods
This study utilized raw data from an in-depth survey of emergency room injury patients conducted from 2019 to 2020, extracted self-harm and suicide patients aged 9-24 years, defined as adolescents under the Youth Basic Act, and analyzed 2,595 subjects. A chi-square test was performed to identify factors related to suicide reattempts. In addition, multiple logistic regression analysis was used to analyze the factors affecting suicide re-attempts in depth.
Results
Women were 2.96 times more likely to re-attempt suicide than men (95% CI: 2.468-3.550, p<.001). In terms of reasons for suicide attempts, the probability of re-attempting suicide because of psychiatric problems was 1.354 times higher based on relationship conflict (p<.01). In terms of suicide attempt methods, falls were 0.295 times lower based on burns (p<.001). In terms of suicide attempt outcomes, survival was 0.183 times lower for those who attempted suicide again based on death (p<.05).
Conclusion
Ongoing care and support are needed for adolescents who survive suicide attempts. They should be provided with professional counseling and treatment, and programs should be established to help them adapt well to school and society.
Keywords: Adolescence, Youth, suicide, Suicide re-attempt, Emergency room visit
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