Tags

Type your tag names separated by a space and hit enter

Characteristics of High-Intent Suicide Attempters Admitted to Emergency Departments.
J Korean Med Sci. 2018 Oct 08; 33(41):e259.JK

Abstract

BACKGROUND

The suicide rate in Korea has been the highest among the Organization for Economic Cooperation and Development countries since 2003. However, there is a lack of in-depth data regarding the characteristics of suicide attempters. Understanding the intent of suicide attempters will help improve the effectiveness of suicide prevention strategies. Therefore, to provide a resource for developing the necessary interventions, this study aimed to examine the differences in suicide-related and clinical variables according to the strength of suicidal intent.

METHODS

The subjects were 328 suicide attempters admitted to emergency departments at 5 university hospitals in Daegu-Gyeongbuk province between 2011 and 2014. We used various scales to examine suicide-related and clinical variables and a structured questionnaire to explore psychosocial characteristics. We evaluated suicidal intent using the Pierce Suicide Intent Scale and a clinician-rated scale that measured suicidal authenticity.

RESULTS

Individuals with high suicidal intent were significantly older, had higher Hamilton Depression Rating Scale (HDRS) scores, higher rates of premeditation, and sustained suicidal ideation. Furthermore, suicide methods, timing, and psychiatric treatment histories differed by the strength of subjects' suicidal intent. Moreover, multiple logistic regression showed that depressed mood as a reason for attempting suicide, premeditation, and higher HDRS scores were significantly associated with higher suicidal intent.

CONCLUSION

Depression, premeditation, older age, and sustained suicidal ideation were characteristics of individuals with high suicidal intent, and it is necessary to evaluate and monitor these factors to prevent repeated suicide attempts.

Authors+Show Affiliations

Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Korea.Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Korea.Department of Psychiatry, College of Medicine, Dongguk University, Gyeongju, Korea.Department of Psychiatry, College of Medicine, Yeungnam University, Daegu, Korea.Department of Psychiatry, College of Medicine, Daegu Catholic University, Daegu, Korea.Department of Psychiatry, College of Medicine, Keimyung University, Daegu, Korea.Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30288157

Citation

Woo, Seonjin, et al. "Characteristics of High-Intent Suicide Attempters Admitted to Emergency Departments." Journal of Korean Medical Science, vol. 33, no. 41, 2018, pp. e259.
Woo S, Lee SW, Lee K, et al. Characteristics of High-Intent Suicide Attempters Admitted to Emergency Departments. J Korean Med Sci. 2018;33(41):e259.
Woo, S., Lee, S. W., Lee, K., Seo, W. S., Lee, J., Kim, H. C., & Won, S. (2018). Characteristics of High-Intent Suicide Attempters Admitted to Emergency Departments. Journal of Korean Medical Science, 33(41), e259. https://doi.org/10.3346/jkms.2018.33.e259
Woo S, et al. Characteristics of High-Intent Suicide Attempters Admitted to Emergency Departments. J Korean Med Sci. 2018 Oct 8;33(41):e259. PubMed PMID: 30288157.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristics of High-Intent Suicide Attempters Admitted to Emergency Departments. AU - Woo,Seonjin, AU - Lee,Sang Won, AU - Lee,Kwanghun, AU - Seo,Wan Seok, AU - Lee,Jonghun, AU - Kim,Hee-Cheol, AU - Won,Seunghee, Y1 - 2018/09/06/ PY - 2018/03/28/received PY - 2018/07/05/accepted PY - 2018/10/6/entrez PY - 2018/10/6/pubmed PY - 2019/3/5/medline KW - Attempted Suicide KW - Emergency Department KW - Intention SP - e259 EP - e259 JF - Journal of Korean medical science JO - J Korean Med Sci VL - 33 IS - 41 N2 - BACKGROUND: The suicide rate in Korea has been the highest among the Organization for Economic Cooperation and Development countries since 2003. However, there is a lack of in-depth data regarding the characteristics of suicide attempters. Understanding the intent of suicide attempters will help improve the effectiveness of suicide prevention strategies. Therefore, to provide a resource for developing the necessary interventions, this study aimed to examine the differences in suicide-related and clinical variables according to the strength of suicidal intent. METHODS: The subjects were 328 suicide attempters admitted to emergency departments at 5 university hospitals in Daegu-Gyeongbuk province between 2011 and 2014. We used various scales to examine suicide-related and clinical variables and a structured questionnaire to explore psychosocial characteristics. We evaluated suicidal intent using the Pierce Suicide Intent Scale and a clinician-rated scale that measured suicidal authenticity. RESULTS: Individuals with high suicidal intent were significantly older, had higher Hamilton Depression Rating Scale (HDRS) scores, higher rates of premeditation, and sustained suicidal ideation. Furthermore, suicide methods, timing, and psychiatric treatment histories differed by the strength of subjects' suicidal intent. Moreover, multiple logistic regression showed that depressed mood as a reason for attempting suicide, premeditation, and higher HDRS scores were significantly associated with higher suicidal intent. CONCLUSION: Depression, premeditation, older age, and sustained suicidal ideation were characteristics of individuals with high suicidal intent, and it is necessary to evaluate and monitor these factors to prevent repeated suicide attempts. SN - 1598-6357 UR - https://www.unboundmedicine.com/medline/citation/30288157/Characteristics_of_High_Intent_Suicide_Attempters_Admitted_to_Emergency_Departments_ L2 - https://jkms.org/DOIx.php?id=10.3346/jkms.2018.33.e259 DB - PRIME DP - Unbound Medicine ER -