Tags

Type your tag names separated by a space and hit enter

Factors Affecting Collaborations between a Tertiary-level Emergency Department and Community-based Mental Healthcare Centers for Managing Suicide Attempts.
J Korean Med Sci. 2020 Sep 28; 35(38):e334.JK

Abstract

BACKGROUND

Community-based active contact and follow-up are known to be effective in reducing the risk of repeat suicide attempts among patients admitted to emergency departments after attempting suicide. However, the characteristics that define successful collaborations between emergency departments and community-based mental healthcare centers in this context are not well known.

METHODS

This study investigated patients visiting the emergency department after suicide attempts from May 2017 to April 2019. Patients were classified in either the successful collaboration group or the failed collaboration group depending on whether or not they were linked to a community-based follow-up intervention. Clinical features and socioeconomic status were considered as independent variables. Logistic regression analysis was performed to identify factors influencing the collaboration.

RESULTS

Of 674 patients, 153 (22.7%) were managed successfully via the targeted collaboration. Completion of hospital-based psychological counseling (adjusted odds ratio [aOR], 233.55; 95% confidence interval [CI], 14.99-3,637.67), supported out-of-pocket expenses (aOR, 11.17; 95% CI, 3.03-41.03), Korean Triage and Acuity Scale 1-3 (aOR, 4.31; 95% CI, 1.18-15.73), suicide attempt associated with mental disorder (aOR, 0.15; 95% CI, 0.04-0.52), and self-discharge against medical advice (aOR, 0.12; 95% CI, 0.02-0.70) were independent factors influencing the collaboration.

CONCLUSION

Completion of hospital-based psychological counseling was the most highly influential factor determining the outcome of the collaboration between the emergency department and community-based mental healthcare center in the management of individuals who had attempted suicide. Completion of hospital-based psychological counseling is expected to help reduce the risk of repeat suicide attempts.

Authors+Show Affiliations

Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.Department of Counseling Psychology, Graduate School of Theology, Seoul Theological University, Bucheon, Korea.Department of Emergency Medical Service, College of Health and Nursing, Kongju National University, Gongju, Korea.Department of Nuclear Medicine, Ewha Womans University School of Medicine, Seoul, Korea. haijeon.yoon@gmail.com.Department of Emergency Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. emvic98@catholic.ac.kr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32989930

Citation

Kim, Daehee, et al. "Factors Affecting Collaborations Between a Tertiary-level Emergency Department and Community-based Mental Healthcare Centers for Managing Suicide Attempts." Journal of Korean Medical Science, vol. 35, no. 38, 2020, pp. e334.
Kim D, Lee WJ, Woo SH, et al. Factors Affecting Collaborations between a Tertiary-level Emergency Department and Community-based Mental Healthcare Centers for Managing Suicide Attempts. J Korean Med Sci. 2020;35(38):e334.
Kim, D., Lee, W. J., Woo, S. H., Kim, S. H., Seo, A. R., Yoon, H. J., & Choi, S. P. (2020). Factors Affecting Collaborations between a Tertiary-level Emergency Department and Community-based Mental Healthcare Centers for Managing Suicide Attempts. Journal of Korean Medical Science, 35(38), e334. https://doi.org/10.3346/jkms.2020.35.e334
Kim D, et al. Factors Affecting Collaborations Between a Tertiary-level Emergency Department and Community-based Mental Healthcare Centers for Managing Suicide Attempts. J Korean Med Sci. 2020 Sep 28;35(38):e334. PubMed PMID: 32989930.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors Affecting Collaborations between a Tertiary-level Emergency Department and Community-based Mental Healthcare Centers for Managing Suicide Attempts. AU - Kim,Daehee, AU - Lee,Woon Jeong, AU - Woo,Seon Hee, AU - Kim,Seong Hee, AU - Seo,Ah Ram, AU - Yoon,Hai Jeon, AU - Choi,Seung Pill, Y1 - 2020/09/28/ PY - 2020/04/08/received PY - 2020/07/29/accepted PY - 2020/9/29/entrez PY - 2020/9/30/pubmed PY - 2021/7/17/medline KW - Emergencies KW - Mental Health KW - Suicide SP - e334 EP - e334 JF - Journal of Korean medical science JO - J Korean Med Sci VL - 35 IS - 38 N2 - BACKGROUND: Community-based active contact and follow-up are known to be effective in reducing the risk of repeat suicide attempts among patients admitted to emergency departments after attempting suicide. However, the characteristics that define successful collaborations between emergency departments and community-based mental healthcare centers in this context are not well known. METHODS: This study investigated patients visiting the emergency department after suicide attempts from May 2017 to April 2019. Patients were classified in either the successful collaboration group or the failed collaboration group depending on whether or not they were linked to a community-based follow-up intervention. Clinical features and socioeconomic status were considered as independent variables. Logistic regression analysis was performed to identify factors influencing the collaboration. RESULTS: Of 674 patients, 153 (22.7%) were managed successfully via the targeted collaboration. Completion of hospital-based psychological counseling (adjusted odds ratio [aOR], 233.55; 95% confidence interval [CI], 14.99-3,637.67), supported out-of-pocket expenses (aOR, 11.17; 95% CI, 3.03-41.03), Korean Triage and Acuity Scale 1-3 (aOR, 4.31; 95% CI, 1.18-15.73), suicide attempt associated with mental disorder (aOR, 0.15; 95% CI, 0.04-0.52), and self-discharge against medical advice (aOR, 0.12; 95% CI, 0.02-0.70) were independent factors influencing the collaboration. CONCLUSION: Completion of hospital-based psychological counseling was the most highly influential factor determining the outcome of the collaboration between the emergency department and community-based mental healthcare center in the management of individuals who had attempted suicide. Completion of hospital-based psychological counseling is expected to help reduce the risk of repeat suicide attempts. SN - 1598-6357 UR - https://www.unboundmedicine.com/medline/citation/32989930/Factors_Affecting_Collaborations_between_a_Tertiary_level_Emergency_Department_and_Community_based_Mental_Healthcare_Centers_for_Managing_Suicide_Attempts_ DB - PRIME DP - Unbound Medicine ER -