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Association of the COVID-19 Pandemic and Low-rescue Suicide Attempts in Patients Visiting the Emergency Department after Attempting Suicide.
J Korean Med Sci. 2021 Aug 30; 36(34):e243.JK

Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic may increase the total number of suicide attempts and the proportion of low-rescue attempts. We investigated the factors affecting low-rescue suicide attempts using the risk-rescue rating scale (RRRS) among patients who visited the emergency department (ED) after attempting suicide before or during the COVID-19 pandemic.

METHODS

We retrospectively investigated suicide attempts made by patients who visited our ED from March 2019 to September 2020. Patients were classified into two groups based on whether they attempted suicide before or during the COVID-19 pandemic. Data on demographic variables, psychiatric factors, suicide risk factors and rescue factors were collected and compared.

RESULTS

A total of 518 patients were included in the study, 275 (53.1%) of whom attempted suicide during the COVID-19 pandemic. The proportion of patients who made low-rescue suicide attempts differed before and during the COVID-19 pandemic (37.1% vs. 28.8%) (P = 0.046). However, the proportions of patients who made high-risk suicide attempts and high-lethality suicide attempts did not significantly differ between the two periods. The independent risk factors for low-rescue suicide attempts were age and the COVID-19 pandemic (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.00-1.03; P = 0.006) (OR, 1.52; 95% CI, 1.03-2.25; P = 0.034).

CONCLUSION

The COVID-19 pandemic was associated with low-rescue suicide attempts in patients visiting the ED after attempting suicide. Thus, we need to consider the implementation of measures to prevent low-rescue suicide attempts during similar infectious disease crises.

Authors+Show Affiliations

Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.Department of Emergency Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. drme@catholic.ac.kr.Department of Emergency Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.Department of Counseling Psychology, Graduate School of Theology, Seoul Theological University, Bucheon, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34463065

Citation

Lee, Juneyoung, et al. "Association of the COVID-19 Pandemic and Low-rescue Suicide Attempts in Patients Visiting the Emergency Department After Attempting Suicide." Journal of Korean Medical Science, vol. 36, no. 34, 2021, pp. e243.
Lee J, Kim D, Lee WJ, et al. Association of the COVID-19 Pandemic and Low-rescue Suicide Attempts in Patients Visiting the Emergency Department after Attempting Suicide. J Korean Med Sci. 2021;36(34):e243.
Lee, J., Kim, D., Lee, W. J., Woo, S. H., Jeong, S., & Kim, S. H. (2021). Association of the COVID-19 Pandemic and Low-rescue Suicide Attempts in Patients Visiting the Emergency Department after Attempting Suicide. Journal of Korean Medical Science, 36(34), e243. https://doi.org/10.3346/jkms.2021.36.e243
Lee J, et al. Association of the COVID-19 Pandemic and Low-rescue Suicide Attempts in Patients Visiting the Emergency Department After Attempting Suicide. J Korean Med Sci. 2021 Aug 30;36(34):e243. PubMed PMID: 34463065.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of the COVID-19 Pandemic and Low-rescue Suicide Attempts in Patients Visiting the Emergency Department after Attempting Suicide. AU - Lee,Juneyoung, AU - Kim,Daehee, AU - Lee,Woon Jeong, AU - Woo,Seon Hee, AU - Jeong,Sikyoung, AU - Kim,Seong Hee, Y1 - 2021/08/30/ PY - 2021/06/04/received PY - 2021/08/17/accepted PY - 2021/8/31/entrez PY - 2021/9/1/pubmed PY - 2021/9/14/medline KW - COVID-19 KW - Emergencies KW - Mental Health KW - Suicide SP - e243 EP - e243 JF - Journal of Korean medical science JO - J Korean Med Sci VL - 36 IS - 34 N2 - BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic may increase the total number of suicide attempts and the proportion of low-rescue attempts. We investigated the factors affecting low-rescue suicide attempts using the risk-rescue rating scale (RRRS) among patients who visited the emergency department (ED) after attempting suicide before or during the COVID-19 pandemic. METHODS: We retrospectively investigated suicide attempts made by patients who visited our ED from March 2019 to September 2020. Patients were classified into two groups based on whether they attempted suicide before or during the COVID-19 pandemic. Data on demographic variables, psychiatric factors, suicide risk factors and rescue factors were collected and compared. RESULTS: A total of 518 patients were included in the study, 275 (53.1%) of whom attempted suicide during the COVID-19 pandemic. The proportion of patients who made low-rescue suicide attempts differed before and during the COVID-19 pandemic (37.1% vs. 28.8%) (P = 0.046). However, the proportions of patients who made high-risk suicide attempts and high-lethality suicide attempts did not significantly differ between the two periods. The independent risk factors for low-rescue suicide attempts were age and the COVID-19 pandemic (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.00-1.03; P = 0.006) (OR, 1.52; 95% CI, 1.03-2.25; P = 0.034). CONCLUSION: The COVID-19 pandemic was associated with low-rescue suicide attempts in patients visiting the ED after attempting suicide. Thus, we need to consider the implementation of measures to prevent low-rescue suicide attempts during similar infectious disease crises. SN - 1598-6357 UR - https://www.unboundmedicine.com/medline/citation/34463065/Association_of_the_COVID_19_Pandemic_and_Low_rescue_Suicide_Attempts_in_Patients_Visiting_the_Emergency_Department_after_Attempting_Suicide_ L2 - https://jkms.org/DOIx.php?id=10.3346/jkms.2021.36.e243 DB - PRIME DP - Unbound Medicine ER -