급성약물중독으로 응급의료센터를 내원한 자살시도자의 자살 재시도영향요인: 후향적 연구

Abstract

Purpose: This retrospective study was conducted to identify factors associated with repeated suicideattempts by analyzing the electronic medical records of suicide attempters who visited emergencymedical centers due to drug intoxication. Methods: Data from January 1, 2020 to December 31, 2021were collected for this study and analyzed using SPSS/WIN 25.0. Results: In this study, the factors af fecting repeated suicide attempts among individuals who visited the emergency medical center due toacute drug intoxication were the presence or absence of psychiatric diseases, the season of drug in toxication, and age. In order to identify the factors affecting repeated suicide attempts in those whopresented with acute drug intoxication, logistic regression analysis was performed by inputting psychi atric diseases, season of drug intoxication, and age, all of which exhibited significant differences be tween those who did and did not attempt suicide again. The presence of psychiatric diseases (odds ra tio [OR] = 1.99, 95% confidence interval [CI] = 1.04~3.80), intoxication occurring in the fall (vs. spring;OR = 3.35, 95% CI = 1.28~8.75), and age ≥ 65 (vs. those under the age of 18; OR = 12.96, 95% CI =2.02~83.17). The regression model was found to be statistically significant (F = 30.01, p < .001), andthe coefficient of determination of Cox and Snell, which represents the explanatory power of themodel, was 12.0%. Conclusion: This study suggests that to prevent repeated suicide attempts, it isnecessary to develop a tool to evaluate the risk of suicide, use it to evaluate the risk of suicide, andthen manage individuals accordingly.