Kim Jin, Kim Han Joon, Kim Soo Hyun, Oh Sang Hoon, Park Kyu Nam
1 Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Crisis. 2016 Mar;37(2):155-60. doi: 10.1027/0227-5910/a000361. Epub 2015 Dec 23.
Previous suicide attempts increase the risk of a completed suicide. However, a large proportion of patients with deliberate self-wrist cutting (DSWC) are often discharged without undergoing a psychiatric interview.
The aims of this study were to investigate the differences in the characteristics and outcomes of patients with DSWC and those with deliberate self-poisoning (DSP) episodes. The results of this study may be used to improve the efficacy of treatment for DSWC patients.
We retrospectively reviewed the medical records of 598 patients with DSWC and DSP who were treated at the emergency department of Seoul Saint Mary's Hospital between 2008 and 2013. We assessed sociodemographic information, clinical variables, the reasons for the suicide attempts, and the severity of the suicide attempts.
A total of 141 (23.6%) patients were included in the DSWC group, and 457 (76.4%) were included in the DSP group. A significantly greater number of patients in the DSWC group had previously attempted suicide (p = .014). A total of 63 patients (44.7%) in the DSWC group and 409 patients (89.5%) in the DSP group underwent psychiatric interviews.
More DSWC patients had previously attempted suicide, but fewer of them underwent psychiatric interviews compared with the DSP patients.
既往自杀未遂会增加自杀死亡的风险。然而，很大一部分故意割腕（DSWC）患者在未接受精神科问诊的情况下就被出院了。
本研究旨在调查DSWC患者与故意中毒（DSP）发作患者在特征和结局方面的差异。本研究结果可用于提高DSWC患者的治疗效果。
我们回顾性分析了2008年至2013年期间在首尔圣母医院急诊科接受治疗的598例DSWC和DSP患者的病历。我们评估了社会人口学信息、临床变量、自杀未遂原因以及自杀未遂的严重程度。
DSWC组共纳入141例（23.6%）患者，DSP组纳入457例（76.4%）患者。DSWC组中既往有自杀未遂史的患者数量显著更多（p = 0.014）。DSWC组共有63例患者（44.7%）接受了精神科问诊，DSP组有409例患者（89.5%）接受了精神科问诊。
与DSP患者相比，更多DSWC患者既往有自杀未遂史，但接受精神科问诊的患者较少。
