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青少年自杀未遂后就诊于急诊科的特征:青少年与成年人的比较研究。

Characteristics of adolescents who visit the emergency department following suicide attempts: comparison study between adolescents and adults.

机构信息

Department of Psychiatry, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju, 26426, Republic of Korea.

Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea.

出版信息

BMC Psychiatry. 2019 Jul 26;19(1):231. doi: 10.1186/s12888-019-2213-5.

Abstract

BACKGROUND

The purpose of this study was to identify the demographic and clinical characteristics of suicide attempts in adolescents who visit the emergency department compared to those of adults.

METHODS

This study included 149 children under the age of 18, and 1427 people in the age of 19-65 who came to the emergency department with suicide attempt from 2009 to 2015. We compare sociodemographic, clinical, and suicide attempt-related characteristics through Chi-square test and logistic regression analysis to evaluate the difference between two groups.

RESULTS

In adolescents, suicide attempters had more number of previous suicide attempt history than adults. Adolescents used more non-lethal method such as poisoning of over the counter drugs and had about 5 times higher odds ratio in suicide attempts with analgesics. The motivation of suicide attempt among adolescents was more related with interpersonal problems but less with financial or illness-related problems. The intention of suicide attempt in adolescents was less serious and lethal compared to adults.

CONCLUSION

Suicide attempts among adolescents had showed different from adults in method, motivation and intention. Considering the characteristics of suicide attempt among adolescent, it is necessary to keep close attention to adolescent's suicide attempters and develop the customized intervention program to prevent the suicide attempt in this groups.

摘要

背景

本研究旨在比较青少年和成年人因自杀未遂而到急诊科就诊的人口统计学和临床特征。

方法

本研究纳入了 2009 年至 2015 年期间因自杀未遂而到急诊科就诊的 149 名 18 岁以下儿童和 1427 名 19-65 岁的成年人。我们通过卡方检验和 logistic 回归分析比较了两组人群的社会人口学、临床和自杀未遂相关特征,以评估两组之间的差异。

结果

在青少年中,自杀未遂者的既往自杀未遂史次数多于成年人。青少年更倾向于使用非致命性方法,如服用非处方药物中毒,并且在使用镇痛药自杀未遂的情况下,其发生自杀未遂的可能性是成年人的 5 倍。青少年自杀未遂的动机更多与人际关系问题有关,而与经济或疾病相关的问题较少有关。与成年人相比,青少年自杀未遂的意图和致命性较低。

结论

青少年的自杀未遂在方法、动机和意图方面与成年人有所不同。考虑到青少年自杀未遂的特点,有必要密切关注青少年自杀未遂者,并制定针对该群体的定制干预计划,以预防自杀未遂。

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