Department of Emergency Medicine, Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do 10380, Republic of Korea.
Department of Emergency Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea.
J Affect Disord. 2020 Oct 1;275:238-246. doi: 10.1016/j.jad.2020.07.028. Epub 2020 Jul 15.
Suicide is a major cause of death in many countries, and previous suicidal attempt is known to be the predictor of future suicide. Korea is considered one of the countries with the highest suicide rate among the Organisation for Economic Co-operation and Development (OECD) members for over a decade. We aimed to investigate the epidemiologic characteristics of hospitalised patients after suicidal acts in Korea.
Data from the Korean National Hospital Discharge In-depth Injury Survey were analysed, and patients older than 9 years admitted to nationwide hospitals after suicidal acts from 2005 to 2016 were included. Their epidemiologic characteristics were explored, and we divided them into groups according to suicidal means (injury vs. poisoning) and treatment outcome (good vs. poor). The association of each characteristic with injury as suicidal means and with poor treatment outcome were explored.
The sample included 7609 patients (corresponding to 227,571 in national population). More patients were female than male, and most were in their 40s in both sexes. Hospitalisation rate peaked in patients older than 80 years for both sexes. Male and young patients aged 10-19 years and capital residents showed relatively higher odds of choosing injury as suicidal means. Males and patients aged 40-64 and ≥65 years showed relatively higher odds of poor treatment outcome.
Some suicide attempters were excluded from the survey such as those who did not visit a hospital after the suicide attempt.
This epidemiologic feature of suicide attempters might serve as baseline data for preventive policies regarding suicide.
自杀是许多国家的主要死亡原因,以往的自杀企图是未来自杀的预测指标。韩国被认为是经济合作与发展组织(经合组织)成员国中自杀率最高的国家之一,已有十多年的历史。我们旨在调查韩国自杀行为后住院患者的流行病学特征。
分析了韩国国家医院深度伤害调查的数据,纳入了 2005 年至 2016 年期间因自杀行为而在全国性医院住院的 9 岁以上患者。探讨了他们的流行病学特征,并根据自杀手段(伤害与中毒)和治疗结果(良好与不良)将他们分为不同的组。探讨了每个特征与伤害作为自杀手段以及与不良治疗结果的关联。
样本包括 7609 名患者(相当于全国人口的 227571 人)。女性患者多于男性患者,且两性患者大多为 40 多岁。住院率在 80 岁以上的两性患者中达到峰值。男性和 10-19 岁的年轻患者以及首都居民选择伤害作为自杀手段的几率相对较高。男性和 40-64 岁以及≥65 岁的患者治疗结果不良的几率相对较高。
该调查排除了一些自杀未遂者,例如那些自杀未遂后未去医院就诊的患者。
这些自杀未遂者的流行病学特征可以作为预防自杀政策的基线数据。