Song Jungeun, Kweon Yong-Sil, Hong Sung Hee, Kim Joonbeom, Chun Ka Hye, Bahn Geon Ho, Yook Ki-Hwan, Shin Dongwon, Hong Hyun Ju
Department of Psychiatry, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Suicide and School Mental Health Institute, Anyang, Korea.
Soa Chongsonyon Chongsin Uihak. 2020 Oct 1;31(4):185-192. doi: 10.5765/jkacap.200029.
Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later.
This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6-18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively.
There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association.
Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.
我们的研究旨在分析儿童和青少年首次前往精神科门诊治疗自杀观念和行为时的人口统计学和临床特征，并比较2012年之前和之后的变化。
这项多中心研究在韩国一个大城市地区的五所大学医院进行。回顾性分析了2009年1月至2016年12月期间6至18岁患者的病历。根据患者因自杀观念或自杀未遂以及其他精神问题前往医院就诊情况，将患者分为自杀组和非自杀组进行分析。
自杀组和非自杀组患者在就诊年份、诊断、教育水平和转诊来源方面存在差异。基于自杀组患者的性别、教育水平、学校转诊情况和抑郁症诊断进行了多元回归分析，结果显示存在显著关联。
自杀相关问题与患者的性别、教育水平、学校转诊情况和抑郁症诊断显著相关。对于高危儿童和青少年的专业心理健康管理，一个联系紧密的转诊系统是必要的。
