Yoon Tae Yeon, Lee Hyun Sook, Son Jung-Woo, Kim Sang Mi, Lee Je Jung
Department of Psychiatry, Gongju National Hospital, Gongju, Korea.
Department of Health Administration, Kongju National University, Gongju, Korea.
Soa Chongsonyon Chongsin Uihak. 2022 Jul 1;33(3):59-66. doi: 10.5765/jkacap.220002.
This study aimed to investigate the clinical characteristics of adolescents hospitalized through the emergency room for intentional self-harm or suicide attempts.
This retrospective study used data from the Korean National Hospital Discharge In-depth Injury Survey conducted between 2006 and 2018 for individuals aged 10-24 years. The clinical characteristics of the patients were analyzed and compared across sex and age groups using the Rao-Scott chi-square tests and multiple logistic regression analysis for complex survey data.
The most common psychiatric diagnosis was mood disorder (22.0%), and more female patients were diagnosed with it than male patients (p=0.010). The 19-24 years age group was diagnosed with mood disorder the most compared to other younger groups (p=0.012). Male patients used lethal methods more than female patients (p=0.008), and the 19-24 years age group used more drug poisoning and cutting or piercing (p<0.001) for intentional self-harm or suicide attempts than younger groups.
Adolescents hospitalized for intentional self-harm or suicide attempts showed significant differences in clinical characteristics across sex and age groups. These findings suggest that measures for preventing self-harm or suicide attempts need to be differentiated according to the sex and age of adolescents.
本研究旨在调查因故意自我伤害或自杀未遂而通过急诊室住院的青少年的临床特征。
这项回顾性研究使用了2006年至2018年期间韩国全国医院出院深度伤害调查中10至24岁个体的数据。使用Rao-Scott卡方检验和针对复杂调查数据的多重逻辑回归分析，对患者的临床特征按性别和年龄组进行分析和比较。
最常见的精神科诊断是情绪障碍（22.0%），被诊断为此病的女性患者多于男性患者（p=0.010）。与其他较年轻组相比，19至24岁年龄组被诊断为情绪障碍的比例最高（p=0.012）。男性患者使用致命方法的比例高于女性患者（p=0.008），19至24岁年龄组在故意自我伤害或自杀未遂时使用药物中毒和切割或穿刺的比例高于较年轻组（p<0.001）。
因故意自我伤害或自杀未遂而住院的青少年在临床特征上存在显著的性别和年龄组差异。这些发现表明，预防自我伤害或自杀未遂的措施需要根据青少年的性别和年龄进行区分。
