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COVID-19大流行之前及期间前往急诊科就诊的自杀未遂情况:一项比较研究。

Suicide attempts presenting to the emergency department before and during the COVID-19 pandemic: a comparative study.

作者信息

Lee Inhak, Choi Juyoung, Kim Keun Soo, Suh Joohyun, Kim Jae Hwan, Kim SungHwan

机构信息

Department of Emergency Medicine, Myongji Hospital, Goyang, Korea.

Department of Emergency Medicine, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea.

出版信息

Clin Exp Emerg Med. 2022 Jun;9(2):120-127. doi: 10.15441/ceem.21.088. Epub 2022 Jun 30.

Abstract

OBJECTIVE

To compare and analyze the differences in the sociodemographic and clinical characteristics of suicide attempters who visited an emergency department (ED) before and during the coronavirus disease (COVID-19) pandemic.

METHODS

This single center, retrospective study was conducted by reviewing the medical records of patients in the "self-injury/suicide" category of the National Emergency Department Information System who visited an ED between January 2019 and December 2020. We obtained information on baseline characteristics, suicide attempt, and disposition. Data were analyzed using the chi-squared test.

RESULTS

A total of 456 patients were included. The number of patients visiting the ED for suicide attempts increased by 18.2% (from 209 to 247 cases) during the COVID-19 pandemic, and the ratio of suicide attempters to the total number of ED visits increased by 48.8% (from 0.43% to 0.64%, P<0.001). There were significant differences in methods of suicide attempt, endotracheal intubation, ED disposition, and the presence of mental illness. Drug overdose (42.1% vs. 53.4%) and gas inhalation (5.7% vs. 8.5%) increased, and hanging decreased (6.0% vs. 2.0%) during the pandemic. Endotracheal intubation (13.9% vs. 5.7%) and intensive care unit admission (29.7% vs. 14.6%) decreased. More patients with the history of mental illness visited during the pandemic (54.0% vs. 70.1%).

CONCLUSION

Since the COVID-19 pandemic began, suicide attempts have increased in this single ED although the lethality of those attempts is low.

摘要

目的

比较和分析在冠状病毒病(COVID-19)大流行之前和期间前往急诊科(ED)的自杀未遂者的社会人口学和临床特征差异。

方法

本单中心回顾性研究通过查阅2019年1月至2020年12月期间在国家急诊科信息系统“自我伤害/自杀”类别中前往急诊科就诊的患者病历进行。我们获取了基线特征、自杀未遂情况和处置信息。数据采用卡方检验进行分析。

结果

共纳入456例患者。在COVID-19大流行期间,因自杀未遂前往急诊科就诊的患者数量增加了18.2%(从209例增至247例),自杀未遂者占急诊科就诊总数的比例增加了48.8%(从0.43%增至0.64%,P<0.001)。自杀未遂方法、气管插管、急诊科处置以及精神疾病的存在情况存在显著差异。大流行期间,药物过量(42.1%对53.4%)和吸入气体(5.7%对8.5%)有所增加,而缢吊有所减少(6.0%对2.0%)。气管插管(13.9%对5.7%)和入住重症监护病房(29.7%对14.6%)减少。大流行期间有精神疾病史的就诊患者更多(54.0%对70.1%)。

结论

自COVID-19大流行开始以来,尽管自杀未遂的致死率较低,但在这个单一的急诊科中自杀未遂事件有所增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6136/9288878/096e27eb6395/ceem-21-088f1.jpg

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