College of Applied Health Science, Biomedical Health Information Science, University of Illinois at Chicago, 1919 W Taylor St, Chicago, IL 60612, USA.
Department of Health Management, Jeonju University, 303 Cheonjam-ro, Wansan-gu, Jeonju-si 55069, Republic of Korea.
Int J Environ Res Public Health. 2023 Feb 10;20(4):3095. doi: 10.3390/ijerph20043095.
This study aimed to identify the patient characteristics, comorbidities, risk factors, and means of the self-harm of patients who attempt self-harm in and outside of a hospital, and to determine the characteristics of death by suicide among survival and death patient groups in South Korea. This study used data from the Korean National Hospital Discharge In-depth Injury Survey conducted from 2007 to 2019. In total, 7192 outpatient participants and 43 inpatient participants performed self-harm. Frequency analysis, chi-square tests, Fisher's exact test, and logistic regression analysis were performed using STATA, version 15.0 (StataCorp), and statistical significance was set at 5%. Thirty-one inpatients who performed self-harm survived, and 12 died. Among male inpatients, the older they were, the higher the rates of self-harm and mortality rates due to falls and poisoning if they had comorbidities and financial problems. In addition, the rate of self-harm attempts within a short period after hospitalization was high. Our evidence of the characteristics of patients who performed self-harm in the hospital and the influencing factors of self-harm can be used as primary data for predicting patients at a high risk of self-harm and for creating preventative policies to reduce the risk of self-harm among inpatients in South Korea.
本研究旨在确定在医院内外进行自残的患者的特征、合并症、风险因素和自残方式,并确定韩国生存和死亡患者群体中自杀死亡的特征。本研究使用了 2007 年至 2019 年进行的韩国国家医院出院深度伤害调查的数据。共有 7192 名门诊参与者和 43 名住院参与者进行了自残。使用 STATA 版本 15.0(StataCorp)进行频率分析、卡方检验、Fisher 确切检验和逻辑回归分析,统计显著性设置为 5%。31 名住院患者进行自残后幸存,12 名死亡。在男性住院患者中,如果他们有合并症和经济问题,年龄越大,自残和因跌倒和中毒导致的死亡率就越高。此外,住院后短时间内进行自残的比例较高。我们对在医院进行自残的患者特征和自残影响因素的证据可以作为预测高自杀风险患者的主要数据,并制定预防政策,以降低韩国住院患者的自残风险。