The changes in clinical characteristics of patients visiting the emergency departments due to suicide and self-harm after COVID-19 outbreak

DC Field Value Language
dc.contributor.advisor민영기-
dc.contributor.author변현범-
dc.date.accessioned2022-11-29T03:01:27Z-
dc.date.available2022-11-29T03:01:27Z-
dc.date.issued2022-08-
dc.identifier.other32162-
dc.identifier.urihttps://dspace.ajou.ac.kr/handle/2018.oak/21188-
dc.description학위논문(석사)--아주대학교 일반대학원 :의학과,2022. 8-
dc.description.abstract자살은 심리적, 생물학적, 환경적, 사회적 요인과 관련이 있다. 또한, 장기간의 전염병 확산도 자살의 위험성을 증가시킨다. 코로나 19 팬데믹 이후 자살 또는 자해 후 응급실을 찾는 개인의 특성을 분석해 코로나 19 팬데믹이 자살에 미치는 영향을 조사했다. 국가응급진료정보망 자료를 이용하여 후향적 관찰 연구를 시행했다. 2019년 3월부터 12월까지(COVID-19 이전)와 2020년 3월부터 12월까지(COVID-19 이후) 사이에 자살 및 자해로 경기 남부 5개의 응급실을 방문한 환자를 비교했다. 연속변수에 대해서는 독립표본 t-검정을, 범주형 변수에 대해서는 카이제곱검정을 실시하였다. 코로나 19 팬데믹 이후 응급실 내원 환자 중 자살 및 자해로 내원한 환자의 비율이 통계적으로 유의하게 증가했다. 또한 여성과 20대 환자의 비율도 유의하게 증가했다. 내원시 활력징후에는 임상적으로 유의한 차이는 없었지만 의식 상태에는 차이가 있었다. 명료, 언어에 반응(verbal response)은 증가한 반면 통증에 반응(pain response), 무반응(unresponsive)은 감소했다.또한 한국형 응급환자 분류도구(Korean Triage and Acuity Scale, KTAS) 1,2 등급은 감소한 반면, KTAS 3,4등급은 증가했다. 마지막으로 임상 결과에서 정상 퇴원은 증가한 반면 사망, 자의 퇴원 및 전원은 감소했다. 새로운 전염병이 계속 발생하는 상황에서 장기간의 전염병 확산이 자살에 미치는 영향을 파악하는 것은 중요하다. 전염병 초기 단계에서부터 자살의 위험 요소를 가진 취약한 개인들에게 적극적인 개입이 필요하다.-
dc.description.tableofcontentsⅠ. INTRODUCTION 1 Ⅱ. MATERIALS AND METHODS 2 Ⅲ. RESULTS 5 Ⅳ. DISCUSSION 15 Ⅴ. CONCLUSION 17 REFERENCE 18-
dc.language.isoeng-
dc.publisherThe Graduate School, Ajou University-
dc.rights아주대학교 논문은 저작권에 의해 보호받습니다.-
dc.titleThe changes in clinical characteristics of patients visiting the emergency departments due to suicide and self-harm after COVID-19 outbreak-
dc.typeThesis-
dc.contributor.affiliation아주대학교 일반대학원-
dc.contributor.department일반대학원 의학과-
dc.date.awarded2022. 8-
dc.description.degreeMaster-
dc.identifier.localId1254249-
dc.identifier.uciI804:41038-000000032162-
dc.identifier.urlhttps://dcoll.ajou.ac.kr/dcollection/common/orgView/000000032162-
dc.subject.keywordCOVID-19-
dc.subject.keywordSuicide-
dc.subject.keywordfemale-
dc.subject.keywordself-harm-
dc.subject.keywordyounger-
dc.description.alternativeAbstractBackground: Suicide is the intentional death induced by a deadly self-injurious behavior. Suicide is associated with psychological, biologic, environmental and social factors. Also, the risk of suicide increases with the long-term spread of infectious diseases. The influence of the COVID-19 outbreak on suicide was investigated by analyzing the characteristics of individuals presenting to the emergency department (ED) after suicide or self-harm. Method: The National Emergency Department Information System database in Korea was used in this retrospective observational study. We compared patients visiting the 5 EDs in southern Gyeonggi-do after suicide and self-harm between from March to December 2019 (before COVID-19) and from March to December 2020 (after COVID-19). The independent sample t-test was used for continuous variables, and the chi-square test was used for categorical variables. Results: After COVID-19, the rate of patients for suicide and self-harm among total patients increased significantly(p<.001). Also, the proportion of women (P = 0.008) and patients in their 20s (p <0.001) increased significantly. Although no clinically differences in initial vital signs were seen, the mental statuses differed. The verbal responses increased, while the pain responses decreased (P = 0.016). Additionally, the Level 1 and Level 2 KTAS classification scores decreased, while the Level 3 and Level 4 scores increased (p= 0.003). Finally, in the clinical outcome, the rate of discharge increased, while the rate of mortality, discharge against medical advice and transfer decreased (p= 0.043). Conclusion: As new epidemics continue to occur, it is important to know risk factors for suicide. Understanding risk factors for suicide during epidemic may facilitate the development of appropriate interventions for vulnerable individuals in the early stages of an epidemic.-
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Graduate School of Ajou University > Department of Medicine > 3. Theses(Master)
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