- Contributing Factors for the Registration Rates within Emergency Department Based Post-suicidal Care Program
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Dong-Ki Kim, Byeong Jo Chun, Jong Mi Moon, Yong Soo Cho, Kyung-Yeol Bae, Hyun Jung Kim, Mi Jin Kim
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J Korean Soc Clin Toxicol. 2016;14(1):54-59. Published online June 30, 2016
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Abstract
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- Purpose: This study was conducted to investigate the independent factors associated with the registration rate for the community-based post suicidal care program in the emergency department (ED). Methods: This prospective observational study was conducted between January and September 2015 at the academic ED in the tertiary urban hospital. The variables examined included gender, age, address, type of insurance, history of previous psychiatric disease, suicide methods, number of previous attempts, CES-D (The Center for Epidemiologic Studies-Depression Scale), and disposition at ED. Univariate and multivariate logistic regression analysis were conducted to identify factors affecting the registration rate for the community-based post suicidal care program. Results: Overall, 331 suicides were investigated, 61 (18.4%) of which were registered in the post-suicide care program. Factors such as a intervention by psychiatric physician (OR: 3.287, 95%; CI: 1.207-9.624) and levels of depression by CES-D score of 16-24 (OR: 3.635; CI: 1.055-12.526) were significantly correlated with registration for the program. Conclusion: The registration rate for the community-based post suicidal care program was influenced by frequent intervention by a psychiatric physician and levels of depression by CES-D score of 16-24.
- Acute Pneumonitis Induced by Intravenous Thinner Injection in a Case of Suicidal Attempt
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Hae Ji Lee, Byung Ho Choi, Mi Jin Kim, Jung Seok Hong
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J Korean Soc Clin Toxicol. 2015;13(1):33-35. Published online June 30, 2015
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Abstract
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- A 24 year-old man attempted suicide by injection of 1 cc of thinner into his left antecubital vein; 3 hours later, he visited our emergency room because of left chest pain. We suspected a chemical pneumonitis based on the abnormal findings of his chest X-ray and computed tomography. On the 3rd day after admission, a cellulitis also occurred at the injection area. His symptoms were relieved after supportive care for 2 weeks. There is significant experience with intoxication of thinner inhalation, whereas intoxication of intravenous thinner is rare.
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