J Korean Soc Clin Toxicol.  2016 Jun;14(1):54-59.

Contributing Factors for the Registration Rates within Emergency Department Based Post-suicidal Care Program

• Kim DK
• Chun BJ
• Moon JM
• Cho YS
• Bae KY
• Kim HJ
• Kim MJ

Abstract

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.

Keyword

CES-D; Registration rate; Suicide

MeSH Terms

Depression
Emergencies*
Emergency Service, Hospital*
Hospitals, Urban
Insurance
Logistic Models
Observational Study
Prospective Studies
Suicide