J Korean Acad Child Adolesc Psychiatry.  2020 Oct;31(4):185-192. 10.5765/jkacap.200029.

Characteristics of First Visit Pediatric Patients with Suicidal Ideation and Behavior: An 8-Year Retrospective Chart Review

Affiliations
  • 1Department of Psychiatry, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 2Suicide and School Mental Health Institute, Anyang, Korea
  • 3Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul, Korea
  • 4Yonsei University Interdisciplinary Graduate Program in Social Welfare Policy, Seoul, Korea
  • 5Department of Psychiatry, Hallym University Sacred Heart Hospital, Anyang, Korea
  • 6Department of Psychiatry, Kyung Hee University School of Medicine, Seoul, Korea
  • 7Department of Psychiatry, Bundang CHA Hospital, School of Medicine, CHA University, Seongnam, Korea
  • 8Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract


Objectives
Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later.
Methods
This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6–18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively.
Results
There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association.
Conclusion
Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.

Keyword

Suicide; Child; Adolescent; Psychiatry; Outpatients
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