Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study

Abstract Background This study aimed to find out the change in the rate and pattern of suicide attempts during severe acute respiratory syndrome COVID-19 pandemic period. Methods This study was a retrospective analysis of data collected as a part of an emergency room-based post-suicide management pr...

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Autores principales:	Ji-Hun Kang, Si-Won Lee, Jae-Gu Ji, Jae-Kwang Yu, Yun-Deok Jang, Seong-Ju Kim, Yang-Weon Kim
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Attempted suicide COVID-19 Emergency room Suicide Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/7f9798e4cdd44662bbdee1e5fd5bd80f
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spelling	oai:doaj.org-article:7f9798e4cdd44662bbdee1e5fd5bd80f2021-11-21T12:05:13ZChanges in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study10.1186/s12888-021-03570-y1471-244Xhttps://doaj.org/article/7f9798e4cdd44662bbdee1e5fd5bd80f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03570-yhttps://doaj.org/toc/1471-244XAbstract Background This study aimed to find out the change in the rate and pattern of suicide attempts during severe acute respiratory syndrome COVID-19 pandemic period. Methods This study was a retrospective analysis of data collected as a part of an emergency room-based post-suicide management program. The data were collected through interviews and from medical records of suicide attempts, maintained in the emergency room, from January 19 to October 31, 2020, during the “COVID-19 period,” and those who attempted suicide from January 19 to October 31, 2019 “pre-COVID-19 period.” We extracted educational background, marital status, occupation, presence of domestic partner, history of mental illness, alcohol consumption, history of previous suicide attempts; suicide attempt method and location (i.e., at home or a place other than home) at the time of attempt, and whether the attempt was a mass suicide. In addition, we compared patient severity between “COVID-19 period” and “pre-COVID-19 period” using the initial KTAS (South Korean triage and acuity scale) level, consciousness level, and systolic blood pressure. In 2012, KTAS was developed through the Ministry of Health and Welfare’s research project to establish triage system in South Korea. Results The analysis of the number of suicide attempts during “pre-COVID-19 period” and “ COVID-19 period” showed that the number of suicide attempts during “COVID-19 period” (n = 440) increased compared to the “pre-COVID-19 period” (n = 400). Moreover, the method of suicide attempts during “COVID-19 period” included overdose of drugs such as hypnotics, antipsychotics, and pesticides that were already possessed by the patient increased compared to the “pre-COVID-19 period” (P < 0.05). At the time of the visit to the emergency room, high KTAS level, low level of consciousness, and low systolic blood pressure, were observed, which were significantly different between “COVID-19 period” and “pre-COVID-19 period” (P < 0.05). Conclusion With the worldwide COVID-19 virus spread, suicide rate and suicide attempts at home have significantly increased. In addition, patient severity was higher in the “COVID-19 period” than that in the “pre-COVID-19 period.” The increasing suicide attempt rate should be controlled by cooperation between the emergency room and regional organizations.Ji-Hun KangSi-Won LeeJae-Gu JiJae-Kwang YuYun-Deok JangSeong-Ju KimYang-Weon KimBMCarticleAttempted suicideCOVID-19Emergency roomSuicidePsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Attempted suicide COVID-19 Emergency room Suicide Psychiatry RC435-571
spellingShingle	Attempted suicide COVID-19 Emergency room Suicide Psychiatry RC435-571 Ji-Hun Kang Si-Won Lee Jae-Gu Ji Jae-Kwang Yu Yun-Deok Jang Seong-Ju Kim Yang-Weon Kim Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study
description	Abstract Background This study aimed to find out the change in the rate and pattern of suicide attempts during severe acute respiratory syndrome COVID-19 pandemic period. Methods This study was a retrospective analysis of data collected as a part of an emergency room-based post-suicide management program. The data were collected through interviews and from medical records of suicide attempts, maintained in the emergency room, from January 19 to October 31, 2020, during the “COVID-19 period,” and those who attempted suicide from January 19 to October 31, 2019 “pre-COVID-19 period.” We extracted educational background, marital status, occupation, presence of domestic partner, history of mental illness, alcohol consumption, history of previous suicide attempts; suicide attempt method and location (i.e., at home or a place other than home) at the time of attempt, and whether the attempt was a mass suicide. In addition, we compared patient severity between “COVID-19 period” and “pre-COVID-19 period” using the initial KTAS (South Korean triage and acuity scale) level, consciousness level, and systolic blood pressure. In 2012, KTAS was developed through the Ministry of Health and Welfare’s research project to establish triage system in South Korea. Results The analysis of the number of suicide attempts during “pre-COVID-19 period” and “ COVID-19 period” showed that the number of suicide attempts during “COVID-19 period” (n = 440) increased compared to the “pre-COVID-19 period” (n = 400). Moreover, the method of suicide attempts during “COVID-19 period” included overdose of drugs such as hypnotics, antipsychotics, and pesticides that were already possessed by the patient increased compared to the “pre-COVID-19 period” (P < 0.05). At the time of the visit to the emergency room, high KTAS level, low level of consciousness, and low systolic blood pressure, were observed, which were significantly different between “COVID-19 period” and “pre-COVID-19 period” (P < 0.05). Conclusion With the worldwide COVID-19 virus spread, suicide rate and suicide attempts at home have significantly increased. In addition, patient severity was higher in the “COVID-19 period” than that in the “pre-COVID-19 period.” The increasing suicide attempt rate should be controlled by cooperation between the emergency room and regional organizations.
format	article
author	Ji-Hun Kang Si-Won Lee Jae-Gu Ji Jae-Kwang Yu Yun-Deok Jang Seong-Ju Kim Yang-Weon Kim
author_facet	Ji-Hun Kang Si-Won Lee Jae-Gu Ji Jae-Kwang Yu Yun-Deok Jang Seong-Ju Kim Yang-Weon Kim
author_sort	Ji-Hun Kang
title	Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study
title_short	Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study
title_full	Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study
title_fullStr	Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study
title_full_unstemmed	Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study
title_sort	changes in the pattern of suicide attempters visiting the emergency room after covid-19 pandemic: an observational cross sectional study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7f9798e4cdd44662bbdee1e5fd5bd80f
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Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study

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