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Effect of a Crisis Intervention Team for suicide attempt patients in an emergency department in Korea

机译:危机干预小组对韩国急诊部试验患者的影响

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Background: South Korea has one of the highest rates of suicide in the world, which poses an immense socioeconomic burden on the healthcare system. Objectives: We hypothesized that the implementation of a Crisis Intervention Team would lead to an improvement in completion rates of suicide prevention counseling programs. Methods: This is a retrospective before-and-after analysis, and was carried out in the emergency department in the city of Ansan, South Korea. The Crisis Intervention Team, funded by the Ministry of Health and Welfare, counsels suicide attempt patients with the ultimate goal of assuring proper administration of mental healthcare from community suicide support programs. Data on suicide attempt patients were collected using medical records. The primary outcome was defined as completion of the 8-week follow-up period for suicide attempt patients with the community suicide support programs. Results: A total of 246 patients from the pre-intervention period and 296 patients from the post-intervention period were included in the study. The completion rates of the 8-week follow-up period increased significantly after the intervention. During the pre-intervention period, 9 patients (3.7%) who were referred to the community suicide support program completed the 8?weeks of follow-up, whereas in the post-intervention period, 56 patients (18.9%) followed up for 8?weeks or more (p??0.0001). The secondary outcome, overall linkage rates to community suicide support program, did not change significantly, with a minor increase from 46 (18.7%) to 63 (21.3%) (p?=?0.45). Conclusion: The implementation of an in-hospital Crisis Intervention Team dedicated to active and assertive counseling that begins in the emergency department was correlated with significantly increased completion rates of the 8-week follow-up counseling program.
机译:背景:韩国拥有世界上最高的自杀率之一,对医疗保健系统构成了巨大的社会经济负担。目标:我们假设危机干预团队的实施将导致自杀预防咨询计划的完成率改善。方法:这是一个回顾性的前后分析,并在韩国安山市的急诊部门进行。受卫生和福利部资助的危机干预队劝告自杀患者,患者有最终目标,确保来自社区自杀支持计划的适当施用心理医疗保健。使用医疗记录收集自杀患者的数据。主要结果被定义为自杀企图患者的8周后续期间的完成患者的自杀式支持计划。结果:在研究中,共有246名患者患有前期前期和296名患者。干预后,8周随访期的完工率显着增加。在介入前期,9名患者(3.7%)(3.7%)被提交的社区自杀式支持计划完成了8个?几周的随访,而在干预后期,56名患者(18.9%)随访8岁?几周或更长时间(p?<?0.0001)。次要结果,社区自杀式支持计划的总结率,并没有显着变化,从46(18.7%)到63(21.3%)(P?= 0.45)。结论:实施致力于急救部门的积极和自信咨询的医院危机干预小组与8周后续咨询计划的完成率大幅增加。

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