- The characteristics of elderly suicidal attempters in the emergency department in Korea: a retrospective study
-
Ji-Seon Jang, Wan-Seok Seo, Bon-Hoon Koo, Hey-Geum Kim, Seok-Ho Yun, So-Hey Jo, Dae-Seok Bai, Young-Gyo Kim, Eun-Jin Cheon
-
J Yeungnam Med Sci. 2024;41(1):30-38. Published online December 29, 2023
-
DOI: https://doi.org/10.12701/jyms.2023.01004
-
-
1,409
View
-
74
Download
-
1
Crossref
-
Abstract
PDFSupplementary Material
- Background
Although Korea ranks first in the suicide rate of elderly individuals, there is limited research on those who attempt suicide, with preventive measures largely based on population-based studies. We compared the demographic and clinical characteristics of elderly individuals who attempted suicide with those of younger adults who visited the emergency department after suicide attempts and identified the factors associated with lethality in the former group.
Methods Individuals who visited the emergency department after a suicide attempt from April 1, 2017, to January 31, 2020, were included. Participants were classified into two groups according to age (elderly, ≥65 years; adult, 18–64 years). Among the 779 adult patients, 123 were elderly. We conducted a chi-square test to compare the demographic and clinical features between these groups and a logistic regression analysis to identify the risk factors for lethality in the elderly group.
Results Most elderly participants were men, with no prior psychiatric history or suicide attempts, and had a higher prevalence of underlying medical conditions and attributed their attempts to physical illnesses. Being sober and planning suicide occurred more frequently in this group. In the elderly group, factors that increased the mortality rate were biological male sex (p<0.05), being accompanied by family members (p<0.05), and poisoning as a suicide method (p<0.01).
Conclusion Suicide attempts in elderly individuals have different characteristics from those in younger adults and are associated with physical illness. Suicides in the former group are unpredictable, deliberate, and fatal. Therefore, tailored prevention and intervention strategies addressing the characteristics of those who are elderly and attempt suicide are required.
-
Citations
Citations to this article as recorded by
- Analysis of suicide cases in post-mortem examination files of the Department of Forensic Medicine at the Medical University of Białystok in the years 2016-2021 = Analiza samobójstw w materiale sekcyjnym Zakładu Medycyny Sądowej Uniwersytetu Medycznego w B
Anna Francuziak, Paulina Kulasza, Kinga Kozłowska, Julia Janica, Urszula Cwalina, Anna Niemcunowicz-Janica, Michał Szeremeta Archives of Forensic Medicine and Criminology.2024; 74(2): 106. CrossRef
- Psychiatric understanding and treatment of patients with amputations
-
So-Hye Jo, Suk-Hun Kang, Wan-Seok Seo, Bon-Hoon Koo, Hye-Geum Kim, Seok-Ho Yun
-
Yeungnam Univ J Med. 2021;38(3):194-201. Published online May 11, 2021
-
DOI: https://doi.org/10.12701/yujm.2021.00990
-
-
13,157
View
-
393
Download
-
20
Crossref
-
Abstract
PDF
- Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient’s adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.
-
Citations
Citations to this article as recorded by
- Reintegration Following Amputation
Nicolette Carnahan, Lindsey Holbrook, Eric Brunk, Jennifer Viola, Marlís González-Fernández Physical Medicine and Rehabilitation Clinics of North America.2024; 35(4): 865. CrossRef - Quality of life following non-dysvascular lower limb amputation is contextualized through occupations: a qualitative study
Stephanie R. Cimino, Sander L. Hitzig, Vera Fung, Katie N. Dainty, Crystal MacKay, Joanna E. M. Sale, Amanda L. Mayo, Sara J. T. Guilcher Disability and Rehabilitation.2024; 46(17): 3887. CrossRef - Depression and Anxiety Symptoms Among Lebanese Lower Limb Traumatic Amputees: Association with Education, Employment, Adjustment to Amputation and Prosthesis Satisfaction
Nour El Hoda Saleh, Fatima Hamiye, Marwa Summaka, Hiba Zein, Rami El Mazbouh, Ibrahim Naim Psychiatry.2024; 87(1): 51. CrossRef - Building a Multidisciplinary Clinic Dedicated to Upper-Extremity Limb Loss
Anirudh Kulkarni, Margaret Luthringer, Alta Fried, Matt Mikosz, Jamie Mauro, Gina Radice Vella, Tara Lally, Ajul Shah The Journal of Hand Surgery.2024; 49(3): 267. CrossRef - A World Update of Progress in Lower Extremity Transplantation
Naga Anvesh Kodali, Ramu Janarthanan, Bedreddin Sazoglu, Zeynep Demir, Omer Dirican, Fatih Zor, Yalcin Kulahci, Vijay S. Gorantla Annals of Plastic Surgery.2024; 93(1): 107. CrossRef - Prevalence and factors associated with psychological morbidity, phantom limb Pain in lower limb amputees
Himanshu Bhayana, Shubhankar BU, Uttam Chand Saini, Aseem Mehra Injury.2024; 55(11): 111828. CrossRef - Prolongation of the Time Window From Traumatic Limb Amputation to Replantation From 6 to 33 Hours Using Ex Vivo Limb Perfusion
Lei Zhang, Ramin Ipaktchi, Bilal Ben Brahim, Isabel Arenas Hoyos, Hansjörg Jenni, Lena Dietrich, Alain Despont, Jane Shaw-Boden, Svenja Büttiker, David Siegrist, Mitra Gultom, Chiara Parodi, Luisana Garcia Casalta, Mariafrancesca Petrucci, Ilaria Petrucci Military Medicine.2024; 189(Supplement): 83. CrossRef - Histopathological Response to Neoadjuvant Chemotherapy in Patients With Enneking Stage II Conventional Osteosarcoma of Extremities: A Retrospective-Single Institution Study in Vietnam
Kien Hung Do, Tai Van Nguyen, Trang Thu Hoang, Thanh Cam Do, Phuong Dac Phan, Chu Van Nguyen, Quang Le Van Cancer Control.2024;[Epub] CrossRef - A Comparative Analysis of Patient-Reported Outcomes Following Free Tissue Transfer, Partial Foot Amputation, and Below-Knee Amputation in High-Risk Limb Salvage Patients
Christian X. Lava, Samuel S. Huffman, Karen R. Li, John R. DiBello, Christopher M. Ply, Rachel N. Rohrich, John S. Steinberg, Jayson N. Atves, Kenneth L. Fan, Richard C. Youn, Christopher E. Attinger, Karen K. Evans Annals of Plastic Surgery.2024; 93(4): 510. CrossRef - Investigation of Psychosocial, Clinical Outcomes of Individuals with Limb Loss After Earthquakes
Şeyma Sehlikoğlu, Necati Çiçek Journal of Loss and Trauma.2024; : 1. CrossRef - Health-related quality of life among lower limb amputees using prostheses in Nepal: a cross-sectional study
Bibek Banskota, Rajan Bhusal, Niraj Bhattarai, Yam Prakash Gurung, Prakash Kumar Yadav, Ashok Kumar Banskota BMC Sports Science, Medicine and Rehabilitation.2024;[Epub] CrossRef - Improving the provision of emotional support for patients following major lower limb amputation
Joanne Clapp, Ashlyn Firkins, Ray Owen, Stephanie Carty BMJ Open Quality.2024; 13(4): e002946. CrossRef - Effect of Increasing Assistance From a Powered Prosthesis on Weight-Bearing Symmetry, Effort, and Speed During Stand-Up in Individuals With Above-Knee Amputation
Grace R. Hunt, Sarah Hood, Lukas Gabert, Tommaso Lenzi IEEE Transactions on Neural Systems and Rehabilitation Engineering.2023; 31: 11. CrossRef - The Effect of Motivational Interview-Based Counseling in Individuals With Amputation
Gülhan Küçük Öztürk, Nuray Şimşek Rehabilitation Nursing.2023;[Epub] CrossRef - Psychosocial patient perspectives following major lower-limb amputation due to vascular aetiology: a protocol for a systematic meta-aggregation study
Sisse Heiden Laursen, Helle Lund Rasmussen, Dinnie Seidelin, Peter Hørslev Pedersen, Tanja Mortensen Chræmmer BMJ Open.2023; 13(9): e076794. CrossRef - Finger prosthesis: A novel way to restore the form, function, and esthetics
Nagaveni S. Somayaji, Pallawi Sinha, Jitendra Sharan, Jagadish Prasad Rajaguru, Anand Marya Clinical Case Reports.2023;[Epub] CrossRef - Predicting amputation using machine learning: A systematic review
Patrick Fangping Yao, Yi David Diao, Eric P. McMullen, Marlin Manka, Jessica Murphy, Celina Lin, Noman Naseer PLOS ONE.2023; 18(11): e0293684. CrossRef - Understanding Gangrene in the Context of Peripheral Vascular Disease: Prevalence, Etiology, and Considerations for Amputation-Level Determination
Abhilasha Bhargava, Chandrashekhar Mahakalkar, Shivani Kshirsagar Cureus.2023;[Epub] CrossRef - PEER SUPPORT FOR INDIVIDUALS WITH MAJOR LIMB LOSS: A SCOPING REVIEW
Mia Costa-Parke, Anna Maria Di Lella, Ashley Walker, Lee Verweel, Crystal MacKay CANADIAN PROSTHETICS & ORTHOTICS JOURNAL.2023;[Epub] CrossRef - The Mediating Role of Mental Toughness in the Relationship between Mindfulness and Body Image Concern in Amputees
Afrooz Pourfahimi, Ali Khaneh Keshi, Alireza Homayouni The Neuroscience Journal of Shefaye Khatam.2023; 11(4): 42. CrossRef
|