Clinical Characteristics and Precipitating Factors of Adolescent Suicide Attempters Admitted for Psychiatric Inpatient Care in South Korea.
- Author:
Subin PARK
1
;
Jae Won KIM
;
Bung Nyun KIM
;
Jeong Hoon BAE
;
Min Sup SHIN
;
Hee Jeong YOO
;
Soo Churl CHO
Author Information
- Publication Type:Original Article
- Keywords: Suicide; Risk factors; Adolescents
- MeSH: Adolescent*; Diagnosis; Electronic Health Records; Female; Humans; Inpatients*; Korea; Mood Disorders; Parents; Precipitating Factors*; Psychology; Retrospective Studies; Risk Factors; Schizophrenia; Self-Help Groups; Suicidal Ideation; Suicide*
- From:Psychiatry Investigation 2015;12(1):29-36
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: We aimed to examine the rates, correlates, methods, and precipitating factors of suicide attempts among adolescent patients admitted for psychiatric inpatient care from 1999 to 2010 in a university hospital in Korea. METHODS: The subjects consisted of 728 patients who were admitted for psychiatric inpatient care in a university hospital over a 12-year period and who were aged 10-19 years at the time of admission. We retrospectively investigated the information on suicidal behaviors and other clinical information by reviewing the subjects' electronic medical records. Whether these patients had completed their suicide on 31 December 2010 was determined by a link to the database of the National Statistical Office. RESULTS: Among 728 subjects, 21.7% had suicidal ideation at admission, and 10.7% admitted for suicidal attempts. Female gender, divorced/widowed parents, and the presence of mood disorders were associated with a significantly increased likelihood of suicide attempts. Most common method of suicide attempts was cutting, and most common reason for suicide attempts was relationship problems within the primary support group. A diagnosis of schizophrenia was associated with increased risk of death by suicide after discharge. CONCLUSION: These results highlight the role of specific psychosocial factor (e.g., relational problems) and psychiatric disorders (e.g., mood disorders) in the suicide attempts of Korean adolescents, and the need for effective prevention strategies for adolescents at risk for suicide.
