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KCI등재 학술저널

자살기도자의 임상적 특성

Clinical Characteristics of the Suicidal Attempters

The purpose of this study was to investigate the clinical meanings and the various factors associated with the patients who attempted suicides. The study subjects were 59 patients who made suicidal attempt(18 males and 41 females) and were treated in the neuropsychiatric department of Soonchunhyang University Hospital from Jan. 1979 to May 1986. From the analysis of the medical records of the patients, the following results were obtained. 1) The male : female sex ratio of the patients was 1 * 2.3. 2) 50.9^ of the patients were in the age group of 20-29. In the male patients, the age group of 16-19 was the most prevalent, whereas in the female patients, the age group of 20-29 was the most prevalent. 3) 54.2% of them were in the middle class of socioeconomic level and 86.4% of the patient had more than high school education. 4) In terms of occupation, 37.2% of the patients were unemployed, 25.4 %, students, 15.3%, housewives, 6.8% , salary men, and 5.1% , business men. 5) The marital status • 61.0% of the patients were singles, 25.4 %, married 5.1%,separated, 5.1%, widowed, and 3.4%,divorced. 6) The sibling orders • 44.1% of them were the middle children, 28.8 %, the first children and 27.1 짯, the last. 7) Previons suicidal attempt * 74.5% of the patients made no previous attempt, 11.9 깠,once before, 8.5*%, two times, 5.1%, 3 times or more. 8) 72.8^ of the patients attempted suicide in their own home. 9) As method of suicidal attemps, 74.5% of the patients used drugs. 54.1% used tranquilizers alone, 6.8%, tranquilizers and alcohols, 5.1%, rat poisons and tranquilizers, and 1.7%, insect killers. 10) The motives of suicidal attempt • 44.0% of the patients had a conflict with lovers or spouses, 22.0 %,mental disorders, and 15.3, family discord. Job and business problems were the cause exclusively for male patients whereas pessimism and debt were limited to the female patients. 11) The distribution of psychiatric diagnosis * 30.5% of the patients had adjustment disorders, 8.5%, schizophrenia, 6.8%, major depression, 5.1%, bipolar disorders, depressed, and 1.7%, alcoholic hallucinosis. In the male patients, the order of diagnostic distribution was as follows personality disorders(10.1%), adjustment disorders with depressed mood (5.1%), schizophrenias (5.1%), whereas in the female patients, adjustment disorders with depressed mood was followed by personality disorders (17.0%) and dysthymic disorders ( 1 5 .2 0 . 12) The mode of hospitalization .* 45.7 % of the patients were transferred from other departments, 39.0 % of them were hospitalized via emergency room, and 15.3 %, via out-patient department. Internal medicine department was the most common route of transfer.

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