TY - JOUR
T1 - Factors influencing the successful connection of deliberate self-injury patients to community-based mental health centers
AU - Lee, Jung II
AU - Kim, Eun
AU - Kim, Hye Jin
AU - Lee, Duk Hee
N1 - Funding Information:
This work was supported also by the National Research Foundation of Korea (NRF) grant funded by the Korea government ( MSIT ) ( NRF-2020R1C1C1004851 ) (J.I.L). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2022 Elsevier B.V.
PY - 2022/6
Y1 - 2022/6
N2 - Objective: The emergency department (ED) is a good place to start preventing actions for suicide attempters. As a preventive factor, early intervention, follow-up management, and connection with community-based mental health care are important. We aimed to determine which factors were important for a successful connection to community-based mental health care services. Methods: This study was conducted at two tertiary teaching hospitals from January 2018 to December 2020. There were 1016 deliberate self-harm patients who received the four weeks of follow-up intervention. Results: There were 166 patients in the connected group and 850 patients in the non-connected group. In the logistic regression analysis for the successful connection to community-based mental health care, married patients had an odds ratio (OR) 1.627 (95% CI 0.960–2.758), 1.314 OR (95% CI 0.619–2.790) of separated patients and 5.317 OR (CI 1.864–15.168) of widowed patients compared to single patients. And face-to-face follow-up management had 2.630 OR (95% CI 1.815–3.811) to the successful connection rate to community-based mental healthcare compared to the patients in non-face-to-face management. Conclusion: When deliberately self-injured patients who visited the ED received short-term follow-up intervention after emergency treatment, face-to-face follow-up intervention had a higher connection rate to community-based mental healthcare centers than non-face-to-face follow-up intervention. In the future, for deliberate self-harm patients who visit the ED, the ED staff should manage deliberate self-harm through early detection and face-to-face follow-up intervention, and other methods that can compensate for face-to-face follow-up intervention.
AB - Objective: The emergency department (ED) is a good place to start preventing actions for suicide attempters. As a preventive factor, early intervention, follow-up management, and connection with community-based mental health care are important. We aimed to determine which factors were important for a successful connection to community-based mental health care services. Methods: This study was conducted at two tertiary teaching hospitals from January 2018 to December 2020. There were 1016 deliberate self-harm patients who received the four weeks of follow-up intervention. Results: There were 166 patients in the connected group and 850 patients in the non-connected group. In the logistic regression analysis for the successful connection to community-based mental health care, married patients had an odds ratio (OR) 1.627 (95% CI 0.960–2.758), 1.314 OR (95% CI 0.619–2.790) of separated patients and 5.317 OR (CI 1.864–15.168) of widowed patients compared to single patients. And face-to-face follow-up management had 2.630 OR (95% CI 1.815–3.811) to the successful connection rate to community-based mental healthcare compared to the patients in non-face-to-face management. Conclusion: When deliberately self-injured patients who visited the ED received short-term follow-up intervention after emergency treatment, face-to-face follow-up intervention had a higher connection rate to community-based mental healthcare centers than non-face-to-face follow-up intervention. In the future, for deliberate self-harm patients who visit the ED, the ED staff should manage deliberate self-harm through early detection and face-to-face follow-up intervention, and other methods that can compensate for face-to-face follow-up intervention.
KW - Community mental health centers
KW - Deliberate self-harm
KW - Emergency department
KW - Face-to-face interaction
KW - Intervention approach
UR - http://www.scopus.com/inward/record.url?scp=85127144026&partnerID=8YFLogxK
U2 - 10.1016/j.ajp.2022.103088
DO - 10.1016/j.ajp.2022.103088
M3 - Article
C2 - 35358763
AN - SCOPUS:85127144026
SN - 1876-2018
VL - 72
JO - Asian Journal of Psychiatry
JF - Asian Journal of Psychiatry
M1 - 103088
ER -