Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Epidemiologic Characteristics of Intentional Poisoning: Emergency Department Based Injury in-depth Surveillance During 2011-2015

의도적 중독으로 응급실을 방문하는 환자들의 특성: 2011-2015년 응급실 손상환자 심층조사 분석

  • Lee, Hak Soo (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Han, Juhee (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Kim, Ji Hoon (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Kim, Sunpyo (Department of Emergency Medicine, College of Medicine, Chosun University) ;
  • Kim, Sun Hyu (Department of Emergency Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Ji Sook (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Cho, Gyu Chong (Department of Emergency Medicine, School of Medicine, Hallym University) ;
  • Han, Chul (Department of Emergency Medicine, Ewha Womans University, School of Medicine) ;
  • Park, Joon Min (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Chung, Sung Phil (Department of Emergency Medicine, Yonsei University College of Medicine) ;
  • Kim, Min Joung (Department of Emergency Medicine, Yonsei University College of Medicine)
  • 이학수 (연세대학교 의과대학 응급의학교실) ;
  • 한주희 (연세대학교 의과대학 응급의학교실) ;
  • 김지훈 (연세대학교 의과대학 응급의학교실) ;
  • 김선표 (조선대학교병원 응급의학과) ;
  • 김선휴 (울산대학교병원 응급의학과) ;
  • 이지숙 (아주대학교 의과대학 응급의학교실) ;
  • 조규종 (한림대학교 의과대학 응급의학과) ;
  • 한철 (이화여자대학교 의과대학 응급의학교실) ;
  • 박준민 (인제대학교 일산백병원 응급의학과) ;
  • 정성필 (연세대학교 의과대학 응급의학교실) ;
  • 김민정 (연세대학교 의과대학 응급의학교실)
  • Received : 2017.07.20
  • Accepted : 2017.08.15
  • Published : 2017.12.31
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Abstract

Purpose: The purpose of this study was to investigate the epidemiologic characteristics of patients who visited emergency departments (EDs) after intentional poisoning in Korea. Methods: This study retrospectively analyzed the data of of 23 hospitals during a five-year period, between 2011 and 2015. We included patients who inflicted injury to themselves - attempt of suicide - by means of poisoning. Results: A total of 18,121 patients visited an ED after intentional poisoning. Among them, 58.3% were females; however, there were more males among those aged 60 years or older. The mortality rate for males was 8.6%, which was 3.1 times higher than that for females with 2.8%. The most common poison was pesticides (35.4%) in males and sedative-hypnotics (44.0%) in females. The most common causative agent of death was pesticide in both sexes (75.2% and 65.3%, respectively). Since the production of paraquat was discontinued in 2011, the number of deaths from pesticide poisoning has decreased. The mortality rate declined in both males and females, from 12.6% and 4.5% in 2011 to 7.1% and 2.1% in 2015, respectively. Conclusion: In this study, we analyzed the epidemiologic characteristics of intentional poisoning, especially the frequency of suicide attempts by gender and age group, the cause of suicide, and the causative agent. This can be used as basic data for establishing policies to reduce and prevent suicide attempts by poisoning.

Keywords

References

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