KMID : 0367320200310040177
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Journal of the Korean Academy of Child and Adolescent Psychiatry 2020 Volume.31 No. 4 p.177 ~ p.184
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The Impact of Referral to Mental Health Services on Suicide Death Risk in Adolescent Suicide Survivors
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Kim Joon-Beom
Hong Sung-Hee Hong Hyun-Ju
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Abstract
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Objectives: This study aims to examine the effect of adolescent suicide survivors¡¯ experience on suicide death risk, and the effect of referral to mental health services (hereafter referral) in this regard.
Methods: This study used the data of 878 suicide-deceased and suicide-attempted adolescents aged 8?19 years, managed by the Suicide and School Mental Health Institute from 2016 to 2018.
Results: Regression analysis for main effects showed that although suicide experience had no direct effect on suicide death, non-referral status was associated with a greater risk of death by suicide. While the ¡°non-suicide survivor with non-referral¡± and ¡°suicide survivor with non-referral¡± groups showed 1.87 [adjusted odds ratio=1.87, 95% confidence interval (CI)=1.21?2.89] and 4.59 (adjusted odds ratio= 4.59, 95% CI=2.02?10.42) times higher odds of suicide death, respectively, the ¡°suicide survivor with referral¡± group showed no difference compared to the ¡°non-suicide survivor with referral¡± group.
Conclusion: From these findings, there is a need to strengthen referral to mental health services and apply complicated grief treatment to improve the mental health of adolescent suicide survivors.
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KEYWORD
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Suicide, Attempted, Suicide, Completed, Bereavement, Referral and consultation, Adolescent
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