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KMID : 0385920190300030239
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Journal of the Korean Society of Emergency Medicine
2019 Volume.30 No. 3 p.239 ~ p.247
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Effectiveness of post-discharge case management of patients who attempted suicide and self-injurious behavior through mobile messenger counseling
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Jo Chang-Hee
Cho Young-Suk
Cho Gyu-Chong
Lee Jin-Hyuck
Lee Jong-Shill
Kim In-Young
Oh Won-Hee
Seo Hong-Taek
Kim Jung-Mi
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Abstract
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Objective: Mobile messengers are becoming common methods to communicate among people in various fields. This study investigated the effectiveness of mobile messengers as a tool for post-discharge case management of emergency department patients who attempted suicide and self-harm.
Method: This study was a retrospective observational study of data collected prospectively. A total of 327 patients who attempted suicide and self-harm in the emergency department were divided into two groups: a conventional protocol group with a face-to-face or phone call interview and a new protocol group with added mobile messenger counseling. The basic characteristics, such as sex, age, methods of suicide and self-harm attempt, consent for case management, and admission to a ward, were surveyed. The rates of successful case management (transfer to a local community center or follow-up to neuropsychiatric outpatient clinic, or both) were compared as a primary outcome between the two groups.
Results: The conventional protocol group was 122 cases and the new protocol group was 205 cases. No significant differences in sex, age, methods of suicide and self-harm attempt, rate of consent to case management, and admission to a ward were observed between the two groups. On the other hand, the total successful management rate in mobile messenger group was higher than that of the other group (P=0.020).
Conclusion: This study showed that mobile messengers could be an alternative communication tool for the post-discharge case management of patients who attempted suicide and self-injurious behavior. Nevertheless, a well-designed future study might be needed to determine if that method would reduce the reattempt rate.
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KEYWORD
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Suicide, Self-injurious behavior, Cell phone
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