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KMID : 0607520210290020128
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Korean Journal of Psychosomatic Medicine
2021 Volume.29 No. 2 p.128 ~ p.135
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The Effects of COVID-19 on the Self-Harm in Children and Adolescents Observed in a University Hospital
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Oh Sae-Bom
Kim Seung-Jun
Kim Ji-Woong
Oh Hong-Seok
Im Woo-Young
Lee Na-Hyun
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Abstract
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Objectives：The aim of the present study is to investigate the impact of COVID-19 on the incidence and severity of childhood and adolescent self-harm.
Methods：Medical records were retrospectively reviewed for patients under the age of 18 who visited the emergency room of Konyang University Hospital to compare the rate of self-harm attempts and the demographic, clinical, and self-harm-related of self-harm attempters aspects before and after the COVID-19 outbreak.
Results：During 11 months after the COVID-19 outbreak, the proportion of the number of children and adolescents patients with self-harm and their episodes increased significantly compared to that during 11 months before the COVID-19 outbreak (χ2=14.397, p<0.001; χ2=24.156, p<0.001). Between about the year before and after the outbreak of COVID-19, there was a significant difference in the prior self-harm history and psychiatric history among children and adolescents who visited the emergency room and the ratio of hospitalization to other departments than department of psychiatry (p<0.05; p<0.05; p<0.05).
Conclusions：In the COVID-19 situation, the proportion of children and adolescents who visited the emergency room due to self-harm and admission to other departments are increasing. And it has been shown that the incidence of self-harm has significantly increased in children and adolescents with a history of prior self-harm and psychiatric past history. These findings underscore the need for the psychiatric evaluation and intervention of selfharm related high-risk groups among children and adolescents in pandemic situations.
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KEYWORD
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COVID-19, Self-harm, Children and adolescents
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