Earticle

초록

영어

Today, suicide by self-poisoning of prescribed or non-prescribed drugs on purpose has been increasing and is a major cause of mortality. It is very important to treat promptly and properly for saving the lives from those suicides. There is neither an organization such as poison control center nor measurement in S. Korea, though. The object of this study was to evaluate information of frequently used substances for suicide attempt in S. Korea. Our results also can provide healthcare provider including pharmacists and doctors, etc and contribute to increasing health and welfare for Korean. From June 1st 2006 to April 30th 2012, we retrospectively studied patients visiting emergency room due to suicide attempt. We collected information of underlying disease, history of past medical condition and suicide attempt, ingredient and getting route of ingesting substances, emergency treatment, and outcome by reviewing electronic medical record. We also evaluated actual treatment of self-poisoning and made guide information about antidote medication for S. Korean healthcare provider. Among total 242 cases of suicidal attempts, cases ingesting substances including prescription, non-prescription drugs and agricultural chemicals were 86.4%. The most frequently used drugs for suicide attempt were sedatives-hypnotics (53.6%), followed by analgesics (16.7%) and antidepressants (12.4%). Analgesics including acetaminophen and aspirin were most in teenagers but sedatives-hypnotics including benzodiazepines, nonbenzodiazepine (zolpidem) and antihistamine were most in other ages including elderly people. Most frequently used antidote was activated charcoal (62.7%) and specific antidotes for some substances (acetaminophen, aspirin, agricultural chemicals) were also treated properly, accompanying with medication for supportive care. In conclusion, the most used substances for suicide attempt were sedatives-hypnotics and treatments for self-poisoning in emergency room were appropriate based on existing references. Therefore, information of frequently used substances and antidote reflecting these results will be useful for South Korean healthcare provider.

목차

Abstract
 연구방법
  연구 대상
  자료 수집 및 분석 방법
  통계 처리
 연구 결과
  연구대상자의 특성 및 건강상태 평가
  자살시도용으로 사용한 약물들 평가
  응급실에서의 처치에 대한 평가
  응급 처치 후 결과 평가
  한국형 기초 자료에 기반한 다빈도 자살시도용 약물 및 해독제에 대한 정보제공
 고찰
  연구대상자의 특성 및 건강상태 평가
  자살시도용으로 사용한 약물들 평가
  응급실에서의 처치에 대한 평가
  응급 처치 후 결과 평가
  다빈도 자살시도용 약물 및 해독제에 대한 정보제공
  약물에 의한 자살 시도를 줄이기 위한 대책
 사사
 참고문헌

키워드

저자

• 이옥상 [ Ok Sang Lee | 충북대학교 임상약학연구실 ]
• 천영주 [ Young Ju Cheon | 강동경희대학교병원 약제부 ]
• 김정태 [ Jung Tae Kim | 강동경희대학교병원 약제부 ] Corresponding Author
• 임성실 [ Sung Cil Lim | 충북대학교 임상약학연구실 ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국임상약학회지 [Korean Journal of Clinical Pharmacy]

• 간기

  계간

• pISSN

  1226-6051

• 수록기간

  1991~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 518 DDC 615