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Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study
OBJECTIVE: Suicide remains a serious, preventable public health problem. This study aims to describe the epidemiological characteristics associated with various suicide methods and to investigate outcomes after suicide-associated sudden cardiac arrest (S-SCA), stratified by different suicide attempt...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society of Emergency Medicine
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052863/ https://www.ncbi.nlm.nih.gov/pubmed/27752579 http://dx.doi.org/10.15441/ceem.15.013 |
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author | Kim, Soo Jin Shin, Sang Do Lee, Eui Jung Ro, Young Sun Song, Kyoung Jun Lee, Seung Chul |
author_facet | Kim, Soo Jin Shin, Sang Do Lee, Eui Jung Ro, Young Sun Song, Kyoung Jun Lee, Seung Chul |
author_sort | Kim, Soo Jin |
collection | PubMed |
description | OBJECTIVE: Suicide remains a serious, preventable public health problem. This study aims to describe the epidemiological characteristics associated with various suicide methods and to investigate outcomes after suicide-associated sudden cardiac arrest (S-SCA), stratified by different suicide attempt methods. METHODS: An S-SCA database was constructed from ambulance run sheets and augmented by a review of hospital medical records from 2008 to 2010 in Korea. The cases with non-cardiac etiologies and suicide attempts were initially extracted. Suicide attempts were classified as hanging, poisoning, fall, and other. The primary end point was survival to discharge. Age- and sex-adjusted incidence rates were calculated for each suicide method. Adjusted odds ratios for outcome were calculated with adjustments for potential confounding variables. RESULTS: A total 5,743 patients were analyzed as S-SCAs. The most common method of suicide attempt was hanging (58.7%), followed by falls (17.6%), poisoning (17.5%), and others (5.8%). The survival to discharge rates were 2.1% (n=119) overall, 2.4% in hanging, 2.4% in poisoning and 0.5% in fall, respectively. The age- and sex-adjusted incidence rates (male/female) per million persons was 32.7 (35.8/29.7) in 2008, 41.8 (46.0/37.7) in 2009, and 43.0 (50.1/36.0) in 2010. Compared with hanging, adjusted odds ratios (95% confidence intervals) for survival to discharge was 1.05 (0.60 to 1.83) for poisoning and 0.08 (0.03 to 0.21) for falls. CONCLUSION: In this nationwide S-SCA cohort study from 2008 to 2010, the standardized incidence rate increased annually. However, the rate of survival to discharge remains very low. |
format | Online Article Text |
id | pubmed-5052863 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Society of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-50528632016-10-17 Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study Kim, Soo Jin Shin, Sang Do Lee, Eui Jung Ro, Young Sun Song, Kyoung Jun Lee, Seung Chul Clin Exp Emerg Med Original Article OBJECTIVE: Suicide remains a serious, preventable public health problem. This study aims to describe the epidemiological characteristics associated with various suicide methods and to investigate outcomes after suicide-associated sudden cardiac arrest (S-SCA), stratified by different suicide attempt methods. METHODS: An S-SCA database was constructed from ambulance run sheets and augmented by a review of hospital medical records from 2008 to 2010 in Korea. The cases with non-cardiac etiologies and suicide attempts were initially extracted. Suicide attempts were classified as hanging, poisoning, fall, and other. The primary end point was survival to discharge. Age- and sex-adjusted incidence rates were calculated for each suicide method. Adjusted odds ratios for outcome were calculated with adjustments for potential confounding variables. RESULTS: A total 5,743 patients were analyzed as S-SCAs. The most common method of suicide attempt was hanging (58.7%), followed by falls (17.6%), poisoning (17.5%), and others (5.8%). The survival to discharge rates were 2.1% (n=119) overall, 2.4% in hanging, 2.4% in poisoning and 0.5% in fall, respectively. The age- and sex-adjusted incidence rates (male/female) per million persons was 32.7 (35.8/29.7) in 2008, 41.8 (46.0/37.7) in 2009, and 43.0 (50.1/36.0) in 2010. Compared with hanging, adjusted odds ratios (95% confidence intervals) for survival to discharge was 1.05 (0.60 to 1.83) for poisoning and 0.08 (0.03 to 0.21) for falls. CONCLUSION: In this nationwide S-SCA cohort study from 2008 to 2010, the standardized incidence rate increased annually. However, the rate of survival to discharge remains very low. The Korean Society of Emergency Medicine 2015-06-30 /pmc/articles/PMC5052863/ /pubmed/27752579 http://dx.doi.org/10.15441/ceem.15.013 Text en © 2015 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Soo Jin Shin, Sang Do Lee, Eui Jung Ro, Young Sun Song, Kyoung Jun Lee, Seung Chul Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study |
title | Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study |
title_full | Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study |
title_fullStr | Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study |
title_full_unstemmed | Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study |
title_short | Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study |
title_sort | epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052863/ https://www.ncbi.nlm.nih.gov/pubmed/27752579 http://dx.doi.org/10.15441/ceem.15.013 |
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