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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...

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Autores principales: Kim, Soo Jin, Shin, Sang Do, Lee, Eui Jung, Ro, Young Sun, Song, Kyoung Jun, Lee, Seung Chul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2015
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.
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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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