@article{ref1,
title="Effectiveness of post-discharge case management of patients who attempted suicide and self-injurious behavior through mobile messenger counseling",
journal="Journal of the Korean Society of Emergency Medicine",
year="2019",
author="Jo, Changhee and Cho, Youngsuk and Cho, Gyu-Chong and Lee, Jinhyuck and Lee, Jongshill and Kim, In-Young and Oh, Wonhee and Seo, Hongtaek and Kim, Jungmi",
volume="",
number="",
pages="239-247",
abstract="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. <br><br>METHODS: 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. <br><br>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). <br><br>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.<p /><p>Language: ko</p>",
language="ko",
issn="1226-4334",
doi="",
url="http://dx.doi.org/"
}