Article Data

  • Views 858
  • Dowloads 132

Original Research

Open Access

The factors affecting rehabilitation to society of emergency department based post-suicidal care program recipients

  • Jongwon Choi1
  • Hyejin Kim1,*,

1Department of Emergency Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 01757 Seoul, Republic of Korea

DOI: 10.22514/sv.2024.042 Vol.20,Issue 4,April 2024 pp.52-58

Submitted: 10 September 2023 Accepted: 13 October 2023

Published: 08 April 2024

*Corresponding Author(s): Hyejin Kim E-mail:


The aim of this study is to investigate the factors affecting rehabilitation to society of Emergency Department (ED) based post-suicidal care program recipients. This prospective observational study was conducted at the ED of a general hospital in Seoul between March 2018 and October 2020. Patients who agreed to ED based post-suicidal care were followed up after 2 and 4 months and classified into a rehabilitated group and a non-rehabilitated group respectively. We analyzed the patients’ demographic data and suicide-related data. We used the Chi-square test or the Fisher’s exact test, the student’s t-test and multivariate logistic regression analysis. A total of 86 patients were included in this study. Factors that disturb rehabilitation of suicidal attempters were the presence of a housemate, a history of psychiatric admission, an acute disease or disability on 1st follow-up and the presence of a housemate, educational level and 1st non-rehabilitation on 2nd follow-up on univariate analysis. Multivariate logistic regression analysis showed that the absence of a housemate and 1st rehabilitation were associated with rehabilitation. This study shows that fast rehabilitation is important for rehabilitation of suicidal attempters and the presence of housemate can be a risk factor for non-rehabilitation.


Suicide; Emergency department; Affecting factor

Cite and Share

Jongwon Choi,Hyejin Kim. The factors affecting rehabilitation to society of emergency department based post-suicidal care program recipients. Signa Vitae. 2024. 20(4);52-58.


[1] Ministry of Health & Welfare, Korea Foundation for Suicide Prevention. White Paper on Suicide Prevention (2021). Available at: (Accessed: October 30 2022).

[2] Choi JW, Park S, Yi KK, Hong JP. Suicide mortality of suicide attempt patients discharged from emergency room, nonsuicidal psychiatric patients discharged from emergency room, admitted suicide attempt patients, and admitted nonsuicidal psychiatric patients. Suicide Life-Threatening Behaviour. 2012; 42: 235–243.

[3] Hirayasu Y, Kawanishi C, Yonemoto N, Ishizuka N, Okubo Y, Sakai A, et al. A randomized controlled multicenter trial of post-suicide attempt case management for the prevention of further attempts in Japan (ACTION-J). BMC Public Health. 2009; 9: 364.

[4] Dieserud G, Loeb M, Ekeberg O. Suicidal behavior in the municipality of Baerum, Norway: a 12-year prospective study of parasuicide and suicide. Suicide and Life-Threatening Behaviour. 2000; 30: 61–73.

[5] Cedereke M, Monti K, Ojehagen A. Telephone contact with patients in the year after a suicide attempt: does it affect treatment attendance and outcome? A randomized controlled study. European Psychiatry. 2002; 17: 82–91.

[6] Carter GL, Child C, Page A, Clover K, Taylor R. Modifiable risk factors for attempted suicide in Australian clinical and community samples. Suicide and Life-Threatening Behavior. 2007; 37: 671–680.

[7] Lizardi D, Stanley B. Treatment engagement: a neglected aspect in the psychiatric care of suicidal patients. Psychiatric Services. 2010; 61: 1183–1191.

[8] Vaiva G, Walter M, Al Arab AS, Courtet P, Bellivier F, Demarty AL, et al. ALGOS: the development of a randomized controlled trial testing a case management algorithm designed to reduce suicide risk among suicide attempters. BMC Psychiatry. 2011; 11: 1.

[9] Chen W, Chen C, Ho C, Lee M, Lin G, Chou FH. Community-based case management for the prevention of suicide reattempts in Kaohsiung, Taiwan. Community Mental Health Journal. 2012; 48: 786–791.

[10] Bickley H, Hunt IM, Windfuhr K, Shaw J, Appleby L, Kapur N. Suicide within two weeks of discharge from psychiatric inpatient care: a case-control study. Psychiatric Services. 2013; 64: 653–659.

[11] Lee J, Kang HG, Kim C, Oh J, Lim T, Ahn DH, et al. The factors affecting the registration rates for emergency department based post-suicidal care program. Journal of the Korean Society of Clinical Toxicology. 2015; 13: 25–32.

[12] Jang N, Kim J, Park WB, Cho JS, Hyun SY, Lim YS, et al. Efficacy of a program associated with a local community of suicide attempters who visited a regional emergency medical center. Journal of the Korean Society of Emergency Medicine. 2012; 23: 696–704.

[13] Song DH, Lee JH, Suh HS, Lee HS. The psychiatric characteristics of repeated suicide attempters. The Korean Journal of Psychopathology. 1996; 5: 77–86.

[14] Weisman AD. Risk-rescue rating in suicide assessment. Archives of General Psychiatry. 1972; 26: 553–560.

[15] Spirito A, Brown L, Overholser J, Fritz G, Bond A. Use of the risk-rescue rating scale with adolescent suicide attempters: a cautionary note. Death Studies. 1991; 15: 269–280.

[16] Hernández-Bello L, Hueso-Montoro C, Gómez-Urquiza JL, Cogollo-Milanés Z. Prevalence and associated factor for ideation and suicide attempt in adolescents: a systematic review. Revista Esponala de Salud Publica. 2020; 94: e202009094.

[17] Pereira AS, Willhelm AR, Koller SH, Almeida RMM. Risk and protective factors for suicide attempt in emerging adulthood. Ciencia & Saude Coletiva. 2018; 23: 3767–3777.

[18] Noh YH, Lee SY. Policy issues and directions for a rapid increase in suicides in Korea. Health and Welfare Policy Forum. 2013; 6: 7–18

[19] Kim HC. A study on the characteristics of adult suicide and suicidal type. Korean Psychological Journal of Culture and Social Issues. 2006; 12: 15–33.

[20] Finkelstein Y, Macdonald EM, Hollands S, Sivilotti MLA, Hutson JR, Mamdani MM, et al. Risk of suicide following deliberate self-poisoning. JAMA Psychiatry. 2015; 72: 570.

[21] Beghi M, Rosenbaum JF, Cerri C, Cornaggia CM. Risk fac­tors for fatal and nonfatal repetition of suicide attempts: a lit­erature review. Neuropsychiatric Disease and Treatment. 2013; 9: 1725–1736.

[22] Jin W, Choi WJ, Yoon JH, Cho HS, Kim SJ, Lee E, et al. Associated factors of psychiatric fol­low-up after emergency care in suicide attempters. Mood & Emotion. 2013; 11: 143–150.

[23] Bergen H, Hawton K, Waters K, Ness J, Cooper J, Steeg S, et al. Premature death after self-harm: a multicentre cohort study. The Lancet. 2012; 380: 1568–1574.

[24] Druss RG. The psychology of illness: in sickness and in health. 1st Edition. American Psychiatric Publishing: Washington, DC. 1995.

[25] Agerbo E. High income, employment, postgraduate education, and marriage. Archives of General Psychiatry. 2007; 64: 1377–1384.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time