Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations
The purpose of this study was to compare the characteristics of suicide attempts by drug overdose between young people and adults, and evaluate the cost-effectiveness of a multi-disciplinary emergency consultation system (MECS) for suicide attempters with drug overdose. It was verified by comparing...
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| Format: | Article |
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Frontiers Media S.A.
2021-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.592770/full |
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| author | Sol I. Kim Doug Hyun Han Jin Ho Hwang Je Hyeok Oh Myung Hee Shin Sun Mi Kim |
| author_facet | Sol I. Kim Doug Hyun Han Jin Ho Hwang Je Hyeok Oh Myung Hee Shin Sun Mi Kim |
| author_sort | Sol I. Kim |
| collection | DOAJ |
| description | The purpose of this study was to compare the characteristics of suicide attempts by drug overdose between young people and adults, and evaluate the cost-effectiveness of a multi-disciplinary emergency consultation system (MECS) for suicide attempters with drug overdose. It was verified by comparing and analyzing data from June 1, 2017 to May 31, 2018 (before the MECS was implemented; pre-MECS), and from June 1, 2018 to May 31, 2019 (after the MECS was implemented; post-MECS). The data were retrospectively reviewed for a total of 251 such patients with suicide attempts by drug overdose who visited the emergency room of a university hospital in Seoul during the period. The young people group were shown to be more likely to use painkillers and less likely to use psychoactive drugs for a suicide attempt (p < 0.01), had more unplanned attempts than planned ones (p < 0.01), and had lower levels of intentionality for suicide (p = 0.04) and of suicide lethality (p = 0.02), compared to the adult group. We defined suicide attempts as being “serious” when there was both high intentionality and lethality. On this basis, the young people group had less serious suicide attempts, compared to the adult group (p = 0.02). Young people in the post-MECS group had lower intensive care unit (ICU) costs (p = 0.01) and lower costs in the 6-months after the suicide attempt (p = 0.02) compared to those in the pre-MECS group. Young people, both with serious (p < 0.01) and non-serious attempts (p < 0.01) in the post-MECS group had lower ICU costs compared to those in the pre-MECS group. Adults with non-serious attempts in the post-MECS group had lower ICU costs (p < 0.01) compared to those in the pre-MECS group. Therefore, it can be concluded that fast and precise cooperation from the multidisciplinary departments for patients who attempted suicide by drug overdose reduced unnecessary ICU treatment and costs, especially in young attempters and those with lower levels of intentionality and lethality. |
| first_indexed | 2024-12-13T15:25:32Z |
| format | Article |
| id | doaj.art-f8828fd7cd9e496da24f36ac7c004143 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-13T15:25:32Z |
| publishDate | 2021-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-f8828fd7cd9e496da24f36ac7c0041432022-12-21T23:40:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-02-01910.3389/fpubh.2021.592770592770Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult PopulationsSol I. Kim0Doug Hyun Han1Jin Ho Hwang2Je Hyeok Oh3Myung Hee Shin4Sun Mi Kim5Department of Psychiatry, Chung-Ang University College of Medicine, Seoul, South KoreaDepartment of Psychiatry, Chung-Ang University College of Medicine, Seoul, South KoreaDepartment of Nephrology, Chung-Ang University College of Medicine, Seoul, South KoreaDepartment of Emergency Medicine, Chung-Ang University College of Medicine, Seoul, South KoreaDepartment of Safety, Leadership and Coaching, The Graduate School of Psychological Service, Chung-Ang University, Seoul, South KoreaDepartment of Psychiatry, Chung-Ang University College of Medicine, Seoul, South KoreaThe purpose of this study was to compare the characteristics of suicide attempts by drug overdose between young people and adults, and evaluate the cost-effectiveness of a multi-disciplinary emergency consultation system (MECS) for suicide attempters with drug overdose. It was verified by comparing and analyzing data from June 1, 2017 to May 31, 2018 (before the MECS was implemented; pre-MECS), and from June 1, 2018 to May 31, 2019 (after the MECS was implemented; post-MECS). The data were retrospectively reviewed for a total of 251 such patients with suicide attempts by drug overdose who visited the emergency room of a university hospital in Seoul during the period. The young people group were shown to be more likely to use painkillers and less likely to use psychoactive drugs for a suicide attempt (p < 0.01), had more unplanned attempts than planned ones (p < 0.01), and had lower levels of intentionality for suicide (p = 0.04) and of suicide lethality (p = 0.02), compared to the adult group. We defined suicide attempts as being “serious” when there was both high intentionality and lethality. On this basis, the young people group had less serious suicide attempts, compared to the adult group (p = 0.02). Young people in the post-MECS group had lower intensive care unit (ICU) costs (p = 0.01) and lower costs in the 6-months after the suicide attempt (p = 0.02) compared to those in the pre-MECS group. Young people, both with serious (p < 0.01) and non-serious attempts (p < 0.01) in the post-MECS group had lower ICU costs compared to those in the pre-MECS group. Adults with non-serious attempts in the post-MECS group had lower ICU costs (p < 0.01) compared to those in the pre-MECS group. Therefore, it can be concluded that fast and precise cooperation from the multidisciplinary departments for patients who attempted suicide by drug overdose reduced unnecessary ICU treatment and costs, especially in young attempters and those with lower levels of intentionality and lethality.https://www.frontiersin.org/articles/10.3389/fpubh.2021.592770/fullattempted suicidedrug overdoseemergency psychiatric servicesconsultation and referralhospital cost |
| spellingShingle | Sol I. Kim Doug Hyun Han Jin Ho Hwang Je Hyeok Oh Myung Hee Shin Sun Mi Kim Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations Frontiers in Public Health attempted suicide drug overdose emergency psychiatric services consultation and referral hospital cost |
| title | Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations |
| title_full | Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations |
| title_fullStr | Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations |
| title_full_unstemmed | Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations |
| title_short | Cost-Effectiveness of a Multi-Disciplinary Emergency Consultation System for Suicide Attempts by Drug Overdose in Young People and Adult Populations |
| title_sort | cost effectiveness of a multi disciplinary emergency consultation system for suicide attempts by drug overdose in young people and adult populations |
| topic | attempted suicide drug overdose emergency psychiatric services consultation and referral hospital cost |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.592770/full |
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