Journal of Yeungnam Medical Science

Original articles

The characteristics of elderly suicidal attempters in the emergency department in Korea: a retrospective study: Ji-Seon Jang, Wan-Seok Seo, Bon-Hoon Koo, Hey-Geum Kim, Seok-Ho Yun, So-Hey Jo, Dae-Seok Bai, Young-Gyo Kim, Eun-Jin Cheon; J Yeungnam Med Sci. 2024;41(1):30-38. Published online December 29, 2023; DOI: https://doi.org/10.12701/jyms.2023.01004

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Abstract PDF Supplementary Material: Background
Although Korea ranks first in the suicide rate of elderly individuals, there is limited research on those who attempt suicide, with preventive measures largely based on population-based studies. We compared the demographic and clinical characteristics of elderly individuals who attempted suicide with those of younger adults who visited the emergency department after suicide attempts and identified the factors associated with lethality in the former group.
Methods
Individuals who visited the emergency department after a suicide attempt from April 1, 2017, to January 31, 2020, were included. Participants were classified into two groups according to age (elderly, ≥65 years; adult, 18–64 years). Among the 779 adult patients, 123 were elderly. We conducted a chi-square test to compare the demographic and clinical features between these groups and a logistic regression analysis to identify the risk factors for lethality in the elderly group.
Results
Most elderly participants were men, with no prior psychiatric history or suicide attempts, and had a higher prevalence of underlying medical conditions and attributed their attempts to physical illnesses. Being sober and planning suicide occurred more frequently in this group. In the elderly group, factors that increased the mortality rate were biological male sex (p<0.05), being accompanied by family members (p<0.05), and poisoning as a suicide method (p<0.01).
Conclusion
Suicide attempts in elderly individuals have different characteristics from those in younger adults and are associated with physical illness. Suicides in the former group are unpredictable, deliberate, and fatal. Therefore, tailored prevention and intervention strategies addressing the characteristics of those who are elderly and attempt suicide are required.

A study on the mental health of students at a medical school during COVID-19 outbreak: a retrospective study: Yu Ra Kim, Hye Jin Park, Bon-Hoon Koo, Ji Young Hwang, Young Hwan Lee; J Yeungnam Med Sci. 2022;39(4):314-321. Published online August 16, 2022; DOI: https://doi.org/10.12701/jyms.2022.00437

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Background
In this study, the degree of anxiety, depression, and stress caused by coronavirus disease 2019 (COVID-19) was identified, as well as the need for psychological prevention measures among medical students in the Daegu region that was designated the first special disaster area due to the spread of COVID-19.
Methods
The subjects of this study were 318 medical students in Daegu who voluntarily participated in an online test using the Hospital Anxiety and Depression Scale and Impact of Event Scale-Revised Korean version. As a result of the test, risk students received immediate telephone counseling, and the effect of this telephone counseling was analyzed.
Results
There were no differences in depression, anxiety, or stress according to gender and grade. As a result of immediate telephone counseling for risk students, significant differences were found in depression, anxiety, and stress, and the counseling was found to be effective.
Conclusion
For medical students who are easily exposed to stress, the importance of psychological prevention measures and effectiveness of non-face-to-face counseling should be recognized. In the field of medical education, we must do our best to build a system that can be used immediately at the appropriate time for these programs.

Citations

Citations to this article as recorded by

Study on the Learning Environment of Medical Students in the COVID-19
Yu Ra Kim, Hye Jin Park, Saeyoon Kim
Keimyung Medical Journal.2023; 42(2): 80. CrossRef

Review article

Psychiatric understanding and treatment of patients with amputations: So-Hye Jo, Suk-Hun Kang, Wan-Seok Seo, Bon-Hoon Koo, Hye-Geum Kim, Seok-Ho Yun; Yeungnam Univ J Med. 2021;38(3):194-201. Published online May 11, 2021; DOI: https://doi.org/10.12701/yujm.2021.00990

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Abstract PDF

Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient’s adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

Citations

Citations to this article as recorded by

Depression and Anxiety Symptoms Among Lebanese Lower Limb Traumatic Amputees: Association with Education, Employment, Adjustment to Amputation and Prosthesis Satisfaction
Nour El Hoda Saleh, Fatima Hamiye, Marwa Summaka, Hiba Zein, Rami El Mazbouh, Ibrahim Naim
Psychiatry.2024; 87(1): 51. CrossRef
Building a Multidisciplinary Clinic Dedicated to Upper-Extremity Limb Loss
Anirudh Kulkarni, Margaret Luthringer, Alta Fried, Matt Mikosz, Jamie Mauro, Gina Radice Vella, Tara Lally, Ajul Shah
The Journal of Hand Surgery.2024; 49(3): 267. CrossRef
Effect of Increasing Assistance From a Powered Prosthesis on Weight-Bearing Symmetry, Effort, and Speed During Stand-Up in Individuals With Above-Knee Amputation
Grace R. Hunt, Sarah Hood, Lukas Gabert, Tommaso Lenzi
IEEE Transactions on Neural Systems and Rehabilitation Engineering.2023; 31: 11. CrossRef
The Effect of Motivational Interview-Based Counseling in Individuals With Amputation: A Randomized Controlled Trial in Turkey
Gülhan Küçük Öztürk, Nuray Şimşek
Rehabilitation Nursing.2023; 48(5): 160. CrossRef
Psychosocial patient perspectives following major lower-limb amputation due to vascular aetiology: a protocol for a systematic meta-aggregation study
Sisse Heiden Laursen, Helle Lund Rasmussen, Dinnie Seidelin, Peter Hørslev Pedersen, Tanja Mortensen Chræmmer
BMJ Open.2023; 13(9): e076794. CrossRef
Quality of life following non-dysvascular lower limb amputation is contextualized through occupations: a qualitative study
Stephanie R. Cimino, Sander L. Hitzig, Vera Fung, Katie N. Dainty, Crystal MacKay, Joanna E. M. Sale, Amanda L. Mayo, Sara J. T. Guilcher
Disability and Rehabilitation.2023; : 1. CrossRef
Finger prosthesis: A novel way to restore the form, function, and esthetics
Nagaveni S. Somayaji, Pallawi Sinha, Jitendra Sharan, Jagadish Prasad Rajaguru, Anand Marya
Clinical Case Reports.2023;[Epub] CrossRef
Predicting amputation using machine learning: A systematic review
Patrick Fangping Yao, Yi David Diao, Eric P. McMullen, Marlin Manka, Jessica Murphy, Celina Lin, Noman Naseer
PLOS ONE.2023; 18(11): e0293684. CrossRef
Understanding Gangrene in the Context of Peripheral Vascular Disease: Prevalence, Etiology, and Considerations for Amputation-Level Determination
Abhilasha Bhargava, Chandrashekhar Mahakalkar, Shivani Kshirsagar
Cureus.2023;[Epub] CrossRef
PEER SUPPORT FOR INDIVIDUALS WITH MAJOR LIMB LOSS: A SCOPING REVIEW
Mia Costa-Parke, Anna Maria Di Lella, Ashley Walker, Lee Verweel, Crystal MacKay
CANADIAN PROSTHETICS & ORTHOTICS JOURNAL.2023;[Epub] CrossRef
The Mediating Role of Mental Toughness in the Relationship between Mindfulness and Body Image Concern in Amputees
Afrooz Pourfahimi, Ali Khaneh Keshi, Alireza Homayouni
The Neuroscience Journal of Shefaye Khatam.2023; 11(4): 42. CrossRef

Case report

Apathy syndrome in a patient previously treated with selective serotonin reuptake inhibitors for depression: Hye-Geum Kim, Bon-Hoon Koo, Seung Woo Lee, Eun-Jin Cheon; Yeungnam Univ J Med. 2019;36(3):249-253. Published online March 15, 2019; DOI: https://doi.org/10.12701/yujm.2019.00150

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Abstract PDF

There is considerable overlap in the clinical presentations of apathy and depression. However, differential diagnosis between apathy and other psychiatric conditions, including depression and dementia, is important. In this report, we present the case of a 67-year-old woman with a history of receiving selective serotonin reuptake inhibitor (SSRI) treatment for depression. Differential diagnosis between treatment-resistant depression and SSRI-induced apathy syndrome was required. The symptoms of her apathy syndrome were relieved after the discontinuation of SSRIs and the addition of olanzapine, methylphenidate, and modafinil. Furthermore, we briefly review related literature in this article.

Citations

Citations to this article as recorded by

Apathy associated with antidepressant drugs: a systematic review
Vasilios G. Masdrakis, Manolis Markianos, David S. Baldwin
Acta Neuropsychiatrica.2023; 35(4): 189. CrossRef
Can antidepressant use be associated with emotional blunting in a subset of patients with depression? A scoping review of available literature
Muhammad Youshay Jawad, Maurish Fatima, Umer Hassan, Zaofashan Zaheer, Muhammad Ayyan, Muhammad Ehsan, Muhmmad Huzaifa Ahmed Khan, Ahsan Qadeer, Abdul Rehman Gull, Muhammad Talha Asif, Mujeeb U. Shad
Human Psychopharmacology: Clinical and Experimental.2023;[Epub] CrossRef
Investigation of the efficiency of various antidepressant replacement regimens in the development of SSRI-induced apathy syndrome
V. E. Medvedev, R. A. Kardashyan, V. I. Frolova, A. M. Burno, S. V. Nekrasova, V. I. Salyntsev
Neurology, Neuropsychiatry, Psychosomatics.2020; 12(2): 48. CrossRef

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