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JYMS : Journal of Yeungnam Medical Science

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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
  • 1,509 View
  • 74 Download
  • 1 Crossref
AbstractAbstract PDFSupplementary 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.

Citations

Citations to this article as recorded by  
  • Analysis of suicide cases in post-mortem examination files of the Department of Forensic Medicine at the Medical University of Białystok in the years 2016-2021 = Analiza samobójstw w materiale sekcyjnym Zakładu Medycyny Sądowej Uniwersytetu Medycznego w B
    Anna Francuziak, Paulina Kulasza, Kinga Kozłowska, Julia Janica, Urszula Cwalina, Anna Niemcunowicz-Janica, Michał Szeremeta
    Archives of Forensic Medicine and Criminology.2024; 74(2): 106.     CrossRef
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
  • 3,532 View
  • 67 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract PDF
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  
  • Global prevalence of anxiety and depression among medical students during the COVID-19 pandemic: a systematic review and meta-analysis
    Yen-Ko Lin, Ita Daryanti Saragih, Chia-Ju Lin, Hsin-Liang Liu, Chao-Wen Chen, Yung-Sung Yeh
    BMC Psychology.2024;[Epub]     CrossRef
  • Post-Pandemic Evaluation: Impact of Covid-19 Pandemic on Medical Students’ Mental Health, Self-Esteem, Social Interactions, and Academic Progression in Malaysia
    Sia Woon Teen, Tan Jih Huei, Lee Tiong Chan, Tay Jia Chyi
    Sage Open.2024;[Epub]     CrossRef
  • 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
  • 13,697 View
  • 415 Download
  • 22 Crossref
AbstractAbstract 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  
  • Reintegration Following Amputation
    Nicolette Carnahan, Lindsey Holbrook, Eric Brunk, Jennifer Viola, Marlís González-Fernández
    Physical Medicine and Rehabilitation Clinics of North America.2024; 35(4): 865.     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.2024; 46(17): 3887.     CrossRef
  • 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
  • A World Update of Progress in Lower Extremity Transplantation
    Naga Anvesh Kodali, Ramu Janarthanan, Bedreddin Sazoglu, Zeynep Demir, Omer Dirican, Fatih Zor, Yalcin Kulahci, Vijay S. Gorantla
    Annals of Plastic Surgery.2024; 93(1): 107.     CrossRef
  • Prevalence and factors associated with psychological morbidity, phantom limb Pain in lower limb amputees
    Himanshu Bhayana, Shubhankar BU, Uttam Chand Saini, Aseem Mehra
    Injury.2024; 55(11): 111828.     CrossRef
  • Prolongation of the Time Window From Traumatic Limb Amputation to Replantation From 6 to 33 Hours Using Ex Vivo Limb Perfusion
    Lei Zhang, Ramin Ipaktchi, Bilal Ben Brahim, Isabel Arenas Hoyos, Hansjörg Jenni, Lena Dietrich, Alain Despont, Jane Shaw-Boden, Svenja Büttiker, David Siegrist, Mitra Gultom, Chiara Parodi, Luisana Garcia Casalta, Mariafrancesca Petrucci, Ilaria Petrucci
    Military Medicine.2024; 189(Supplement): 83.     CrossRef
  • Histopathological Response to Neoadjuvant Chemotherapy in Patients With Enneking Stage II Conventional Osteosarcoma of Extremities: A Retrospective-Single Institution Study in Vietnam
    Kien Hung Do, Tai Van Nguyen, Trang Thu Hoang, Thanh Cam Do, Phuong Dac Phan, Chu Van Nguyen, Quang Le Van
    Cancer Control.2024;[Epub]     CrossRef
  • A Comparative Analysis of Patient-Reported Outcomes Following Free Tissue Transfer, Partial Foot Amputation, and Below-Knee Amputation in High-Risk Limb Salvage Patients
    Christian X. Lava, Samuel S. Huffman, Karen R. Li, John R. DiBello, Christopher M. Ply, Rachel N. Rohrich, John S. Steinberg, Jayson N. Atves, Kenneth L. Fan, Richard C. Youn, Christopher E. Attinger, Karen K. Evans
    Annals of Plastic Surgery.2024; 93(4): 510.     CrossRef
  • Investigation of Psychosocial, Clinical Outcomes of Individuals with Limb Loss After Earthquakes
    Şeyma Sehlikoğlu, Necati Çiçek
    Journal of Loss and Trauma.2024; : 1.     CrossRef
  • Health-related quality of life among lower limb amputees using prostheses in Nepal: a cross-sectional study
    Bibek Banskota, Rajan Bhusal, Niraj Bhattarai, Yam Prakash Gurung, Prakash Kumar Yadav, Ashok Kumar Banskota
    BMC Sports Science, Medicine and Rehabilitation.2024;[Epub]     CrossRef
  • Improving the provision of emotional support for patients following major lower limb amputation
    Joanne Clapp, Ashlyn Firkins, Ray Owen, Stephanie Carty
    BMJ Open Quality.2024; 13(4): e002946.     CrossRef
  • “You Don’t Realize What a Big Change It Is”: A Reflexive Thematic Analysis of Patients’ Experiences of Amputation Preparation, Information Provision, and Support
    Maria Gonzalez Aguado, Lucina Wilde, Esmée Hanna
    Qualitative Health Research.2024;[Epub]     CrossRef
  • Distal Hypoperfusion Ischemic Syndrome in a Patient With End-Stage Renal Disease
    Vivie Tran, Diego Olavarria-Bernal, Ana Cordón, Judy Lalmuanpuii
    Cureus.2024;[Epub]     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
    Gülhan Küçük Öztürk, Nuray Şimşek
    Rehabilitation Nursing.2023;[Epub]     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
  • 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
  • 15,682 View
  • 175 Download
  • 3 Crossref
AbstractAbstract 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

JYMS : Journal of Yeungnam Medical Science
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