2005년부터 2016년까지의 퇴원손상심층조사에서 비사망을 포함한 고의적자해방법과 호전율의 변화추이

Objectives: The purpose of this study is to estimate trend of intentional self-harm methods and recovery rate by using ICD (International Classification of Diseases)-10 codes (X60-X84). Methods: The analysis was based on data of intentional self-harm injury in 2005-2016 from hospital discharge registry investigation in Korea. Results: Through 2005-2016, intentional self-harm by drug was the most common. Self-harm caused by pesticides has decreased since 2012, but those caused by gas has increased rapidly since 2008. By ages, pesticide poisoning by intentional was the most common in 60s and 80s, except those ages, self-harm by drug was the most frequent. The number of intentional self-harm was 1.2 times higher for women than for men, and for women, the rate of self-harm caused by drug was more than half. In the case of men, self-harm caused by pesticides was the most common, and they did various self-harm methods compared to women. The recovery rate tends to increase compared to the past, but as the age increases, it tends to decrease. In particular, the recovery rate of ‘hanging’ was significantly lower at 48.1%. Conclusions: Therefore, in order to increase the rate of recovery of the self-harm injuries that have already occurred, it is necessary to establish a variety of systems such as rapid reporting system and transfer to medical center.