{"created":"2023-06-20T16:58:34.972769+00:00","id":17379,"links":{},"metadata":{"_buckets":{"deposit":"284c3971-8a22-4a5f-b891-b8bc65c50553"},"_deposit":{"created_by":3,"id":"17379","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"17379"},"status":"published"},"_oai":{"id":"oai:twinkle.repo.nii.ac.jp:00017379","sets":["140:1307:1308:1934:1936"]},"author_link":["262324","262320","262321","262325","262323","262326","262319","262322"],"item_10001_alternative_title_1":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"都市型救命救急センターにおける自殺企図症例の検討"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2/3","bibliographicPageEnd":"47","bibliographicPageStart":"39","bibliographicVolumeNumber":"69","bibliographic_titles":[{"bibliographic_title":"東京女子医科大学雑誌"}]}]},"item_10001_creator_2":{"attribute_name":"著者名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"ISHIKAWA, Masatake"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SOGA, Yukihiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAGUCHI, Arino"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SUZUKI, Tadashi"}],"nameIdentifiers":[{}]}]},"item_10001_date_25":{"attribute_name":"受付日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2010-08-10","subitem_date_issued_type":"Created"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"救急医療の対象となる疾患,病態は多岐にわたるが精神医学的介入を必要とする場合も少なくない.特に三次救急医療を担う救命救急センターにおいて,自殺企図症例に対する対応は極めて重要な業務の一つと考えられる.また自殺企図症例はその地域の地理的,社会的環境を大きく反映し,年齢層,手段などに相違がみられる.新宿副都心に近接する東京女子医科大学救命救急センターに最近5年間(1991～1995年)に入院した自殺企図症例について検討した.入院症例は303例で,全入院症例の8.5%,男女比0.6,平均年齢35.9歳,死亡例18例(5.9%)であった.手段としては服薬(68%)と自損(32%)に大別されるが,服薬では医薬品,自損では飛び降りが最も多かった.精神科受診歴は服薬例では15%に過ぎなかったが,自損例は45%と高率であった.転帰は服薬例では自宅退院が66%に対し,自損例は転科転院例が55%で転院例の6割は一般後方病院での精神科フォローを要した.自殺企図症例は手段により,背景および転帰が異なり,その対応も一様ではなく,救急医,精神科医,看護婦,さらにソーシャルワーカーを加えたチーム医療が必要である.","subitem_description_type":"Abstract"},{"subitem_description":"Emergency medicine deals with a broad spectrum of illnesses and injuries. Many patients seen in the emergency room require active psychiatric intervention. In particular, emergency rooms must provide tertiary emergency medical care to be able to appropriately manage suicidal patients. Suicidal patients often present with problems reflecting the geographical and social environment in which they live. The age distribution of these patients and means used to attempt suicide can vary considerably. The present study retrospectively evaluated the cases of suicidal patients hospitalized over the last 5 years (1991 to 1995) through the Emergency Critical Care Medical Center at Tokyo Women's Medical University in Shinjuku. There were 303 patients admitted with a diagnosis of suicidal ideation, representing 8.5% of all hospitalized patients. The overall male/female ratio was 2/3. The mean patient age was 35.9 years. Eighteen patients (5.9%) subsequently died in the hospital. The method of suicide attempt included substance ingestion in approximately 68% of patients and sel-finflicted injury in approximately 32% of patients. The most frequently ingested substance was prescription medicine, and the most common form of self-inflicted injury was jumping from a building. Only 15% of the substance ingestion patients had a known prior history of psychiatric disorders. In contrast, 45% of the self-inflicted injury patients had been treated for a psychiatric condition. Of the substance ingestion patients, 66% were discharged home. Of the self-inflicted injury patients, 55% were transferred for further care. Sixty percent of those transferred to the hospital required psychiatric follow-up during hospitalization. The method of suicide attempt, previous psychiatric history, patient clinical course, and specific treatment given varies considerably in different patients with suicidal ideation. A teamwork approach involving the emergency physician, psychiatrist, nurses, and social workers is necessary for successful management.","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"262323","nameIdentifierScheme":"WEKO"}],"names":[{"name":"石川, 雅健"}]},{"nameIdentifiers":[{"nameIdentifier":"262324","nameIdentifierScheme":"WEKO"}],"names":[{"name":"曽我, 幸弘"}]},{"nameIdentifiers":[{"nameIdentifier":"262325","nameIdentifierScheme":"WEKO"}],"names":[{"name":"矢口, 有乃"}]},{"nameIdentifiers":[{"nameIdentifier":"262326","nameIdentifierScheme":"WEKO"}],"names":[{"name":"鈴木, 忠"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"東京女子医科大学学会"}]},"item_10001_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AN00161368","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0040-9022","subitem_source_identifier_type":"ISSN"}]},"item_10001_text_35":{"attribute_name":"著者所属","attribute_value_mlt":[{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University, School of Medicine"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University, School of Medicine"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University, School of Medicine"},{"subitem_text_value":"Department of Emergency Medicine, Tokyo Women's Medical University, School of Medicine"},{"subitem_text_value":"東京女子医科大学救急医学"},{"subitem_text_value":"東京女子医科大学救急医学"},{"subitem_text_value":"東京女子医科大学救急医学"},{"subitem_text_value":"東京女子医科大学救急医学"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-03-27"}],"displaytype":"detail","filename":"KJ00006020711.pdf","filesize":[{"value":"715.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00006020711.pdf","url":"https://twinkle.repo.nii.ac.jp/record/17379/files/KJ00006020711.pdf"},"version_id":"58715622-2c9e-4715-9c63-e56fc6756486"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Evaluation of Suicide Attempt Patients at an Emergency Medical Center in Tokyo","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Evaluation of Suicide Attempt Patients at an Emergency Medical Center in Tokyo"}]},"item_type_id":"10001","owner":"3","path":["1936"],"pubdate":{"attribute_name":"公開日","attribute_value":"2010-08-10"},"publish_date":"2010-08-10","publish_status":"0","recid":"17379","relation_version_is_last":true,"title":["Evaluation of Suicide Attempt Patients at an Emergency Medical Center in Tokyo"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-20T22:50:59.726656+00:00"}