TY  - JOUR
PY  - 2020//
TI  - Role of risk-rescue rating scale and inflammatory biomarkers in determining the disposition of suicide attempters at the emergency department
JO  - Journal of the Korean Society of Emergency Medicine
A1  - Noh, Woosik
A1  - Kim, Hyejin
SP  - 576
EP  - 585
VL  - 31
IS  - 6
N2  - OBJECTIVE:  This study aimed to identify the utility of risk-rescue rating scale (RRRS), a psychological scale, and certain biomarkers in determining the disposition of patients visiting the emergency department (ED) after their suicide attempts.     Method:  We retrospectively reviewed the medical records of patients who visited the ED after attempting suicide. The patients were classified into three groups for comparison: the discharged (DC) group, the general ward (GW) admission group, and the intensive care unit (ICU) admission group.     Results:  This study included 454 patients, with 344 patients in the DC group (75.8%), 63 patients in the GW admission group (13.9%), and 47 patients in the ICU admission group (10.3%). The three groups showed statistically significant differences in age, time of visit, physical status, presumptive diagnosis, the RRRS, mental status, C-reactive protein, neutrophil-lymphocyte ratio (NLR), and systemic immune inflammation index. Multivariate logistic regression analysis showed that predictors of the GW admission included the time of visit, mental status, and the RRRS. A receiver operating characteristic curve analysis of RRRS for the decision to admit to GW and ICU showed a cut-off value of 36.5 and 44.5, respectively. However, no inflammatory biomarkers were identified as factors predicting GW and ICU admissions.     Conclusion:  The RRRS is useful in determining the disposition of patients who visited the ED after suicide attempts.	    Key words: Suicide; Emergency medical services; Hospital; Biomarkers<p />  <p>Language: en</p>
LA  - en
SN  - 1226-4334
UR  - http://dx.doi.org/
ID  - ref1
ER  -