Evidence map›Paper›PMID 30571902›Full record

ArticleClinical and experimental emergency medicine2018

Predictors of intentional intoxication using decision tree modeling analysis: a retrospective study.

Eun Seok Oh, Jae Hyung Choi, Jung Won Lee, Su Yeon Park

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Article in Clinical and experimental emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

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4 authors.

Eun Seok OhDepartment of Emergency Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
Jae Hyung ChoiDepartment of Emergency Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
Jung Won LeeDepartment of Emergency Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
Su Yeon ParkDepartment of Biostatistics, Soonchunhyang University Hospital, Seoul, Korea.

Funding

Soonchunhyang University
6 · The paper itself

Abstract

objectiveThe suicide rate in South Korea is very high and is expected to increase in coming years. Intoxication is the most common suicide attempt method as well as one of the common reason for presenting to an emergency medical center. We used decision tree modeling analysis to identify predictors of risk for suicide by intentional intoxication.

methodsA single-center, retrospective study was conducted at our hospital using a 4-year registry of the institute from January 1, 2013 to December 31, 2016. Demographic factors, such as sex, age, intentionality, therapeutic adherence, alcohol consumption, smoking status, physical disease, cancer, psychiatric disease, and toxicological factors, such as type of intoxicant and poisoning severity score were collected. Candidate risk factors based on the decision tree were used to select variables for multiple logistic regression analysis.

resultsIn total, 4,023 patients with intoxication were enrolled as study participants, with 2,247 (55.9%) identified as cases of intentional intoxication. Reported annual percentages of intentional intoxication among patients were 628/937 (67.0%), 608/1,082 (56.2%), 536/1,017 (52.7), 475/987 (48.1%) from 2013 to 2016. Significant predictors identified based on decision tree analysis were alcohol consumption, old age, psychiatric disease, smoking, and male sex; those identified based on multiple regression analysis were alcohol consumption, smoking, male sex, psychiatric disease, old age, poor therapeutic adherence, and physical disease.

conclusionWe identified important predictors of suicide risk by intentional intoxication. A specific and realistic approach to analysis using the decision tree modeling technique is an effective method to determine those groups at risk of suicide by intentional intoxication.

Indexed as

Decision support techniquesIntoxicationSuicide

Identifiers

PMID30571902
PMCPMC6301867

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