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Original Articles
Factors Influencing Suicidal Ideation According to the Deprivation Indices of Different Regions in Korea
Yun-Young Kim, Hyung-Joo Park
J Prev Med Public Health. 2023;56(1):88-94.   Published online January 31, 2023
DOI: https://doi.org/10.3961/jpmph.22.356
  • 1,588 View
  • 99 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
This study examined how deprivation differed by region and the effect those differences had on suicidal ideation among the local population.
Methods
Data collected over 10 years (2012-2021) in the Korea Welfare Panel Study were organized into 3 categories: metropolitan, city, and rural. A panel analysis was conducted on the impact of deprivation indices, socio-demographic characteristics, and life satisfaction on suicidal ideation in each category.
Results
Income, divorce status, family relationship satisfaction, and medical deprivation had a significant impact on suicidal ideation in metropolitan areas, whereas these variables did not have significant effects in rural areas. In other words, income, family, and medical support were more impactful in city areas.
Conclusions
Although the deprivation index was higher in rural areas than in city areas due to an aging population and reduced income levels, the mental health of rural residents was found to be generally better than that of city residents. The possibility that this is related to the strength of relationships within the respective communities should be considered in light of recent discussions on relational welfare.
Summary
Korean summary
본 연구는 지역별 박탈수준을 살펴보고 각 지역에서 5개 박탈영역이 자살 생각에 미치는 영향을 조사하였다. 연구결과, 고령화와 소득수준 감소로 농촌지역이 도시지역보다 박탈지수가 높았지만 농촌지역 주민의 자살생각은 도시지역보다 낮은 것으로 나타났다. 이는 최근 관계적 복지에 관한 논의에 비추어 각 지역사회 내의 관계강화와 관련이 있을 가능성을 고려해야 한다.

Citations

Citations to this article as recorded by  
  • Factors of Capital on Depression in Older Adulthood: A Comparison of Urban and Rural Regions in Korea
    MinYoung Bae, YunYoung Kim, Ijin Hong
    Healthcare.2023; 11(21): 2850.     CrossRef
The Impact of Household Economic Deterioration Caused by the COVID-19 Pandemic and Socioeconomic Status on Suicidal Behaviors in Adolescents: A Cross-sectional Study Using 2020 Korea Youth Risk Behavior Web-based Survey Data
Sanggu Kang, Yeri Jeong, Eun Hye Park, Seung-sik Hwang
J Prev Med Public Health. 2022;55(5):455-463.   Published online September 12, 2022
DOI: https://doi.org/10.3961/jpmph.22.241
  • 2,620 View
  • 117 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Economic hardship has a serious impact on adolescents’ mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents’ suicidal behaviors.
Methods
This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions.
Results
The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively.
Conclusions
ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.
Summary
Korean summary
청소년의 정신건강은 가정의 경제상황에 크게 영향을 받는다. 청소년건강행태조사(KYRBS)(2020)에 참여한 54948명의 중고등학생을 대상으로 가정의 기존 경제적 형편과 코로나19로 인한 가정경제 악화가 자살위험에 미치는 영향을 분석하였다. 그 결과 자살사고, 자살계획, 자살시도 모두 코로나19로 인한 경제상황 악화 정도가 심한 저소득층 가정 청소년에서 위험이 제일 높은 것으로 확인되었다. 코로나19(COVID-19)로 인해 심화된 경제적 불평등이 청소년 정신건강 불평등으로 이어지지 않게 하기 위한 개입이 필요하다.

Citations

Citations to this article as recorded by  
  • Latent class analysis of health behaviors, anxiety, and suicidal behaviors among Korean adolescents
    Mi-Sun Lee, Hooyeon Lee
    Journal of Affective Disorders.2024; 354: 339.     CrossRef
  • Letter to the Editor: Addressing Children’s Mental Health Issues Related to Economic Changes Caused by the COVID-19 Pandemic
    Dalmacito A. Cordero
    Journal of Preventive Medicine and Public Health.2023; 56(1): 95.     CrossRef
  • Effects of COVID-19 outbreak on Korean adolescents: Impact of altered economic perception on physical activity, sedentary behavior, and stress levels in an age-, gender-, and BMI-matched study
    Jisu Kim, In-Whi Hwang, Jeong-Hui Park, Youngdeok Kim, Jung-Min Lee, Sandra Celina Fernandes Fonseca
    PLOS ONE.2023; 18(11): e0294270.     CrossRef
The Moderating Effect of Gender on the Relationship Between Self-neglect and Suicidal Ideation in Older Adults of Korea
Kyuhyoung Jeong, Daeyeon Jang, Boyoung Nam, Soyoung Kwon, Eunsol Seo
J Prev Med Public Health. 2022;55(5):436-443.   Published online August 3, 2022
DOI: https://doi.org/10.3961/jpmph.22.083
  • 5,641 View
  • 105 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
Previous studies have reported that self-neglect, which may be a sign of elder abuse, can result in suicide among older adults. The signs of self-neglect and its impact on the risk of suicide may differ by gender. Thus, this study explored the association between self-neglect and suicide risk in older Korean adults and examined the potential moderating effect of gender on this relationship.
Methods
Data were collected from 356 Korean adults aged 65 or older through an online survey. Multiple regression analysis was used to test the research hypothesis. First, the associations between 4 sub-dimensions of self-neglect (i.e., daily life management issues, personal hygiene issues, financial management issues, and relational issues) and suicidal ideation were examined. Then, the moderating effect of gender on these relationships was investigated by including interaction terms.
Results
Self-neglect was significantly associated with suicidal ideation in older adults. Aspects of self-neglect related to daily life management and relational factors were key predictors of suicidal ideation. Gender significantly moderated the effect of the relational dimension of self-neglect on suicidal ideation. The relational dimension of self-neglect was more strongly associated with suicidal ideation in older women than in older men.
Conclusions
The findings suggest the importance of screening older adults with signs of self-neglect for suicide risk. Special attention should be paid to older women who experience relational issues as a high-risk group for suicidal ideation. Public programs and support systems should be established to improve daily life management and promote social relationships among older adults.
Summary
Korean summary
본 연구는 노인의 자기방임과 자살생각의 관계에서 성별의 조절효과를 검증하는 데에 목적이 있다. 연구결과를 토대로 성별에 따른 노인의 자살위험 영향요인을 고려한 정책 개입의 필요성과 사회적 고립 완화를 위한 프로그램 도입 등을 제안하였다.

Citations

Citations to this article as recorded by  
  • Subgroups of self-neglect and effects on suicidal ideation among the older adults
    Hyun Lee, Eunjin Lee
    Development and Psychopathology.2023; : 1.     CrossRef
Determinants of Mental Health Care Utilization in a Suicide High-risk Group With Suicidal Ideation
Hyun-Soo Kim, Moo-Sik Lee, Jee-Young Hong
J Prev Med Public Health. 2016;49(1):69-78.   Published online January 22, 2016
DOI: https://doi.org/10.3961/jpmph.15.016
  • 8,111 View
  • 155 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives
The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide.
Methods
Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization.
Results
The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size.
Conclusions
It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.
Summary

Citations

Citations to this article as recorded by  
  • Predisposing, enabling and need factors associated with past-year health service use for mental health reasons in adults with suicidal ideation in France
    Helen-Maria Vasiliadis, Christophe Léon, Enguerrand du Roscoät, Mathilde M. Husky
    Journal of Affective Disorders.2022; 319: 62.     CrossRef
  • Addressing Suicide Risk According to Different Healthcare Professionals in Spain: A Qualitative Study
    Juan-Luis Muñoz-Sánchez, María Sánchez-Gómez, María Martín-Cilleros, Esther Parra-Vidales, Diego de Leo, Manuel Franco-Martín
    International Journal of Environmental Research and Public Health.2018; 15(10): 2117.     CrossRef
  • Gender-specific factors associated with the use of mental health services for suicidal ideation: Results from the 2013 Korean Community Health Survey
    Mina Kim, Young-Hoon Lee, Soraya Seedat
    PLOS ONE.2017; 12(12): e0189799.     CrossRef
Patterns of Alcohol Consumption and Suicidal Behavior: Findings From the Fourth and Fifth Korea National Health and Nutritional Examination Survey (2007–2011)
Hong-Chul Bae, Seri Hong, Sung-In Jang, Kwang-Sig Lee, Eun-Cheol Park
J Prev Med Public Health. 2015;48(3):142-150.   Published online May 21, 2015
DOI: https://doi.org/10.3961/jpmph.14.027
  • 10,380 View
  • 154 Download
  • 16 Crossref
AbstractAbstract PDF
Objectives
The purpose of this study was to investigate the association between suicidal behavior and patterns of alcohol consumption in Korean adults.
Methods
This study was based on data provided by the Korea National Health and Nutritional Examination Survey from 2007 to 2011. A total of 42 347 subjects were included in the study, of whom 19 292 were male and 23 055 were female. Logistic regression analysis was performed to assess the association between patterns of alcohol consumption and suicidal behavior.
Results
Among the study subjects, 1426 males (11.3%) and 3599 females (21.2%) had experienced suicidal ideation, and 106 males (0.8%) and 190 females (1.1%) had attempted suicide during the previous 12 months. Alcohol Use Disorders Identification Test (AUDIT) scores were found to be associated with suicidal ideation in males and associated with both suicidal ideation and suicide attempts in females. Alcoholic blackouts were associated with suicidal ideation and suicide attempts in males, and were also associated with suicidal ideation in females.
Conclusions
In this study, we found that certain patterns of alcohol consumption were associated with suicidal behaviors. In particular, only alcoholic blackouts and categorized AUDIT scores were found to be associated with suicidal behavior in males. We therefore suggest that further research is needed to examine this relationship prospectively and in other settings.
Summary

Citations

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    Kvetoslava Kotrbová, Ivan Dóci, Lidmila Hamplová, Vít Dvořák, Šárka Selingerová, Veronika Růžičková, Šárka Chmelařová
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    Chiho Park, Yon Ho Jee, Keum Ji Jung
    Journal of Affective Disorders.2016; 194: 16.     CrossRef
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The Combined Effect of Subjective Body Image and Body Mass Index (Distorted Body Weight Perception) on Suicidal Ideation
Jaeyong Shin, Young Choi, Kyu-Tae Han, Sung-Youn Cheon, Jae-Hyun Kim, Sang Gyu Lee, Eun-Cheol Park
J Prev Med Public Health. 2015;48(2):94-104.   Published online March 14, 2015
DOI: https://doi.org/10.3961/jpmph.14.055
  • 10,143 View
  • 139 Download
  • 14 Crossref
AbstractAbstract PDF
Objectives
Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation.
Methods
Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion.
Results
Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59).
Conclusions
Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.
Summary

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Relationship Between Current Sleep Duration and Past Suicidal Ideation or Attempt Among Korean Adolescents
Sung-In Jang, Kwang-Sig Lee, Eun-Cheol Park
J Prev Med Public Health. 2013;46(6):329-335.   Published online November 28, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.6.329
  • 10,184 View
  • 100 Download
  • 15 Crossref
AbstractAbstract PDF
Objectives

To comprehensively examine the relationship between current sleep duration and past suicidal idea or attempt among Korean adolescents.

Methods

Data came from the 2009 Korea Youth Risk Behavior Web-based Survey with 75 066 participants (with the participation rate of 97.6%) in 800 middle and high schools. Binary logistic regression was conducted by gender and depressed mood to identify significant factors for suicidal ideation/attempt. The dependent variable was the log odds of suicidal ideation/attempt, while the independent/control variables were sleep duration and other demographic, socio-economic and health-related factors.

Results

A negative association between sleep duration and suicidal ideation or attempt was weaker for those with depressed mood than for those without such experience in Korea for Year 2009. The odds ratio of suicidal ideation/attempt regarding less than 4 hours of sleep compared to 6 to 7 hours of sleep, was smaller in a group with depressed mood than in a group without such experience, for example, 1.64 (95% confidence interval [CI], 1.29 to 2.08) vs. 2.06 (95% CI, 1.34 to 3.17) for men's suicidal ideation, 2.50 (95% CI, 1.69 to 3.69) vs. 3.89 (95% CI, 1.74 to 8.66) for men's suicidal attempt. A negative association between age (or self-rated health) and suicidal ideation/attempt was also weaker for those with depressed mood than for those without such experience in the nation for the year.

Conclusions

There was a negative association between sleep duration and suicidal ideation/attempt in Korea for Year 2009 and this association was weaker for those with depressed mood than for those without such experience. Based on the findings of this study, adolescents' better mental health and longer, more comfortable sleep might help to prevent their suicidal ideation and attempt in Korea.

Summary

Citations

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  • Determinants of Mental Health Care Utilization in a Suicide High-risk Group With Suicidal Ideation
    Hyun-Soo Kim, Moo-Sik Lee, Jee-Young Hong
    Journal of Preventive Medicine and Public Health.2016; 49(1): 69.     CrossRef
  • School Start Times, Sleep, Behavioral, Health, and Academic Outcomes: A Review of the Literature
    Anne G. Wheaton, Daniel P. Chapman, Janet B. Croft
    Journal of School Health.2016; 86(5): 363.     CrossRef
  • The association between mental health, chronic disease and sleep duration in Koreans: a cross-sectional study
    Min-Su Lee, Joon-Shik Shin, Jinho Lee, Yoon Jae Lee, Me-riong Kim, Ki Byung Park, Dongjin Shin, Jae-Heung Cho, In-Hyuk Ha
    BMC Public Health.2015;[Epub]     CrossRef
  • Combined Influence of Smoking Frequency and Intensity on Suicidal Ideation and Attempts in Korean High School Students
    Jin Suk Ra, Yoon Hee Cho, Hye Sun Kim
    Journal of the Korean Society of School Health.2015; 28(3): 168.     CrossRef
  • The possible long-term effects of early-life circadian rhythm disturbance on social behavior
    Jun Kohyama
    Expert Review of Neurotherapeutics.2014; 14(7): 745.     CrossRef
  • Sleep Patterns of Middle & High School Students in Seoul and Their Perceptions of Their Own Sleep
    Jee Hyun Kim, Heui-Soo Moon, Hyang Woon Lee
    Journal of Korean Sleep Research Society.2014; 11(1): 21.     CrossRef
JPMPH : Journal of Preventive Medicine and Public Health
© Korean Society for Preventive Medicine.