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Original Articles
Medical Care Expenditure in Suicides From Non-illness-related Causes
Jungwoo Sohn, Jaelim Cho, Ki Tae Moon, Mina Suh, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin, Sang Hyuk Jung
J Prev Med Public Health. 2014;47(6):327-335.   Published online November 4, 2014
DOI: https://doi.org/10.3961/jpmph.14.038
  • 9,127 View
  • 91 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
Several epidemiological studies on medical care utilization prior to suicide have considered the motivation of suicide, but focused on the influence of physical illnesses. Medical care expenditure in suicide completers with non-illness-related causes has not been investigated.
Methods
Suicides motivated by non-illness-related factors were identified using the investigator’s note from the National Police Agency, which was then linked to the Health Insurance Review and Assessment data. We investigated the medical care expenditures of cases one year prior to committing suicide and conducted a case-control study using conditional logistic regression analysis after adjusting for age, gender, area of residence, and socioeconomic status.
Results
Among the 4515 suicides motivated by non-illness-related causes, medical care expenditures increased in only the last 3 months prior to suicide in the adolescent group. In the younger group, the proportion of total medical expenditure for external injuries was higher than that in the older groups. Conditional logistic regression analysis showed significant associations with being a suicide completer and having a rural residence, low socioeconomic status, and high medical care expenditure. After stratification into the four age groups, a significant positive association with medical care expenditures and being a suicide completer was found in the adolescent and young adult groups, but no significant results were found in the elderly groups for both men and women.
Conclusions
Younger adults who committed suicide motivated by non-illness-related causes had a higher proportion of external injuries and more medical care expenditures than their controls did. This reinforces the notion that suicide prevention strategies for young people with suicidal risk factors are needed.
Summary

Citations

Citations to this article as recorded by  
  • Socioeconomic factors associated with suicidal behaviors in South Korea: systematic review on the current state of evidence
    Nicolas Raschke, Amir Mohsenpour, Leona Aschentrup, Florian Fischer, Kamil J. Wrona
    BMC Public Health.2022;[Epub]     CrossRef
  • Impact of intergenerational support and medical expenditures on depression: Evidence from rural older adults in China
    Congrong Li, Qing Han, Jinrong Hu, Zeyu Han, Hongjuan Yang
    Frontiers in Public Health.2022;[Epub]     CrossRef
Medical Care Utilization During 1 Year Prior to Death in Suicides Motivated by Physical Illnesses
Jaelim Cho, Won Joon Lee, Ki Tae Moon, Mina Suh, Jungwoo Sohn, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin, Sang Hyuk Jung
J Prev Med Public Health. 2013;46(3):147-154.   Published online May 31, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.3.147
  • 9,178 View
  • 95 Download
  • 19 Crossref
AbstractAbstract PDF
Objectives

Many epidemiological studies have suggested that a variety of medical illnesses are associated with suicide. Investigating the time-varying pattern of medical care utilization prior to death in suicides motivated by physical illnesses would be helpful for developing suicide prevention programs for patients with physical illnesses.

Methods

Suicides motivated by physical illnesses were identified by the investigator's note from the National Police Agency, which was linked to the data from the Health Insurance Review and Assessment. We investigated the time-varying patterns of medical care utilization during 1 year prior to suicide using repeated-measures data analysis after adjustment for age, gender, area of residence, and socioeconomic status.

Results

Among 1994 suicides for physical illness, 1893 (94.9%) suicides contacted any medical care services and 445 (22.3%) suicides contacted mental health care during 1 year prior to suicide. The number of medical care visits and individual medical expenditures increased as the date of suicide approached (p<0.001). The number of medical care visits for psychiatric disorders prior to suicide significantly increased only in 40- to 64-year-old men (p=0.002), women <40 years old (p=0.011) and women 40 to 64 years old (p=0.021) after adjustment for residence, socioeconomic status, and morbidity.

Conclusions

Most of the suicides motivated by physical illnesses contacted medical care during 1 year prior to suicide, but many of them did not undergo psychiatric evaluation. This underscores the need for programs to provide psychosocial support to patients with physical illnesses.

Summary

Citations

Citations to this article as recorded by  
  • Suicide risk of chronic diseases and comorbidities: A Korean case-control study
    Areum Song, Emily Jiali Koh, Weon-Young Lee, Shusen Chang, Jiseun Lim, Minjae Choi, Myung Ki
    Journal of Affective Disorders.2024; 349: 431.     CrossRef
  • Variations in healthcare utilization for mental health problems prior to suicide by socioeconomic status: a Norwegian register-based population study
    Carine Øien-Ødegaard, Solveig Tobie Glestad Christiansen, Lars Johan Hauge, Kim Stene-Larsen, Sissel Marguerite Bélanger, Espen Bjertness, Anne Reneflot
    BMC Health Services Research.2024;[Epub]     CrossRef
  • Late-life suicide in an aging world
    Diego De Leo
    Nature Aging.2022; 2(1): 7.     CrossRef
  • Risk factors for suicidal behavior in older adults
    D.P. Ponomareva, M.S. Artemieva M.S. Artemieva
    Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery).2022; (1): 18.     CrossRef
  • Innovating Technology-Enhanced Interventions for Youth Suicide: Insights for Measuring Implementation Outcomes
    Hannah S. Szlyk, Jia Tan, Rebecca Lengnick-Hall
    Frontiers in Psychology.2021;[Epub]     CrossRef
  • Suicide prevention in older adults
    Carlos Augusto de Mendonça Lima, Diego De Leo, Gabriel Ivbijaro, Igor Svab
    Asia-Pacific Psychiatry.2021;[Epub]     CrossRef
  • Suicide in late life: A viewpoint
    Diego De Leo, Andrea Viecelli Giannotti
    Preventive Medicine.2021; 152: 106735.     CrossRef
  • Understanding the impact of clinical characteristics and healthcare utilizations on suicide among cancer sufferers: a case-control study in Hong Kong
    Yu Vera Men, Tai-Chung Lam, Cheuk Yui Yeung, Paul Siu Fai Yip
    The Lancet Regional Health - Western Pacific.2021; 17: 100298.     CrossRef
  • Risk Factors for Suicide in a National Sample of Veterans With Multiple Sclerosis
    Quinn D. Kellerman, Narineh Hartoonian, Megan L. Beier, Steven L. Leipertz, Charles Maynard, Trisha A. Hostetter, Jodie K. Haselkorn, Aaron P. Turner
    Archives of Physical Medicine and Rehabilitation.2020; 101(7): 1138.     CrossRef
  • Wearing a happy mask: mother’s expressions of suicidality with postpartum depression
    Regina Praetorius, December Maxwell, Komal Alam
    Social Work in Mental Health.2020; 18(4): 429.     CrossRef
  • Adaptation of evidence‐based suicide prevention strategies during and after the COVID‐19 pandemic
    Danuta Wasserman, Miriam Iosue, Anika Wuestefeld, Vladimir Carli
    World Psychiatry.2020; 19(3): 294.     CrossRef
  • Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017
    Kim Stene-Larsen, Anne Reneflot
    Scandinavian Journal of Public Health.2019; 47(1): 9.     CrossRef
  • Use of prescription medication prior to suicide in Norway
    Anne Reneflot, Silje L. Kaspersen, Lars Johan Hauge, Jorid Kalseth
    BMC Health Services Research.2019;[Epub]     CrossRef
  • Use of primary healthcare services prior to suicide in Norway: a descriptive comparison of immigrants and the majority population
    Carine Øien-Ødegaard, Anne Reneflot, Lars Johan Hauge
    BMC Health Services Research.2019;[Epub]     CrossRef
  • Clinical epidemiology of long-term suicide risk in a nationwide population-based cohort study in South Korea
    Hyewon Lee, Woojae Myung, Chunsoo Lee, Junbae Choi, Ho Kim, Bernard J. Carroll, Doh Kwan Kim
    Journal of Psychiatric Research.2018; 100: 47.     CrossRef
  • Areas of uncertainties and unmet needs in bipolar disorders: clinical and research perspectives
    Michael Bauer, Ole A Andreassen, John R Geddes, Lars Vedel Kessing, Ute Lewitzka, Thomas G Schulze, Eduard Vieta
    The Lancet Psychiatry.2018; 5(11): 930.     CrossRef
  • A study of people who attempted suicide referred to the emergency ward of Ali Ibn Abi Taleb hospital, Rafsanjan, Iran (2016)
    Alireza Taherifard, Hassan Ahmadinia, Reza Vazirinejad, Zahra Javadi, Seyed Zia Tabatabaei, Mohsen Rezaeian
    Journal of Occupational Health and Epidemiology.2018; 7(4): 201.     CrossRef
  • Towards Actualizing the Value Potential of Korea Health Insurance Review and Assessment (HIRA) Data as a Resource for Health Research: Strengths, Limitations, Applications, and Strategies for Optimal Use of HIRA Data
    Jee-Ae Kim, Seokjun Yoon, Log-Young Kim, Dong-Sook Kim
    Journal of Korean Medical Science.2017; 32(5): 718.     CrossRef
  • Effectiveness of Nursing Preventive Interventions in Suicide re- Attempts
    B Ghanbari, SK Malakouti, M Nojomi, K Alavi, SH Khaleghparast, A Sohrabzadeh
    Iran Journal of Nursing.2016; 29(99): 34.     CrossRef
English Abstract
Effect of Sociodemographic Factors, Cancer, Psychiatric Disorder on Suicide: Gender and Age-specific Patterns.
Jae Young Park, Ki Tae Moon, Yoo Mi Chae, Sang Hyuk Jung
J Prev Med Public Health. 2008;41(1):51-60.
DOI: https://doi.org/10.3961/jpmph.2008.41.1.51
  • 5,737 View
  • 94 Download
  • 25 Crossref
AbstractAbstract PDF
OBJECTIVES
We examined the effect of sociodemographic factors, cancer, and psychiatric disorders on suicide by gender and age-specific patterns in South Korea. METHODS: The study is a case-control study. Claim data was obtained from the national health insurance database and national death registration database. The number of people who committed suicide was 11,523, which was matched with a control group consisting of ten times as many people at 115,230 selected from the national health insurance and medical aids beneficiaries. The medical utilization of the case group was one year before death and that of the control group was from July 1,2003 to June 30, 2004. Four variables-address, economic status, presence of a psychiatric disease, and cancer-were used in multiple logistic regression analyses. RESULTS: Living in cities or in rural areas showed a greater risk for suicide than living in a metropolitan city. Low economic status, the presence of a psychiatric disorder, and cancer were also statistically meaningful risk factors for suicide. The three major psychiatric diseases, schizophrenia, alcohol abuse, and bipolar disorder, were meaningful in all age groups, but the scale of the odds ratio differed by the age group. Only the psychiatric disorder variable was meaningful in the adolescent group, whereas a psychiatric disorder and economic status were meaningful for the young adult group, and all variables were meaningful for the middle-aged group. A psychiatric disorder and cancer were meaningful in the elderly group, economic status was meaningful for male subjects, and address was meaningful for female subjects. CONCLSIONS: Factors such as living in city or rural areas, low economic status, the presence of a psychiatric disorder, and cancer were statistically meaningful risk factors in suicide. These factors also differed by age group. Therefore, policymakers should establish policies for suicide prevention that are relevant for each age group.
Summary

Citations

Citations to this article as recorded by  
  • Sex-Specific Association of Alcohol Use Disorder With Suicide Mortality
    Shannon Lange, Kawon V. Kim, Aurélie M. Lasserre, Heather Orpana, Courtney Bagge, Michael Roerecke, Jürgen Rehm
    JAMA Network Open.2024; 7(3): e241941.     CrossRef
  • Spatiotemporal clustering of suicide attempt in Kermanshah, West-Iran
    Alireza Zangeneh, Nahid Khademi, Naser Farahmandmoghadam, Arash Ziapour, Reyhane Naderlou, Somayyeh Shalchi Oghli, Raziyeh Teimouri, Komali Yenneti, Shahrzad Moghadam
    Frontiers in Psychiatry.2023;[Epub]     CrossRef
  • Landscape of Elderly Suicide in South Korea: Its Trend According to Age, Gender, and Educational Attainment
    J. W. Kim, H. Y. Jung, D. Y. Won, Y. S. Shin, J. H. Noh, T. I. Kang
    OMEGA - Journal of Death and Dying.2020; 82(2): 214.     CrossRef
  • Factors associated with psychological stress and distress among Korean adults: the results from Korea National Health and Nutrition Examination Survey
    Yejin Cheon, Jinju Park, Bo Yoon Jeong, Eun Young Park, Jin-Kyoung Oh, E Hwa Yun, Min Kyung Lim
    Scientific Reports.2020;[Epub]     CrossRef
  • Psychometric evaluation of the Korean version of the Suicidal Ideation Scale in mentally ill patients living in the community
    Jin Sil Han, Eun‐Hyun Lee, Tongwoo Suh, Chang Hyung Hong
    Scandinavian Journal of Caring Sciences.2017; 31(1): 210.     CrossRef
  • Psycho-oncology in Korea: past, present and future
    Hyun Jeong Lee, Kwang-Min Lee, Dooyoung Jung, Eun-Jung Shim, Bong-Jin Hahm, Jong-Heun Kim
    BioPsychoSocial Medicine.2017;[Epub]     CrossRef
  • A Study of Subjectivity among Nursing Students Regarding Suicide Attempters
    Jeong Lim Cho, Eun Nam Lee, Eun Young Park
    Journal of Korean Academic Society of Nursing Education.2017; 23(3): 341.     CrossRef
  • Rapid Increase of Health Care Utilization and Cost due to Benign Prostatic Hyperplasia in Korean Men: Retrospective Population-based Analysis Using the Health Insurance Review and Assessment Service Data
    Hwancheol Son, Juhyun Park, Sang Hoon Song, Jung Yoon Kang, Sung Kyu Hong, Hyun Moo Lee, Sun-Hee Kim, Byung-Joo Park, Hyung-Lae Lee, Kyung Seop Lee
    Journal of Korean Medical Science.2015; 30(2): 180.     CrossRef
  • Suicide in Patients with Schizophrenia : A Review on the Findings of Recent Studies
    Hoseon Lee, Kounseok Lee, Jae-Woo Koo, Seon-Cheol Park
    Korean Journal of Schizophrenia Research.2015; 18(1): 5.     CrossRef
  • Investigation of Knowledge, Attitudes, and Experience Regarding Suicidal Behaviors among Psychiatric Residents in Korea : A Cross-Sectional Study
    Kyunglin Lee, Kanguk Lee, Junwon Hwang, Sang Woo Hahn
    Journal of Korean Neuropsychiatric Association.2015; 54(4): 444.     CrossRef
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    Chun Young Koo, Jung Soon Kim, Jungok Yu
    Journal of Korean Academy of Community Health Nursing.2014; 25(1): 24.     CrossRef
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    Young Eun Oh, Jeong Hwa Lee, Hyo Yeon Shin
    The Korean Journal of Community Living Science.2014; 25(4): 511.     CrossRef
  • Medical Care Utilization During 1 Year Prior to Death in Suicides Motivated by Physical Illnesses
    Jaelim Cho, Won Joon Lee, Ki Tae Moon, Mina Suh, Jungwoo Sohn, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin, Sang Hyuk Jung
    Journal of Preventive Medicine and Public Health.2013; 46(3): 147.     CrossRef
  • Age and gender differences in medical care utilization prior to suicide
    Jaelim Cho, Dae Ryong Kang, Ki Tae Moon, Mina Suh, Kyoung Hwa Ha, Changsoo Kim, Il Suh, Dong Chun Shin, Sang Hyuk Jung
    Journal of Affective Disorders.2013; 146(2): 181.     CrossRef
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    Journal of Korean Academy of Community Health Nursing.2013; 24(2): 135.     CrossRef
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    Journal of Preventive Medicine and Public Health.2012; 45(2): 70.     CrossRef
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    E.-J. SHIM, B.-J. HAHM
    European Journal of Cancer Care.2011; 20(3): 395.     CrossRef
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Original Articles
Awareness, Treatment, Control, and Related Factors of Hypertension in Gwacheon.
Youn Hee Choi, Chung Mo Nam, Mi Hyun Joo, Ki Tae Moon, Jee Seon Shim, Hyeon Chang Kim, Il Suh
Korean J Prev Med. 2003;36(3):263-270.
  • 2,204 View
  • 35 Download
AbstractAbstract PDF
OBJECTIVES
To identify the factors related to awareness, treatment, and control of hypertension in a Gwacheon population. METHODS: This study surveyed 1, 176 Gwacheon residents older than 40 years, and measured blood pressure using a standardized guideline in 1999. The study subjects were 473 adults (175 males, 298 females) with hypertension defined as a systolic blood pressure > or= 140 mmHg, diastolic blood pressure > or= 90 mmHg or reported treatment with antihypertensive medications. Information on awareness, treatment, and control of hypertension, and sociodemographic and health-related factors was collected through person-to-person interviews with a structured questionnaire. RESULTS: Overall, 252 (53.3%) of hypertensive subjects were aware of their condition, of whom as many as 193 (76.6%) were being treated, and 81 (42.0%) had their blood pressure controlled at the recommended level (< 140/90 mmHg). However, of the 473 subjects found to have hypertension, only 40.8% were being treated, and 17.1% were under control. There were no significant differences in the proportions of awareness, treatment, and control of hypertension. In multiple logistic regression models, awareness of hypertension was positively associated with age and family history of hypertension in females. Control of hypertension was also positively associated with having a partner and marital status in females. CONCLUSION: These findings demonstrate that much greater efforts on improving awareness, treatment, and control of hypertension are needed, even in urban community settings, considering related factors such as age, family history, and marital status. However, these factors should be further investigated for their causal relationship.
Summary
Dimensions of Consumer Ratings of a Hospital Outpatient Service Quality.
Ki Tae Moon, Seung Hum Yu, Woo Hyun Cho, Dong Kee Kim, Yunwhan Lee
Korean J Prev Med. 2000;33(4):495-504.
  • 2,070 View
  • 20 Download
AbstractAbstract PDF
OBJECTIVES
To examine various dimensions of consumer ratings of health care service with factor analysis and to find which factors influence the overall quality of health care service. METHODS: A cross-sectional study was conducted on outpatients of a general hospital located in Sungnam City. A self-administered questionnaire was used to assess the consumer? ratings of health care service received. The response rate was 92.8% with a total of 537 persons completing the questionnaire. Factor analysis was performed on 34 items evaluating the quality of health care service. Items were grouped into 5 dimensions as a result of factor analysis and the reliability and validity of influence on patient service assessment were evaluated for each dimension. RESULTS: The 5 dimensions were as follows ; 1) physician services, 2) non-physician services, 3) process 4) facilities, and 5) cleanliness. A positive correlation with the quality of health care service was found for the dimensions of non-physician services and process, while no significant correlation was found for the dimensions of physician services, facilities, and cleanliness. CONCLUSIONS: The result of this study may provide basic information for the development of future self-administered questionnaires of consumer ratings and for the evaluation of quality improvement activities in hospital outpatient settings.
Summary

JPMPH : Journal of Preventive Medicine and Public Health