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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

JPMPH : Journal of Preventive Medicine and Public Health