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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
Mathematical Modeling of the Novel Influenza A (H1N1) Virus and Evaluation of the Epidemic Response Strategies in the Republic of Korea.
Mina Suh, Jeehyun Lee, Hye Jin Chi, Young Keun Kim, Dae Yong Kang, Nam Wook Hur, Kyung Hwa Ha, Dong Han Lee, Chang Soo Kim
J Prev Med Public Health. 2010;43(2):109-116.
DOI: https://doi.org/10.3961/jpmph.2010.43.2.109
  • 15,694 View
  • 224 Download
  • 11 Crossref
AbstractAbstract PDF
OBJECTIVES
The pandemic of novel influenza A (H1N1) virus has required decision-makers to act in the face of the substantial uncertainties. In this study, we evaluated the potential impact of the pandemic response strategies in the Republic of Korea using a mathematical model. METHODS: We developed a deterministic model of a pandemic (H1N1) 2009 in a structured population using the demographic data from the Korean population and the epidemiological feature of the pandemic (H1N1) 2009. To estimate the parameter values for the deterministic model, we used the available data from the previous studies on pandemic influenza. The pandemic response strategies of the Republic of Korea for novel influenza A (H1N1) virus such as school closure, mass vaccination (70% of population in 30 days), and a policy for anti-viral drug (treatment or prophylaxis) were applied to the deterministic model. RESULTS: The effect of two-week school closure on the attack rate was low regardless of the timing of the intervention. The earlier vaccination showed the effect of greater delays in reaching the peak of outbreaks. When it was no vaccination, vaccination at initiation of outbreak, vaccination 90 days after the initiation of outbreak and vaccination at the epidemic peak point, the total number of clinical cases for 400 days were 20.8 million, 4.4 million, 4.7 million and 12.6 million, respectively. The pandemic response strategies of the Republic of Korea delayed the peak of outbreaks (about 40 days) and decreased the number of cumulative clinical cases (8 million). CONCLUSIONS: Rapid vaccination was the most important factor to control the spread of pandemic influenza, and the response strategies of the Republic of Korea were shown to delay the spread of pandemic influenza in this deterministic model.
Summary

Citations

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  • Estimation of optimal antiviral stockpile for a novel influenza pandemic
    Soyoung Kim, Yu Bin Seo, Jacob Lee, Yang Soo Kim, Eunok Jung
    Journal of Infection and Public Health.2022; 15(7): 720.     CrossRef
  • Projections for novel coronavirus (COVID-19) and evaluation of epidemic response strategies for India
    Seema Patrikar, Deepti Poojary, D.R. Basannar, D.S. Faujdar, Renuka Kunte
    Medical Journal Armed Forces India.2020; 76(3): 268.     CrossRef
  • Prediction of the Transition From Subexponential to the Exponential Transmission of SARS-CoV-2 in Chennai, India: Epidemic Nowcasting
    Kamalanand Krishnamurthy, Bakiya Ambikapathy, Ashwani Kumar, Lourduraj De Britto
    JMIR Public Health and Surveillance.2020; 6(3): e21152.     CrossRef
  • Mathematical model of transmission dynamics and optimal control strategies for 2009 A/H1N1 influenza in the Republic of Korea
    Soyoung Kim, Jonggul Lee, Eunok Jung
    Journal of Theoretical Biology.2017; 412: 74.     CrossRef
  • A real option analysis for stochastic disease control and vaccine stockpile policy: An application to H1N1 in Korea
    Hojeong Park
    Economic Modelling.2016; 53: 187.     CrossRef
  • Stochastic methods for epidemic models: An application to the 2009 H1N1 influenza outbreak in Korea
    Hyojung Lee, Sunmi Lee, Chang Hyeong Lee
    Applied Mathematics and Computation.2016; 286: 232.     CrossRef
  • Schools’ Response to MERS(MERS-CoV) Outbreak: Schools’ Discretionary Response in Absence of Control Tower
    In Sook Lee, Jae Hee Yoon, Eun Joo Hong, Chae Yoon Kim
    Journal of the Korean Society of School Health.2015; 28(3): 188.     CrossRef
  • The Effects of School Closures on Influenza Outbreaks and Pandemics: Systematic Review of Simulation Studies
    Charlotte Jackson, Punam Mangtani, Jeremy Hawker, Babatunde Olowokure, Emilia Vynnycky, Gerardo Chowell
    PLoS ONE.2014; 9(5): e97297.     CrossRef
  • Uncertainty Quantification in Simulations of Epidemics Using Polynomial Chaos
    F. Santonja, B. Chen-Charpentier
    Computational and Mathematical Methods in Medicine.2012; 2012: 1.     CrossRef
  • Characteristics of Outpatients with Pandemic H1N1/09 Influenza in a Tertiary Care University Hospital in Korea
    Kyung Sun Park, Tae Sung Park, Jin Tae Suh, You Sun Nam, Mi Suk Lee, Hee Joo Lee
    Yonsei Medical Journal.2012; 53(1): 213.     CrossRef
  • Epidemiological Characteristics of Imported Influenza A (H1N1) Cases during the 2009 Pandemic in Korea
    Jun Kil Choi, Sang Won Lee, Bo Youl Choi
    Epidemiology and Health.2012; 34: e2012009.     CrossRef
Evaluation Studieses
C-reactive Protein and Carotid Intima-media Thickness in a Population of Middle-aged Koreans.
Mina Suh, Joo Young Lee, Song Vogue Ahn, Hyeon Chang Kim, Il Suh
J Prev Med Public Health. 2009;42(1):29-34.
DOI: https://doi.org/10.3961/jpmph.2009.42.1.29
  • 5,256 View
  • 55 Download
  • 3 Crossref
AbstractAbstract PDF
OBJECTIVES
This study was performed to evaluate the relationship between C-reactive protein (CRP) and carotid intima-media thickness (carotid IMT) in a population of middle-aged Koreans. METHODS: A total of 1,054 men and 1,595 women (aged 40-70 years) from Kanghwa County, Korea, were chosen for the present study between 2006 and 2007. We measured high-sensitivity CRP and other major cardiovascular risk factors including anthropometrics, blood pressure, blood chemistry, and carotid ultrasonography. Health related questionnaires were also completed by each study participant. Carotid IMT value was determined by the maximal IMT at each common carotid artery. The relationship between CRP level and carotid IMT was assessed using multiple linear and logistic regression models after adjustment for age, body mass index, menopause (women), systolic blood pressure, total/HDL cholesterol ratio, triglyceride level, fasting glucose, smoking, and alcohol consumption. RESULTS: Mean carotid IMT values from the lowest to highest quartile of CRP were 0.828, 0.873, 0.898, and 0.926 mm for women (p for trend<0.001), and 0.929, 0.938, 0.949, and 0.979 mm for men (p for trend=0.032), respectively. After adjustment for major cardiovascular risk factors, the relationship between CRP and carotid IMT was significant in women (p for trend=0.017), but not in men (p for trend=0.798). Similarly, adjusted odds ratio of increased IMT, defined as the sex-specific top quartile, for the highest versus lowest CRP quartiles was 1.55 (95% CI=1.06-2.26) in women, but only 1.05 (95% CI=0.69-1.62) in men. CONCLUSIONS: CRP and carotid IMT levels appear to be directly related in women, but not in men.
Summary

Citations

Citations to this article as recorded by  
  • Hematocrit Values Predict Carotid Intimal-Media Thickness in Obese Patients With Non-Alcoholic Fatty Liver Disease: A Cross-Sectional Study
    Giovanni Tarantino, Luigi Barrea, Domenico Capone, Vincenzo Citro, Teresa Mosca, Silvia Savastano
    Frontiers in Endocrinology.2018;[Epub]     CrossRef
  • Association Between Serum Uric Acid Level and Metabolic Syndrome
    Ju-Mi Lee, Hyeon Chang Kim, Hye Min Cho, Sun Min Oh, Dong Phil Choi, Il Suh
    Journal of Preventive Medicine and Public Health.2012; 45(3): 181.     CrossRef
  • Relationships between high-sensitive C-reactive protein and markers of arterial stiffness in hypertensive patients. Differences by sex
    Manuel A Gomez-Marcos, Jose I Recio-Rodríguez, Maria C Patino-Alonso, Cristina Agudo-Conde, Leticia Gomez-Sanchez, Emiliano Rodriguez-Sanchez, Marta Gomez-Sanchez, Vicente Martinez-Vizcaino, Luis Garcia-Ortiz
    BMC Cardiovascular Disorders.2012;[Epub]     CrossRef
Association between Hypertension and Pulmonary Function in Rural Adults in Korea.
Joo Young Lee, Song Vogue Ahn, Dong Phil Choi, Mina Suh, Hyeon Chang Kim, Young Sam Kim, Il Suh
J Prev Med Public Health. 2009;42(1):21-28.
DOI: https://doi.org/10.3961/jpmph.2009.42.1.21
  • 5,538 View
  • 77 Download
  • 6 Crossref
AbstractAbstract PDF
OBJECTIVES
Whilst hypertension exerts a negative effect on several organs there have been few studies regarding its effect on pulmonary function. The objective of this study was to examine the relationship between hypertension and pulmonary function in rural Korean adults. METHODS: In 2006, 2534 people were recruited, aged 40 to 70, in Kangwha County. We selected 1454 (male: 624, female: 830) participants whose pulmonary function results were repeatable. Blood pressure (BP) was measured twice and the average calculated. Participants were divided into two groups (hypertensive group and non-hypertensive group) in accordance with The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Pulmonary function was measured by dry rolling seal spirometry. Forced expiratory volume in the one second and forced vital capacity were converted into percent-predicted values based on average pulmonary function amongst Koreans. RESULTS: The number of hypertensive participants in the present study was 460 (male: 205, female: 255) and the number of non-hypertensive participants was 994 (male: 419, female: 575). Our findings have shown that the mean values for expiratory volume in the one second and forced vital capacity were significantly lower for hypertensive people than for non-hypertensive people, among women (P=0.002 for forced expiratory volume in the one second, P<0.001 for forced vital capacity volume). Odds ratio analysis revealed that hypertensive participants were more likely to have lower pulmonary function than non-hypertensive participants, again significantly among women. CONCLUSIONS: The pulmonary function of hypertensive women was significantly lower than that of non-hypertensive women aged 40-70.
Summary

Citations

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  • Comparison between Tai Chi and square dance on the antihypertensive effect and cardiovascular disease risk factors in patients with essential hypertension: a 12-week randomized controlled trial
    Zhi-Wei YAN, Zhen YANG, Jing-Hui YANG, Cheng-Lin SONG, Zhuang ZHAO, Yan GAO
    The Journal of Sports Medicine and Physical Fitness.2022;[Epub]     CrossRef
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    Hyun Yoon, Mi Young Gi, Ju Ae Cha, Chan Uk Yoo, Sang Muk Park
    Diabetes and Vascular Disease Research.2018; 15(2): 131.     CrossRef
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    B F Köseoğlu, V B Safer, Ö Öken, S Akselim
    Spinal Cord.2017; 55(1): 87.     CrossRef
  • Association between changes in systolic blood pressure and incident diabetes in a community-based cohort study in Korea
    Seung Won Lee, Hyeon Chang Kim, Ju-mi Lee, Young Mi Yun, Joo Young Lee, Il Suh
    Hypertension Research.2017; 40(7): 710.     CrossRef
  • Association between stressful life events and resting heart rate
    Ju-Mi Lee, Hyeon Chang Kim, Jee In Kang, Il Suh
    BMC Psychology.2014;[Epub]     CrossRef
  • Association Between Serum Uric Acid Level and Metabolic Syndrome
    Ju-Mi Lee, Hyeon Chang Kim, Hye Min Cho, Sun Min Oh, Dong Phil Choi, Il Suh
    Journal of Preventive Medicine and Public Health.2012; 45(3): 181.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health