Association of atopic dermatitis with suicide risk among 788,411 adolescents

Kyung, Yechan; Choi, Min‐Kyung; Jeon, Yong Jin; Lee, Jun Hwa; Jo, Seon Hui; Kim, Sung Hoon

doi:10.1016/j.anai.2020.03.023

Cited by 18 publications

(28 citation statements)

References 46 publications

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“…In a Korean study, pediatric patients with AD were at greater risk of suicidal ideation (odds ratio (OR), 1.23; 95% confidence interval (CI), 1.13-1.35) and suicide attempts (OR, 1.31; 95% CI, 1.12-1.52) [27]. In another study examining pediatric patients with AD compared to controls without AD, female pediatric patients with AD had an increased risk of suicidal ideation (OR, 1.114; 95% CI, 1.046-1.186) and suicide attempts (adjusted OR, 1.188; 95% CI, 1.065-1.325) [28]. In a study of 788,411 adolescents in South Korea, they reported an association between AD and suicidal ideation and attempts [28].…”

Section: Risk Of Suicidementioning

confidence: 99%

“…In another study examining pediatric patients with AD compared to controls without AD, female pediatric patients with AD had an increased risk of suicidal ideation (OR, 1.114; 95% CI, 1.046-1.186) and suicide attempts (adjusted OR, 1.188; 95% CI, 1.065-1.325) [28]. In a study of 788,411 adolescents in South Korea, they reported an association between AD and suicidal ideation and attempts [28]. Among the 22% of adolescents with AD, 34.7% reported depression, 19% reported suicide ideation, and 4.5% reported suicide attempts.…”

Section: Risk Of Suicidementioning

confidence: 99%

“…Among the 22% of adolescents with AD, 34.7% reported depression, 19% reported suicide ideation, and 4.5% reported suicide attempts. The most strongly influencing factors for suicidal ideation and depression were perceived stress and unhappiness related to their dermatologic condition [28].…”

Section: Risk Of Suicidementioning

confidence: 99%

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Skin Disease in Children: Effects on Quality of Life, Stigmatization, Bullying, and Suicide Risk in Pediatric Acne, Atopic Dermatitis, and Psoriasis Patients

et al. 2021

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Acne, atopic dermatitis (AD), and psoriasis are all chronic dermatologic conditions that greatly impact the lives of pediatric patients and their caregivers. The visible nature of these diseases negatively affects the self-image of children early in life as well as their relationships with their families and peers. Physicians recognize the importance of addressing both the physical and mental symptoms of their patients but are currently not equipped with clear guidelines to manage long-term psychosocial comorbidities in pediatric dermatologic patients. A PubMed and Google Scholar search of key words was conducted to explore self-image in pediatric patients with acne, AD, and psoriasis. Chronic skin diseases put pediatric patients at risk for strained family relationships, poor self-image, psychiatric comorbidities, stigmatization, and eventual suicidal behavior. A limitation of this study is a lack of a validated measure of quality of life in the pediatric population that fulfills enough criteria to evaluate long term quality of life in children and adults. Possible management options, including connecting patients with the same diagnosis and allocating resources to parents and teachers to better understand these chronic skin conditions, may provide pediatric patients with the support they need to develop resilience in the face of these challenges.

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Section: Risk Of Suicidementioning

confidence: 99%

Section: Risk Of Suicidementioning

confidence: 99%

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Skin Disease in Children: Effects on Quality of Life, Stigmatization, Bullying, and Suicide Risk in Pediatric Acne, Atopic Dermatitis, and Psoriasis Patients

et al. 2021

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“…However wider comorbidities exist which we could not adjust for. For example, childhood eczema has also been associated with comorbid allergic rhinitis, hay fever and autoimmune disorders [15][16][17] and even suicidal ideation/behaviour [32][33][34] whilst psoriasis has been associated with obesity, cardiovascular disorders, rheumatoid arthritis, and Crohn's disease [14,[19][20][21] as well as more psychiatric hospitalisations [37]. Therefore, in addition to the direct physical and mental effects associated with skin disorders, it is possible that the greater hospitalisation and mortality observed may be partly attributable to the increased physical and mental comorbidities associated with both eczema and psoriasis over and above those adjusted for in our analyses.…”

Section: Discussionmentioning

confidence: 99%

Health, educational and employment outcomes among children treated for a skin disorder: Scotland-wide retrospective record linkage cohort study of 766,244 children

et al. 2020

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Background To compare health, educational and employment outcomes of schoolchildren receiving medication for a skin disorder with peers. Methods This retrospective population cohort study linked eight Scotland-wide databases, covering dispensed prescriptions, hospital admissions, maternity records, death certificates, annual pupil census, school examinations, school absences/exclusions and unemployment to investigate educational (absence, exclusion, special educational need, academic attainment), employment, and health (admissions and mortality) outcomes of 766,244 children attending local authority run primary, secondary and special schools in Scotland between 2009 and 2013. Results After adjusting for sociodemographic and maternity confounders the 130,087 (17.0%) children treated for a skin disorder had increased hospitalisation, particularly within one year of commencing treatment (IRR 1.38, 95% CI 1.35–1.41, p<0.001) and mortality (HR 1.50, 95% CI 1.18–1.90, p<0.001). They had greater special educational need (OR 1.19, 95% CI 1.17–1.21, p<0.001) and more frequent absences from school (IRR 1.07, 95% CI 1.06–1.08, p<0.001) but did not exhibit poorer exam attainment or increased post-school unemployment. The associations remained after further adjustment for comorbid chronic conditions. Conclusions Despite increased hospitalisation, school absenteeism, and special educational need, children treated for a skin disorder did not have poorer exam attainment or employment outcomes. Whilst findings relating to educational and employment outcomes are reassuring, the association with increased risk of mortality is alarming and merits further investigation.

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“…In other words, an effective suicide prevention programme is organised to complement the regional welfare and social safety nets that lead to an improvement in the vulnerability of regional social protection against suicidal behaviour/ideation via effective leading/exposure procedures, such as the regional intervention model programme. It is well known that patients with chronic physical disease, such as cancer [48], and chronic diseases, such as atopic dermatitis [49], asthma [50], migraine [51] and end-stage kidney disease treated with dialysis [52], are at a high risk of suicide and comorbidities with affective disturbance. Therefore, suicide mortality caused by physical illness-related motives could probably be prevented by the external cooperation of regional primary care physicians and psychiatry specialists, via suicide prevention programmes, due to the guidance to help them access appropriate services.…”

Section: Effects Of Amounts Of Funding Provided To Efecbsc Sub-divisions On Suicide Mortalities Caused By Suicide Motives Between 2009 Anmentioning

confidence: 99%

Analysing the Impacts of Financial Support for Regional Suicide Prevention Programmes on Suicide Mortality Caused by Major Suicide Motives in Japan Using Statistical Government Data

Nakano

Hasegawa

Okada

2021

IJERPH

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To improve and plan regional suicide prevention programmes that utilise more cost-effective governmental financial support compared with previous programmes, the present study determined the effects of the amount of financial support provided for regional suicide prevention programmes, such as the Emergency Fund to Enhance Community-Based Suicide Countermeasures (EFECBSC), on the trends of suicide mortalities caused by six major suicide motives between 2009 and 2018, using forward multiple regression analysis. The ranking order of motives for male suicide was health, economy, family, employment, romance and school (in that order), whereas the ranking order for females was health, family, economy, romance, employment and school. Male suicide mortality caused by economy-related motives was significantly/inversely related to prefectural intervention programmes, whereas mortality caused by health-related motives was also significantly/inversely related to prefectural intervention programmes, but significantly/positively related to prefectural personal consultation support programmes. Contrary to males, female suicide mortality caused by health-related motives was significantly/inversely related to the municipal development programmes of leaders/listeners, whereas mortality caused by family- and school-related motives was significantly/positively related to prefectural and municipal telephone consultation support programmes, respectively. Contrary to our expectations, school-aged female suicide mortality caused by school-related motives was significantly/positively related to prefectural personal consultation support, enlightenment and municipal telephone consultation support programmes. These results indicate that Japanese regional suicide prevention programmes probably affect the suppression of male suicide mortality. However, these programmes are possibly ineffective, or at least partially, have an adverse effect, in regard to the suicide mortalities of female and school-aged populations. Therefore, we should work to improve regional suicide prevention programmes, making them more cost-effective and targeted towards female and school-aged populations in the future.

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Association of atopic dermatitis with suicide risk among 788,411 adolescents

Cited by 18 publications

References 46 publications

Skin Disease in Children: Effects on Quality of Life, Stigmatization, Bullying, and Suicide Risk in Pediatric Acne, Atopic Dermatitis, and Psoriasis Patients

Skin Disease in Children: Effects on Quality of Life, Stigmatization, Bullying, and Suicide Risk in Pediatric Acne, Atopic Dermatitis, and Psoriasis Patients

Health, educational and employment outcomes among children treated for a skin disorder: Scotland-wide retrospective record linkage cohort study of 766,244 children

Analysing the Impacts of Financial Support for Regional Suicide Prevention Programmes on Suicide Mortality Caused by Major Suicide Motives in Japan Using Statistical Government Data

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