Lifetime Prevalence of and Risk Factors for Suicidal Ideation and Suicide Attempts in a Korean Community Sample

Bagalkot, Tarique Rajasaheb; Park, Jong-Il; Kim, Hyeong-Tai; Kim, Hyun‐Min; Kim, Myung Sig; Yoon, Myeong-Sook; Ko, Seonghoon; Cho, Hye-Chung; Chung, Young‐Chul

doi:10.1521/psyc.2014.77.4.360

Cited by 20 publications

(22 citation statements)

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“…This finding is compatible with that of a study which found that low self-esteem was associated with suicidal intent, independently of the severity of depression [42]. A study recruiting 2964 community members also found that low self-esteem is one of the major risk factors related to SI [43], and another study revealed that low self-esteem and low sense of self-efficacy may lead to a suicide attempt [44]. Two other studies in elderly inpatients [1, 5] revealed that factors related to SI were use of antidepressants, previous deliberate self-harm, pessimism, length of hospital stay, history of traumatic events, the level of social support, and the presence of depression, which was found to be a major determinant of SI in many studies [6, 10–14].…”

Section: Discussionsupporting

confidence: 89%

Prevalence and characteristics of suicidal ideation among 2199 elderly inpatients with surgical or medical conditions in Taiwan

Liao

Liu

et al. 2018

BMC Psychiatry

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BackgroundWorldwide, the elderly are at a greater risk of suicide than other age groups. There is a paucity of research exploring risk factors for suicide in hospitalized elderly patients. Therefore, a study designed to explore the prevalence and characteristic of suicidal ideation (SI), such as QOL (quality of life), a wish to die (WTD), and other factors in elderly inpatients with medical or surgical conditions in Taiwan was warranted.MethodsA total of 2199 hospitalized elderly patients over age 65 were enrolled. Demographic data, 5-item Brief Symptom Rating Scale (BSRS-5), and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) data were collected. Logistic regression models were used to find the SI-related factors for all participants and to investigate the covariates correlated with WTD in patients with SI. Receiver operating characteristic (ROC) curve analysis was used to find the most important items of the BSRS-5 predictive of SI in this population.ResultsSI was found in 3.1% (68/2199) of the elderly. The statistically significantly factors associated with SI were: BSRS-5 item 2 (depression) (odds ratio [OR] = 2.15, 95% confidence interval [CI] = 1.56–2.98), item 4 (inferiority) (OR = 1.62, 1.23–2.13), item 5 (insomnia) (OR = 1.52, 1.13–2.05), and physical domain of WHOQOL (OR = 0.84, 0.72–0.99). QOL15 (mobility) (OR = 0.64, 0.46–0.90) and QOL 16 (satisfaction with sleep) (OR = 0.62, 0.44–0.88) were also significantly associated with SI. The status of living alone (OR = 4.44, 1.24–15.87), QOL 26 (absence of negative feeling) (OR = 0.38, 0.15–0.98), and QOL 27 (being respected/accepted) (OR = 0.43, 0.20–0.92) were significantly associated with WTD among inpatients with SI. The ROC curve analysis revealed that depression, inferiority, and insomnia were the most important items in the BSRS-5 significantly associated with SI among the elderly inpatients.ConclusionTo provide physical recovery and maintain mental health for physically ill elderly inpatients, setting up a multi-faceted approach targeting the aforementioned determinants of SI and WTD for reducing the risk of suicide attempt, and exploring other factors correlated with suicidal behaviors, are important topics and directions for clinical practice and further research.

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Section: Discussionsupporting

confidence: 89%

Prevalence and characteristics of suicidal ideation among 2199 elderly inpatients with surgical or medical conditions in Taiwan

Liao

Liu

et al. 2018

BMC Psychiatry

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“…Suicide attempts have been reported to occur 10–20 times more frequently than completed suicides [ 3 ]. Different studies have shown that the lifetime prevalence in different countries varies widely, ranging from 1.3 to 6.2 % [ 4 , 5 ]. Among various suicide methods, deliberate self-poisoning (DSP) is typically classified as a low-lethality method [ 6 , 7 ], but the majority of self-harm episodes involve poisoning [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Which deliberate self-poisoning patients are most likely to make high-lethality suicide attempts?

Kim

et al. 2015

Int J Ment Health Syst

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BackgroundThe risk/rescue rating scale (RRRS) assesses the lethality of a suicide attempt, which is defined as the probability of inflicting irreversible damage. We assessed the lethality of suicide attempts using the RRRS and identified the socio-demographic profiles of patients who achieved high lethality in deliberate self-poisoning (DSP).MethodsA retrospective study was conducted to evaluate DSP patients who visited the emergency department of a tertiary teaching hospital between 2000 and 2011. The data included socio-demographic information, clinical variables, risk factors (e.g., the method used, whether consciousness was impaired, toxicity, reversibility and whether treatment was required) and rescue factors (e.g., location, who initiated the rescue, the probability of discovery, the accessibility of rescue, and delay until discovery). The high-risk group consisted of patients with 11–15 risk points, whereas patients in the low-rescue group had 5–11 risk points. We examined the characteristics of high-lethality suicide attempts (high-risk/low-rescue group).ResultsA total of 1114 patients were enrolled in this study. Pearson’s correlation analysis showed that the total risk score for patients with DSP was negatively associated with the total rescue score (r = −0.201, p < 0.001). Of the total number of DSP patients, 42 were included in the high-risk/low-rescue group. The multivariate logistic regression analyses showed significant associations between high-lethality suicide attempts and male gender (OR 2.70, 95 % CI 1.41–5.18, p = 0.003), older age (OR 1.02, 95 % CI 1.01–1.04, p = 0.015), and unemployment (OR 2.98, 95 % CI 1.41–6.33, p = 0.004).ConclusionThis retrospective study demonstrates that male gender, advanced age, and unemployed status were associated with high-lethality suicide attempts in DSP patients.

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“…To evaluate depression, the Korean version of the Zung Depression Scale, a 20‐item self‐report questionnaire that measures an individual's present level of depressive thoughts and behaviours, was used . Each item is rated on a Likert‐type scale coded from 1 (a little of the time) to 4 (most of the time), with higher scores indicating higher levels of depression.…”

Section: Methodsmentioning

confidence: 99%

“…Self‐esteem was measured by the Rosenberg Self‐Esteem Scale, which consists of 10 items related to self‐esteem . Each item was rated on a Likert‐type scale, from 1 (strongly agree) to 4 (strongly disagree).…”

Section: Methodsmentioning

confidence: 99%

Subjective food intake ability related to oral health‐related quality of life and psychological health

Choi

Kim²,

Yul

et al. 2016

J of Oral Rehabilitation

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Reduced food intake ability can restrict an individual's choice of foods and might have a significant impact on the individual's quality of life and mental health. The aim of this study was to evaluate the correlations between self-reported masticatory ability and oral health-related quality of life (OHRQOL) and psychological health. The study included 72 (26 men, 46 women) adults with a mean age of 26·4 ± 8·6 years. Each participant completed the key subjective food intake ability (KFIA) test for five key foods, the Korean version of the Oral Health Impact Profile-14 (OHIP-14K) and three questionnaires for measuring anxiety, depression and self-esteem. The participants were distributed into two groups by sex (a mean age of 23·9 ± 5·2 for men and 27·9 ± 9·8 for women) and by the median KFIA score. There were no significant differences in any of the variables according to sex. Thirty-two participants (12 men, 20 women) in the lower KFIA group had a higher total OHIP-14K (P < 0·001) and depression level (P < 0·05) than the 40 participants (14 men, 26 women) in the higher KFIA group. As the KFIA decreased, OHRQOL worsened (P < 0·001) and depression increased (P < 0·05). Participants with lower KFIA scores were more than 4·3 times as likely as to have a poor OHRQOL than the reference group (odds ratio, 4·348; 95% confidence interval, 1·554-12·170, P < 0·01). Lower subjective food intake ability is associated with a poor oral health-related quality of life and higher depression level.

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Lifetime Prevalence of and Risk Factors for Suicidal Ideation and Suicide Attempts in a Korean Community Sample

Abstract: Lifetime suicidal behavior was highly prevalent in Jeollabuk-do Province. The most significant risk factors were found to be social support, family disharmony, anger, depression, and low self-esteem in Koreans.

Cited by 20 publications

References 50 publications

Prevalence and characteristics of suicidal ideation among 2199 elderly inpatients with surgical or medical conditions in Taiwan

Prevalence and characteristics of suicidal ideation among 2199 elderly inpatients with surgical or medical conditions in Taiwan

Which deliberate self-poisoning patients are most likely to make high-lethality suicide attempts?

Subjective food intake ability related to oral health‐related quality of life and psychological health

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