Prevalence of Mental Disorders and Associated Factors in Korean Adults: National Mental Health Survey of Korea 2021

Rim, Soo Jung; Hahm, Bong‐Jin; Seong, Su Jeong; Park, Jee Eun; Chang, Sung Man; Kim, Byung-Soo; An, Hyonggin; Jeon, Hong Jin; Hong, Jin Pyo; Park, Subin

doi:10.30773/pi.2022.0307

Cited by 32 publications

(9 citation statements)

References 45 publications

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“…This study could not confirm the diagnostic accuracy through retrospective medical record reviews that are used in studies using claims data because patient consent is required for medical record review. However, in previous studies of Korea that investigated the diagnostic consistency between the NHICD and electronic medical record, psychiatric illness was higher than for other diseases and highly sensitive of disease because of stigma against psychiatric illness in Korea . Second, important factors that may affect suicide risk, such as social support, history of suicide attempts, and socioeconomic status, were not considered as potential covariates.…”

Section: Discussionmentioning

confidence: 99%

“…However, in previous studies of Korea that investigated the diagnostic consistency between the NHICD and electronic medical record, psychiatric illness was higher than for other diseases 29 and highly sensitive of disease because of stigma against psychiatric illness in Korea. 30 Second, important factors that may affect suicide risk, such as social support, history of suicide attempts, and socioeconomic status, were not considered as potential covariates. However, this information is not available because the NHICD is collected for reimbursement.…”

Section: Discussionmentioning

confidence: 99%

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Follow-Up Timing After Discharge and Suicide Risk Among Patients Hospitalized With Psychiatric Illness

Che,

Gwon,

Kim

2023

JAMA Netw Open

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ImportanceAlthough early outpatient follow-up after psychiatric inpatient discharge may prevent suicide, the association between early follow-up care and a reduced risk of suicide after discharge has not been fully explored.ObjectivesTo investigate outpatient follow-up care after psychiatric inpatient discharge and determine whether the timing of the first outpatient follow-up is associated with a reduced risk of suicide.Design, Setting, and ParticipantsThis population-based, retrospective cohort study used the National Health Claim Database from 2017 to 2018 in Korea. Patients were observed until December 31, 2021, to confirm the occurrence of suicide. The study population included all patients aged 18 years or older who were newly admitted to hospitals with psychiatric illness except for dementia from January 1, 2017, to December 31, 2018. Statistical analysis was performed from January to May 2023.ExposureThe timing of the first mental health outpatient care follow-up within 30 days after discharge.Main Outcomes and MeasuresThe outcome of interest was suicide after hospital discharge. The timing of the first follow-up visit was observed within 30 days after discharge. The Cox proportional hazard model was used to explore the association between the risk of suicide and the timing of outpatient follow-up.ResultsOf the 76 462 patients admitted to hospitals from 2017 to 2018, 225 (52.6%) were male; 21 313 (27.9%) had a primary diagnosis of substance use disorder, 17 608 (23.0%) had schizophrenia, and 15 018 (19.6) had depression; mean (SD) age was 46.4 (16.3) years. A total of 49 319 patients (64.5%) received follow-up outpatient care within 30 days of discharge. The mean (SD) follow-up period was 30.8 (20.2) months, and 1536 patients died of suicide during the study period. The hazard ratio for suicide risk in patients who received outpatient care within 7 days compared with those who did not receive any care within 30 days after discharge was 0.82 (95% CI, 0.80–0.83). The earlier the time of outpatient follow-up care, the lower the risk of suicide for those with substance use disorder, schizophrenia, bipolar disorder, and depression.Conclusions and RelevanceIn this cohort study of patients with psychiatric illness, early follow-up outpatient care after discharge was associated with a lower risk of suicide. These results suggest that those at high risk of suicide during hospitalization need intensive follow-up immediately after discharge.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Follow-Up Timing After Discharge and Suicide Risk Among Patients Hospitalized With Psychiatric Illness

Che,

Gwon,

Kim

2023

JAMA Netw Open

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“…A sampling method based on catchment areas was used in 2011, but the 2021 survey sampled the entire areas of Korea. The details of the 2011 and 2021 surveys have already been provided [14,15]. A total of 6,022 and 5,511 participants were included in the 2011 and 2021 surveys, respectively (response rates of 78.7% and 43.8%).…”

Section: Data Collectionmentioning

confidence: 99%

Ten-year differences in the prevalence and related factors of depression and suicidal behavior in Korean older adults: A comparison of representative nationwide studies for mental disorders in 2011 and 2021

Jeon,

Hahm,

Seong

et al. 2024

Preprint

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Purpose As the baby boomer generation moves into old age, the characteristics of the older population are changing. This study aimed to compare the prevalence of depression and suicidal behavior and examine the different impacts of sociodemographic risk factors based on two nationwide cross-sectional studies conducted a decade apart.Methods We compared representative samples of participants aged 60–74 years from two nationwide surveys in 2011 and 2021. Depression and suicidal behavior were assessed using the Korean version of the Composite International Diagnostic Interview, and the prevalence rates were compared according to study year and gender. We used multivariate logistic regression to determine how sociodemographic risk factors affected depression and suicidal behavior in each study period.Results The prevalence of depression in older adults was higher in 2021 than in 2011, with a notable increase among older men. The prevalence of suicidal behavior was slightly decreased but not statistically confirmed. In 2011, being female was the only risk factor for depression; however, several sociodemographic factors, including non-married, low income, and high education level, were identified as risk factors for depression in 2021. The impact of low-income status on both depression and suicidal behavior was twice as much in 2021 as it was in 2011.Conclusion The prevalence of depression has increased compared to a decade ago, especially among older men. Recently, sociodemographic risks have become more important in late-life depression and suicidal behavior. Mental health promotion for older adults needs to consider sociocultural characteristics and environmental changes.

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“…Data from South Korea’s National Health Insurance System indicated that in 2021, approximately 3.1% of the nation’s total population was receiving treatment for anxiety disorders. Although 580,000 people are undergoing treatment in Korea, the actual number of people suffering from anxiety disorders is estimated to be approximately four to five times higher [ 2 ]. A systematic review estimated the economic burden of anxiety disorders to range from 0.25 to 0.78% of a country’s GDP [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometrics of the Korean Version of the screen for adult anxiety related disorders (SCAARED)

Hwang,

Chin,

Mun

et al. 2024

BMC Psychiatry

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Background For enhanced management of anxiety disorders, early screening and accurate diagnostic differentiation are essential. The Screen for Adult Anxiety Related Disorders (SCAARED) has been developed to identify and categorize anxiety disorders, thereby facilitating timely and appropriate interventions. In line with this, we aimed to translate and validate the Korean version of the SCAARED questionnaire for the Korean population. Methods The original SCAARED was translated into Korean and administered to community adult population (N = 119) ages 18–45 years old in South Korea. The internal consistency and test-retest reliability of the SCAARED were evaluated. In addition, its factor structure was examined using confirmatory and exploratory factor analysis. Concurrent validity was evaluated by comparing SCAARED with the Depression, Anxiety and Stress Scale-21 (DASS), the Beck’s Anxiety Inventory (BAI) and the State-Trait Anxiety Inventory (STAI). Test-retest reliability was evaluated one week after the first assessment. Results The SCAARED showed good internal consistency (Cronbach’s α = 0.945) and test-retest reliability (γ = 0.883). The SCAARED had significant correlation with DASS-21 subscales (γ = 0.655–0.701), BAI (γ = 0.788) and STAI subscales (γ = 0.548–0.736), confirming good concurrent validity. The results of the Exploratory Factor Analysis showed four factors comparable to the original SCAARED (Generalized anxiety, Somatic/Panic/Agoraphobia, Social anxiety, and Separation anxiety). The area under the curve of the receiver operating characteristic of total and each of the factor scores ranged from 0.724 to 0.942. Conclusions The Korean version of the SCAARED is a reliable and valid instrument to screen for anxiety disorders in the Korean adult populations.

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Prevalence of Mental Disorders and Associated Factors in Korean Adults: National Mental Health Survey of Korea 2021

Cited by 32 publications

References 45 publications

Follow-Up Timing After Discharge and Suicide Risk Among Patients Hospitalized With Psychiatric Illness

Follow-Up Timing After Discharge and Suicide Risk Among Patients Hospitalized With Psychiatric Illness

Ten-year differences in the prevalence and related factors of depression and suicidal behavior in Korean older adults: A comparison of representative nationwide studies for mental disorders in 2011 and 2021

Psychometrics of the Korean Version of the screen for adult anxiety related disorders (SCAARED)

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