Comparison of Baseline Characteristics between Community-based and Hospital-based Suicidal Ideators and Its Implications for Tailoring Strategies for Suicide Prevention: Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior
- Authors
- Park, C. Hyung Keun; Lee, Jae Won; Lee, Sang Yeol; Moon, Jungjoon; Shim, Se-Hoon; Paik, Jong-Woo; Kim, Shin Gyeom; Cho, Seong-Jin; Kim, Min-Hyuk; Kim, Seokho; Park, Jae-Hyun; You, Sungeun; Jeon, Hong Jin; Ahn, Yong Min
- Issue Date
- Sep-2017
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Keywords
- Suicide; Epidemiologic Studies; Cross-sectional Studies; Hospitals; Community Mental Health Centers; Korea
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE, v.32, no.9, pp.1522 - 1533
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 32
- Number
- 9
- Start Page
- 1522
- End Page
- 1533
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5747
- DOI
- 10.3346/jkms.2017.32.9.1522
- ISSN
- 1011-8934
- Abstract
- In this cross-sectional study, we aimed to identify distinguishing factors between populations with suicidal ideation recruited from hospitals and communities to make an efficient allocation of limited anti-suicidal resources according to group differences. We analyzed the baseline data from 120 individuals in a community-based cohort (CC) and 137 individuals in a hospital-based cohort (HC) with suicidal ideation obtained from the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior (K-COMPASS) study. First, their sociodemographic factors, histories of medical and psychiatric illnesses, and suicidal behaviors were compared. Second, diagnosis by the Korean version of the Mini International Neuropsychiatric Interview, scores of psychometric scales were used to assess differences in clinical severity between the groups. The results revealed that the HC had more severe clinical features: more psychiatric diagnosis including current and recurrent major depressive episodes (odds ratio [OR], 4.054; P< 0.001 and OR, 11.432; P< 0.001, respectively), current suicide risk (OR, 4.817; P< 0.001), past manic episodes (OR, 9.500; P< 0.001), past hypomanic episodes (OR, 4.108; P= 0.008), current alcohol abuse (OR, 3.566; P= 0.020), and current mood disorder with psychotic features (OR, 20.342; P< 0.001) besides significantly higher scores in depression, anxiety, alcohol problems, impulsivity, and stress. By comparison, old age, single households, and low socioeconomic status were significantly associated with the CC. These findings indicate the necessity of more clinically oriented support for hospital visitors and more socioeconomic aid for community-dwellers with suicidality.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5747)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.