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.
10.3346/jkms.2017.32.9.1522
- Author:
C Hyung Keun PARK
1
;
Jae Won LEE
;
Sang Yeol LEE
;
Jungjoon MOON
;
Se Hoon SHIM
;
Jong Woo PAIK
;
Shin Gyeom KIM
;
Seong Jin CHO
;
Min Hyuk KIM
;
Seokho KIM
;
Jae Hyun PARK
;
Sungeun YOU
;
Hong Jin JEON
;
Yong Min AHN
Author Information
1. Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea. aym@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Suicide;
Epidemiologic Studies;
Cross-sectional Studies;
Hospitals;
Community Mental Health Centers;
Korea
- MeSH:
Alcoholism;
Anxiety;
Cohort Studies*;
Community Mental Health Centers;
Cross-Sectional Studies;
Depression;
Diagnosis;
Epidemiologic Studies;
Family Characteristics;
Impulsive Behavior;
Korea;
Mental Disorders;
Mood Disorders;
Psychometrics;
Social Class;
Suicidal Ideation;
Suicide*;
Weights and Measures
- From:Journal of Korean Medical Science
2017;32(9):1522-1533
- CountryRepublic of Korea
- Language:English
-
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.
