- Factors That Affect Suicidal Attempt Risk Among Korean Elderly Adults: A Path Analysis
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Junsoo Ro, Jongheon Park, Jinsuk Lee, Hyemin Jung
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J Prev Med Public Health. 2015;48(1):28-37. Published online January 14, 2015
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DOI: https://doi.org/10.3961/jpmph.14.030
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 Abstract
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- Objectives
Among the Korean elderly (those 65 years of age and older), the suicide rate is 80.3/100 000 people, which is ten times higher than the Organization for Economic Cooperation and Development average. Because South Korea is rapidly becoming an aging population, this high elderly suicidal rate will only get worse. Although the size of the elderly suicide problem is quite large, previous research in South Korea has surveyed restricted areas and not the entire country. Even though the factors that affect elderly suicide are complicated, there has been little research into these influencing factors. Thus, this research uses the national survey data (Community Health Survey) that was obtained in 2009. Additionally, we analyze factors affecting elderly suicidal ideation and attempts as well as the paths of these effects.
Methods
Community Health Survey data obtained by the Korea Centers for Disease Control and Prevention in 2009 was used for this study. We additionally examined the factors that affect suicide with chi-squared tests, t-tests, Pearson’s correlation test, and path analysis.
Results
Depressive symptoms and suicidal ideation are the only factors that directly affect suicidal attempts. Demographic, behavioral, and physical activity factors have indirect effects on suicidal attempts.
Conclusions
Depression has the strongest influence on suicidal ideation and attempts. Demographic, behavioral, and physical activity factors affect suicidal attempts mostly through depressive symptoms. In addition, there is a path that suggests that demographic, behavioral, and physical activity factors affect suicidal attempts not through depression symptoms but only through suicidal ideation. This means that the elderly who do not have depression symptoms attempt suicide according to their own situations and characteristics.
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Summary
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Citations
Citations to this article as recorded by  - Socioeconomic factors associated with suicidal behaviors in South Korea: systematic review on the current state of evidence
Nicolas Raschke, Amir Mohsenpour, Leona Aschentrup, Florian Fischer, Kamil J. Wrona
BMC Public Health.2022;[Epub] CrossRef - Suicidal Behavior Among Elderly Inpatients: its Relation to Functional Disability and Pain
Suzaily Wahab, Tien Yong Chua, Rosdinom Razali, Zanariah Mat Saher, Iman Hakimi Zamzam, Mohamad Adam Bujang
Psychology Research and Behavior Management.2022; Volume 15: 737. CrossRef - Parks and green areas and the risk for depression and suicidal indicators
Kyoung-bok Min, Hyun-Jin Kim, Hye-Jin Kim, Jin-young Min
International Journal of Public Health.2017; 62(6): 647. CrossRef - Prevalence and Predictive Factors of Depression in Community-Dwelling Older Adults in South Korea
Jae Soon Yoo, Sun Ju Chang, Hyun Sook Kim
Research and Theory for Nursing Practice.2016; 30(3): 200. CrossRef
- The Impact of an Emergency Fee Increase on the Composition of Patients Visiting Emergency Departments
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Hyemin Jung, Young Kyung Do, Yoon Kim, Junsoo Ro
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J Prev Med Public Health. 2014;47(6):309-316. Published online November 24, 2014
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DOI: https://doi.org/10.3961/jpmph.14.044
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Abstract
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This study aimed to test our hypothesis that a raise in the emergency fee implemented on March 1, 2013 has increased the proportion of patients with emergent symptoms by discouraging non-urgent emergency department visits.
Methods
We conducted an analysis of 728 736 patients registered in the National Emergency Department Information System who visited level 1 and level 2 emergency medical institutes in the two-month time period from February 1, 2013, one month before the raise in the emergency fee, to March 31, 2013, one month after the raise. A difference-in-difference method was used to estimate the net effects of a raise in the emergency fee on the probability that an emergency visit is for urgent conditions.
Results
The percentage of emergency department visits in urgent or equivalent patients increased by 2.4% points, from 74.2% before to 76.6% after the policy implementation. In a group of patients transferred using public transport or ambulance, who were assumed to be least conscious of cost, the change in the proportion of urgent patients was not statistically significant. On the other hand, the probability that a group of patients directly presenting to the emergency department by private transport, assumed to be most conscious of cost, showed a 2.4% point increase in urgent conditions (p<0.001). This trend appeared to be consistent across the level 1 and level 2 emergency medical institutes.
Conclusions
A raise in the emergency fee implemented on March 1, 2013 increased the proportion of urgent patients in the total emergency visits by reducing emergency department visits by non-urgent patients.
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Summary
- Necessity of Analyzing the Korea Community Health Survey Using 7 Local Government Types
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Seowoo Park, Haibin Bai, Jae-ryun Lee, Soomin Kim, Hyemin Jung, Jin Yong Lee
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Received July 22, 2024 Accepted October 18, 2024 Published online November 5, 2024
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DOI: https://doi.org/10.3961/jpmph.24.388
[Accepted]
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Abstract
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This study examined the potential of a new analytical framework for the Korea Community Health Survey (KCHS) with classification criteria for the sub-national governmental level, the degree of urbanization including an urban-rural multimodal category, and population size as a more effective tool to address local health problems and deduce practical implications.
Methods
Retrospective survey data from 2023 KCHS were obtained. Frequency analyses were performed for self-rated good health status, current smoking status, and unmet medical needs as proxies for health status, as well as healthcare utilization and health behavior, utilizing individual weights to represent national community residents.
Results
We established a new classification of local governments into 7 types to facilitate regional comparisons. These local government types are presumably composed of populations showing statistically significant differences in demographic characteristics. There were evident differences in health status, health behavior, and healthcare utilization in comparisons of groups categorized by local government types.
Conclusions
This study suggests that regional disparities can be analyzed using a new typology of local governments. This practically effective approach could be used in decision-making for community-centered health projects in terms of community health planning. Future research should conduct analyses of KCHS data that use these 7 local government types to comprehensively reflect regional characteristics.
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