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Original Articles
- Medical Care Expenditure in Suicides From Non-illness-related Causes
- Jungwoo Sohn, Jaelim Cho, Ki Tae Moon, Mina Suh, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin, Sang Hyuk Jung
- J Prev Med Public Health. 2014;47(6):327-335. Published online November 4, 2014
- DOI: https://doi.org/10.3961/jpmph.14.038
- 9,051 View
- 89 Download
- 2 Crossref
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Abstract
PDF - Objectives
Several epidemiological studies on medical care utilization prior to suicide have considered the motivation of suicide, but focused on the influence of physical illnesses. Medical care expenditure in suicide completers with non-illness-related causes has not been investigated.
Methods
Suicides motivated by non-illness-related factors were identified using the investigator’s note from the National Police Agency, which was then linked to the Health Insurance Review and Assessment data. We investigated the medical care expenditures of cases one year prior to committing suicide and conducted a case-control study using conditional logistic regression analysis after adjusting for age, gender, area of residence, and socioeconomic status.
Results
Among the 4515 suicides motivated by non-illness-related causes, medical care expenditures increased in only the last 3 months prior to suicide in the adolescent group. In the younger group, the proportion of total medical expenditure for external injuries was higher than that in the older groups. Conditional logistic regression analysis showed significant associations with being a suicide completer and having a rural residence, low socioeconomic status, and high medical care expenditure. After stratification into the four age groups, a significant positive association with medical care expenditures and being a suicide completer was found in the adolescent and young adult groups, but no significant results were found in the elderly groups for both men and women.
Conclusions
Younger adults who committed suicide motivated by non-illness-related causes had a higher proportion of external injuries and more medical care expenditures than their controls did. This reinforces the notion that suicide prevention strategies for young people with suicidal risk factors are needed. -
Summary
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 - Impact of intergenerational support and medical expenditures on depression: Evidence from rural older adults in China
Congrong Li, Qing Han, Jinrong Hu, Zeyu Han, Hongjuan Yang
Frontiers in Public Health.2022;[Epub] CrossRef
- Medical Care Utilization During 1 Year Prior to Death in Suicides Motivated by Physical Illnesses
- Jaelim Cho, Won Joon Lee, Ki Tae Moon, Mina Suh, Jungwoo Sohn, Kyoung Hwa Ha, Changsoo Kim, Dong Chun Shin, Sang Hyuk Jung
- J Prev Med Public Health. 2013;46(3):147-154. Published online May 31, 2013
- DOI: https://doi.org/10.3961/jpmph.2013.46.3.147
- 9,057 View
- 94 Download
- 18 Crossref
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Abstract
PDF
Objectives Many epidemiological studies have suggested that a variety of medical illnesses are associated with suicide. Investigating the time-varying pattern of medical care utilization prior to death in suicides motivated by physical illnesses would be helpful for developing suicide prevention programs for patients with physical illnesses.
Methods Suicides motivated by physical illnesses were identified by the investigator's note from the National Police Agency, which was linked to the data from the Health Insurance Review and Assessment. We investigated the time-varying patterns of medical care utilization during 1 year prior to suicide using repeated-measures data analysis after adjustment for age, gender, area of residence, and socioeconomic status.
Results Among 1994 suicides for physical illness, 1893 (94.9%) suicides contacted any medical care services and 445 (22.3%) suicides contacted mental health care during 1 year prior to suicide. The number of medical care visits and individual medical expenditures increased as the date of suicide approached (
p <0.001). The number of medical care visits for psychiatric disorders prior to suicide significantly increased only in 40- to 64-year-old men (p =0.002), women <40 years old (p =0.011) and women 40 to 64 years old (p =0.021) after adjustment for residence, socioeconomic status, and morbidity.Conclusions Most of the suicides motivated by physical illnesses contacted medical care during 1 year prior to suicide, but many of them did not undergo psychiatric evaluation. This underscores the need for programs to provide psychosocial support to patients with physical illnesses.
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Summary
Citations
Citations to this article as recorded by- Suicide risk of chronic diseases and comorbidities: A Korean case-control study
Areum Song, Emily Jiali Koh, Weon-Young Lee, Shusen Chang, Jiseun Lim, Minjae Choi, Myung Ki
Journal of Affective Disorders.2024; 349: 431. CrossRef - Late-life suicide in an aging world
Diego De Leo
Nature Aging.2022; 2(1): 7. CrossRef - Risk factors for suicidal behavior in older adults
D.P. Ponomareva, M.S. Artemieva M.S. Artemieva
Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery).2022; (1): 18. CrossRef - Innovating Technology-Enhanced Interventions for Youth Suicide: Insights for Measuring Implementation Outcomes
Hannah S. Szlyk, Jia Tan, Rebecca Lengnick-Hall
Frontiers in Psychology.2021;[Epub] CrossRef - Suicide prevention in older adults
Carlos Augusto de Mendonça Lima, Diego De Leo, Gabriel Ivbijaro, Igor Svab
Asia-Pacific Psychiatry.2021;[Epub] CrossRef - Suicide in late life: A viewpoint
Diego De Leo, Andrea Viecelli Giannotti
Preventive Medicine.2021; 152: 106735. CrossRef - Understanding the impact of clinical characteristics and healthcare utilizations on suicide among cancer sufferers: a case-control study in Hong Kong
Yu Vera Men, Tai-Chung Lam, Cheuk Yui Yeung, Paul Siu Fai Yip
The Lancet Regional Health - Western Pacific.2021; 17: 100298. CrossRef - Risk Factors for Suicide in a National Sample of Veterans With Multiple Sclerosis
Quinn D. Kellerman, Narineh Hartoonian, Megan L. Beier, Steven L. Leipertz, Charles Maynard, Trisha A. Hostetter, Jodie K. Haselkorn, Aaron P. Turner
Archives of Physical Medicine and Rehabilitation.2020; 101(7): 1138. CrossRef - Wearing a happy mask: mother’s expressions of suicidality with postpartum depression
Regina Praetorius, December Maxwell, Komal Alam
Social Work in Mental Health.2020; 18(4): 429. CrossRef - Adaptation of evidence‐based suicide prevention strategies during and after the COVID‐19 pandemic
Danuta Wasserman, Miriam Iosue, Anika Wuestefeld, Vladimir Carli
World Psychiatry.2020; 19(3): 294. CrossRef - Contact with primary and mental health care prior to suicide: A systematic review of the literature from 2000 to 2017
Kim Stene-Larsen, Anne Reneflot
Scandinavian Journal of Public Health.2019; 47(1): 9. CrossRef - Use of prescription medication prior to suicide in Norway
Anne Reneflot, Silje L. Kaspersen, Lars Johan Hauge, Jorid Kalseth
BMC Health Services Research.2019;[Epub] CrossRef - Use of primary healthcare services prior to suicide in Norway: a descriptive comparison of immigrants and the majority population
Carine Øien-Ødegaard, Anne Reneflot, Lars Johan Hauge
BMC Health Services Research.2019;[Epub] CrossRef - Clinical epidemiology of long-term suicide risk in a nationwide population-based cohort study in South Korea
Hyewon Lee, Woojae Myung, Chunsoo Lee, Junbae Choi, Ho Kim, Bernard J. Carroll, Doh Kwan Kim
Journal of Psychiatric Research.2018; 100: 47. CrossRef - Areas of uncertainties and unmet needs in bipolar disorders: clinical and research perspectives
Michael Bauer, Ole A Andreassen, John R Geddes, Lars Vedel Kessing, Ute Lewitzka, Thomas G Schulze, Eduard Vieta
The Lancet Psychiatry.2018; 5(11): 930. CrossRef - A study of people who attempted suicide referred to the emergency ward of Ali Ibn Abi Taleb hospital, Rafsanjan, Iran (2016)
Alireza Taherifard, Hassan Ahmadinia, Reza Vazirinejad, Zahra Javadi, Seyed Zia Tabatabaei, Mohsen Rezaeian
Journal of Occupational Health and Epidemiology.2018; 7(4): 201. CrossRef - Towards Actualizing the Value Potential of Korea Health Insurance Review and Assessment (HIRA) Data as a Resource for Health Research: Strengths, Limitations, Applications, and Strategies for Optimal Use of HIRA Data
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Journal of Korean Medical Science.2017; 32(5): 718. CrossRef - Effectiveness of Nursing Preventive Interventions in Suicide re- Attempts
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Iran Journal of Nursing.2016; 29(99): 34. CrossRef
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