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Original Articles
Determinants of Mental Health Care Utilization in a Suicide High-risk Group With Suicidal Ideation
Hyun-Soo Kim, Moo-Sik Lee, Jee-Young Hong
J Prev Med Public Health. 2016;49(1):69-78.   Published online January 22, 2016
DOI: https://doi.org/10.3961/jpmph.15.016
  • 8,127 View
  • 155 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives
The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide.
Methods
Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization.
Results
The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size.
Conclusions
It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.
Summary

Citations

Citations to this article as recorded by  
  • Predisposing, enabling and need factors associated with past-year health service use for mental health reasons in adults with suicidal ideation in France
    Helen-Maria Vasiliadis, Christophe Léon, Enguerrand du Roscoät, Mathilde M. Husky
    Journal of Affective Disorders.2022; 319: 62.     CrossRef
  • Addressing Suicide Risk According to Different Healthcare Professionals in Spain: A Qualitative Study
    Juan-Luis Muñoz-Sánchez, María Sánchez-Gómez, María Martín-Cilleros, Esther Parra-Vidales, Diego de Leo, Manuel Franco-Martín
    International Journal of Environmental Research and Public Health.2018; 15(10): 2117.     CrossRef
  • Gender-specific factors associated with the use of mental health services for suicidal ideation: Results from the 2013 Korean Community Health Survey
    Mina Kim, Young-Hoon Lee, Soraya Seedat
    PLOS ONE.2017; 12(12): e0189799.     CrossRef
Factors Affecting the Downward Mobility of Psychiatric Patients: A Korean Study of National Health Insurance Beneficiaries
Un-Na Kim, Yeon-Yong Kim, Jin-Seok Lee
J Prev Med Public Health. 2016;49(1):53-60.   Published online December 22, 2015
DOI: https://doi.org/10.3961/jpmph.15.052
  • 8,378 View
  • 104 Download
  • 10 Crossref
AbstractAbstract PDF
Objectives
The purpose of this study is to examine the magnitude of and the factors associated with the downward mobility of first-episode psychiatric patients.
Methods
This study used the claims data from the Korean Health Insurance Review and Assessment Service. The study population included 19 293 first-episode psychiatric inpatients diagnosed with alcohol use disorder (International Classification of Diseases, 10th revision [ICD-10] code F10), schizophrenia and related disorders (ICD-10 codes F20-F29), and mood disorders (ICD-10 codes F30-F33) in the first half of 2005. This study included only National Health Insurance beneficiaries in 2005. The dependent variable was the occurrence of downward mobility, which was defined as a health insurance status change from National Health Insurance to Medical Aid. Logistic regression analysis was used to assess factors associated with downward drift of first-episode psychiatric patients.
Results
About 10% of the study population who were National Health Insurance beneficiaries in 2005 became Medical Aid recipients in 2007. The logistic regression analysis showed that age, gender, primary diagnosis, type of hospital at first admission, regular use of outpatient clinic, and long-term hospitalization are significant predictors in determining downward drift in newly diagnosed psychiatric patients.
Conclusions
This research showed that the downward mobility of psychiatric patients is affected by long-term hospitalization and medical care utilization. The findings suggest that early intensive intervention might reduce long-term hospitalization and the downward mobility of psychiatric patients.
Summary

Citations

Citations to this article as recorded by  
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    Eun Gyeong Kim
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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
  • 9,065 View
  • 94 Download
  • 18 Crossref
AbstractAbstract 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.

Summary

Citations

Citations to this article as recorded by  
  • Suicide risk of chronic diseases and comorbidities: A Korean case-control study
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    Preventive Medicine.2021; 152: 106735.     CrossRef
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Special Article
Exercise and Physical Activity in Mental Disorders: Clinical and Experimental Evidence
Elisabeth Zschucke, Katharina Gaudlitz, Andreas Ströhle
J Prev Med Public Health. 2013;46(Suppl 1):S12-S21.   Published online January 30, 2013
DOI: https://doi.org/10.3961/jpmph.2013.46.S.S12
  • 31,847 View
  • 833 Download
  • 145 Crossref
AbstractAbstract PDF

Several epidemiological studies have shown that exercise (EX) and physical activity (PA) can prevent or delay the onset of different mental disorders, and have therapeutic benefits when used as sole or adjunct treatment in mental disorders. This review summarizes studies that used EX interventions in patients with anxiety, affective, eating, and substance use disorders, as well as schizophrenia and dementia/mild cognitive impairment. Despite several decades of clinical evidence with EX interventions, controlled studies are sparse in most disorder groups. Preliminary evidence suggests that PA/EX can induce improvements in physical, subjective and disorder-specific clinical outcomes. Potential mechanisms of action are discussed, as well as implications for psychiatric research and practice.

Summary

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JPMPH : Journal of Preventive Medicine and Public Health