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J Korean Med Sci. 2017 Sep;32(9):1522-1533. doi: 10.3346/jkms.2017.32.9.1522.

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.

Author information

1
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea.
2
Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea.
3
Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Korea.
4
Department of Psychiatry, School of Medicine, Wonkwang University, Iksan, Korea.
5
Department of Psychiatry, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
6
Department of Psychiatry, Soonchunhyang University Cheonan Hospital, Soonchunhyang University, Cheonan, Korea.
7
Department of Psychiatry, Kyung Hee University College of Medicine, Seoul, Korea.
8
Department of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
9
Department of Psychiatry, Gachon University Gil Medical Center, Incheon, Korea.
10
Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju, Korea.
11
Deparmtent of Sociology, Seoul National University College of Social Sciences, Seoul, Korea.
12
Department of Social and Preventive Medicine, Sungkyunkwan University College of Medicine, Suwon, Korea.
13
Department of Psychology, Chungbuk National University College of Social Sciences, Cheongju, Korea.
14
Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
15
Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea. aym@snu.ac.kr.

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.

KEYWORDS:

Community Mental Health Centers; Cross-sectional Studies; Epidemiologic Studies; Hospitals; Korea; Suicide

PMID:
28776350
PMCID:
PMC5546974
DOI:
10.3346/jkms.2017.32.9.1522
[Indexed for MEDLINE]
Free PMC Article

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