Association between Chronic Physical Diseases and Suicidal Ideation in Korean Adults

만성 신체질환이 자살사고에 미치는 영향

  • Suh, Min Hyo (Department of psychiatry, Dong-A University College of Medicine) ;
  • Choe, Byeong Moo (Department of psychiatry, Dong-A University College of Medicine) ;
  • Kim, Seong Hwan (Department of psychiatry, Dong-A University College of Medicine) ;
  • Park, Jae Hong (Department of psychiatry, Dong-A University College of Medicine)
  • 서민효 (동아대학교 의과대학 정신건강의학교실) ;
  • 최병무 (동아대학교 의과대학 정신건강의학교실) ;
  • 김성환 (동아대학교 의과대학 정신건강의학교실) ;
  • 박재홍 (동아대학교 의과대학 정신건강의학교실)
  • Received : 2017.08.18
  • Accepted : 2017.10.26
  • Published : 2018.02.28

Abstract

Objectives : Patients with chronic physical diseases suffer from high level of psychological distress, which is potential vulnerable factor for suicide. The aim of this study was to investigate the effect of chronic physical diseases on suicidal ideation among Korean adults. Methods : Analyses are based on data from sixth Korea National Health and Nutrition Examination Survey(2013-2015) conducted by Korea Centers for Diseases Control and Prevention. The survey used a cross-sectional, national and representative sample consisting of 10,939 who were selected by using a stratified, clustered, multistage sampling method. Logistic regression analysis was conducted to test the association between chronic physical diseases and suicidal ideation while controlling for demographic characteristics and depression. Results : Our final regression model revealed that arthritis(OR=1.71, 95%CI : 1.28-2.27, p<0.001), asthma (OR=2.39, 95%CI : 1.49-3.84, p<0.001), atopic dermatitis(OR=2.52, 95%CI : 1.49-4.24, p<0.001), chronic kidney disease(OR=4.12, 95%CI : 1.81-9.35, p<0.001) were increased the likelihood of suicidal ideation. Conclusion : Patients with chronic physical diseases are at risk of suicide ideation. This finding highlights the need to assess suicidal risk for patients with chronic physical diseases.

Keywords

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