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Medical Care Expenditure in Suicides From Non-illness-related Causes

Authors
 Jungwoo Sohn  ;  Jaelim Cho  ;  Ki Tae Moon  ;  Mina Suh  ;  Kyoung Hwa Ha  ;  Changsoo Kim  ;  Dong Chun Shin  ;  Sang Hyuk Jung 
Citation
 Journal of Preventive Medicine and Public Health, Vol.47(6) : 327-335, 2014 
Journal Title
 Journal of Preventive Medicine and Public Health 
ISSN
 1975-8375 
Issue Date
2014
MeSH
Adolescent ; Adult ; Aged ; Case-Control Studies ; Child ; Female ; Health Expenditures* ; Humans ; Logistic Models ; Male ; Middle Aged ; Odds Ratio ; Residence Characteristics ; Social Class ; Suicide/economics* ; Young Adult
Keywords
Health expenditures ; Social behavior disorders ; Suicide
Abstract
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.
Files in This Item:
T201404448.pdf Download
DOI
10.3961/jpmph.14.038
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Soo(김창수) ORCID logo https://orcid.org/0000-0002-5940-5649
Sohn, Jung Woo(손정우)
Shin, Dong Chun(신동천) ORCID logo https://orcid.org/0000-0003-4252-2280
Jung, Sang Hyuk(정상혁)
Cho, Jae Lim(조재림)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138359
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