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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 
 Journal of Preventive Medicine and Public Health, Vol.46(3) : 147-154, 2013 
Journal Title
Journal of Preventive Medicine and Public Health
Issue Date
Adult ; Age Factors ; Aged ; Demography ; Fees, Medical ; Female ; Health Services Needs and Demand/statistics & numerical data* ; Health Services Needs and Demand/utilization ; Humans ; Male ; Mental Disorders/psychology ; Mental Health/statistics & numerical data ; Middle Aged ; Motivation ; Sex Factors ; Socioeconomic Factors ; Suicide/economics ; Suicide/prevention & control ; Suicide/statistics & numerical data* ; Time Factors
Medical care research ; Mental disorders ; Suicide
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.
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.
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.
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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1. College of Medicine (의과대학) > Dept. of Preventive Medicine (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
Lee, Won Joon(이원준)
Cho, Jae Lim(조재림)
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