인구사회적 요인, 암, 일부 정신질환 등이 자살에 미치는 영향: 성별, 연령별 분석 (Effect of Sociodemographic factors, cancer, psychiatric disorder on suicide: gender and age-specific patterns)

서지정보

· 발행기관 : 대한예방의학회
· 수록지 정보 : 예방의학회지 / 41권 / 1호 / 51 ~ 60페이지
· 저자명 : 박재영, 문기태, 채유미, 정상혁

초록

factors, cancer, and psychiatric disorders on suicide by
gender and age-specific patterns in South Korea.
Methods : The study is a case-control study. Claim data
was obtained from the national health insurance database
and national death registration database. The number of
people who committed suicide was 11,523, which was
matched with a control group consisting of ten times as
many people at 115,230 selected from the national health
insurance and medical aids beneficiaries. The medical
utilization of the case group was one year before death and
that of the control group was from July 1,2003 to June 30,
2004. Four variables-address, economic status, presence
of a psychiatric disease, and cancer-were used in multiple
logistic regression analyses.
Results : Living in cities or in rural areas showed a
greater risk for suicide than living in a metropolitan city.
Low economic status, the presence of a psychiatric
disorder, and cancer were also statistically meaningful risk
factors for suicide. The three major psychiatric diseases,
schizophrenia, alcohol abuse, and bipolar disorder, were
meaningful in all age groups, but the scale of the odds ratio
differed by the age group. Only the psychiatric disorder
variable was meaningful in the adolescent group, whereas
a psychiatric disorder and economic status were
meaningful for the young adult group, and all variables
were meaningful for the middle-aged group. A psychiatric
disorder and cancer were meaningful in the elderly group,
economic status was meaningful for male subjects, and
address was meaningful for female subjects.
Conclusions : Factors such as living in city or rural
areas, low economic status, the presence of a psychiatric
disorder, and cancer were statistically meaningful risk
factors in suicide. These factors also differed by age group.
Therefore, policymakers should establish policies for
suicide prevention that are relevant for each age group.

영어초록

factors, cancer, and psychiatric disorders on suicide by
gender and age-specific patterns in South Korea.
Methods : The study is a case-control study. Claim data
was obtained from the national health insurance database
and national death registration database. The number of
people who committed suicide was 11,523, which was
matched with a control group consisting of ten times as
many people at 115,230 selected from the national health
insurance and medical aids beneficiaries. The medical
utilization of the case group was one year before death and
that of the control group was from July 1,2003 to June 30,
2004. Four variables-address, economic status, presence
of a psychiatric disease, and cancer-were used in multiple
logistic regression analyses.
Results : Living in cities or in rural areas showed a
greater risk for suicide than living in a metropolitan city.
Low economic status, the presence of a psychiatric
disorder, and cancer were also statistically meaningful risk
factors for suicide. The three major psychiatric diseases,
schizophrenia, alcohol abuse, and bipolar disorder, were
meaningful in all age groups, but the scale of the odds ratio
differed by the age group. Only the psychiatric disorder
variable was meaningful in the adolescent group, whereas
a psychiatric disorder and economic status were
meaningful for the young adult group, and all variables
were meaningful for the middle-aged group. A psychiatric
disorder and cancer were meaningful in the elderly group,
economic status was meaningful for male subjects, and
address was meaningful for female subjects.
Conclusions : Factors such as living in city or rural
areas, low economic status, the presence of a psychiatric
disorder, and cancer were statistically meaningful risk
factors in suicide. These factors also differed by age group.
Therefore, policymakers should establish policies for
suicide prevention that are relevant for each age group.

참고자료

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