Abstract
BackgroundSuicide is a serious public health concern worldwide, and the fourth leading cause of death in Korea. Few studies have focused on risk factors for suicide attempt among people with suicidal ideation. The aim of the present study was to investigate the risk factors and develop prediction models for suicide attempt among people with suicidal ideation in the Korean population.MethodThis study included 1567 men and 3726 women aged 20 years and older who had suicidal ideation from the Korea National Health and Nutrition Examination Survey from 2007 to 2012. Among them, 106 men and 188 women attempted suicide. Multivariate logistic regression analysis with backward stepwise elimination was performed to find risk factors for suicide attempt. Sub-group analysis, dividing participants into under 50 and at least 50 years old was also performed.ResultsAmong people with suicidal ideation, age, education, cancer, and depressive disorder were selected as risk factors for suicide attempt in men. Age, education, national basic livelihood security, daily activity limitation, depressive disorder, stress, smoking, and regular exercise were selected in women. Area under curves of our prediction models in men and women were 0.728 and 0.716, respectively.ConclusionsIt is important to pay attention to populations with suicidal ideation and the risk factors mentioned above. Prediction models using the determined risk factors could be useful to detect high-risk groups early for suicide attempt among people with suicidal ideation. It is necessary to develop specific action plans for these high-risk groups to prevent suicide.
Highlights
Suicide is a serious public health concern worldwide, and the fourth leading cause of death in Korea
In the results of independent samples t-tests and the chi-square tests, suicide attempt was significantly correlated with the nine variables marked with an *, which were height, weight, household income, employment status, education, national basic livelihood security, cancer, daily activity limitation, and depressive disorder
Suicide attempt was significantly correlated with the nine variables marked with an *, which were age, household income, national basic livelihood security, daily activity limitation, depressive disorder, stress, drinking, smoking, and regular exercise
Summary
Suicide is a serious public health concern worldwide, and the fourth leading cause of death in Korea. Few studies have focused on risk factors for suicide attempt among people with suicidal ideation. The aim of the present study was to investigate the risk factors and develop prediction models for suicide attempt among people with suicidal ideation in the Korean population. Suicide is directly linked to suicide attempt resulting from a complex process including interacting biological, psychological, familial, socioeconomic status, and cultural circumstances [5]. Suicidal ideation, including both verbal and non-verbal manifestations, represents a clinical emergency in psychiatry [6]. A previous study reported that individuals with suicidal ideation had a higher risk for suicide attempt than ones with non-suicidal ideation [7]
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