Suicidal Ideation of Men with Alcohol Use Disorder in South Korea: A Structural Equation Modeling Analysis.

Hyon Joo Hong,Sung Hee Shin

doi:10.3390/ijerph18073353

Abstract

South Korea’s suicide rate has been ranked second among OECD countries, and the rate of suicidal ideation is the highest among men with alcohol use disorder. To test a hypothetical model of men with alcohol use disorder based on O’Connor’s integrated motivational-volitional model, a study was conducted at a psychiatric outpatient clinic, a community addiction management center, and an Alcoholics Anonymous meeting in South Korea, comprising 203 men with alcohol use disorder. Data were collected using the Scale for Suicide Ideation, Barratt Impulsiveness Scale-11, Childhood Trauma Questionnaire-Short Form, Survey of Recent Life Experiences-Short Form, Defeat Scale and Entrapment Scale. The final model was a good fit to the data (χ2/df = 1.51, comparative fit index = 0.97, normed fit index = 0.92, incremental fit index = 0.97, Tucker–Lewis index = 0.96, and root mean square error of approximation = 0.05). The structural model explained 34.0% of the variance in suicidal ideation; and it validated that impulsivity, stress, defeat, and entrapment were the key factors affecting suicidal ideation. To prevent suicide among men with alcohol use disorder, it is necessary to develop a suicide prevention program that includes men’s feelings of defeat and entrapment.

Highlights

South Korea’s suicide rate has been ranked second among Organization for EconomicCooperation and Development countries [1]
Individuals with alcohol use disorder have reduced abilities to control emotions when they drink because rational judgment is often impaired after alcohol consumption; acute or chronic alcohol abuse acts as a triggering event for suicide [4]
In order to develop an intervention to prevent suicidal ideation, since repetitive suicide ideation may result in suicide attempts and death by suicide [19], this study aimed to establish and validate a structural equation model consisting of factors that influence suicidal ideation in men with alcohol use disorder, based on O’Connor’s [17] integrated motivational-volitional model

Summary

Introduction

South Korea’s suicide rate has been ranked second among Organization for EconomicCooperation and Development countries [1]. South Korea’s suicide rate has been ranked second among Organization for Economic. The suicide rate in South Korea is. Most (60–90%) of those who die from suicide have mental disorders, and the rate of lifetime suicidal ideation in South Korea is 15.4%, whereas the rate of lifetime suicide attempts is 2.4% [3]. Among individuals with mental disorders, the rates of suicidal ideation and attempts are the highest among men with alcohol use disorder. The rate of suicide is 2.6 times higher among South Korean men than women [5], and the rate of lifetime suicidal ideation in men with alcohol use disorder (28.3%) is more than double that of women with alcohol use disorder (12.3%) [3]

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Methods

Discussion

Conclusion