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인구사회적 요인, 암, 일부 전신질환 등이 자살에 미치는 영향: 성별, 연령별 분석
Effect of Sociodemographic Factors, Cancer, Psychiatric Disorder on Suicide: Gender and Age-specific Patterns

박재영   (이화여자대학교 의학전문대학원 예방의학교실UU0001056  ); 채유미   (단국대학교병원 산업의학과HH0000028  ); 정상혁   (이화여자대학교 의학전문대학원 예방의학교실UU0001056  ); 문기태   (건강보험심사평가원 진료정보분석실CC0186812  );
  • 초록

    Objectives : We examined the effect of sociodemographic 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.


  • 주제어

    Suicide .   Case-control study.  

  • 참고문헌 (34)

    1. King EA, Baldwin DS, Sinclair JM, Baker NG, Campbell MJ, Thompson C. The Wessex recent in-patient suicide study, I. Case-control study of 234 recently discharged psychiatric patient suicides. Br J Psychiatry 2001; 178: 531-536 
    2. Appleby L, Shaw J, Amos T, McDonnell R, Harris C, McCann K, et al. Suicide within 12 months of contact with mental health service: National clinical survey. BMJ 1999; 318(7193): 1235-1239 
    3. Qin P, Agerbo E, Westergard-Nielsen N, Erikkson T, Mortensen PB. Gender difference in risk factors for suicide in Denmark. Br J Psychiatry 2000; 177: 546-550 
    4. Lepetz C, Reich M. Suicidal crisis in oncology: Assessment and care. Bull Cancer 2006; 93(7): 709-713 
    5. Pirkis J, Blood RW, Beautrais A, Skehans J. Media guidelines on the reporting of suicide. Crisis 2006; 27(2): 82-87 
    6. Park JS, Lee JY, Kim SD. A study for effects of economic growth rate and unemployment rate to suicide rate in Korea. Korean J Prev Med 2003; 36(1): 85-91. (Korean)     
    7. Agerbo E, Mortensen PB, Eriksson T, Qin P, Westergaard-Nielsen N. Risk of suicide in relation to income level in people admitted to hospital with mental illness: Nested casecontrol study. BMJ 2001; 322(7282): 334-335 
    8. Qin P, Agerbo E, Mortensen PB. Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: A national register based study of all suicides in Denmark, 1981-1997. Am J Psychiatry 2003; 160(4): 765-772 
    9. Kirkcaldy BD, Siefen GR, Urkin J, Merrick J. Risk factors for suicidal behavior in adolescentes. Minerva Pediatr 2006; 58(5): 443-450 
    10. Park JH, No YH, Wi DH. Clinical analysis of attempted suicide in the elderly. J Korean Soc Emerg Med 2001; 12(2): 135-142. (Korean) 
    11. Greenberg PE, Kessler RC, Birnbaum HG, Leong SA, Lowe SW, Berglund PA, et al. The economic burden of depression in the United States: How did it change between 1990 and 2000? J Clin Psychiatry 2003; 64(12): 1465-1475 
    12. Ross RK, Bernstein L, Trent L, Henderson BE, Paganini-Hill A. A prospective study of risk factors for traumatic death in the retirement community. Prev Med 1990; 19(3): 323-334 
    13. Yip PS, Liu KY. The ecological fallacy and the gender ratio of suicide in China. Br J Psychiatry 2006; 189: 465-466 
    14. Schneider B, Philipp M, Mller MJ. Psychopathological predictors of suicide in patients with major depression during a 5-year followup. Eur Psychiatry 2001; 16(5): 283-288 
    15. Brent DA, Perper JA, Allman CJ. Alcohol, firearms, and suicide, among youth. Temporal trend in Allegheny county, Pennsylvania, 1960 to 1983. JAMA 1987; 257(24): 3369-3372 
    16. McKeown RE, Cuffe SP, Schulz RM. US suicide rates by age group, 1970-2002: An examination of recent trends. Am J Public Health 2006; 96(10): 1744-1751 
    17. Strenager E. Somatic disease and suicidal behavior. Psychiatr Danub 2006; 18 (suppl 1): 151 
    18. Kim HJ, Song YJ, Yi JJ, Chung WJ, Nam JM. Changes in mortality after the recent economic crisis in South Korea. Ann Epidemiol 2004; 14(6): 442-446 
    19. Gunnell DJ, Peters TJ, Kammerling RM, Brooks J. Relation between parasuicide, suicide, psychiatric admission and socioeconomic deprivation. BMJ 1995; 311(6999): 226-230 
    20. Hong JP, Bae MJ, Suh T. Epidemiology of suicide in Korea. Psychiatry Invest 2006; 3(2): 7-14 
    21. Kim MD, Hong SC, Lee SY, Kwak YS, Lee CI, Hwang SW, et al. Suicide risk in relation to social class: A national register-based study of adult suicides in Korea, 1999-2001. Int J Social Psychiatry 2006; 52(2): 138-151 
    22. Oh JK, Cho YT, Kim CY. Socio-Demographic characteristics of suicides in South Korea. Health Soc Sci 2005; 18: 191-210. (Korean) 
    23. Gould MS. Suicide and the media. Ann N Y Acad Sci 2001; 932: 200-221 
    24. Waern M, Rubenowitz E, Runeson B, Skoog I, Wilhelmson K, Allebeck P. Burden of illness and suicide in elderly people: Case-control study. BMJ 2002; 324(7350): 1355-1358 
    25. Mann JJ. A current perspective of suicide and attempted suicide. Ann Intern Med 2002; 136(4): 302-311 
    26. O'Connell H, Chin AV, Cunningham C, Lawlor BA. Recent developments : Suicide in older people. BMJ 2004; 329(7471): 895-899 
    27. Rich CL, Young D, Fowler RC. San Diego suicide study. I. Young vs old subjects. Arch Gen Psychiatry 1986; 43(6): 577-582 
    28. Conwell Y, Duberstein PR, Caine ED. Risk factors for suicide in later life. Biol Psychiatry 2002; 52(3): 193-204 
    29. Durkheim E. Suicide. Illinois: Free Press; 1987. p. 38-50 
    30. Suh TW. Current situation and trends of suicidal deaths, ideas and attempts in Korea. Health Soc Welfare Rev 2001; 21(1): 106-125. (Korean) 
    31. Kposowa AJ. Marital status and suicide in National longitudinal mortality study. J Epidemiol Community Health 2000; 54(4): 254-261 
    32. Kumar G, Steer R. Psychosocial correlates of suicidal ideation in adolescent psychiatric inpatients. Suicide Life Threat Behav 1995; 25(3): 339-346 
    33. Agerbo E, Qin P, Mortensen PB. Psychiatric illness, socioeconomic status, and marital status in people committing suicide: A matched casesibling-control study. J Epidemiol Community Health 2006; 60(9): 776-781 
    34. Hong SC, Kim MD, Lee SY. Suicide risk in relation to social class: A national registerbased study of all suicides in Korea, 1999-2001. Health Soc Sci 2003; 14: 249-271. (Korean) 
  • 이 논문을 인용한 문헌 (2)

    1. Kim, Jun-Hong ; Jung, Young-Il 2011. "Risk Factors Associated with Suicidal Attempts in Korea: Exploring the Links with the Views on Suicide, Death, and Life" 保健敎育健康增進學會誌 = Korean journal of health education and promotion, 28(2): 109~123     
    2. Kim, Eunjung ; Lee, Sunmi ; Lim, Seungji ; Chung, Woojin 2013. "Relationship between the Suicidal Ideation of the Married Women and the Characteristics of Their Children" Health policy and management = 보건행정학회지, 23(4): 358~368     

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