Department of Public Health, Korea University, 73, Goryeodae-ro, Seongbuk-gu, Seoul 02841, Korea.
Department of Preventive Medicine, College of Medicine, Korea University, 73, Goryeodae-ro, Seongbuk-gu, Seoul 02841, Korea.
Int J Environ Res Public Health. 2020 Jul 9;17(14):4961. doi: 10.3390/ijerph17144961.
South Korea's suicide rate has remained among the highest in the world for some years, and there is also a gap in suicide rates among regions within the country. This study investigates the differences in years of life lost (YLLs) due to suicide in 250 districts and the factors associated with regional YLLs in South Korea in 2016. The relationships between YLLs due to suicide by region and factors such as population characteristics, health behaviors, socioeconomic factors, and mental health resources in the community were examined through multiple linear regression analysis. The gap between districts with the highest and lowest YLL due to suicide per 100,000 people was more than a 7-times difference. Factors related to YLLs due to suicide by region were physical activity rates and community mental healthcare centers, and there were differences in these factors according to gender. In conclusion, to prevent suicide at the community level, it is necessary to consider gender in establishing intervention strategies. The community needs to play an active role in promoting mental health and reducing suicide among local residents and to continue to invest in the support and management of those at high risk of suicide.
韩国的自杀率多年来一直位居世界前列,国内各地区的自杀率也存在差距。本研究旨在探讨 2016 年韩国 250 个区因自杀导致的生命损失年(YLL)的差异,以及与区域 YLL 相关的因素。通过多元线性回归分析,研究了因自杀导致的 YLL 与人口特征、健康行为、社会经济因素和社区心理健康资源等因素之间的关系。因自杀导致的 YLL 最高和最低的区之间每 10 万人的差距超过 7 倍。与区域自杀相关的 YLL 因素是身体活动率和社区心理健康保健中心,这些因素因性别而异。总之,要在社区层面预防自杀,有必要在制定干预策略时考虑到性别因素。社区需要积极发挥作用,促进当地居民的心理健康,减少自杀行为,并继续投资于对高危自杀人群的支持和管理。