School of Public Health, Bielefeld University, Universitätsstraße 25, 33615, Bielefeld, Germany.
Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
BMC Public Health. 2022 Jan 18;22(1):129. doi: 10.1186/s12889-022-12498-1.
BACKGROUND: The economic and human costs of suicide to individuals, families, communities, and society make suicide a major public health problem around the world. Suicide rates in South Korea are among the highest in the world. This paper is the first systematic review investigating socioeconomic risk factors for suicidal behaviors (suicidal ideation, attempted suicides, and completed suicides) in South Korea. METHODS: We performed a systematic review in Medline and Web of Science. Empirical studies and peer-reviewed articles on the association between individual socioeconomic factors and suicidal behaviors have been included. A total of 53 studies were included in a descriptive synthesis. RESULTS: Overall, 35 studies focused on the association between individual socioeconomic factors and suicidal ideation, 16 were related to suicide attempts, while 10 addressed completed suicides. Low income, unemployment, and financial difficulties were identified as risk factors for all suicidal behaviors. Working in precarious conditions, long working hours, self-employment, changes in employment status, shift work/night-time work, and occupational stress were associated with an increased risk for suicidal ideation. Low educational attainment appears to increase the risk for suicide attempts and completed suicide, but the significance of educational attainment on the reporting of suicidal ideation could not be verified. The primary studies were unable to ascertain whether the place of residence impacts on suicidal behaviors. CONCLUSIONS: The results highlight the relevance of socioeconomic factors for suicidal behaviors in South Korea. Governmental social spending must be increased and redirected more efficiently so that the economically most vulnerable groups are financially protected and income inequality does not widen. Furthermore, comprehensive prevention strategies at the community level are needed. Future research needs to focus on identifying vulnerable groups for whom the effects of low socioeconomic status may have particularly serious consequences with regard to suicidal behaviors.
背景:自杀给个人、家庭、社区和社会带来了巨大的经济和人力成本,使其成为全球范围内的主要公共卫生问题。韩国的自杀率位居世界前列。本文是首次系统综述调查韩国自杀行为(自杀意念、自杀未遂和自杀死亡)的社会经济风险因素。
方法:我们在 Medline 和 Web of Science 上进行了系统综述。纳入了个体社会经济因素与自杀行为之间关联的实证研究和同行评议文章。共有 53 项研究纳入描述性综合分析。
结果:总体而言,35 项研究关注个体社会经济因素与自杀意念的关联,16 项研究与自杀未遂相关,10 项研究涉及自杀死亡。低收入、失业和经济困难被确定为所有自杀行为的危险因素。在不稳定条件下工作、工作时间长、自营职业、就业状况变化、轮班工作/夜间工作和职业压力与自杀意念风险增加相关。低教育程度似乎增加了自杀未遂和自杀死亡的风险,但教育程度对自杀意念报告的意义尚无法确定。主要研究无法确定居住地是否对自杀行为有影响。
结论:研究结果突出了社会经济因素对韩国自杀行为的相关性。政府社会支出必须增加并更有效地重新分配,以使经济上最脆弱的群体得到财务保护,并且收入不平等不会扩大。此外,还需要在社区层面制定综合预防策略。未来的研究需要集中于确定易受影响的群体,对于这些群体而言,低社会经济地位的影响可能对自杀行为产生特别严重的后果。
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