Department of Health Management, Jeonju University, Jeonju-si 55069, Korea.
Department of Social Welfare, Jeonju University, Jeonju-si 55069, Korea.
Int J Environ Res Public Health. 2022 Jul 7;19(14):8303. doi: 10.3390/ijerph19148303.
Self-harm injury among older adults is a pressing problem that demands social attention in South Korea. This study sought to identify the association between physical and mental illness and hospitalization following self-harm injuries, compared to non-self-harm injuries, among older adults living in Korea. We analyzed individuals aged 65 and older who were admitted to hospitals either for self-harm or non-self-harm from a population-based survey of the Korea National Hospital Discharge In-depth Injury Survey (KNHDIS). A logistic regression analysis was performed. Compared with non-self-harm-related hospitalization, self-harm hospitalization was associated with higher odds of depression, other disorders of the nervous system, malignancies, alcohol misuse and dependence, and drug-related dependence. Dementia, anxiety disorder, diabetes, arthritis, cerebral palsy, and other paralytic syndromes had a lower likelihood of leading to self-harm than non-self-harm hospitalization. The findings of this study can inform medical professionals to identify older adults with a heightened risk of self-harming behavior leading to hospitalization.
老年人的自伤行为是一个紧迫的问题，在韩国需要引起社会关注。本研究旨在确定与非自伤相比，韩国老年人的自伤损伤与身体和精神疾病之间的关系，并导致住院。我们分析了来自韩国国家医院出院深度伤害调查（KNHDIS）的基于人群的调查中因自伤或非自伤住院的年龄在 65 岁及以上的个体。进行了逻辑回归分析。与非自伤相关的住院相比，自伤住院与抑郁症、其他神经系统疾病、恶性肿瘤、酒精使用障碍和依赖以及与药物相关的依赖的可能性更高。痴呆、焦虑障碍、糖尿病、关节炎、脑瘫和其他瘫痪综合征导致自伤住院的可能性低于非自伤住院。本研究的结果可以为医疗专业人员提供信息，以识别有更高风险导致住院的自伤行为的老年人。
