Park Ilsu, Lee Tae-Hyeon, Kwon Chan-Young
Department of Healthcare Management, College of Nursing, Healthcare Sciences and Human Ecology, Dong-eui University, 176, Eomgwang-ro, Busanjin-gu, Busan, 47340, Republic of Korea.
Department of Biomedical Health Science, Dong-eui University Graduate School, 176, Eomgwang-ro, Busanjin-gu, Busan, Republic of Korea.
Heliyon. 2024 Aug 29;10(17):e37181. doi: 10.1016/j.heliyon.2024.e37181. eCollection 2024 Sep 15.
Suicide is the leading cause of death worldwide, especially in South Korea. Individuals using Korean medicine (KM) clinics are common in this country, but KM doctor is not yet used in the country's suicide prevention policy. In this study, we investigated the prevalence and risk factors of passive suicidal ideation (SI) among outpatients at KM clinics, and attempted to develop a predictive model of SI through multivariate analysis. The Korea Health Panel Annual Data 2019, a nationally representative survey in South Korea, was analyzed. In this study, 1924 (weighted n:5,958,666) people aged 19 or older who used the KM outpatient service at least once in 2019 were set as study subjects. The authors calculated the weighted prevalence of passive SI and identified significant sociodemographic, physical, and mental factors using the Rao-Scott chi-square test and weighted logistic regression. A suicide risk scorecard was developed using the point to double the odds method to quantify individual risk, resulting in a score range of 0-100. We found high prevalence of passive SI among KM outpatients (7.5 %), and the annual prevalence of passive SI tended to be higher with increasing age (4.6 % in young adults, 6.7 % in middle-aged, and 12.4 % in old age). Also, the prevalence increased as stress worsened (2.0 % in hardly, 3.9 % in a little, 13.7 % in a lot, and 24.8 % in very much). By using multiple logistic regression analysis, SI risk prediction score model was developed, including basic livelihood security recipients, presence of chronic diseases, perceived stress, depression, and low quality of life. According to our findings, passive SI is not uncommon among KM outpatients. Based on current findings, the potential role of KMDs in the country's suicide prevention strategy can be discussed focusing on specific groups such as socioeconomically vulnerable groups, the elderly population, and those with physical illnesses.
自杀是全球主要的死亡原因，在韩国尤其如此。在韩国，使用韩医诊所的人很常见，但韩医尚未被纳入该国的自杀预防政策。在本研究中，我们调查了韩医诊所门诊患者中被动自杀意念（SI）的患病率及危险因素，并试图通过多变量分析建立SI的预测模型。我们分析了2019年韩国健康面板年度数据，这是一项具有全国代表性的调查。在本研究中，将2019年至少使用过一次韩医门诊服务的1924名（加权n：5958666）19岁及以上人群设定为研究对象。作者计算了被动SI的加权患病率，并使用Rao-Scott卡方检验和加权逻辑回归确定了显著的社会人口学、身体和心理因素。采用点到双倍优势法开发了自杀风险计分卡以量化个体风险，得分范围为0至100。我们发现韩医门诊患者中被动SI的患病率较高（7.5%），且被动SI的年患病率往往随着年龄增长而升高（年轻人为4.6%，中年人6.7%，老年人12.4%）。此外，随着压力加剧，患病率也有所上升（几乎没有压力为2.0%，有一点压力为3.9%，压力很大为13.7%，压力极大为24.8%）。通过多元逻辑回归分析，建立了SI风险预测评分模型，包括基本生活保障受助者、慢性病的存在、感知压力、抑郁和生活质量低下等因素。根据我们的研究结果，被动SI在韩医门诊患者中并不罕见。基于目前的研究结果，可以围绕社会经济弱势群体、老年人群体和身体疾病患者等特定群体，讨论韩医在该国自杀预防策略中的潜在作用。
