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韩国成年人自杀风险的潜在亚型及特征

Latent Subtypes and Characteristics of Suicide Risk Among Korean Adults.

作者信息

Choi Jin Young, Park Subin

机构信息

Division of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.

Department of Social Welfare, Sungkyunkwan University, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2024 Nov;21(11):1251-1259. doi: 10.30773/pi.2023.0432. Epub 2024 Nov 18.

Abstract

OBJECTIVE

We aimed to identify subgroups of suicide risk and their characteristics among Korean adults.

METHODS

We used data from the National Mental Health Survey of Korea 2021. Participants were 5,511 adults aged 18-79 years. Latent class analysis was conducted to identify patterns of suicide risk using suicidal thoughts, plans, attempts, and self-harm. Sociodemographic and health-related characteristics according to the subtype of suicide risk were compared.

RESULTS

Suicide risk was classified into three latent classes: low suicide risk (89.5%, Class 3 [C3]), high suicidal ideation and low suicidal behavior (8.7%, Class 2 [C2]), and high suicidal thoughts and behavior (1.8%, Class 1 [C1]). Risk factors associated with C1 and C2 were the absence of a spouse, low educational and economic status, and unstable occupational status. C1 and C2 had more physical and psychological problems than did C3. Prevalence of mental disorders and mental health service use were higher in C1 than in C2.

CONCLUSION

Suicide risk types have different demographic, physical health-related, and mental health-related characteristics. Therefore, a focused and individualized suicide preventive strategy should be implemented.

摘要

目的

我们旨在识别韩国成年人中自杀风险的亚组及其特征。

方法

我们使用了2021年韩国全国心理健康调查的数据。参与者为5511名年龄在18 - 79岁的成年人。采用潜在类别分析,通过自杀念头、计划、企图和自我伤害来识别自杀风险模式。比较了根据自杀风险亚型划分的社会人口学和健康相关特征。

结果

自杀风险被分为三个潜在类别:低自杀风险(89.5%,第3类[C3])、高自杀意念和低自杀行为(8.7%,第2类[C2])以及高自杀念头和行为(1.8%,第1类[C1])。与C1和C2相关的风险因素包括没有配偶、教育和经济地位低以及职业地位不稳定。C1和C2比C3有更多的身体和心理问题。C1中精神障碍的患病率和心理健康服务的使用率高于C2。

结论

自杀风险类型具有不同的人口统计学、身体健康相关和心理健康相关特征。因此,应实施有针对性的个性化自杀预防策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245c/11611458/067ecdde696b/pi-2023-0432f1.jpg

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