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2007年至2021年韩国老年人自杀未遂的经济负担与流行病学调查结果简要报告

A brief report of the economic burden and epidemiological finding of suicide attempts among the older adults in Korea from 2007 to 2021.

作者信息

Lee Seoyoon, Shin Hyung Eun, Lee Rugyeom, Jo Sooyeon, Lee Seung Cheor, Cheong Hyeon-Kyoung, Rhee Yong Joo, Oh In-Hwan

机构信息

Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station, TX, USA.

Department of Health Sciences and Technology, College of Medicine, Kyung Hee University, Seoul, Korea.

出版信息

BMC Geriatr. 2025 Mar 5;25(1):147. doi: 10.1186/s12877-025-05793-0.

Abstract

AIM

Quantifying the increased personal and social losses following suicide attempts among the aging population presents a significant challenge. There is an urgent need to determine the economic burden of suicide attempts among older adults in Korea.

SUBJECTS AND METHODS

The economic burden of suicide attempts from 2007 to 2021 was assessed using claim data from the Health Insurance Review & Assessment and Causes of Death Statistics in Korea. The analysis focused on individuals diagnosed with injuries, poisoning, and other consequences of external causes (S00-T98), intentional self-harm (X60-X84), sequelae of intentional self-harm (Y87.0), and personal history of self-harm (Z91.5). Economic impacts were analyzed by year, primary and secondary diagnoses in claim data, and Cause of Death Statistics.

RESULTS

The mean age of study participants was 72.86 years, with women accounting for 48.4% of the sample. The total cost of suicide attempts increased dramatically from $0.167 million in 2007 to $1.591 million in 2021. The most frequently observed ICD-10 codes associated with these attempts were toxic effects of substances chiefly nonmedicinal as to source (T51-T65), followed by poisoning by drugs, medicaments, and biological substances(T36-T50) for both genders. While the total number of suicidal attempts generally increased annually, there were declines noted in 2020 and 2021.

CONCLUSION

This study informs the high level of economic costs of suicide attempts that were being neglected. By thoroughly understanding demographic characteristics, emerging trends, and cost classifications, policymakers can devise more effective strategies to prevent suicide attempts, provide timely support, and mitigate the associated economic and social burdens.

摘要

目的

量化老年人口自杀未遂后个人和社会损失的增加是一项重大挑战。迫切需要确定韩国老年人自杀未遂的经济负担。

对象与方法

利用韩国健康保险审查与评估以及死亡原因统计的理赔数据,评估2007年至2021年自杀未遂的经济负担。分析重点关注被诊断为受伤、中毒和其他外部原因后果(S00-T98)、故意自伤(X60-X84)、故意自伤后遗症(Y87.0)以及自伤个人史(Z91.5)的个体。按年份、理赔数据中的主要和次要诊断以及死亡原因统计分析经济影响。

结果

研究参与者的平均年龄为72.86岁,女性占样本的48.4%。自杀未遂的总成本从2007年的16.7万美元急剧增加到2021年的159.1万美元。与这些未遂相关的最常观察到的国际疾病分类第十版(ICD-10)编码是主要非药用物质的毒性作用(T51-T65),其次是药物、药剂和生物物质中毒(T36-T50),男女皆是如此。虽然自杀未遂总数总体上逐年增加,但在2020年和2021年有所下降。

结论

本研究揭示了被忽视的自杀未遂的高额经济成本。通过全面了解人口特征、新趋势和成本分类,政策制定者可以制定更有效的策略来预防自杀未遂、提供及时支持并减轻相关的经济和社会负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9922/11881397/c57961d0b5d2/12877_2025_5793_Fig1_HTML.jpg

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