Shin Jiwon, Yang Hyun, Lee Muwon, Park Haeyean, Bae Suyeong
Yonsei University Occupational Therapy, Wonju, Korea.
Department of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Korea.
J Prev Med Public Health. 2025 May 8. doi: 10.3961/jpmph.24.792.
This study aimed to investigate the current status of social isolation and seclusion among young adults in South Korea and to analyze their association with suicide risk.
We utilized data from 14,966 young adults aged 19-34 years from the 2022 Survey on the Lives of Young People. Social isolation and seclusion were defined as independent variables, and suicidal ideation within the past year was set as the dependent variable. Propensity score matching (PSM) was employed to reduce the risk of selection bias, and logistic regression analysis was conducted to examine the associations between social isolation, seclusion, and suicidal ideation.
Of the participants, 266 individuals (1.78%) were socially isolated, and 67 individuals (0.45%) were secluded. The prevalence of suicidal ideation was 10.53% among socially isolated young adults and 14.93% among secluded young adults. Associations were observed between social isolation and suicidal ideation (population-weighted adjusted model: odds ratio [OR]=2.429, p=0.003; population-weighted PSM model: OR=2.030, p=0.037), as well as between seclusion and suicidal ideation (population-weighted adjusted model: OR=4.148, p=0.004; population-weighted PSM model: OR=3.873, p=0.010) across all models.
Being socially isolated or secluded is associated with an increased risk of suicidal ideation among young adults aged 19-34 years. Preventive policies and tailored support systems are urgently needed to address these risks. This study contributes to the development of specific policies for mitigating social isolation and supporting the reintegration of young adults aged 19-34 years into society.
本研究旨在调查韩国年轻人中社会隔离和独居的现状,并分析它们与自杀风险的关联。
我们使用了来自2022年年轻人生活调查的14966名19 - 34岁年轻人的数据。将社会隔离和独居定义为自变量,将过去一年中的自杀意念设定为因变量。采用倾向得分匹配(PSM)来降低选择偏倚的风险,并进行逻辑回归分析以检验社会隔离、独居与自杀意念之间的关联。
在参与者中,266人(1.78%)处于社会隔离状态,67人(0.45%)处于独居状态。社会隔离的年轻人中自杀意念的患病率为10.53%,独居的年轻人中为14.93%。在所有模型中,均观察到社会隔离与自杀意念之间存在关联(总体加权调整模型:优势比[OR]=2.429,p = 0.003;总体加权PSM模型:OR = 2.030,p = 0.037),以及独居与自杀意念之间存在关联(总体加权调整模型:OR = 4.148,p = 0.004;总体加权PSM模型:OR = 3.873,p = 0.010)。
社会隔离或独居与19 - 34岁年轻人自杀意念风险增加有关。迫切需要制定预防政策和量身定制的支持系统来应对这些风险。本研究有助于制定具体政策,以减轻社会隔离并支持19 - 34岁年轻人重新融入社会。