[논문]Sex difference in risk period for completed suicide following prior attempts: Korea National Suicide Survey (KNSS)

Kim, Bora; Lee, Joongyup; Kim, Eunyoung; Kim, Se Hyun; Ha, Kyooseob; Kim, Young Shin; Leventhal, Bennett L.; Ahn, Yong Min

doi:10.1016/j.jad.2017.11.013

Sex difference in risk period for completed suicide following prior attempts: Korea National Suicide Survey (KNSS)

Journal of affective disorders, v.227, 2018년, pp.861 - 868

Kim, Bora (Department of Psychiatry, University of California) , Lee, Joongyup (Division of Clinical Epidemiology, Seoul National University Hospital) , Kim, Eunyoung (Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine) , Kim, Se Hyun (Department of Neuropsychiatry, Dongguk University International Hospital, Dongguk University Medical School) , Ha, Kyooseob (Department of Psychiatry, Seoul National University Hospital) , Kim, Young Shin (Department of Psychiatry, University of California) , Leventhal, Bennett L. (Department of Psychiatry, University of California) , Ahn, Yong Min (Department of Psychiatry, Seoul National University Hospital)

Abstract ▼ AI-Helper

Abstract Objectives We provide an opportunity for implementing preventive interventions to decrease suicide mortality among prior suicide attempters. We aim to identify sex-specific high risk periods and factors for later suicide death among suicide attempters. Methods 8537 suicide attempters of Korea National Suicide Survey were collected from January 1, 2007 to December 31, 2011 and data on suicide death was obtained as of December 31, 2012. The risk period and risk factors for later suicide death was computed by Kaplan-Meier survival estimates and by plotting the hazard function using the Epanechnikov Kernal smoothing method and cox proportional hazard regression modeling. Results The hazard for later suicide death was significant up to 10 months for females and 20 months for males. Age 50–69 years (HR, 3.29; [CI: 1.80–6.02] and not being intoxicated with alcohol (HR, 1.94 [1.27–2.97])) in male attempters were significant risk factors for later suicide death. Conclusion Risk for later suicide death was significantly increased during the first full year following index attempts for all with an addition 8 months of risk for males, especially those of advanced age who were sober at the time of attempt. Highlights Empirical evidence for the implementation periods of the suicide interventions to decrease subsequent suicide mortality among attempters is provided. As for intensive care during the first year following suicide attempts, further attention is warranted for male attempters up to 20 months than female. Certain specific characteristics of suicide attempts which need careful clinical attention are provided for male and female attempters, respectively.

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Sex difference in risk period for completed suicide following prior attempts: Korea National Suicide Survey (KNSS)

Abstract ▼ AI-Helper

참고문헌 (39)

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