J Korean Med Sci.  2017 Sep;32(9):1522-1533. 10.3346/jkms.2017.32.9.1522.

Comparison of Baseline Characteristics between Community-based and Hospital-based Suicidal Ideators and Its Implications for Tailoring Strategies for Suicide Prevention: Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior

• Park CH
• Lee JW
• Lee SY
• Moon J
• Shim SH
• Paik JW
• Kim SG
• Cho SJ
• Kim MH
• Kim S
• Park JH
• You S
• Jeon HJ
• Ahn YM

• KMID: 2385961
• DOI: http://doi.org/10.3346/jkms.2017.32.9.1522

Abstract

In this cross-sectional study, we aimed to identify distinguishing factors between populations with suicidal ideation recruited from hospitals and communities to make an efficient allocation of limited anti-suicidal resources according to group differences. We analyzed the baseline data from 120 individuals in a community-based cohort (CC) and 137 individuals in a hospital-based cohort (HC) with suicidal ideation obtained from the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior (K-COMPASS) study. First, their sociodemographic factors, histories of medical and psychiatric illnesses, and suicidal behaviors were compared. Second, diagnosis by the Korean version of the Mini International Neuropsychiatric Interview, scores of psychometric scales were used to assess differences in clinical severity between the groups. The results revealed that the HC had more severe clinical features: more psychiatric diagnosis including current and recurrent major depressive episodes (odds ratio [OR], 4.054; P < 0.001 and OR, 11.432; P < 0.001, respectively), current suicide risk (OR, 4.817; P < 0.001), past manic episodes (OR, 9.500; P < 0.001), past hypomanic episodes (OR, 4.108; P = 0.008), current alcohol abuse (OR, 3.566; P = 0.020), and current mood disorder with psychotic features (OR, 20.342; P < 0.001) besides significantly higher scores in depression, anxiety, alcohol problems, impulsivity, and stress. By comparison, old age, single households, and low socioeconomic status were significantly associated with the CC. These findings indicate the necessity of more clinically oriented support for hospital visitors and more socioeconomic aid for community-dwellers with suicidality.

Keyword

Suicide; Epidemiologic Studies; Cross-sectional Studies; Hospitals; Community Mental Health Centers; Korea

MeSH Terms

Alcoholism
Anxiety
Cohort Studies*
Community Mental Health Centers
Cross-Sectional Studies
Depression
Diagnosis
Epidemiologic Studies
Family Characteristics
Impulsive Behavior
Korea
Mental Disorders
Mood Disorders
Psychometrics
Social Class
Suicidal Ideation
Suicide*
Weights and Measures

Figure

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  Fig. 1 K-COMPASS flow diagram of study selection process. K-COMPASS = Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior.

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