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Comparison of Baseline Characteristics between Communitybased 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
C. Hyung Keun Park | Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea; Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea
Jae Won Lee | Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seongnam, Korea
Sang Yeol Lee | Department of Psychiatry, School of Medicine, Wonkwang University, Iksan, Korea
Jungjoon Moon | Department of Psychiatry, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
Se-Hoon Shim | Department of Psychiatry, Soonchunhyang University Cheonan Hospital, Soonchunhyang University, Cheonan, Korea
Jong-Woo Paik | Department of Psychiatry, Kyung Hee University College of Medicine, Seoul, Korea
Shin Gyeom Kim | Department of Neuropsychiatry, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
Seong-Jin Cho | Department of Psychiatry, Gachon University Gil Medical Center, Incheon, Korea
Min-Hyuk Kim | Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju, Korea
Seokho Kim | Deparmtent of Sociology, Seoul National University College of Social Sciences, Seoul, Korea
Jae-Hyun Park | Department of Social and Preventive Medicine, Sungkyunkwan University College of Medicine, Suwon, Korea
Sungeun You | Department of Psychology, Chungbuk National University College of Social Sciences, Cheongju, Korea
Hong Jin Jeon | Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Yong Min Ahn | Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea; Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea
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.
Keywords: Suicide; Epidemiologic Studies; Cross-sectional Studies; Hospitals; Community Mental Health Centers; Korea
J Korean Med Sci 2017; 32: 1522-1533 https://doi.org/10.3346/jkms.2017.32.9.1522