@article{ref1,
title="The effect of income level on all-cause mortality and suicide among patients using antidepressants: a population-based cohort study",
journal="Psychiatry research",
year="2021",
author="Choi, Young",
volume="299",
number="",
pages="e113838-e113838",
abstract="BACKGROUND: To investigate whether household income levels are associated with all-cause mortality and suicide in patients using antidepressant agents. <br><br>METHODS: We analyzed data from 75,782 patients using antidepressants, acquired from the Korean National Health Insurance claims database (2002-2013). Each patient was monitored until December 2013 or until death, whichever occurred sooner. Cox proportional hazard models were used to compare all-cause and suicide mortalities between different income groups after adjusting for possible confounding covariates and risk factors. <br><br>RESULTS: The mid-low income group had a significantly higher suicide rate than the high-income group (hazard ratio [HR] 1.379; 95% confidence interval [CI] 1.102-1.762). Male patients in the low and mid-low income groups had a higher risk of suicide (HR 1.449; 95% CI, 1.006-2.087 and HR 1.410; 95% CI, 1.036-1.918, respectively), whereas there was no significant difference in suicide risk between income groups among female patients. <br><br>CONCLUSION: Promotion of targeted policies and priority health services for low-income patients on antidepressants may help reduce the risk of suicide in this high-risk group.<p /> <p>Language: en</p>",
language="en",
issn="0165-1781",
doi="10.1016/j.psychres.2021.113838",
url="http://dx.doi.org/10.1016/j.psychres.2021.113838"
}