TY  - JOUR
PY  - 2017//
TI  - 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
JO  - Journal of Korean medical science
A1  - Park, C. Hyung Keun
A1  - Lee, Jae Won
A1  - Lee, Sang Yeol
A1  - Moon, Jungjoon
A1  - Shim, Se Hoon
A1  - Paik, Jong Woo
A1  - Kim, Shin Gyeom
A1  - Cho, Seong Jin
A1  - Kim, Min Hyuk
A1  - Kim, Seokho
A1  - Park, Jae Hyun
A1  - You, Sungeun
A1  - Jeon, Hong Jin
A1  - Ahn, Yong Min
SP  - 1522
EP  - 1533
VL  - 32
IS  - 9
N2  - 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.<br><br>© 2017 The Korean Academy of Medical Sciences.<p />  <p>Language: en</p>
LA  - en
SN  - 1011-8934
UR  - http://dx.doi.org/10.3346/jkms.2017.32.9.1522
ID  - ref1
ER  -