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Age and gender differences in medical care utilization prior to suicide.
MedLine Citation:
PMID:  23017538     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Analysis of temporal patterns of medical care utilization prior to suicide may aid in developing suicide prevention programs. The aim of this study was to investigate age and gender differences in temporal patterns of medical care utilization during 1 year prior to suicide. METHODS: Medical care utilization data of all suicide completers in the Republic of Korea whose death occurred in 2004 (7903 men and 3620 women) was used. Differences among the quarters in medical expenditures and number of medical care visits were analyzed using a repeated measures analysis. Total medical expenditures were compared to those of age- and gender-matched controls by multiple logistic regression analysis. RESULTS: Among suicides, 84% (81% in men, 91% in women) contacted medical care in the year prior to suicide. In 10-39 year-old women, the number of medical care visits for gastrointestinal disease increased significantly during the final 3 months prior to suicide. All suicide completers showed that the number of medical care visits for psychiatric disorders increased significantly during the final 3 months with the exception of 10-19 year age group. Total medical expenditures during the year prior to suicide were elevated significantly and associated significantly with suicide risk (OR, 1.20; 95% CI, 1.19-1.21). LIMITATIONS: Inaccuracies in the underlying disease and death statistics data may have led to misclassification bias. CONCLUSIONS: Medical care utilization increased as the date of suicide approached. There are age and gender differences in medical care utilization in the year prior to suicide.
Authors:
Jaelim Cho; Dae Ryong Kang; Ki Tae Moon; Mina Suh; Kyoung Hwa Ha; Changsoo Kim; Il Suh; Dong Chun Shin; Sang Hyuk Jung
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-24
Journal Detail:
Title:  Journal of affective disorders     Volume:  -     ISSN:  1573-2517     ISO Abbreviation:  J Affect Disord     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7906073     Medline TA:  J Affect Disord     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier B.V. All rights reserved.
Affiliation:
Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
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