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Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns

We analyzed suicide mortality by occupation using administrative data from 1993 to 2016. Methods: National death records from 1993 to 2016 of the Korea National Statistical Office (KNSO) were used. Suicidal death was taken from Korean Classification of Disease codes as intentional self-harm (X60–X84...

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Autores principales: Yoon, Jin-Ha, Jung, Sun Jae, Choi, Jaesung, Kang, Mo-Yeol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604014/
https://www.ncbi.nlm.nih.gov/pubmed/31195664
http://dx.doi.org/10.3390/ijerph16112007
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author Yoon, Jin-Ha
Jung, Sun Jae
Choi, Jaesung
Kang, Mo-Yeol
author_facet Yoon, Jin-Ha
Jung, Sun Jae
Choi, Jaesung
Kang, Mo-Yeol
author_sort Yoon, Jin-Ha
collection PubMed
description We analyzed suicide mortality by occupation using administrative data from 1993 to 2016. Methods: National death records from 1993 to 2016 of the Korea National Statistical Office (KNSO) were used. Suicidal death was taken from Korean Classification of Disease codes as intentional self-harm (X60–X84) and sequelae of intentional self-harm (Y870). Occupational groups were categorized into “Manager,” “Officer,” ”Service-Trade,” “Agricultural-Fishery-Forestry” (AFF), “Skilled Manual,” and “Unskilled Manual.” Direct standardized mortality (DSM) and standardized mortality ratio (SMR) with 95% confidence interval (95% CI) were calculated. Overall, suicide rates increased during economic downturns, especially among lower socio-economic occupation classes. Both DSM and SMR were highest in AFF, followed by Unskilled Manual, Service-Trade, Officer, Skilled Manual, and Manager categories among men, whereas women showed the highest DSM and SMR in AFF, followed by Service-Trade, Officer, Unskilled Manual, Manager, and Skilled Manual categories. The age-stratified analysis showed that age groups with increasing trends in suicide differed according to occupation and gender. In certain occupational groups, the time-point prevalence fluctuated with socio-economic background in suicidal mortality and differed by age and gender.
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spelling pubmed-66040142019-07-19 Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns Yoon, Jin-Ha Jung, Sun Jae Choi, Jaesung Kang, Mo-Yeol Int J Environ Res Public Health Article We analyzed suicide mortality by occupation using administrative data from 1993 to 2016. Methods: National death records from 1993 to 2016 of the Korea National Statistical Office (KNSO) were used. Suicidal death was taken from Korean Classification of Disease codes as intentional self-harm (X60–X84) and sequelae of intentional self-harm (Y870). Occupational groups were categorized into “Manager,” “Officer,” ”Service-Trade,” “Agricultural-Fishery-Forestry” (AFF), “Skilled Manual,” and “Unskilled Manual.” Direct standardized mortality (DSM) and standardized mortality ratio (SMR) with 95% confidence interval (95% CI) were calculated. Overall, suicide rates increased during economic downturns, especially among lower socio-economic occupation classes. Both DSM and SMR were highest in AFF, followed by Unskilled Manual, Service-Trade, Officer, Skilled Manual, and Manager categories among men, whereas women showed the highest DSM and SMR in AFF, followed by Service-Trade, Officer, Unskilled Manual, Manager, and Skilled Manual categories. The age-stratified analysis showed that age groups with increasing trends in suicide differed according to occupation and gender. In certain occupational groups, the time-point prevalence fluctuated with socio-economic background in suicidal mortality and differed by age and gender. MDPI 2019-06-05 2019-06 /pmc/articles/PMC6604014/ /pubmed/31195664 http://dx.doi.org/10.3390/ijerph16112007 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yoon, Jin-Ha
Jung, Sun Jae
Choi, Jaesung
Kang, Mo-Yeol
Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns
title Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns
title_full Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns
title_fullStr Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns
title_full_unstemmed Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns
title_short Suicide Trends over Time by Occupation in Korea and Their Relationship to Economic Downturns
title_sort suicide trends over time by occupation in korea and their relationship to economic downturns
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604014/
https://www.ncbi.nlm.nih.gov/pubmed/31195664
http://dx.doi.org/10.3390/ijerph16112007
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