Cargando…

Regional Suicide Rate Change Patterns in Korea

Background: Korea had the highest suicide rate among OECD countries for the 10 years leading up to 2016; however, the suicide rate in Korea has declined since 2010, after policy-driven interventions were implemented. Methods: Suicide rates from all of the 229 cities, counties, and districts in Korea...

Descripción completa

Detalles Bibliográficos
Autores principales: You, Byung-sun, Jeong, Kyu-hyoung, Cho, Heeran J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579164/
https://www.ncbi.nlm.nih.gov/pubmed/32987626
http://dx.doi.org/10.3390/ijerph17196973
_version_ 1783598526239866880
author You, Byung-sun
Jeong, Kyu-hyoung
Cho, Heeran J.
author_facet You, Byung-sun
Jeong, Kyu-hyoung
Cho, Heeran J.
author_sort You, Byung-sun
collection PubMed
description Background: Korea had the highest suicide rate among OECD countries for the 10 years leading up to 2016; however, the suicide rate in Korea has declined since 2010, after policy-driven interventions were implemented. Methods: Suicide rates from all of the 229 cities, counties, and districts in Korea were reliably estimated from the period 2010 to 2017, and data were examined by Stata 14.0 and M-plus to identify regional suicide rate change patterns by latent growth modeling. The dependent variable is the suicide rate, and independent variables as characteristics of the various districts are the region (cities, counties, and autonomous districts), proportion of elderly residents, financial independence rate, establishment of mental health and welfare centers, and number of social welfare facilities. Results: Three suicide rate change patterns were identified: ‘average’, ‘precipitous drop’, and ‘high level’. Two of the three patterns exhibit features that are markedly different to the national data as a whole, and the three patterns appear across the 229 cities, counties, and districts of Korea. Some of the determinant factors have been postulated here. While a high proportion of elderly residents in a given area is a significant indicator that the suicide rate will increase, having a large elderly population in combination with an increased number of social welfare facilities centers appeared to show a discrete pattern of suicide rate reduction when compared with average national data. Conclusions: Policy-driven interventions should be planned and implemented by central and local governments in conjunction, by considering regional characteristics to decrease local suicide rates more effectively.
format Online
Article
Text
id pubmed-7579164
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-75791642020-10-29 Regional Suicide Rate Change Patterns in Korea You, Byung-sun Jeong, Kyu-hyoung Cho, Heeran J. Int J Environ Res Public Health Article Background: Korea had the highest suicide rate among OECD countries for the 10 years leading up to 2016; however, the suicide rate in Korea has declined since 2010, after policy-driven interventions were implemented. Methods: Suicide rates from all of the 229 cities, counties, and districts in Korea were reliably estimated from the period 2010 to 2017, and data were examined by Stata 14.0 and M-plus to identify regional suicide rate change patterns by latent growth modeling. The dependent variable is the suicide rate, and independent variables as characteristics of the various districts are the region (cities, counties, and autonomous districts), proportion of elderly residents, financial independence rate, establishment of mental health and welfare centers, and number of social welfare facilities. Results: Three suicide rate change patterns were identified: ‘average’, ‘precipitous drop’, and ‘high level’. Two of the three patterns exhibit features that are markedly different to the national data as a whole, and the three patterns appear across the 229 cities, counties, and districts of Korea. Some of the determinant factors have been postulated here. While a high proportion of elderly residents in a given area is a significant indicator that the suicide rate will increase, having a large elderly population in combination with an increased number of social welfare facilities centers appeared to show a discrete pattern of suicide rate reduction when compared with average national data. Conclusions: Policy-driven interventions should be planned and implemented by central and local governments in conjunction, by considering regional characteristics to decrease local suicide rates more effectively. MDPI 2020-09-24 2020-10 /pmc/articles/PMC7579164/ /pubmed/32987626 http://dx.doi.org/10.3390/ijerph17196973 Text en © 2020 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
You, Byung-sun
Jeong, Kyu-hyoung
Cho, Heeran J.
Regional Suicide Rate Change Patterns in Korea
title Regional Suicide Rate Change Patterns in Korea
title_full Regional Suicide Rate Change Patterns in Korea
title_fullStr Regional Suicide Rate Change Patterns in Korea
title_full_unstemmed Regional Suicide Rate Change Patterns in Korea
title_short Regional Suicide Rate Change Patterns in Korea
title_sort regional suicide rate change patterns in korea
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579164/
https://www.ncbi.nlm.nih.gov/pubmed/32987626
http://dx.doi.org/10.3390/ijerph17196973
work_keys_str_mv AT youbyungsun regionalsuicideratechangepatternsinkorea
AT jeongkyuhyoung regionalsuicideratechangepatternsinkorea
AT choheeranj regionalsuicideratechangepatternsinkorea