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Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus

Title
Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus
Authors
Cho, JaelimJung, Sang HyukKim, ChangsooSuh, MinaChoi, Yoon JungSohn, JungwooCho, Seong-KyungSuh, IlShin, Dong ChunRexrode, Kathryn M.
Ewha Authors
정상혁
SCOPUS Author ID
정상혁scopus
Issue Date
2016
Journal Title
EUROPEAN HEART JOURNAL
ISSN
0195-668XJCR Link1522-9645JCR Link
Citation
vol. 37, no. 9, pp. 764 - U24
Keywords
Suicide lossHospitalizationCardiovascular diseaseDiabetes mellitus
Publisher
OXFORD UNIV PRESS
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Aims The impact of suicide loss on family members' cardiometabolic health has little been evaluated in middle-aged and elderly people. We investigated the effect of suicide loss on risks for cardiovascular disease (CVD) and diabetes mellitus (DM) in suicide completers' family members using a national representative comparison group. Methods and results The study subjects were 4253 family members of suicide completers and 9467 non-bereaved family members of individuals who were age and gender matched with the suicide completers in the Republic of Korea. National health insurance data were used to identify medical care utilization during the year before and after a suicide loss. A recurrent-events survival analysis was performed to estimate the hazard ratios (HRs) of hospitalizations for CVD, DM, or psychiatric disorders, after adjusting for age, residence, and socioeconomic status. Among subjects without a past history of CVD, DM, or psychiatric disorders, the increased risks of recurrent hospitalizations were observed for CVD [HR 1.343, 95% confidence interval (CI) 1.001-1.800 in men; HR 1.240, 95% CI 1.025-1.500 in women] and DM (HR 2.238, 95% CI 1.379-3.362 in men; HR 1.786, 95% CI 1.263-2.527 in women). In subjects with a past history of CVD, DM, or psychiatric disorders, the number of medical care visits decreased after a suicide loss, and suicide completers' family members showed lower rates of hospitalization for CVD and DM than the comparison group. Conclusion Compared with non-bereaved family members, suicide completers' family members without a past history of CVD, DM, or psychiatric disorder showed a high risk of hospitalization for those conditions.
DOI
10.1093/eurheartj/ehv448
Appears in Collections:
의과대학 > 의학과 > Journal papers
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