
@article{ref1,
title="Sociodemographic factors, health behaviors, and biological indicators associated with suicide mortality among young adults in South Korea: a nationwide cohort study  among 15 million men and women",
journal="Journal of clinical psychiatry",
year="2021",
author="Cho, Yoosun and Choi, Seulggie and Kim, Kyuwoong and Park, Sang Min",
volume="82",
number="1",
pages="e37-e37",
abstract="OBJECTIVE: The role of sociodemographic factors, health behaviors, and biological indicators as potential risk factors for suicide is relatively understudied among  young adults. The aim of this study is to explore the association of these variables  with the risk of death by suicide among young adults. <br><br>METHODS: The study population  consisted of 15,534,438 individuals aged 20-39 years from the Korean National Health  Insurance Service. Sociodemographic factors associated with death by suicide during  2006-2015 were evaluated. 3,396,353 individuals who underwent health examinations  between 2002 and 2005 were separately assessed for health behaviors and biological  indicators associated with death by suicide. Cox proportional hazards regression  analysis was used to determine the hazard ratios (HRs) and 95% confidence intervals  (CIs) for suicide mortality according to sociodemographic factors (age, household  income, job status, residence, and Charlson comorbidity index score), health  behaviors (physical activity, smoking, and alcohol consumption), and biological  indicators (blood pressure, total cholesterol level, body mass index, and fasting  serum glucose level). <br><br>RESULTS: Low household income, self- and non-employment,  increased comorbidity, smoking, and normal weight elevated the risk of death by  suicide among young adults. While older age was associated with elevated risk for  death by suicide among men (adjusted HR [aHR] = 2.11; 95% CI, 2.02-2.20 for men aged  35-39 years), older age reduced the risk for death by suicide among women (aHR =  0.72; 95% CI, 0.69-0.75 for women aged 35-39 years). Elevated blood pressure and  fasting serum glucose level were associated with increased risk for death by suicide  among men (aHR = 1.16; 95% CI, 1.05-1.28 and aHR = 1.48; 95% CI, 1.26-1.75,  respectively). Finally, high total cholesterol levels were associated with increased  risk for death by suicide among women (aHR = 1.59; 95% CI, 1.19-2.13). <br><br>CONCLUSIONS:  Sociodemographic factors, health behaviors, and biological indicators were  associated with suicide mortality among young adults.<p /> <p>Language: en</p>",
language="en",
issn="0160-6689",
doi="10.4088/JCP.19m13037",
url="http://dx.doi.org/10.4088/JCP.19m13037"
}