Gender-specific factors related to suicidal ideation among community-dwelling stroke survivors: The 2013 Korean Community Health Survey

Kim, Mina; Lee, Young‐Hoon

doi:10.1371/journal.pone.0201717

Cited by 13 publications

(14 citation statements)

References 29 publications

(37 reference statements)

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“…The sample size of the included studies ranged from 19 [67] to 104,876 [68]. Of the studies that reported the sex of the participants ( n = 32, 62.7%) [5, 21, 22, 31–36, 38–42, 44, 46–49, 52–54, 57–60, 65, 67, 68, 70, 71], 23 (71.8%) [5, 31–33, 35, 38, 40–42, 44, 46–49, 55, 57, 58, 60, 65, 67, 68, 70, 71] used a male-dominated sample. In the 23 studies (45%) that provided information on age [5, 21, 22, 32–34, 36, 38, 39, 41, 42, 44, 46, 48, 52, 55, 57–60, 65, 67, 68], the mean age of the participants ranged from 43 ± 14 [45] to 77 ± 7 years [54].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the SRH assessment, 72.5% of the studies ( n = 37) [5, 21, 22, 30, 33, 37, 39, 43–46, 49–52, 59–64, 66, 68–71, 73–77] used general direct questions ( n = 21, 67.7%) [5, 30, 33, 37, 39, 43, 46, 49, 51, 59–61, 64, 68–71, 73, 74, 76, 77] or comparative direct questions ( n = 15, 48.4%) [5, 21, 22, 30, 44, 45, 50–52, 62, 63, 66, 69, 73, 75]. Comparative SRH referred to patients’ current health status in comparison to an earlier period [5, 37, 43, 51, 54–56, 66] or to people of the same age [21, 22, 38, 43, 50, 56, 66, 69, 73, 75].…”

Section: Resultsmentioning

confidence: 99%

“…In 11 of the 21 cross-sectional studies (52.4%) [21, 36, 38, 54, 57, 70, 72, 73, 75, 77], poor SRH was significantly associated with poor outcomes, such as reduced mobility and limitations in activities of daily living (ADL) [63], decreased functionality [37], poorer affective-emotional and social state [46], poor marital status [72], and the presence of other health conditions [51, 71] (Table 2).…”

Section: Resultsmentioning

confidence: 99%

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Self-rated health after stroke: a systematic review of the literature

et al. 2019

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Background Self-rated health (SRH) allows for comparison and identification of the health status of various populations. The aim of this study was to conduct a systematic review of the literature to expand the understanding of SRH after stroke. Methods This systematic review was registered with PROSPERO (CRD42017056194) and conducted according to PRISMA guidelines. Studies published until December 2018 that evaluated the SRH of adults with stroke were included. Results Of the 2132 identified studies, 51 were included. Only four studies had experimental designs (7.8%). In 60.7% of the studies, SRH was assessed by variations on direct questions (i.e., general and comparative SRH). Analog visual scales and quality of life instruments were also used to evaluate SRH, but there is no consensus regarding whether they are appropriate for this purpose. The results of cross-sectional and longitudinal studies revealed significant associations between poor SRH and stroke as well as between SRH, function, and disability. The power of SRH to predict stroke mortality is still uncertain. Two interventions (a home-based psychoeducational program concerning stroke health care and family involvement in functional rehabilitation) effectively improved SRH. Conclusions Direct questions are the most common method of evaluating SRH after stroke. Studies reported significant associations between the SRH of individuals with stroke and several relevant health outcomes. However, few experimental studies have evaluated SRH after stroke. Interventions involving health education and family involvement had a significant impact on SRH.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Self-rated health after stroke: a systematic review of the literature

et al. 2019

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“…The high incidence of adolescent suicide is believed to be precipitated by the myriad societal stressors experienced by young people (Turner et al, 2002). To illustrate: the following variables have been associated with suicide among adolescents: (a) substance use and/or abuse (e.g., Beautrais, 2000;Brennan and McGilloway, 2012); (b) affective mood disorders (e.g., Beautrais, 2000;Balázs et al, 2013;(c) antisocial behavior (e.g., Beautrais, 2000;Linker et al, 2012); (d) lower self-esteem (e.g., Overholser et al, 1995;Garber et al, 1997); (e) medical illnesses such as stroke and chronic illness (e.g., Ferro et al, 2017;Kim and Lee, 2018), and (f) depression (Lee et al, 2006). Other factors that have been associated with adolescent suicide include gender identity (e.g., Skagerberg et al, 2013;Yadegarfard et al, 2014), sexual orientation (e.g., Beautrais, 2000;Baams et al, 2015) and socioeconomic disadvantage (Yildiz et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Adolescent Suicide Ideation, Depression and Self-Esteem: Relationships to a New Measure of Gender Role Conflict

et al. 2020

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Among 15-24 year olds in Ireland, completed suicide was responsible for 4.1 times more male deaths than female deaths in 2014 (World Health Organization [WHO], 2017). Few international research studies have investigated the relationship between masculinity [as assessed by a measure of gender role conflict (GRC)] and suicide ideation, and none have done so with Irish adolescents. Therefore, the purpose of the current study was to investigate the relationships between a new measure of GRC developed specifically for use with Irish adolescents (I-GRCS-A; O'Beaglaoich et al., 2016), and depression, self-esteem, and negative/protective suicide ideation. A sample of 176 adolescent boys (M = 16.9, SD = 0.94) from a nonclinical population participated in the study. Regression analyses and tests of mediation revealed that depression significantly mediated the relationship between GRC and negative suicide ideation, whilst self-esteem and depression significantly mediated the relationship between GRC and positive suicide ideation. Implications and limitations of the current study are outlined and directions for future research are discussed.

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“…Strokes are considered one of the most debilitating neurological disorders, leading to physical impairment, disability, and death . Poststroke patients may also experience mental illnesses, such as depression, which is also linked to increased suicide risk …”

Section: Introductionmentioning

confidence: 99%

Poststroke suicide risk among older adults in South Korea: A retrospective longitudinal cohort study

Choi

Lee

Kim

et al. 2019

Int J Geriat Psychiatry

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Objectives: The present study evaluated suicide risk within 1 year after discharge among older adults with stroke as a function of depression onset.Method: We used the Korean National Health Insurance Service-Senior cohort data and included first discharged patients with a stroke as the principal diagnosis. The comparison group was selected by a 1:2 case-control propensity score matching for age, sex, Charlson comorbidity index, and diagnosis year between 2005 and 2012. Suicide deaths were measured by code for causes of death from Statistics Korea, and the main outcome was suicide death within 1 year following discharge. An adjusted hazard ratio (AHR) of suicidal risk was measured using a Cox proportional hazard model. Results:In the total sample of 128 286 older adults (aged 63-114 years), the higher suicidal risk was examined for stroke patients vs the comparison group (AHR = 1.4; 95% confidence interval [CI], 1.1-1.8). Stroke patients with depression had an increased suicide risk (AHR = 2.9; 95% CI, 1.8-4.8) but only for poststroke depression (AHR = 4.1; 95% CI, 1.8-9.5). Pre and poststroke depression suicidality (AHR = 4.8; 95% CI, 2.1-11.1) was also higher when compared to stroke patients without depression.Conclusions: Poststroke patients are at increased suicidal risk during 1 year following discharge. Furthermore, patients who were diagnosed with depression after a stroke are more likely to commit suicide than stroke patients without depression. This suggests a necessity for early suicide preventive intervention for stroke patients while considering depressive symptomology. K E Y W O R D Sdepression, older adults, stroke, suicide /journal/gps 282 an old-old (>75 years old) group based on previous studies. 31,32 The Charlson comorbidity index refers to the sum of the weighted scores attributed to main health conditions 33 and was determined by screening the 1-year period preceding index date of study subjects. The discharge date after the first instance of inpatient care was defined as the index date for the study. After calculating the estimated propensity score, patients with a stroke were matched with nonstroke patients who had the similar propensity score. Finally, patients with a stroke (n = 42 762) and patients without a stroke (n = 85 524) were enrolled as the final participant sample ( Figure S1). | MeasuresThe main outcome was death by suicide, which was defined as such if the code for cause of death was X60-X84 (intentional self-harm) based on the ICD-10. The survival length was calculated in days, and Key points• Among 42 762 stroke patients sampled, 40.3% committed suicide within 1 year postdischarge.• Suicide risk was significantly higher among patients with a stroke as compared to those without.• Stroke patients with depression were at an increased risk for suicide as compared to nonstroke patients.• Patients who were diagnosed with depression after a stroke were more likely to commit suicide than stroke patients without depression.

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Gender-specific factors related to suicidal ideation among community-dwelling stroke survivors: The 2013 Korean Community Health Survey

Cited by 13 publications

References 29 publications

Self-rated health after stroke: a systematic review of the literature

Self-rated health after stroke: a systematic review of the literature

Adolescent Suicide Ideation, Depression and Self-Esteem: Relationships to a New Measure of Gender Role Conflict

Poststroke suicide risk among older adults in South Korea: A retrospective longitudinal cohort study

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