지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives: Prospective evaluations of the associations between depressive symptoms and suicide deaths have been mainly performed in high-risk populations, such as individuals with psychiatric disorders or histories of self-harm. The purpose of this study was to prospectively examine whether more severe depressive symptoms assessed using the Geriatric Depression Scale (GDS) were associated with a greater risk of death from suicide in a general-risk population.
Methods: A total of 113 478 men from the Korean Veterans Health Study (mean age, 58.9 years) who participated in a postal survey in 2004 were followed up for suicide mortality until 2010.
Results: Over 6.4 years of follow-up, 400 men died by suicide (56.7 deaths per 100 000 person-years). More severe depressive symptoms were associated with greater risk of suicide death (p for trend <0.001). The unadjusted hazard ratios (HRs) in comparison to the absence of depression were 2.18 for mild depression, 2.13 for moderate depression, 3.33 for severe depression, and 3.67 for extreme depression. After adjusting for potential confounders, men with a potential depressive disorder had an approximate 90% higher mortality from suicide (adjusted HR, 1.92; 95% confidence interval [CI], 1.38 to 2.68; p<0.001) than men without depression. Each five-point increase in the GDS score was associated with a higher risk of death by suicide (adjusted HR, 1.22; p<0.001). The value of the area under the receiver operating characteristics curve of GDS scores for suicide deaths was 0.61 (95% CI, 0.58 to 0.64).
Conclusions: Depressive symptoms assessed using the GDS were found to be a strong independent predictor of future suicide. However, the estimate of relative risk was weaker than would be expected based on retrospective psychological autopsy studies.
목차
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참고문헌 (20)
참고문헌 신청
OECD / OECD health statistics 2015; frequently requested data
Yoshimasu K / 2008 / Stress Research Group of the Japanese Society for Hygiene. Suicidal risk factors and completed suicide: meta-analyses based on psychological autopsy studies / Environ Health Prev Med 13(5):243~256
Hjelmeland H / 2012 / Psychological autopsy studies as diagnostic tools: are they methodologically flawed / Death Stud 36(7):605~626
Agerbo E / 2007 / High income, employment, postgraduate education, and marriage: a suicidal cocktail among psychiatric patients / Arch Gen Psychiatry 64(12):1377~1384
Bramness JG / 2010 / Self-reported mental health and its gender differences as a predictor of suicide in the middle-aged / Am J Epidemiol 172(2):160~166
Yoshimasu K / 2008 / Stress Research Group of the Japanese Society for Hygiene. Suicidal risk factors and completed suicide: meta-analyses based on psychological autopsy studies / Environ Health Prev Med 13(5):243~256
Hjelmeland H / 2012 / Psychological autopsy studies as diagnostic tools: are they methodologically flawed / Death Stud 36(7):605~626
Agerbo E / 2007 / High income, employment, postgraduate education, and marriage: a suicidal cocktail among psychiatric patients / Arch Gen Psychiatry 64(12):1377~1384
Bramness JG / 2010 / Self-reported mental health and its gender differences as a predictor of suicide in the middle-aged / Am J Epidemiol 172(2):160~166
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