Effect of community attitudes on suicide mortality in South Korea: a nationwide ecological study

Autor: Minseok Hong, Hyesoo Kim, C. Hyung Keun Park, Hyunju Lee, Sang Jin Rhee, Sooyeon Min, Min Ji Kim, Jeong Hun Yang, Yoojin Song, Kyunghoon Son, Yong Min Ahn
Rok vydání: 2023
DOI: 10.21203/rs.3.rs-2717050/v1
Popis: Purpose: Attitudes toward suicide are essential in suicide prevention, as suicide is socio-culturally nuanced. Although the relationship between individual attitudes and suicidal behavior has been extensively studied, the role of community attitudes—aggregated by region—on suicide mortality remains ambiguous. This study explored the association between community attitudes and real-world suicide mortality. Methods: Data on attitudes toward suicide from the 2018 Korea National Suicide Survey (N=1500) and individual mortality data from the MicroData Integrated System were obtained. Confirmatory factor analysis supported a factor structure with three factors: "Permissiveness," "Unjustified behavior," and "Readiness to help/Preventability." Thirty regional units in South Korea aggregated the data for ecological analysis. We used negative binomial models to examine the association at the regional level, and stratified analysis by gender and age group was conducted. Results: "Permissiveness" was associated with reduced suicide rates in a univariate model (PConclusion: The observed inverse association between permissive community attitudes and suicide contradicts the findings of previous research that links permissive individual attitudes to increased suicidal behavior. Instead, our findings indicate that attitudes may behave differently at the individual and group levels, and this could potentially guide future research and novel approaches to suicide prevention.
Databáze: OpenAIRE