Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus
Autor: | Yoon Jung Choi, Dong-Chun Shin, Il Suh, Sang Hyuk Jung, Jaelim Cho, Seong Kyung Cho, Mina Suh, Changsoo Kim, Kathryn M. Rexrode, Jungwoo Sohn |
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Rok vydání: | 2015 |
Předmět: |
Adult
Male medicine.medical_specialty Poison control Rural Health Disease 030204 cardiovascular system & hematology Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Residence Characteristics Risk Factors Internal medicine Diabetes mellitus Republic of Korea Injury prevention Diabetes Mellitus medicine Humans Family 030212 general & internal medicine Psychiatry Aged Proportional Hazards Models business.industry Proportional hazards model Hazard ratio Urban Health Middle Aged Patient Acceptance of Health Care medicine.disease Hospitalization Suicide Socioeconomic Factors Cardiovascular Diseases Female Cardiology and Cardiovascular Medicine business Bereavement |
Zdroj: | European Heart Journal. 37:764-770 |
ISSN: | 1522-9645 0195-668X |
Popis: | 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. |
Databáze: | OpenAIRE |
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