보건의료산업학회지 (The Korean Journal of Health Service Management)

  • 제7권3호
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  • Pages.287-296
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  • 2013
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  • 2093-5986(pISSN)
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  • 2288-0666(eISSN)
보건의료산업학회 (Korea Society of Health Service Management)
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지역별 고의적 자해에 의한 사망수준에 관한 연구

Regional Suicide Mortality Rate in Korea

  • 박상화 (서울대학교 의학연구원 인구의학연구소) ;
  • 김영배 (공주대학교 보건행정학과) ;
  • 임달오 (한국보건산업진흥원)
  • Park, Sang-Hwa (Institute of Reproductive Medicine and Population Medical Research Center, Seoul National University) ;
  • Kim, Young-Bae (Department of Health Administration, Kong-Ju National University) ;
  • Lim, Dar-Oh (Korea Health Industry Development Institute)
  • 투고 : 2013.08.30
  • 심사 : 2013.09.06
  • 발행 : 2013.09.30
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초록

The aim of this study was to compare the regional difference of death from intentional self-harm. The analysis was based on data of intentional self-harm deaths (31,450) from the 2010-2011 vital statistics of Korea. The suicide rate (per 100,000 population) was 46.2 in male and 22.3 in female. Gender ratio (male / female) of suicide rate was 2.07, and Jeju province had the lowest gender ratio (1.82), and Chungbuk province had the highest gender ratio (2.42). In the age-gender standardized death rate (per 100,000) of self-harm by region, the highest suicide rate was observed in Gangwon province (44.8) and Chungnam province (44.3), and the lowest in Seoul metropolitan city (28.9) and Ulsan metropolitan city (29.2). There was a significant increase in the rate of suicide in city areas (odds ratio: 1.11, 95% CI: 1.08-1.13), county areas (1.62, 1.56-1.67) as compared with the rate of suicide in metropolitan areas. The commonest methods of suicide were hanging (53.7 percent), self-poisoning by pesticides (16.8 percent) and jumping from a height (14.3 percent). The methods used for suicide differed between rural (county) and urban areas (metropolitan city and city). In county areas, 43 percent of suicides used pesticides as compared to only 7-18 percent of those in urban areas. In urban areas, jumping was more common (13-17 percent vs. 6 percent). There were no difference in hanging between urban and rural areas. The odds ratio of death by pesticides was 9.86 in rural areas compared with death rate of metropolitan areas. The odds ratio of death by jumping was 0.59 in rural compared with death rate of metropolitan areas.

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참고문헌

  1. H.K. Jagodic, M. Agius, P. Pregelj(2012), Inter-regional variations in suicide rates, Psychiatria Danubina, Vol.24;S82-S85.
  2. C.A. Haws, D.D. Gray, D.A. Yurgelun-Todd, M. Moskos, L.J. Meyer, P.F. Renshaw(2009), The possible effect of altitude on regional variation in suicide rates, Medical Hypotheses, Vol.73;587-590. https://doi.org/10.1016/j.mehy.2009.05.040
  3. M. Miller, D. Azrael, C. Barber(2012), Suicide mortality in the United States: the importance of attending to method in understanding population-level disparities in the burden of suicide, Annual Review of Public Health, Vol.33;393-408. https://doi.org/10.1146/annurev-publhealth-031811-124636
  4. K.C. Wu, Y.Y. Chen, P.S. Yip(2012), Suicide methods in Asia: implications in suicide prevention, International Journal of Environmental Research and Public Health, Vol.9;1135-1158. https://doi.org/10.3390/ijerph9041135
  5. D. Lester(1988-1999), Correlates of regional suicide rates, Omega-Journal of Death and dying, Vol.38;99-102. https://doi.org/10.2190/A12T-77GK-4ECU-16H4
  6. M.M. Bellanger, A. Jourdain, A. Batt-Moillo(2007), Might the decrease in the suicide rates in France be due to regional prevention programmes?, Social Science & Medicine, Vol.65;431-441. https://doi.org/10.1016/j.socscimed.2007.03.027
  7. B.C. Park, D. Lester(2012), Rural and urban suicide in South Korea, Psychological Reports Vol.111;495-497. https://doi.org/10.2466/12.17.PR0.111.5.495-497
  8. K.S. Cheong, M.H. Choi, B.M. Cho, T.H. Yoon, C.H. Kim, Y.M. Kim, I.K. Hwang(2012), Suicide rate differences by sex, age, and urbanicity, and related regional factors in Korea, Journal of Preventive Medicine and Public Health, Vol.45;70-77. https://doi.org/10.3961/jpmph.2012.45.2.70
  9. C.R. Stark, V. Riordan, R.A. O'Connor(2011), conceptual model of suicide in rural areas, Rural and Remote Health Vol.11;1622.
  10. Statistics Korea(2010-2011), Annual report on the cause of death statistics.
  11. M. Alston(2012), Rural male suicide in Australia. Social Science & Medicine Vol.74;515-522. https://doi.org/10.1016/j.socscimed.2010.04.036
  12. F. Judd, A.M. Cooper, C. Fraser, J. Davis(2006), Rural suicide-people or place effects? Australian and New Zealand Journal of Psychiatry, Vol.40;208-216.
  13. N.D. Kapusta, A. Zorman, E. Etzersdorfer, E. Ponocny-Seliger, E. Jandl-Jager, G. Sonneck(2008), Rural-urban differences in Austrian suicides, Social Psychiatry and Psychiatric Epidemiology, Vol.43;311-318. https://doi.org/10.1007/s00127-008-0317-1
  14. A.J. Kposowa, J.P. McElvain(2006), Gender, place, and method of suicide, Social Psychiatry and Psychiatric Epidemiology, Vol.41;435-443. https://doi.org/10.1007/s00127-006-0054-2
  15. R. Micciolo, P. Williams, C. Zimmermann-Tansella, M. Tansella(1991), Geographical and urban-rural variation in the seasonality of suicide: some further evidence, Journal of Affective Disorders, Vol.21(1);39-43. https://doi.org/10.1016/0165-0327(91)90017-M
  16. K.H. Chung, H.C. Lee, S. Kao, H.C. Lin(2008), Urbanicity and methods of suicide: a nationwide population-based study, Journal of Urban Health, Vol.85;136-145. https://doi.org/10.1007/s11524-007-9238-7
  17. P.M. Marzuk, A.C. Leon, K. Tardiff, E.B. Morgan, M. Stajic, J.J. Mann(1992), The effect of access to lethal methods of injury on suicide rates, Archives General of Psychiatry, Vol.49;451-488. https://doi.org/10.1001/archpsyc.1992.01820060031005
  18. J.J. Lin, T.H. Lu(2006), Association between the accessibility to lethal methods and methodspecific suicide rates: An ecological study in Taiwan, Journal of Clinical Psychiatry, Vol.67;1074-1079. https://doi.org/10.4088/JCP.v67n0709
  19. D. Gunnell, M. Eddleston, M.R. Phillips, F. Konradsen(2007), The global distribution of fatal pesticide self-poisoning: Systematic review, BMC Public Health, Vol.7;357. https://doi.org/10.1186/1471-2458-7-357
  20. Y.J. Pan, S.C. Liao, M.B. Lee(2010), Suicide by charcoal burning in Taiwan, 1995-2006, Journal of Affective Disorders, Vol.120;254-257. https://doi.org/10.1016/j.jad.2009.04.003
  21. S.S. Chang, J.A. Sterne, B.W. Wheeler, T.H. Lu, J.J. Lin, D. Gunnell(2011), Geography of suicide in Taiwan: spatial patterning and socioeconomic correlates, Health & Place, Vol.17;641-650. https://doi.org/10.1016/j.healthplace.2011.01.003
  22. S.S. Han, S.W. Kang, S.H. Jeong(2012), Experiences of Depressive Symptom and Suicidal Thinking between the Elderly Living Alone and the Elderly Couples, The Korean Journal of Health Service Management, Vol.6(3):29-38. https://doi.org/10.12811/kshsm.2012.6.3.029
  23. G.G. Park, Y.R. Che, B.R. Kim(2013), The Analysis of Risk Factors Influencing Adolescent Suicidal Ideation in a Multicultural Family, The Korean Journal of Health Service Management, Vol.7(1);155-165. https://doi.org/10.12811/kshsm.2013.7.1.155
  24. J.K. Hirsch(2006), A review of the literature on rural suicide: risk and protective factors, incidence, and prevention, Crisis, Vol.27;189-199. https://doi.org/10.1027/0227-5910.27.4.189

피인용 문헌

  1. Contribution of Age Distribution to Death Rates of Intentional Self-harm: 1985-89 and 2010-14 vol.41, pp.4, 2016, https://doi.org/10.21032/jhis.2016.41.4.411
  2. Characteristics of Inpatients Who Survive Suicide Attempts vol.10, pp.1, 2019, https://doi.org/10.24171/j.phrp.2019.10.1.07
  3. Factors associated with the suicide rates in Korea vol.284, pp.None, 2020, https://doi.org/10.1016/j.psychres.2020.112745
  4. Trend of Intentional Self-harm Methods and Recovery Rate Including Non-death in Hospital Discharge Registry Investigation in Korea 2005-2016 vol.46, pp.2, 2013, https://doi.org/10.21032/jhis.2021.46.2.181