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Associations of Social Participation and Trust with Suicidal Ideation and Attempt in Communities with High Mortality

사망률이 높은 지역사회에서 사회적 참여와 신뢰의 자살 생각 및 시도와 연관성

  • Ha, Mi-Oak (Institute of Health Sciences, Department of Preventive Medicine, School of Medicine, Gyeongsang National University) ;
  • Kim, Jang-Rak (Institute of Health Sciences, Department of Preventive Medicine, School of Medicine, Gyeongsang National University) ;
  • Jeong, Baekgeun (Institute of Health Sciences, Department of Preventive Medicine, School of Medicine, Gyeongsang National University) ;
  • Kang, Yune-Sik (Institute of Health Sciences, Department of Preventive Medicine, School of Medicine, Gyeongsang National University) ;
  • Park, Ki-Soo (Institute of Health Sciences, Department of Preventive Medicine, School of Medicine, Gyeongsang National University)
  • 하미옥 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 김장락 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 정백근 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 강윤식 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원) ;
  • 박기수 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원)
  • Received : 2013.02.25
  • Accepted : 2013.06.10
  • Published : 2013.06.30

Abstract

Objectives: This study was performed to identify the associations of social capital with suicidal thoughts and attempts in Korean communities with poor health. Methods: We used the data from community health interviews conducted at 40 administrative sections (dong, eup, or myeon) with high mortality from August to October in 2010, 2011, and 2012 as part of the Health Plus Happiness Plus Projects in Gyeongsangnam-do Province. The 8,800 study subjects composed of 220 adults systematically sampled from each administrative section were asked if they had thought about suicide or had attempted suicide within 1 year. The social participation was measured with 'participation in formal and/or informal group' and trust using responses to three questions about trust of others. Results: The prevalence of suicidal ideation and attempt within 1 year were 10.4% and 0.8%, respectively. The logistic regression analysis revealed that those who participated in only informal groups, or had highest trust level reported less suicidal ideation, or attempt after adjusting for socio-demographic factors (sex, age, marital status, occupation, and food affordability), self-rated health, and health behaviors (smoking, alcohol drinking, and exercise). Conclusions: This study suggested social capital such as social participation and trust was associated with less suicide ideation and attempt. More studies are warranted for the association of social capital with suicidal behavior.

Keywords

Social capital;Suicidal ideation;Suicidal attempt

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