Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus

Jaelim Cho, Sang Hyuk Jung, Changsoo Kim, Mina Suh, Yoon Jung Choi, Jungwoo Sohn, Seong Kyung Cho, Il Suh, Dong Chun Shin, Kathryn M. Rexrode

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)764-770
Number of pages7
JournalEuropean heart journal
Volume37
Issue number9
DOIs
Publication statusPublished - 2016 Mar 1

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Suicide
Diabetes Mellitus
Hospitalization
Cardiovascular Diseases
Psychiatry
Confidence Intervals
Republic of Korea
National Health Programs
Survival Analysis
Social Class
Health

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Cho, Jaelim ; Jung, Sang Hyuk ; Kim, Changsoo ; Suh, Mina ; Choi, Yoon Jung ; Sohn, Jungwoo ; Cho, Seong Kyung ; Suh, Il ; Shin, Dong Chun ; Rexrode, Kathryn M. / Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus. In: European heart journal. 2016 ; Vol. 37, No. 9. pp. 764-770.
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title = "Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus",
abstract = "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.",
author = "Jaelim Cho and Jung, {Sang Hyuk} and Changsoo Kim and Mina Suh and Choi, {Yoon Jung} and Jungwoo Sohn and Cho, {Seong Kyung} and Il Suh and Shin, {Dong Chun} and Rexrode, {Kathryn M.}",
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Cho, J, Jung, SH, Kim, C, Suh, M, Choi, YJ, Sohn, J, Cho, SK, Suh, I, Shin, DC & Rexrode, KM 2016, 'Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus', European heart journal, vol. 37, no. 9, pp. 764-770. https://doi.org/10.1093/eurheartj/ehv448

Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus. / Cho, Jaelim; Jung, Sang Hyuk; Kim, Changsoo; Suh, Mina; Choi, Yoon Jung; Sohn, Jungwoo; Cho, Seong Kyung; Suh, Il; Shin, Dong Chun; Rexrode, Kathryn M.

In: European heart journal, Vol. 37, No. 9, 01.03.2016, p. 764-770.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Suicide loss, changes in medical care utilization, and hospitalization for cardiovascular disease and diabetes mellitus

AU - Cho, Jaelim

AU - Jung, Sang Hyuk

AU - Kim, Changsoo

AU - Suh, Mina

AU - Choi, Yoon Jung

AU - Sohn, Jungwoo

AU - Cho, Seong Kyung

AU - Suh, Il

AU - Shin, Dong Chun

AU - Rexrode, Kathryn M.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - 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.

AB - 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.

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