ArticleInternational journal of mental health systems2017
The prevalence of suicidal ideation and depression among primary care patients and current management in South Korea.
Article in International journal of mental health systems, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
- Association Between Suicidal Ideation and Cancer Screening Uptake: Results from Middle-Aged and Older Adults in Korea.Cancers · 2025Article
- Depression risk among breast cancer survivors: a nationwide cohort study in South Korea.Breast cancer research : BCR · 2024Article
- Article
- Depression among general outpatient department attendees in selected hospitals in Somalia: magnitude and associated factors.BMC psychiatry · 2024Article
- Hwa-byung (anger syndrome) as a risk factor for suicidal ideation in MZ generation: a survey study in South Korea.Frontiers in psychology · 2024Article
- Suicidal Ideations in Major Depressed Subjects: Role of the Temporal Dynamics of Anhedonia.Brain sciences · 2023Article
- Frequency of suicide ideation and attempts and its correlates among inpatients with depressive disorders at a tertiary care center in North India.Journal of family medicine and primary care · 2022Article
- Épidémiologie descriptive du risque suicidaire dans le système médical français de médecine générale.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
- The prevalence of and factors associated with depressive symptoms in the Korean adults: the 2014 and 2016 Korea National Health and Nutrition Examination Survey.Social psychiatry and psychiatric epidemiology · 2021Article
- Association between Suicidal Ideation and Causes of Primary Care Visits: A Cross-Sectional Study to Identify Patients with Suspected Suicidal Ideation.Psychiatry investigation · 2020Article
- Prediction of Suicidal Ideation among Korean Adults Using Machine Learning: A Cross-Sectional Study.Psychiatry investigation · 2020Article
- Impact of Physical Activity and Sleep Duration on Depressive Symptoms in Hypertensive Patients: Results from a Nationally Representative Korean Sample.International journal of environmental research and public health · 2018Article
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Abstract
backgroundPrimary care in South Korea has no effective screening system to identify high-risk suicide patients despite to the possibility of hidden patients. The present study examined the prevalence of suicidal ideation and depression among primary care patients and investigated rates of recognition and management strategies of physicians as they encountering patients with suicidal ideation and depression in primary care settings.
methodsThis study was conducted as a two-part survey of patients visiting primary care clinics and their physicians. (1) The survey for patients was administered over 17 days in two areas and assessed socio-demographic characteristics, health behavior and the prevalence of suicidal ideation and depression. The participants were 1363 outpatients; 848 lived in urban area, and 515 were from rural area. (2) We surveyed the physicians' recognition of patients with suicidal ideations and depression as well as their current management. Eighteen doctors at 15 local clinics (8 in urban area and 7 in rural area) participated in this survey.
resultsThe prevalence rates of suicidal ideation and depression (Patient Health Questionnaire-9 ≥ 10) were 18.3% (95% confidence interval: 16.2-20.3) and 13.9% (95% CI 12.6-15.7), respectively in primary care settings. The rates of suicidal ideation and depression were approximately 2.4 times and 1.4 times higher, respectively than those in community dwelling people. Ten (69.7%) and 4 (26.7%) of the 15 clinics staffed physicians who did not recognize suicidal ideation and depression, respectively. Five (83.3%) of 6 and 4 (38.6%) of 14 physicians who recognized suicidal ideation and depression among their patients respectively, only recommended psychiatry without any arrangements for a referral.
conclusionOur findings imply that many patients with suicidal ideations and depression in primary care settings are under-diagnosed and under-treated. As a result, education and training of the identification and management of suicidal ideation and depression should be made available to physicians in primary care settings.
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