ArticlePsychiatry investigation2018
Prevalence and Correlates of Suicidal Thoughts and Behaviors among North Korean Defectors.
Article in Psychiatry investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Relationship Between Trauma, Discrimination, and Suicidal Ideation Among North Korean Defectors.Psychiatry investigation · 2024Article
- Association Between Atopic Dermatitis and Suicidal Behaviors in North Korean Adolescent Defectors From 2011 to 2019.Psychiatry investigation · 2024Article
- A Three-Year Longitudinal Study of Risk Factors for Suicidality in North Korean Defectors.Journal of Korean medical science · 2023Article
- Standardized Suicide Prevention Program for Gatekeeper Intervention of North Korean Defectors in South Korea.Psychiatry investigation · 2023Article
- Testing the pathway from pre-migration sexual violence to suicide-related risk among North Korean refugee women living in South Korea: do social networks matter?Social psychiatry and psychiatric epidemiology · 2021Article
- The Effectiveness of Cognitive Behavioral Therapy on Depressive Symptoms in North Korean Refugees.Psychiatry investigation · 2020Article
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Authors and funding
9 authors.
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Abstract
objectiveDespite the increasing number of North Korean defectors, research on their mental health conditions and suicidal thoughts and behaviors has not been conducted systematically. We examined the prevalence and risk factors of suicidal thoughts and behaviors in North Korean defectors.
methodsThis study focused on 300 North Korean defectors recruited from regional resettlement centers in South Korea. In-person interviews based on the North Korean version of the Composite International Diagnostic Interview were conducted to diagnose mental disorders and assess suicidal thoughts and behaviors. Logistic regression analyses were performed to evaluate the association between suicidal thoughts and behaviors and socio-demographic variables, and DSM-IV mental disorders.
resultsLifetime prevalence of suicidal ideation, plans, and attempts were 28.3, 13.3, and 17.3%, respectively. Female sex (OR: 2.0, 95% CI: 1.0-3.9), presence of health problems in the past year (2.6, 95% CI: 1.4-4.6), and absence of both South Korean acquaintances (1.9, 95% CI: 1.0-3.4) and North Korean family (1.7, 95% CI: 1.0-2.9) were associated with higher odds of suicidal thoughts and behaviors, after adjusting for participant age, sex, and education. Presence of a mental disorder was associated with a significantly increased odd of suicide ideation, plan, and attempt. Of all mental disorder categories, agoraphobia had the strongest association with suicidal ideation (6.5, 95% CI: 2.0-21.6), plans (7.7, 95% CI: 2.5-23.2) and attempts (12.0, 95% CI: 3.5-40.8).
conclusionSuicidal thoughts and behaviors among North Korean defectors are higher than the general population in South Korea, especially show high rates in transit countries. Further study should focus on the changes in suicidal thoughts and behaviors according to the settlement process and early prevention.
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