ArticleInternational journal of environmental research and public health2021
Suicide among Older Adults with Dementia: Effects of Korea's Long-Term Care Insurance System.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Suicide in neurodegenerative diseases: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Pooled it
- How Residing in a Long-Term Care Facility Affects Suicidal Risk in Patients With Dementia: A Systematic Review.Cureus · 2022Review
- Understanding Suicide Risk in People with Dementia and Family Caregivers in South Korea: A Systematic Review.Behavioral sciences (Basel, Switzerland) · 2022Review
- Spatial-temporal analysis of urban-rural differences in the development of elderly care institutions in China.Frontiers in public health · 2022Article
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Authors and funding
3 authors.
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Abstract
South Korea recently expanded its coverage rate of long-term care insurance (LTCI) by adding a "dementia special grade" in 2014 to improve care service accessibility and extend health life for older adults with dementia. In this study, we propose a multifaceted policy to reduce the suicide risk among older adults with dementia by evaluating the effectiveness of using the long-term care services (LTCS). A sample of 62,282 older adults was selected from the "Older Adults Cohort DB" of the National Health Insurance Service. We conducted Kaplan-Meier and Cox regression to represent the yearly survival curve from 2002 to 2015 according to the individual characteristics. Difference-in-difference estimation was conducted to identify the effect of LTCS on suicide rates by using LTCS before and after 2014. The suicide risk of older adults using LTCS was about 0.256-times lower than those who did not use it (OR = 0.296, 95% CI = 0.183-0.478), whereas it increased after the expansion of the dementia grading (OR = 2.131, 95% CI = 1.061-4.280). To prevent the risk of suicide among older adults with dementia, not only did the mortality rate vary depending on the sex, activities of daily living (ADL), and type of caregiver at the individual level but appropriate national intervention and management, such as improving the accessibility of LTCS, are also needed.
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