Evidence map›Paper›PMID 40202715›Full record

Observational studyJournal of nephrology2025

Early-stage chronic kidney disease as a risk factor for suicide: a nationwide observational cohort study.

Hyuk Huh, Kyungdo Han, Minsang Kim, Young Sun Shin, Yeo Jin Yu, Sehyun Jung, Jeong Min Cho, Seong Geun Kim, Semin Cho, Soojin Lee and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Hyuk HuhDepartment of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea.
Kyungdo HanDepartment of Statistics and Actuarial Science, Soongsil University, 369 Sangdo-Ro, Dongjak-Gu, Seoul, 06978, Korea. hkd917@naver.com.
Minsang KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Young Sun ShinDepartment of Internal Medicine, Seoul National University Hospital, 101, Daehak-Ro Jongno-Gu, Seoul, 03080, Korea.
Yeo Jin YuDepartment of Internal Medicine, Seoul National University Hospital, 101, Daehak-Ro Jongno-Gu, Seoul, 03080, Korea.
Sehyun JungDepartment of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Jeong Min ChoDepartment of Translational Medicine, Seoul National University College of Medicine, Seoul, Korea.
Seong Geun KimDepartment of Internal Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Semin ChoDepartment of Translational Medicine, Seoul National University College of Medicine, Seoul, Korea.
Soojin LeeDepartment of Internal Medicine, Uijeongbu Eulji University Medical Center, Seoul, Korea.
Eunjeong KangTransplantation Center, Seoul National University Hospital, Seoul, Korea.
Yaerim KimDepartment of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.
Dong Ki KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Sehoon ParkDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. mailofsehoon@gmail.com.

Funding

College of Medicine, Seoul National University 800-20190571National Research Foundation of Korea RS-2024-00345867
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is associated with poor psychological well-being. Whether early-stage CKD is a risk factor for suicide warrants further research.

methodsThis nationwide, retrospective, cohort study aimed to evaluate the risk of suicide in patients with early-stage CKD and identify the associated risk factors. A total of 3.945,198 individuals aged ≥ 19 years who underwent the 2009 national health screening in South Korea were studied. Among them, 202,291 patients had early-stage CKD (estimated glomerular filtration rate (eGFR) ≥ 30 and < 60 mL/min per 1.73 m

resultsThe study population had a mean age of 59 ± 15 years, and 47% were male. We identified 930 suicides (incidence rate, 0.45 per 1000 person-years) in the CKD group and 11,332 suicides (incidence rate, 0.27 per 1000 person-years) in the non-CKD group. Early-stage CKD was significantly associated with an increased risk of suicide in multivariable analysis adjusted for demographic characteristics; lifestyle habits; comorbidities, including diabetes and hypertension; economic status; and depression, bipolar disorder, schizophrenia (hazard ratio, 1.18; 95% confidence interval 1.10‒1.26). Suicide incidence was higher in individuals with proteinuria but preserved kidney function (eGFR > 60 mL/min per 1.73 m

conclusionHealthcare providers may need to examine the mental health of patients with early-stage CKD to prevent suicide.

Indexed as

Renal Insufficiency, ChronicSuicideAdultAgedAlbuminuriaComorbidityFemaleGlomerular Filtration RateHumansIncidenceMaleMiddle AgedRepublic of KoreaRetrospective StudiesRisk AssessmentRisk FactorsEarly-stage chronic kidney diseaseProteinuriaSuicide

Identifiers

PMID40202715
PMCPMC12165974

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.