National trends in depression and suicide attempts and COVID-19 pandemic-related factors, 1998–2021: a nationwide study in South Korea
National trends in depression and suicide attempts and COVID-19 pandemic-related factors, 1998–2021: a nationwide study in South Korea
Background: despite the significant psychiatric effects of the COVID-19 pandemic, there's limited data on the prevalence and risk factors of depression and suicide attempts among South Korean adults.
Methods: a nationwide cross-sectional study using the Korea National Health and Nutrition Examination Survey (KNHANES) data from 1998 to 2021 was conducted. Changes in prevalence and risk factors for depression and suicide attempts were assessed using weighted odds ratios or weighted beta coefficients.
Results: during the observation period (1998–2021), the prevalence of depression increased in the overall population; however, no significant surge was found regarding the COVID-19 pandemic, from 2.78% (95% CI, 2.41–3.15) in 1998–2005–4.96% (4.32–5.61) in 2020 and 5.06% (4.43–5.69) in 2021. However, immediately after the onset of the pandemic, younger ages, male sex, urban residence, higher education, and high economic status became significant vulnerable factors compared to pre-pandemic periods. The prevalence of suicide attempts remained stable, and there was no notable surge specifically related to the COVID-19 pandemic, from 0.23% (95% CI, 0.18–0.28) in 1998–2005–0.45% (0.25–0.66) in 2020 and 0.42% (0.24–0.60) in 2021. Furthermore, no distinct vulnerable factors associated with suicide attempts have been identified.
Conclusion: through this nationwide serial cross-sectional survey study, we emphasized the need for understanding the differential impacts of global crises, such as COVID-19, across varied population subgroups, thereby highlighting the importance of specific and targeted mental health support strategies.
Depression prevalence, Korea National Health and Nutrition Examination Survey, Suicide attempts
Kang, Jiseung
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Park, Jaeyu
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Lee, Hojae
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Lee, Myeongcheol
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Kim, Sunyoung
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Koyanagi, Ai
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Smith, Lee
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Kim, Min Seo
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Rahmati, Masoud
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Fond, Guillaume
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Boyer, Laurent
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López Sánchez, Guillermo F.
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Elena, Dragioti
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Cortese, Samuele
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Kim, Tae
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Yon, Dong Keon
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24 August 2023
Kang, Jiseung
2493bb9e-79ce-450a-8891-28c978db5285
Park, Jaeyu
fc06231d-c986-4997-8903-0eeb6fed4f58
Lee, Hojae
baad9a46-540c-4b0b-8a68-5dd5ffd739ec
Lee, Myeongcheol
932e189c-368f-4761-81b4-0f43b664a01e
Kim, Sunyoung
6b1a35d6-4f00-4d27-9458-b1cde9aa6657
Koyanagi, Ai
217cfa42-a476-47d9-b158-4cfc6aed2719
Smith, Lee
c8de081c-81c6-4825-aaa6-154ebcf2eeea
Kim, Min Seo
b30793be-87f8-47a9-81c2-ae39bc9a1ea1
Rahmati, Masoud
ac8e8113-51b9-4d63-b046-2bdbafb3217d
Fond, Guillaume
0b173363-39e0-41cc-93fc-fd954f2e432a
Boyer, Laurent
72a17e4a-21bc-4b59-a806-d49b43d7c8a7
López Sánchez, Guillermo F.
2f6eca44-8b5d-49e4-a4d4-9c167a3b195c
Elena, Dragioti
b2980ab1-eb76-4148-b046-3dcaa1b31f2d
Cortese, Samuele
53d4bf2c-4e0e-4c77-9385-218350560fdb
Kim, Tae
43aba241-0bde-4449-a4fe-2d7e605ae6dc
Yon, Dong Keon
1c7386e1-7a78-441c-942e-c9b35a1203cc
Kang, Jiseung, Park, Jaeyu, Lee, Hojae, Lee, Myeongcheol, Kim, Sunyoung, Koyanagi, Ai, Smith, Lee, Kim, Min Seo, Rahmati, Masoud, Fond, Guillaume, Boyer, Laurent, López Sánchez, Guillermo F., Elena, Dragioti, Cortese, Samuele, Kim, Tae and Yon, Dong Keon
(2023)
National trends in depression and suicide attempts and COVID-19 pandemic-related factors, 1998–2021: a nationwide study in South Korea.
Asian Journal of Psychiatry, 88, [103727].
(doi:10.1016/j.ajp.2023.103727).
Abstract
Background: despite the significant psychiatric effects of the COVID-19 pandemic, there's limited data on the prevalence and risk factors of depression and suicide attempts among South Korean adults.
Methods: a nationwide cross-sectional study using the Korea National Health and Nutrition Examination Survey (KNHANES) data from 1998 to 2021 was conducted. Changes in prevalence and risk factors for depression and suicide attempts were assessed using weighted odds ratios or weighted beta coefficients.
Results: during the observation period (1998–2021), the prevalence of depression increased in the overall population; however, no significant surge was found regarding the COVID-19 pandemic, from 2.78% (95% CI, 2.41–3.15) in 1998–2005–4.96% (4.32–5.61) in 2020 and 5.06% (4.43–5.69) in 2021. However, immediately after the onset of the pandemic, younger ages, male sex, urban residence, higher education, and high economic status became significant vulnerable factors compared to pre-pandemic periods. The prevalence of suicide attempts remained stable, and there was no notable surge specifically related to the COVID-19 pandemic, from 0.23% (95% CI, 0.18–0.28) in 1998–2005–0.45% (0.25–0.66) in 2020 and 0.42% (0.24–0.60) in 2021. Furthermore, no distinct vulnerable factors associated with suicide attempts have been identified.
Conclusion: through this nationwide serial cross-sectional survey study, we emphasized the need for understanding the differential impacts of global crises, such as COVID-19, across varied population subgroups, thereby highlighting the importance of specific and targeted mental health support strategies.
Text
Pure_Depression, Sucide attemptsMR_Ak _MS_V7_Abstract_TaeKimLSEDITS_SC_GFLS
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Accepted/In Press date: 4 August 2023
e-pub ahead of print date: 6 August 2023
Published date: 24 August 2023
Additional Information:
Funding Information:
This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HV22C0233 ; HI22C1976 ; HI22C046700 ), the Ministry of Science & ICT ( NRF-2022R1A2C3009749 ), and the Ministry of Culture, Sports, and Tourism ( R2022020030 ) and a grant (21153MFDS601) from Ministry of Food and Drug Safety in 2023 . The funding agencies had no role in the design and conduct of the study; collection, management, analysis, or interpretation of the data; preparation, review, or approval of the manuscript; and the decision to submit the manuscript for publication.
Publisher Copyright:
© 2023 Elsevier B.V.
Keywords:
Depression prevalence, Korea National Health and Nutrition Examination Survey, Suicide attempts
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Local EPrints ID: 482806
URI: http://eprints.soton.ac.uk/id/eprint/482806
ISSN: 1876-2018
PURE UUID: 5532a86f-f841-47f3-a075-0d53bc3100aa
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Date deposited: 12 Oct 2023 16:48
Last modified: 18 Mar 2024 03:31
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Contributors
Author:
Jiseung Kang
Author:
Jaeyu Park
Author:
Hojae Lee
Author:
Myeongcheol Lee
Author:
Sunyoung Kim
Author:
Ai Koyanagi
Author:
Lee Smith
Author:
Min Seo Kim
Author:
Masoud Rahmati
Author:
Guillaume Fond
Author:
Laurent Boyer
Author:
Guillermo F. López Sánchez
Author:
Dragioti Elena
Author:
Tae Kim
Author:
Dong Keon Yon
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