title: Suicidal ideation and occupational pesticide exposure among male farmers.
abstract: BACKGROUND
  The occupation of farming has been reported to be associated with a high suicide rate, and suicidal ideation is an important risk factor for suicide. The objective of this study was to explore the association between occupational pesticide exposure or poisoning history and suicidal ideation among male farmers in South Korea.
  
  
  METHODS
  Through a nationwide sampling survey, a total of 1958 male farmers were interviewed in 2011 in South Korea. Detailed occupational pesticide exposure and pesticide poisoning information were obtained from face-to-face interviews. Suicidal ideation was defined as whether they had thought of harming themselves or trying to take their own lives over the preceding year. Logistic regression analyses were conducted to examine the effect of pesticide poisoning on suicidal ideation.
  
  
  RESULTS
  Among all farmers, 4.7% (n=92) reported suicidal ideation in 2010. After controlling for potential confounders, lifetime hospitalization due to pesticide poisoning showed a 2.48-fold increase in risk (95% CI: 1.26, 4.91). Those with multiple poisonings showed more significant associations with suicidal ideation (OR=2.33 for once, OR=3.02 for more than once). Moderate- or severe-symptom severity of acute pesticide poisoning cases (OR=2.23; 95% CI: 1.21-4.11) also showed increased risks of suicidal ideation than the milder classes did. However, no significant association was identified with cumulative lifetime pesticide application and suicidal ideation.
  
  
  CONCLUSIONS
  Our findings suggest that risk of suicidal ideation is related to occupational pesticide poisoning among male farmers.
authors.affiliation: Department of Preventive Medicine, College of Medicine, Keimyung University, Daegu, South Korea.
authors.forename: Jaeyoung
authors.initials: J
authors.lastname: Kim
authors.affiliation: Department of Preventive Medicine, College of Medicine, Keimyung University, Daegu, South Korea.
authors.forename: Dong-Hoon
authors.initials: DH
authors.lastname: Shin
authors.affiliation: Department of Preventive Medicine, College of Medicine, Korea University, Seoul, South Korea. Electronic address: leewj@korea.ac.kr.
authors.forename: Won Jin
authors.initials: WJ
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000383:Agriculture; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology* / Q000209:etiology; D016273:Occupational Exposure / Q000009:adverse effects* / Q000706:statistics & numerical data*; D010575:Pesticides / Q000506:poisoning*; D056910:Republic of Korea / Q000453:epidemiology; D012424:Rural Population; D059020:Suicidal Ideation; D055815:Young Adult
chemical_list: D010575:Pesticides
keywords: Mental health; Occupational exposure; Pesticide applicators; Poisoning; Suicide