title: Suicidal ideation and suicide attempts among human immunodeficiency virus-infected adults: differences in risk factors and their implications.
abstract: Many studies have investigated risk factors for suicidal ideation and suicide attempt; however, most have failed to show differences in risk factors between suicidal ideation and suicide attempt among the human immunodeficiency virus (HIV)-infected population. This study was designed to identify differences in risk factors between suicidal ideation and suicide attempts among HIV-infected adults in Seoul. A face-to-face survey of 457 HIV-infected adults was conducted by the Seoul Metropolitan Government in 2013. Multivariate logistic regression analysis was used to identify factors associated with suicidal ideation and suicide attempt. Among 422 participants, 44% had suicidal ideation, and 11% had suicide attempts. The independent risk factors for suicidal ideation were young and middle age, living with someone, history of AIDS-defining opportunistic disease, history of treatment for depression, lower social support, and psychological status. Beneficiaries of National Medical Aid, economic barriers to treatment, history of treatment for depression, and lower psychological status were independently associated with suicide attempts. Patients with HIV in Korea were treated without cost in some centers. Thus, experiencing an economic barrier to treatment might be due in part to ignorance of HIV care policies. Our findings indicate that suicide attempts are associated with socioeconomic factors and information inequality regarding medical care. In conclusion, suicidal ideation closely associated with the psychosocial factors, whereas suicide attempt demonstrates a stronger association with socioeconomic factors. Suicide prevention measures should be implemented to provide information to help HIV-infected patients.
authors.affiliation: a Medical Research Center , Seoul National University College of Medicine , Seoul , Republic of Korea.|g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea.
authors.forename: Cho Ryok
authors.initials: CR
authors.lastname: Kang
authors.affiliation: b Division of Infectious Diseases, Seoul Metropolitan Government-Seoul National University Boramae Medical Center , Seoul , Republic of Korea.|g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea.
authors.forename: Ji Hwan
authors.initials: JH
authors.lastname: Bang
authors.affiliation: c Department of Epidemiology , Seoul National University Graduate School of Public Health , Seoul , Republic of Korea.|g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea.
authors.forename: Sung-Il
authors.initials: SI
authors.lastname: Cho
authors.affiliation: d Division of Life & Health , Seoul Metropolitan Government , Seoul , Republic of Korea.
authors.forename: Kui Nam
authors.initials: KN
authors.lastname: Kim
authors.affiliation: d Division of Life & Health , Seoul Metropolitan Government , Seoul , Republic of Korea.
authors.forename: Hee-Jin
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: a Medical Research Center , Seoul National University College of Medicine , Seoul , Republic of Korea.|g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea.
authors.forename: Bo Yeong
authors.initials: BY
authors.lastname: Ryu
authors.affiliation: a Medical Research Center , Seoul National University College of Medicine , Seoul , Republic of Korea.|g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea.
authors.forename: Soo Kyung
authors.initials: SK
authors.lastname: Cho
authors.affiliation: c Department of Epidemiology , Seoul National University Graduate School of Public Health , Seoul , Republic of Korea.|g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea.
authors.forename: Young Hwa
authors.initials: YH
authors.lastname: Lee
authors.affiliation: e Department of Internal Medicine , Seoul National University College of Medicine , Seoul , Republic of Korea.|g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea.
authors.forename: Myoung-Don
authors.initials: MD
authors.lastname: Oh
authors.affiliation: f Department of Family Medicine , Seoul National University College of Medicine , Seoul , Republic of Korea.|g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea.
authors.forename: Jong-Koo
authors.initials: JK
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003863:Depression / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006297:Health Services Accessibility / Q000191:economics*; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011569:Psychiatric Status Rating Scales; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014505:Urban Population
keywords: AIDS; HIV; Seoul Metropolitan City; South Korea; suicidal ideation; suicide attempt