title: Mental health service use in adults with suicidal ideation within a nationally representative sample of the Korean population.
abstract: BACKGROUND
  Use of mental health services (MHS) by people with suicidal ideation is critical in prevention of suicide, and identification of the factors that influence MHS use may assist in providing efficient interventions and treatments for suicidal individuals. Thus, we investigated the association between socioeconomic factors and use of MHS in people with suicidal ideation.
  
  
  METHODS
  We analyzed the data of the Fifth Korea National Health and Nutrition Examination Survey 2010-2012, a nationally representative cross-sectional study of the Korean population. Among the 24,173 people from the national health survey, we investigated the socioeconomic, clinical, and health-related characteristics of 2616 participants aged 19 years and older with suicidal ideation within the previous year.
  
  
  RESULTS
  In the logistic regression analyses, after adjusting for potentially confounding factors, the odds ratio (OR) for nonuse of MHS was significant in the subjects aged 65 years or older (OR=4.90), aged 50-64 years (OR=2.11), with 10-12 years of education (OR=1.87), widowed (OR=2.75), with economic activity (OR=1.60), with an employment status of paid employee (OR=1.97), without depressive mood (OR=2.73), having not attempted suicide (OR=4.04), and with no reported problems in their usual activities (OR=2.17).
  
  
  CONCLUSIONS
  We did not use standardized assessment tools to evaluate suicidal ideation and depressive mood.
  
  
  CONCLUSIONS
  We observed a significant influence of several socioeconomic factors, depressive mood, and suicide attempts on the MHS use of adults with suicidal ideation, based on a nationally representative sample of the Korean population.
authors.affiliation: Department of Psychiatry, Korea University College of Medicine, Seoul, Republic of Korea.
authors.forename: Kyu-Man
authors.initials: KM
authors.lastname: Han
authors.affiliation: Department of Psychiatry, Korea University College of Medicine, Seoul, Republic of Korea.
authors.forename: Eunsoo
authors.initials: E
authors.lastname: Won
authors.affiliation: Department of Neuropsychiatry, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.
authors.forename: Jong-Woo
authors.initials: JW
authors.lastname: Paik
authors.affiliation: Department of Psychiatry, Korea University College of Medicine, Seoul, Republic of Korea.
authors.forename: Min-Soo
authors.initials: MS
authors.lastname: Lee
authors.affiliation: Department of Psychiatry, Seoul Medical Center, Seoul, Republic of Korea. Electronic address: haebee@hanmail.net.
authors.forename: Hae-Woo
authors.initials: HW
authors.lastname: Lee
authors.affiliation: Department of Psychiatry, Korea University College of Medicine, Seoul, Republic of Korea; Brain Convergence Research Center, Korea University Anam Hospital, Seoul, Republic of Korea. Electronic address: hambj@chol.com.
authors.forename: Byung-Joo
authors.initials: BJ
authors.lastname: Ham
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D056910:Republic of Korea; D012307:Risk Factors; D012959:Socioeconomic Factors; D059020:Suicidal Ideation; D055815:Young Adult
keywords: Depression; Mental health service; Socioeconomic factor; Suicidal ideation; Suicide attempt