Gender-specific factors related to suicidal ideation among community-dwelling stroke survivors: The 2013 Korean Community Health Survey.

Abstract

We assessed gender-specific factors associated with suicidal ideation among community-dwelling stroke survivors. In total, 4,322 stroke survivors who participated in the 2013 Korean Community Health Survey were included in the final analysis. Sociodemographic information, socio-family relationships, health behaviors, health status, and suicidal ideation were assessed using a standardized questionnaire. On fully adjusted analysis, suicidal ideation among males was more common in those who were widowed, rather than married (odds ratio [OR] 1.59, 95% confidence interval [CI] 1.03-2.47), those who rarely contacted neighbors (OR 1.50, 95% CI 1.10-2.06), current smokers (OR 1.54, 95% CI 1.03-2.29), and frequent drinkers (OR 1.54, 95% CI 1.05-2.24). Suicidal ideation among females was more common in older subjects, those with lower monthly household incomes, the unemployed (OR 1.75, 95% CI 1.21-2.53), and housewives/students (OR 1.46, 95% CI 1.06-2.03), those who rarely contacted friends (OR 1.43, 95% CI 1.12-1.82), and diabetics (OR 1.35, 95% CI 1.05-1.73). Perceived persistent high-level stress, depressive mood, poor self-rated health, and a diagnosis of depression were commonly associated with suicidal ideation in both genders. Gender differences should be considered by medical practitioners and community policymakers when seeking to prevent and manage suicidal ideation in stroke survivors.