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The prevalence of suicidal ideation and depression among primary care patients and current management in South Korea

Overview of attention for article published in International Journal of Mental Health Systems, February 2017
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Title
The prevalence of suicidal ideation and depression among primary care patients and current management in South Korea
Published in
International Journal of Mental Health Systems, February 2017
DOI 10.1186/s13033-017-0123-9
Pubmed ID
Authors

Yoon-Joo Choi, Weon-Young Lee

Abstract

Primary care in South Korea has no effective screening system to identify high-risk suicide patients despite to the possibility of hidden patients. The present study examined the prevalence of suicidal ideation and depression among primary care patients and investigated rates of recognition and management strategies of physicians as they encountering patients with suicidal ideation and depression in primary care settings. This study was conducted as a two-part survey of patients visiting primary care clinics and their physicians. (1) The survey for patients was administered over 17 days in two areas and assessed socio-demographic characteristics, health behavior and the prevalence of suicidal ideation and depression. The participants were 1363 outpatients; 848 lived in urban area, and 515 were from rural area. (2) We surveyed the physicians' recognition of patients with suicidal ideations and depression as well as their current management. Eighteen doctors at 15 local clinics (8 in urban area and 7 in rural area) participated in this survey. The prevalence rates of suicidal ideation and depression (Patient Health Questionnaire-9 ≥ 10) were 18.3% (95% confidence interval: 16.2-20.3) and 13.9% (95% CI 12.6-15.7), respectively in primary care settings. The rates of suicidal ideation and depression were approximately 2.4 times and 1.4 times higher, respectively than those in community dwelling people. Ten (69.7%) and 4 (26.7%) of the 15 clinics staffed physicians who did not recognize suicidal ideation and depression, respectively. Five (83.3%) of 6 and 4 (38.6%) of 14 physicians who recognized suicidal ideation and depression among their patients respectively, only recommended psychiatry without any arrangements for a referral. Our findings imply that many patients with suicidal ideations and depression in primary care settings are under-diagnosed and under-treated. As a result, education and training of the identification and management of suicidal ideation and depression should be made available to physicians in primary care settings.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 48 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 48 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 8 17%
Student > Master 5 10%
Researcher 4 8%
Student > Doctoral Student 4 8%
Student > Ph. D. Student 3 6%
Other 9 19%
Unknown 15 31%
Readers by discipline Count As %
Medicine and Dentistry 9 19%
Psychology 5 10%
Nursing and Health Professions 5 10%
Business, Management and Accounting 3 6%
Social Sciences 3 6%
Other 6 13%
Unknown 17 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 March 2017.
All research outputs
#15,447,117
of 22,955,959 outputs
Outputs from International Journal of Mental Health Systems
#543
of 718 outputs
Outputs of similar age
#256,246
of 420,255 outputs
Outputs of similar age from International Journal of Mental Health Systems
#11
of 17 outputs
Altmetric has tracked 22,955,959 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 718 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.4. This one is in the 18th percentile – i.e., 18% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 420,255 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 30th percentile – i.e., 30% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 17 others from the same source and published within six weeks on either side of this one. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.