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Suicidal Incidents in South KoreaAnna Kim, Elham B., Ho Jun Paik, Jun Young Park, Jung Hoon Lee
SOS!!!
DEPRESSION
GRADES
Such
a
borin
g
topic
1. THE CONTENT OF THE PRESENTATION
Introduction
Literature review
Analysis, research findings
Variables (IV, CV, DV) and descriptive statistics and hypothesis
Regression
Conclusion
what we need to
learn
about SUICIDE?
SUICIDE PERMANENT solution for a TEMPORARY problem
KOREA HAS ONE OF THE HIGHEST SUICIDE RATES
IN OECD COUNTRIES FOR
11 YEARS *
also graying (aging) Korean
society…
Urgency for South Korean
society
http://www.dailymail.co.uk/news/article-3284587/Learn-dead-day-Suicidal-people-locked-coffins-bizarre-death-experience-schools-South-Korea-40-people-kill-day.html
SUICIDE is 3rd leading cause of DEATH among young people*CAN SUICIDE BE PREVENTED?
a) Never, it is impossible
b) May be sometimes
c) Yes, it is possible but only in ADVANCE of acute risk
d) Yes, even up to the last moment
SUICIDE is 3rd leading cause of DEATH among young people*CAN SUICIDE BE PREVENTED?
a) Never, it is impossible
b) May be sometimes
c) Yes, it is possible but only in ADVANCE of acute risk
d) Yes, even up to the last moment
According to NATCOM Conference 2015*
Most suicides are planned They are not just impulsive events
When people are depressed they are NOT thinking, feeling normally. They need HELP
Suicide is preventable
DEPRESSION
GRADES PRESSURE
FROM
PARENTS,
OTHER
PEOPLE
SO
UNHA
PPY
!
NO
SOLUTION,
what
should I
DO?!
I DON’T NEED ANYONE ANYMORE NOBODY
CAN HELP
ME I HATE
THEM ALL
SOS!!!
SOS!!! DEPRESSION GRADE
S PRESSURE
FROM
PARENTS,
OTHER
PEOPLE
SO
UNHA
PPY
!
NO
SOLUTION,
what
should I
DO?!
I DON’T NEED ANYONE ANYMORE
NOBODY
CAN HELP
ME I HATE ALL
DEPRESSION
DEPRESSION
DEPR
ESSI
ON
DEPR
ESSIO
N
DEPRESSION
DEPRESSION
DEPRESSION
DEPRESSION
DEPRESSION DEPRESSION
DEPRESSION
PEOPLE at higher risk who has problems with:
Law
Depression
Being neglected and abused
Alcohol and drugs
Psychological problems, perfectionists
Etc.
HOW CAN I BE HAPPY if
I have EXAMS T.TARE Y
OU
HAPPY?
The problem
2. Our Questions
What are the factors cause suicidal rates? How can we change the situation? What should we start with?
Hypothesis:- People with higher level of education tend to have higher suicidal rates
NULL : Level of education does not have any effect on suicidal rates
3. ANALYSIS
Suicidal incident (DV)
Hypothesis:
- People with higher level of education tend to have higher suicidal rates - People with higher level of education tend to have lower suicidal rates
NULL : Level of education does not have any effect on suicidal rates
IV : level of education DV : suicidal incident
CV : age, income, number of family members, drinking frequency, exercise frequency, quality of nutrition, subjective image of oneself
Level of education(IV)
Hypothesis indicator Source*
Age Older people, more suicide 1~99
Korea National Health & Nutrition
Examination Survey
713 questions, 8018 observations in total
4507 observations after eliminating
blanks
Income Lower income, more suicide
Scale of 4 Low – many
Household size Smaller family, more suicide
Scale of 9 1~9
Drinking frequency More drinking, more suicide
Scale of 6No – many
Exercise frequency Less exercise, more suicide
Scale of 80~7 days a week
Quality of nutrition Less meals, more suicide
Scale of 4Plenty – insufficient
Subjective figure Fatter, more suicide Scale of 5 Skinny - fat
Education Persons with higher school attainment had significantly increased odds ratios of dying from a suicide rather than a natural cause. Individual with higher educational achievement may be more prone to suicide risk when facing failures, public shame, and high premorbid functioning.
Source : M. Pompili,M. Vichi,Ping Qin,M. Innamorati,D. De Leo,P. Girardi, Does the level of education influence completed suicide? A nationwide register study May 2013, Pages 437–440
Hypothesis : Higher level of education , higher suicidal incidents
EducationMean 2.812292
Standard Error 0.016293Median 3Mode 3
Standard Deviation 1.093823Sample Variance 1.196449
Kurtosis -1.02746Skewness -0.52631
Range 3Maximum 4Minimum 1
Sum 12675Count 4507
Geometric Mean 2.528435Harmonic Mean 2.186714
AAD 0.906902MAD 1IQR 2
There’s no significant data for this control variables in other conducted researches related to the size of the house and the risk of attempting suicide.
Hypothesis : Smaller the household size, high rate of suicidal risks
Household sizeMean 3.202352
Standard Error 0.018309Median 3Mode 4
Standard Deviation 1.229127Sample Variance 1.510753
Kurtosis -0.05621Skewness 0.271914
Range 7Maximum 8Minimum 1
Sum 14433Count 4507
Geometric Mean 2.938519Harmonic Mean 2.638196
AAD 1.007532MAD 1IQR 2
Household size
Suicide rates for teens and young adults increased dramatically from 1950 to 1990 (S. Kachur,1995).
Source : Suicide in the United States 1980-1991, Violence Surveillance Summary Series, No. 1 , S. Patrick Kachur, MD, MPH, Lloyd B. Potter, PhD, MPH, Stephen P. James, Kenneth E. Powell, MD, MPH
Hypothesis : Older people are more likely to commit suicide
AgeMean 46.56446
Standard Error 0.255441Median 46Mode 41
Standard Deviation 17.14885Sample Variance 294.083
Kurtosis -0.79332Skewness 0.113559
Range 80Maximum 92Minimum 12
Sum 209866Count 4507
Geometric Mean #NUM!Harmonic Mean 39.18044
AAD 14.31558MAD 13IQR 26
Age
The suicide rate is substantially elevated among alcoholics and that suicide is a cause of death for a substantial percentage of alcoholics (Pompili, 2010).
Source : Int J Environ Res Public Health. 2010 Apr; 7(4): 1392–1431
Hypothesis : More alcohol consumption, higher rate of suicidal rates
Alcohol Consumption
Mean 3.187486
Standard Error 0.023212
Median 3
Mode 4
Standard Deviation 1.558347
Sample Variance 2.428445
Kurtosis -1.18123
Skewness 0.064451
Range 5
Maximum 6
Minimum 1
Sum 14366
Count 4507
Geometric Mean 2.738142
Harmonic Mean 2.270033
AAD 1.371047
MAD 1
IQR 2
Alcohol Consumption
Lower income, simply to say lower social class or those who feel they are socioeconomic disadvantage are prone to vulnerable for suicide and suicidal attempts
Source : Beautrais AL, Collings SCD, Ehrhardt P, et al. 2005. Suicide Prevention: A review of evidence of risk and protective factors, and points of effective intervention. Wellington: Ministry of Health. P 39.
Hypothesis : Higher the income, lower the rate of suicidal incident
IncomeMean 2.519192
Standard Error 0.016598Median 3Mode 2
Standard Deviation 1.114315Sample Variance 1.241698
Kurtosis -1.35149Skewness -0.01501
Range 3Maximum 4Minimum 1
Sum 11354Count 4507
Geometric Mean 2.235417Harmonic Mean 1.942254
AAD 0.995746MAD 1IQR 2
Income
Exercise promotes a positive emotional-well being that participating at least in low-intensity activity demonstrates reduced risk of suicidal behavior.
Source : Lindsay A. Taliaferro, MS, MPH; Barbara A. Rienzo, PhD; R. Morgan Pigg Jr, HSD, MPH; M. David Miller, PhD; Virginia J. Dodd, PhD, MPH
Hypothesis : More exercise, reduced suicidal behavior
Exercise
Mean 2.037941
Standard Error 0.024524
Median 1
Mode 1
Standard Deviation 1.646427
Sample Variance 2.710722
Kurtosis 2.379803
Skewness 1.726969
Range 7
Maximum 8
Minimum 1
Sum 9185
Count 4507
Geometric Mean 1.603866
Harmonic Mean 1.360934
AAD 1.262881
MAD 0
IQR 2
Exercise Frequency
Nutrition can have an impact on mental health as well as physical health. Insufficient nutrition affects our depression and feeling weak and this causes more suicide.
Source : Li Y, Zhang J, McKeown R. Cross-sectional assessment of diet quality in individuals with a lifetime history of attempted suicide. Psychiatry Res 2009; 165:111-9.
Hypothesis : Better nutrition, lower suicidal rates.
Nutrition
Mean 1.598624
Standard Error 0.009065
Median 2
Mode 2
Standard Deviation 0.608585
Sample Variance 0.370375
Kurtosis 0.756433
Skewness 0.721039
Range 3
Maximum 4
Minimum 1
Sum 7205
Count 4507
Geometric Mean 1.488458
Harmonic Mean 1.388621
AAD 0.547754
MAD 1
IQR 1
Nutrition (Diet)
It is more vulnerable committing suicide to those who think they are not socially fit due to their own perception of their body figures. Results indicate that body satisfaction, as measured by the perception of being overweight, has strong impact on all suicidal behaviors.
Source D. Daveb, I. Rashad, Overweight status, self-perception, and suicidal behaviors among adolescent, May 2009, pages 1685-1691
Hypothesis : Perception of oneself being fatter, higher suicide incident.
Subjective figureMean 3.262037
Standard Error 0.013818Median 3Mode 3
Standard Deviation 0.927646Sample Variance 0.860527
Kurtosis 0.028355Skewness -0.35497
Range 4Maximum 5Minimum 1
Sum 14702Count 4507
Geometric Mean #NUM!Harmonic Mean 2.881775
AAD 0.746476MAD 1IQR 1
Subjective figure (Perception of oneself)
Regression coeff b s.e. Wald p-value exp(b) lower upper
INTERCEPT -1.64996 0.607554 7.375286 0.006613 0.192057
EDUCATION -0.27952 0.076838 13.23352 0.000275 0.756146 0.65043 0.879043
FAMILY -0.20244 0.067289 9.051585 0.002625 0.816732 0.715819 0.931871
AGE -0.00388 0.005085 0.582941 0.445162 0.996125 0.986248 1.006102
DRINKING 0.030692 0.044671 0.472039 0.49205 1.031167 0.944724 1.125521
INCOME -0.26887 0.071179 14.26886 0.000158 0.764241 0.664726 0.878654
EXERCISE -0.10042 0.052474 3.662436 0.055652 0.904455 0.816058 1.002428
NUTRITION 0.290662 0.108613 7.161669 0.007448 1.337313 1.08089 1.654567
FIGURE 0.115641 0.076082 2.310263 0.128522 1.122592 0.967078 1.303115
4.Research findingsEducation (p : 0.000275)
eleman
try ed
ucation an
d below
middle sch
ool educati
on and belo
w
high sc
hool educati
on and belo
w
colle
ge ed
ucation or h
igher
0
0.02
0.04
0.06
0.08
0.1
0.12
0.14
elementary education and below 0.126807694
middle school education and below 0.09894473
high school education and below 0.076666454
college education or higher 0.059075457
Possibility:higher education resulting in better jobs and higher life quality
LEVEL OF EDUCATION IV SUICIDAL INCIDENT
DV
Household size (p : 0.002625)
1 2 3 4 5 6 7 80
0.02
0.04
0.06
0.08
0.1
0.12
0.14
0.16
1 member 0.135590492 2 members 0.113563057 3 members 0.094721972 4 members 0.078729157 5 members 0.065241961 6 members 0.053930021 7 members 0.044486054 8 members 0.036631834
Possibility: Bigger the household size, more responsibilities, resulting less suicidal thoughtsmore interaction among family members relieve stress
They may also have higher possibility of family members helping solve problems they face in life
HOUSEHOLD SIZEIV SUICIDAL INCIDENT
DV
Age (p : 0.445162)
12 0.07161535513 0.06865679614 0.06865679615 0.06865679616 0.06865679617 0.06865679618 0.068656796
~85 0.06865679686 0.06865679687 0.06865679688 0.06865679689 0.06865679690 0.06865679691 0.06865679692 0.068656796
Possibility:
Factors such as sickness, financial problems, or any sort of feeling of burden resulting in suicide or suicidal thoughts
1 8 15 22 29 36 43 50 57 64 71 780
0.01
0.02
0.03
0.04
0.05
0.06
0.07
0.08
0.09
0.1
Series1
AGE IV
SUICIDAL INCIDENT DV
Drinking (p : 0.49205)
has not drunk for the
past year
less than
once a month
around once a month
2~4 times a month
2~3 times a week
more than 4 times a week
0.15
0.155
0.16
0.165
0.17
0.175
0.18
0.185
0.19
has not drunk for the past year 0.165305378less than once a month 0.169583802around once a month 0.173949884
2~4 times a month 0.1784042252~3 times a week 0.182947367
more than 4 times a week 0.187579787
Possibility: Drinking may be a result of stress, and that is the reason why more drinking cause higher suicidal rates Or, more drinking causes have negative effects on daily life, unable to function properly, and also impulsive action
DRINKING FREQUENCY IV SUICIDAL INCIDENT
DV
Income (p : 0.000158)
lowest income
mid-low income
mid-high income
high income0
0.02
0.04
0.06
0.08
0.1
0.12
0.14
lowest income 0.127991523
mid-low income 0.100859829
mid-high income 0.078958745
high income 0.061488125
Possibility:Lower income generally causes more hardships in life, resulting in higher suicidal thoughts
Must think about the opposite, higher income jobs might have higher responsibilities
INCOME IV
SUICIDAL INCIDENT DV
Exercise (p : 0.055652)
exerci
se once a w
eek
exerci
se twice
a week
exerci
se thric
e a week
exerci
se four ti
mes a w
eek
exerci
se five times a
week
exerci
se six times a
week
exerci
se seve
n times a w
eek0
0.02
0.04
0.06
0.08
0.1
0.12
0.14
0.16
exercise once a week 0.147998598exercise twice a week 0.135778086exercise thrice a week 0.124419287
exercise four times a week 0.113885511exercise five times a week 0.104137492exercise six times a week 0.095134274
exercise seven times a week 0.086833983
Possibility:Exercise can be seen as healthy activity More exercise causes healthier body and mind
Spending more time being busy, less time to be depressed?
EXERCISE FREQUENCYIV SUICIDAL INCIDENT
DV
Nutrition (Diet) (p : 0.007448)
plenty to eat
in quantitiy a
nd diversi
ty
plenty to eat
in quantitiy,
not in dive
rsity
sometime had
hard times e
ating
frequently
had hard
times eati
ng0
0.050.1
0.150.2
0.250.3
0.350.4
plenty to eat in quantitiy and diversity 0.204353936
plenty to eat in quantitiy, not in diversity 0.255662003
sometime had hard times eating 0.314756066
frequently had hard times eating 0.380526308
Possibility: Lower income, lower life qualityInsufficient nutrition, depressed and feeling weak
DIET IV SUICIDAL INCIDENT
DV
Subjective figure (p : 0.128522)
very skinny
slightly skinny
normal slightly fat
very fat0
0.05
0.1
0.15
0.2
0.25
0.3
very skinny 0.177362146
slightly skinny 0.194868317
normal 0.213653629
slightly fat 0.233724152
very fat 0.255068516
Possibility: (sitomania, addephagia) unable to fit to modern standards, depression tendency to not eat, weaker minds
SUBJECTIVE FIGUREIV SUICIDAL INCIDENT
DV
5. LimitationsDefinition of Logistics Regression• Regression model where DV is
categorical
Definition of Binary DV• DVs that have two values
Problems of Logistics Regression• Treat the same set of problems as
‘Probit’ regression using similar techniques
5-2. Limitations BeyondThe possible ERROR in the data our team have gathered by Korean National Health & Nutrition Examination Survey
The AGE SAMPLE of this survey were NOT applicable with the info of the survey
The study was NOT able to consider some factors that can impact the suicide rate
• Mental Disease• Prevalence Rate• Accessibility of Medical Services
6. ConclusionTherefore, as opposed to our first thoughts and expectations, our figures show that the higher education actually leads to the lower rate of suicidal incidents
Implications and Recommendation
Our studies show that…People who are more dedicated to increase their quality of lives by exercising more andachieving higher education levels have lower suicidal rates
DON’T
WORRY
BE HAPPY!