Gender differences in healthcare service utilisation 1 year before suicide: national record linkage study

被引:31
作者
Chang, Chia-Ming [2 ,3 ,4 ]
Liao, Shih-Cheng [1 ]
Chiang, Hung-Chi
Chen, Ying-Yeh [5 ]
Tseng, Kwan-Cho [1 ]
Chau, Yeuk-Lun [2 ,3 ]
Chang, Hsiu-Ju [6 ]
Lee, Ming-Been [1 ,7 ]
机构
[1] Natl Taiwan Univ Hosp, Dept Psychiat, Taipei, Taiwan
[2] Chang Gung Mem Hosp, Dept Psychiat, Lin Ko, Taiwan
[3] Chang Gung Mem Hosp, Suicide Prevent Ctr, Lin Ko, Taiwan
[4] Chang Gung Univ, Lin Ko, Taiwan
[5] Taipei City Psychiat Ctr, Taipei, Taiwan
[6] Taipei Med Univ, Coll Nursing, Taipei, Taiwan
[7] Taiwan Natl Suicice Prevent Ctr, Coll Med, Taipei, Taiwan
关键词
MENTAL-HEALTH; CONTACT; TAIWAN;
D O I
10.1192/bjp.bp.108.053728
中图分类号
R749 [精神病学];
学科分类号
100204 [神经病学];
摘要
All suicides (n=12497) in Taiwan in 2001-2004 were identified from mortality records retrieved from the National Health insurance Database. Altogether, 95.1% of females and 84.9% of males had been in contact with healthcare services in the year before their death. Females received significantly more diagnoses of psychiatric disorders (48.0% v. 30.2%) and major depression (17.8% v. 7.4%) than males. Such differences were consistent across different medical settings where contact with hospital-based non-psychiatric physicians was as common as with general practitioners (GPs). However, diagnoses of psychiatric disorders were underdiagnosed in both genders.
引用
收藏
页码:459 / 460
页数:2
相关论文
共 11 条
[1]
[Anonymous], 1998, INT CLASS DIS 9 REV
[2]
[Anonymous], 1978, INT CLASS DIS 9 REV
[3]
Appleby L, 1999, BRIT MED J, V318, P1235
[4]
Chen T-J., 2006, BMC Health Serv Res, V6, P1
[5]
CHENG ATA, 1995, ARCH GEN PSYCHIAT, V52, P594
[6]
Sex and suicide - Gender differences in suicidal behaviour [J].
Hawton, K .
BRITISH JOURNAL OF PSYCHIATRY, 2000, 177 :484-485
[7]
ISOMETSA ET, 1994, J CLIN PSYCHIAT, V55, P523
[8]
Open verdict v. suicide - importance to research [J].
Linsley, KR ;
Schapira, K ;
Kelly, TP .
BRITISH JOURNAL OF PSYCHIATRY, 2001, 178 :465-468
[9]
Mind your manners - Quality of manner of death certification among medical examiners and coroners in Taiwan [J].
Lu, Tsung-Hsueh ;
Sun, Su-Mei ;
Huang, Shu-Ming ;
Lin, Jin-Jia .
AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY, 2006, 27 (04) :352-354
[10]
Contact with mental health and primary care providers before suicide: A review of the evidence [J].
Luoma, JB ;
Martin, CE ;
Pearson, JL .
AMERICAN JOURNAL OF PSYCHIATRY, 2002, 159 (06) :909-916