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Gender differences in death during hospitalization following a survived suicide attempt in Taiwan from 1998 to 2015: a cross-sectional study

  • Hsiu-Chen Tai1,2
  • Shi-Hao Huang3
  • Yao-Ching Huang3
  • Ren-Jei Chung1
  • Bing-Long Wang4,*,
  • Chi-Hsiang Chung4,5
  • Chien-An Sun6,7
  • Shu-Min Huang8
  • I-Long Lin9
  • Wu-Chien Chien4,5,*,

1Department of Nursing, National Yang Ming Chiao Tung University, 11221 Taipei, Taiwan

2Department of Nursing, Chang Gung University of Science and Technology, 33324 Taoyuan, Taiwan

3Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), 10608 Taipei, Taiwan

4School of Public Health, National Defense Medical Center, 11490 Taipei, Taiwan

5Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, 11490 Taipei, Taiwan

6Department of Public Health, College of Medicine, Fu-Jen Catholic University, 242062 New Taipei, Taiwan

7Big Data Research Center, College of Medicine, Fu-Jen Catholic University, 242062 New Taipei, Taiwan

8Department of Infection Control, Taipei Medical University Hospital, 11031 Taipei, Taiwan

9Department of Computer Science and Engineering, Tatung University, 104327 Taipei, Taiwan

DOI: 10.31083/j.jomh1804103 Vol.18,Issue 4,April 2022 pp.1-9

Published: 30 April 2022

*Corresponding Author(s): Ren-Jei Chung E-mail: rjchung@ntut.edu.tw
*Corresponding Author(s): Bing-Long Wang E-mail: billwang1203@gmail.com
*Corresponding Author(s): Wu-Chien Chien E-mail: chienwu@ndmctsgh.edu.tw

Abstract

Background: This study examines gender differences in death during hospitalization following a survived suicide attempt. The outcome of death during hospitalization following a survived suicide attempt and yearly rate of suicide attempts ending in hospitalization is examined. Methods: Data on 53,670 hospitalized patients injured by suicide attempt between January 1, 1998, and December 31, 2015, were collected from the National Health Insurance Database. From 1998 to 2015, 24,052 male patients and 29,618 female patients were screened and matched by age, gender, and filing date. Multinomial logistic regression was used to analyze the risk of death in terms of gender differences and suicide and hospitalization. p < 0.05 was considered statistically significant. Results: The risk of death during hospitalization after a survived suicide attempt of hospitalized male suicide patients was 1.694 times that of females (adjusted odds ratio (AOR) = 1.694, 95% confidence interval (CI) = 1.569–1.829). The risk of suicide and hospital death for male patients older than 65 years was 3.608 times that of male patients aged 10–24 years (AOR = 3.608, 95% CI = 2.914–4.468) and 6.648 times that of females (AOR = 6.648, 95% CI = 5.105–8.658). Every 1-point increase in the Charlson Comorbidity Index score of male suicide patients increased the risk of suicide hospital death by 5.6%, which indicates that the number or severity of the complications experienced by hospitalized male suicide patients was higher than that of women. Conclusions: Although men comprised a smaller proportion of hospitalized individuals following a survived suicide attempt, they also arrived in more critical condition and were more likely to die during their hospitalization. The increasing trend of female suicide attempt hospitalization rates is greater than that of males and yearly rate of suicide attempts ending in hospitalization is examined.

Keywords

gender difference; suicide; epidemiology; long-term trend analysis

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Hsiu-Chen Tai,Shi-Hao Huang,Yao-Ching Huang,Ren-Jei Chung,Bing-Long Wang,Chi-Hsiang Chung,Chien-An Sun,Shu-Min Huang,I-Long Lin,Wu-Chien Chien. Gender differences in death during hospitalization following a survived suicide attempt in Taiwan from 1998 to 2015: a cross-sectional study. Journal of Men's Health. 2022. 18(4);1-9.

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