Effects of Atopic Dermatitis on Suicidal Ideation, Plans and Attempts in Young Adult

Ji Young Kim; Youngran Yang

doi:10.12799/jkachn.2017.28.4.504

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Kim and Yang: Effects of Atopic Dermatitis on Suicidal Ideation, Plans and Attempts in Young Adult

Original Article

J Korean Acad Community Health Nurs 2017;28(4):504-512.

Published online: 12 December 2017

DOI: https://doi.org/10.12799/jkachn.2017.28.4.504

Effects of Atopic Dermatitis on Suicidal Ideation, Plans and Attempts in Young Adult

Ji Young Kim¹, Youngran Yang²

¹Graduate School, College of Nursing, Chonbuk National University, Jeonju, Korea

²College of Nursing · Research Institute of Nursing Science, Chonbuk National University, Jeonju, Korea

Corresponding author: Yang, Youngran College of Nursing, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju 54896, Korea. Tel: +82-63-270-3116, Fax: +82-63-270-3127, E-mail: youngran13@jbnu.ac.kr

Received 23 August 2017 Revised 27 November 2017 Accepted 27 November 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study aims to investigate the effects of atopic dermatitis on suicidal ideation, plans and attempts in young adult.

Methods

Data are from the Sixth Korean National Health and Nutrition Examination Survey (KNHANES VI, 2013, 2015) in a sample of 2,983 respondents aged 19 to 39 years. Data were analyzed using Frequency, Percentage, x² test, Complex sample multivariate binary logistic regression analysis with SPSS version 18.0 software.

Results

Firstly, factors affecting suicidal ideation are gender, education level, smoking, self-reported health status, asthma, depression and stress perception. Factors affecting suicidal plan are education level, self-reported health status, asthma and depression. Lastly, factors affecting suicidal attempt are gender, education level, smoking, self-reported health status, depression and stress perception. Compared to non-atopic group, the prevalence of suicidal ideation and plan of atopic group increased from odds ratio 2.14 to 2.48 and 1.90 to 2.50, respectively. Odds ratio for suicidal attempt was odds ratio 2.69 (10% error level).

Conclusion

The results show that atopic dermatitis in young adult affects suicidal ideation, plans and attempts. Therefore, it is necessary to identify atopic patients who have suicidal thoughts and plans and develop an intervention program to prevent and manage suicide in young adult.

Keywords: Young adult, Atopic dermatitis, Self-injurious behavior

References

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Table 1.

Differences of General Characteristics and Health Related Characteristics between Atopy and Non-atopic Group (N=2,983)

Characteristics	Categories	Atopic group (n=180)	Non-atopic group (n=2,803)	x²	p
Characteristics	Categories	weighted n (%)	weighted n (%)	x²	p
Age (year)	19~29	136 (9.7)	1,211 (90.3)	60.243	＜.001
	30~39	44 (2.8)	1,592 (97.2)
Gender	Male	88 (6.8)	1,194 (93.2)	1.242	.323
	Female	92 (5.8)	1,609 (94.2)
Marital status	Married	40 (2.7)	1,446 (97.3)	52.093	＜.001
	Single	140 (9.2)	1,356 (90.8)
Education	≤Elementary school	1 (11.4)	15 (88.6)	15.388	.010
	Middle school	3 (4.0)	42 (96.0)
	High school	104 (8.2)	1,175 (91.8)
	≥College	72 (4.8)	1,568 (95.2)
Household income	Q1 (Lowest)	14 (7.7)	191 (92.3)	3.307	.484
	Q2	41 (5.0)	710 (95.0)
	Q3	59 (6.2)	956 (93.8)
	Q4 (Highest)	65 (6.9)	935 (93.1)
Drinking	Present drinker	173 (6.3)	2,681 (93.7)	0.342	.546
	Never drunk	6 (4.9)	117 (95.1)
Cigarette smoking	Present smoker	55 (7.1)	661 (92.9)	3.547	.109
	Never smoked	15 (4.3)	390 (95.7)
Self-reported	Healthy	60 (5.0)	1,109 (95.0)	8.053	.041
health status	Average	90 (6.7)	1,377 (93.3)
	Unhealthy	30 (8.9)	317 (91.1)
Hypertension	Yes	3 (8.8)	36 (91.2)	0.430	.565
	No	177 (6.3)	2,767 (93.7)
Hyperlipidemia	Yes	6 (8.5)	65 (91.5)	0.537	.500
	No	174 (6.2)	2,738 (93.8)
Asthma	Yes	17 (22.8)	71 (77.2)	44.808	＜.001
	No	163 (5.8)	2,732 (94.2)
Depression	Yes	9 (11.2)	70 (88.8)	3.323	.089
	No	171 (6.2)	2,733 (93.8)
Allergic rhinitis	Yes	65 (9.7)	591 (90.3)	17.697	.001
	No	115 (5.3)	2,212 (94.7)
Stress	Rarely	112 (5.8)	1,936 (94.2)	1.700	.240
	Often	67 (7.1)	862 (92.9)

Table 2.

Differences of Characteristics Suicidal Ideation, Plan, Attempt of Study Population (N=2,983)

Characteristics	Categories	Suicidal
		Ideation			Plan			Attempt
		Yes	No	x² (p)	Yes	No	x² (p)	Yes	No	x² (p)
		weighted	weighted		weighted	weighted		weighted	weighted
		n (%)	n (%)		n (%)	n (%)		n (%)	n (%)
Atopic	Yes	18 (9.0)	161 (91.0)	17.178	5 (2.4)	174 (97.6)	4.291	2 (0.7)	177 (99.3)	0.824
dermatitis	No	97 (3.2)	2,701 (96.8)	(＜.001)	26 (0.9)	2,772 (99.1)	(.062)	13 (0.3)	2,785 (99.7)	(.303)
Age (year)	19~29	62 (4.1)	1,321 (95.9)	3.486	16 (1.1)	1,367 (98.9)	0.759	5 (0.3)	1,378 (99.7)	1.806
	30~39	57 (2.9)	1,626 (97.1)	(.083)	16 (0.8)	1,667 (99.2)	(.418)	13 (0.6)	1,670 (99.4)	(.136)
Gender	Male	30 (2.3)	1302 (97.7)	15.371	9 (0.7)	1,323 (99.3)	1.566	2 (0.1)	1,330 (99.9)	9.234
	Female	89 (4.9)	1,645 (95.1)	(.001)	23 (1.2)	1,711 (98.8)	(.274)	16 (0.8)	1,718 (99.2)	(＜.001)
Marital status	Married	56 (3.2)	1,466 (96.8)	0.608	13 (0.7)	1,509 (99.3)	1.990	12 (0.6)	1,510 (99.4)	1.494
	Single	63 (3.8)	1,480 (96.2)	(.442)	19 (1.2)	1,524 (98.8)	(.174)	6 (0.3)	1,537 (99.7)	(.180)
Education	≤Elementary school	4 (26.3)	12 (73.7)	50.992	1 (4.3)	15 (95.7)	26.186	1 (4.3)	15 (95.7)	9.845
	Middle school	7 (13.9)	37 (86.1)	(＜.001)	3 (7.4)	41 (92.6)	(＜.001)	0 (0.0)	44 (100.0)	(.005)
	High school	63 (4.6)	1,214 (95.4)		18 (1.3)	1,259 (98.7)		10 (0.5)	1,267 (99.5)
	≥College	41 (2.1)	1,596 (97.9)		9 (0.5)	1,628 (99.5)		4 (0.2)	1,633 (99.8)
Household income	Q1 (Lowest)	11 (3.5)	209 (96.5)	6.092	3 (1.5)	217 (98.5)	1.781	2 (0.6)	218 (99.4)	0.729
	Q2	42 (5.0)	727 (95.0)	(.156)	13 (1.2)	756 (98.8)	(.699)	4 (0.3)	765 (99.7)	(.817)
	Q3	33 (3.2)	1,004 (96.8)		9 (0.9)	1,028 (99.1)		7 (0.5)	1,030 (99.5)
	Q4 (Highest)	33 (2.9)	995 (97.1)		7 (0.7)	1,021 (99.3)		5 (0.4)	1,023 (99.6)
Drinking	Present drinker	111 (3.4)	2,829 (96.6)	1.738	31 (1.0)	2,909 (99.0)	0.193	17 (0.4)	2,923 (99.6)	0.054
	Never drunk	8 (5.7)	118 (94.3)	(.231)	1 (0.6)	125 (99.4)	(.588)	1 (0.6)	125 (99.4)	(.774)
Cigarette smoking	Present smoker	41 (4.7)	708 (95.3)	5.220	12 (1.2)	737 (98.8)	0.015	8 (0.6)	741 (99.4)	1.626
	Never smoked	10 (2.0)	410 (98.0)	(.028)	5 (1.2)	415 (98.8)	(.914)	1 (0.1)	419 (99.9)	(.041)
Self-reported health status	Healthy	28 (2.2)	1,138 (97.8)	81.803	7 (0.5)	1,159 (99.5)	65.131	6 (0.4)	1,160 (99.6)	12.342
	Average	42 (2.6)	1,424 (97.4)	(＜.001)	6 (0.4)	1,460 (99.6)	(＜.001)	2 (0.1)	1,464 (99.9)	(＜.001)
	Unhealthy	45 (11.8)	301 (88.2)		18 (4.8)	328 (95.2)		7 (1.3)	339 (98.7)
Hypertension	Yes	2 (5.9)	37 (94.1)	0.680	1 (1.7)	38 (98.3)	0.236	1 (1.7)	38 (98.3)	2.066
	No	113 (3.5)	2,846 (96.5)	(.482)	30 (0.9)	2,929 (99.1)	(.563)	14 (0.3)	2,945 (99.7)	(.088)
Hyper-lipidemia	Yes	2 (2.3)	69 (97.7)	0.287	0 (0.0)	71 (100.0)	0.627	0 (0.0)	71 (100.0)	0.231
	No	113 (3.5)	2,814 (96.5)	(.554)	31 (1.0)	2,896 (99.0)	(.461)	15 (0.4)	2,912 (99.6)	(.589)
Asthma	Yes	8 (10.8)	80 (89.2)	15.134	3 (5.8)	85 (94.2)	24.801	0 (0.0)	88 (100.0)	0.342
	No	107 (3.3)	2,782 (96.7)	(.001)	28 (0.8)	2,861 (99.2)	(＜.001)	15 (0.4)	2,874 (99.6)	(.518)
Depression	Yes	23 (24.8)	55 (75.2)	108.252	7 (5.6)	71 (94.4)	19.347	5 (4.1)	73 (95.9)	33.385
	No	92 (3.0)	2,807 (97.0)	(＜.001)	24 (0.8)	2,875 (99.2)	(＜.001)	10 (0.2)	2,889 (99.8)	(＜.001)
Allergic rhinitis	Yes	26 (3.5)	628 (96.5)	0.005	8 (1.1)	646 (98.9)	0.372	3 (0.3)	651 (99.7)	0.028
	No	89 (3.6)	2,234 (96.4)	(.946)	23 (0.9)	2,300 (99.1)	(.588)	12 (0.4)	2,311 (99.6)	(.852)
Stress	Rarely	28 (1.1)	2,079 (98.9)	106.209	8 (0.3)	2,099 (99.7)	27.366	4 (0.1)	2,103 (99.9)	12.979
	Often	91 (8.5)	868 (91.5)	(＜.001)	24 (2.3)	935 (97.7)	(＜.001)	14 (1.0)	945 (99.0)	(＜.001)

Table 3.

Effect of Atopic Dermatitis on Suicidal Ideation, Plan, Attempt (N=2,983)

Characteristics	Model	Non-atopic group (n=2,803)	Atopic group (n=180)
Characteristics	Model	Non-atopic group (n=2,803)	OR (p)	95% CI
Suicidal ideation	Model 1	1.0 (reference)	2.14 (＜.001)	1.42~3.21
	Model 2	1.0 (reference)	2.34 (＜.001)	1.53~3.56
	Model 3	1.0 (reference)	2.48 (.069)	0.93~6.58
Suicidal plan	Model 1	1.0 (reference)	2.29 (.028)	1.09~4.80
	Model 2	1.0 (reference)	2.50 (.017)	1.18~5.30
	Model 3	1.0 (reference)	1.90 (.433)	0.38~9.41
Suicidal attempt	Model 1	1.0 (reference)	2.69 (.061)	0.95~7.56
	Model 2	1.0 (reference)	2.36 (.106)	0.83~6.69
	Model 3	1.0 (reference)	1.31 (.764)	0.29~7.49

OR=odds ration; CI=confidence interval; Model 1 : No control variables; Model 2 : General characteristics (age, gender, marital status, education, household income) include control variables; Model 3 : Model 2 control variables + Health related characteristics (drinking, cigarette smoking, self-reported health status, hypertension, hyperlipidemia, asthma, depression, allergic rhinitis, stress) include control variables.

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