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Associations between suicidal ideation and health-related quality of life among community-dwelling stroke survivors: 2013–2017 Korea National Health and Nutrition Examination Survey

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Abstract

Purpose

The study aimed to identify differences between individuals with stroke and the general population regarding socioeconomic, mental health, and Health-related quality of life (HRQOL) factors, and associations among Suicidal ideation (SI), HRQOL, and mental health.

Methods

Data of individuals with stroke (n = 592) and without stroke (n = 23,562) aged 20 or older from the 2013–2017 Korea National Health and Nutrition Examination Survey were analyzed. Chi-square tests examined differences in socioeconomic status, mental health, and HRQOL (EQ-5D) between groups. Independent associations between each EQ-5D dimension and SI were analyzed through multivariable logistic regression.

Results

Individuals with stroke were more likely to have problems on all EQ-5D dimensions. Significant univariate associations were identified between four EQ-5D dimensions and SI among individuals with stroke. Pain/discomfort (odds ratio [OR] = 1.32; 95% confidence interval [CI], 1.01–1.75, p = 0.048) and anxiety/depression (OR = 4.66; 95% CI, 3.69–5.89, p < .0001) of the EQ-5D were associated with SI when adjusting for all socioeconomic variables; anxiety/depression (OR = 2.80; 95% CI, 2.18–3.60, p < .0001) was the only risk factor for SI after controlling for socioeconomic and mental health variables.

Conclusion

Individuals with stroke showed higher rates for problems on the EQ-5D, SI, and depression compared to the general population. They also demonstrated significant associations between SI and each EQ-5D dimension except physical activity, especially pain/discomfort and depression/anxiety. The study’s findings can be referred to when predicting suicide risk in individuals with stroke by analyzing their EQ-5D scores.

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Abbreviations

CI:

Confidence interval

HRQOL:

Health-related quality of life

OR:

Odds ratio

SI:

Suicidal ideation

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Acknowledgements

We thank the Korea Centers for Disease Control and Prevention and the Ministry of Health and Welfare for providing us with the nationally representative cross-sectional survey data used in this study.

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Authors and Affiliations

Authors

Contributions

Conceptualization: JJ, KL; Methodology: JJ, KL, SK; Formal analysis and investigation: JJ, HJ; Writing—original draft preparation: JJ; Writing—review and editing: JJ, KL, SK; Resources: JJ, HJ; Supervision: KL, SK.

Corresponding authors

Correspondence to Sukil Kim or Kyoung-Uk Lee.

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Conflict of interest

The authors declare that there is no conflict of interest.

Ethical approval

All the participants in this study provided written informed consent. All procedures performed the study were approved by the Korean Centers for Disease Control and Prevention Research Ethics Committee (IRB no. 2013-07CON-03-4C for 2013 and IRB no. 2013-12EXP-03-5C for 2014. Exemption has been granted since 2015).

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Informed consent was obtained from all individual participants included in the study.

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Cite this article

Jang, J., Jung, HS., Kim, S. et al. Associations between suicidal ideation and health-related quality of life among community-dwelling stroke survivors: 2013–2017 Korea National Health and Nutrition Examination Survey. Qual Life Res 31, 403–412 (2022). https://doi.org/10.1007/s11136-021-02960-9

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