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Influence of visual acuity on suicidal ideation, suicide attempts and depression in South Korea.
Br J Ophthalmol. 2015 Aug; 99(8):1112-9.BJ

Abstract

BACKGROUND

To assess the influence of visual acuity (VA) on suicidal ideation, suicide attempts and depression.

METHODS

From 2008 to 2012, a total of 28 919 nationally representative participants aged 19 years or older in the Korea National Health and Nutrition Examination Survey underwent additional ophthalmological examinations by the Korean Ophthalmologic Society. Associations between best corrected VA in the better-seeing eye based on decimal fraction and mental health were identified using multivariable logistic regression analysis after adjusting for possible biopsychosocial confounders. Self-reported mental health (suicidal ideation, suicide attempt and depression), Euro Quality of Life-Visual Analog Scale and counselling experience were evaluated by direct interviews. A nomogram for risk of suicidal ideation was generated.

RESULTS

By multivariable logistic regression analysis, low VA was significantly associated with suicidal ideation and suicide attempt but not depression. Participants with a VA of no light perception to 0.2 had a nearly twofold and threefold increased risk of suicidal ideation (adjusted OR, 1.85; 95% CI 1.04 to 3.27) and suicidal attempt (adjusted OR, 3.44; 95% CI 0.92 to 12.79), compared with participants with a VA of 1.0. Sociodemographic disparities, including age and socioeconomic status, existed for suicidal ideation, suicidal attempt and depression. Euro Quality of Life-Visual Analog Scale significantly decreased as VA decreased and was lower in participants who attempted suicide.

CONCLUSIONS

Low VA was associated with the occurrence of suicidal ideation or a suicide attempt. Ophthalmologists should embrace their responsibility to help reduce suicidality and prevent suicides in patients with low VA by encouraging them to seek psychiatric care.

Authors+Show Affiliations

Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea Yonsei healthcare Big Data based Knowledge Integration System Research Center, Yonsei University College of Medicine, Seoul, Korea Institute of Convergence Science, Yonsei University College of Medicine, Seoul, Korea.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25733526

Citation

Rim, Tyler Hyungtaek, et al. "Influence of Visual Acuity On Suicidal Ideation, Suicide Attempts and Depression in South Korea." The British Journal of Ophthalmology, vol. 99, no. 8, 2015, pp. 1112-9.
Rim TH, Lee CS, Lee SC, et al. Influence of visual acuity on suicidal ideation, suicide attempts and depression in South Korea. Br J Ophthalmol. 2015;99(8):1112-9.
Rim, T. H., Lee, C. S., Lee, S. C., Chung, B., & Kim, S. S. (2015). Influence of visual acuity on suicidal ideation, suicide attempts and depression in South Korea. The British Journal of Ophthalmology, 99(8), 1112-9. https://doi.org/10.1136/bjophthalmol-2014-306518
Rim TH, et al. Influence of Visual Acuity On Suicidal Ideation, Suicide Attempts and Depression in South Korea. Br J Ophthalmol. 2015;99(8):1112-9. PubMed PMID: 25733526.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of visual acuity on suicidal ideation, suicide attempts and depression in South Korea. AU - Rim,Tyler Hyungtaek, AU - Lee,Christopher Seungkyu, AU - Lee,Sung Chul, AU - Chung,Byunghoon, AU - Kim,Sung Soo, AU - ,, Y1 - 2015/03/02/ PY - 2014/12/15/received PY - 2015/02/03/accepted PY - 2015/3/4/entrez PY - 2015/3/4/pubmed PY - 2015/10/10/medline KW - Epidemiology KW - Vision SP - 1112 EP - 9 JF - The British journal of ophthalmology JO - Br J Ophthalmol VL - 99 IS - 8 N2 - BACKGROUND: To assess the influence of visual acuity (VA) on suicidal ideation, suicide attempts and depression. METHODS: From 2008 to 2012, a total of 28 919 nationally representative participants aged 19 years or older in the Korea National Health and Nutrition Examination Survey underwent additional ophthalmological examinations by the Korean Ophthalmologic Society. Associations between best corrected VA in the better-seeing eye based on decimal fraction and mental health were identified using multivariable logistic regression analysis after adjusting for possible biopsychosocial confounders. Self-reported mental health (suicidal ideation, suicide attempt and depression), Euro Quality of Life-Visual Analog Scale and counselling experience were evaluated by direct interviews. A nomogram for risk of suicidal ideation was generated. RESULTS: By multivariable logistic regression analysis, low VA was significantly associated with suicidal ideation and suicide attempt but not depression. Participants with a VA of no light perception to 0.2 had a nearly twofold and threefold increased risk of suicidal ideation (adjusted OR, 1.85; 95% CI 1.04 to 3.27) and suicidal attempt (adjusted OR, 3.44; 95% CI 0.92 to 12.79), compared with participants with a VA of 1.0. Sociodemographic disparities, including age and socioeconomic status, existed for suicidal ideation, suicidal attempt and depression. Euro Quality of Life-Visual Analog Scale significantly decreased as VA decreased and was lower in participants who attempted suicide. CONCLUSIONS: Low VA was associated with the occurrence of suicidal ideation or a suicide attempt. Ophthalmologists should embrace their responsibility to help reduce suicidality and prevent suicides in patients with low VA by encouraging them to seek psychiatric care. SN - 1468-2079 UR - https://www.unboundmedicine.com/medline/citation/25733526/Influence_of_visual_acuity_on_suicidal_ideation_suicide_attempts_and_depression_in_South_Korea_ L2 - https://bjo.bmj.com/lookup/pmidlookup?view=long&pmid=25733526 DB - PRIME DP - Unbound Medicine ER -