{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T04:38:40Z","timestamp":1773463120587,"version":"3.50.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We aimed to evaluate the association of unmet health-related need with suicidal behaviors among Korean adults. We included 26,219 adults (13,937 men and 17,788 women) aged \u2265\u200919\u00a0years from the Korea National Health and Nutrition Examination Survey (2015\u20132020). Suicidal behavior included suicidal plan and attempt. We analyzed the odds ratios and 95% confidence intervals of suicidal behaviors according to unmet health-related need via multivariable logistic regression analysis and performed stratified analyses according to sex, age, income, education, and type of insurance. Of the participants, 9.6% had unmet health-related need. Suicidal plans and attempts had 1.3% and 0.5% of the participants, respectively. The prevalence of suicidal plans and attempts was 0.9% and 0.4% among participants without unmet health-related need and 3.1% and 1.0% among those with such need, respectively. The odd ratios of suicidal plans and attempts increased significantly among participants with unmet health-related need compared to those without. In subgroup analysis, most subgroups showed similar results, except for suicidal plan and attempt in the 45\u201364 age group, high education, and medical care and suicidal attempt in 19\u201344 age group, low-income, and unmarried. Unmet health-related need was independently associated with suicidal plan and attempt. A policy alternative is needed for these associations.<\/jats:p>","DOI":"10.1038\/s41598-024-63200-x","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T05:02:28Z","timestamp":1718082148000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of unmet health-related need on suicidal behavior in Korean adults: a retrospective nationwide cohort study"],"prefix":"10.1038","volume":"14","author":[{"given":"Youn","family":"Huh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju Young","family":"Huh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yerim","family":"Jeon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2999-7767","authenticated-orcid":false,"given":"Jun Hyung","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,11]]},"reference":[{"key":"63200_CR1","unstructured":"World Health Organization. Preventing Suicide: LIVE LIFE Implementation (2022). https:\/\/www.who.int\/publications-detail-redirect\/WHO-MSD-UCN-MHE-22.02"},{"key":"63200_CR2","unstructured":"Centers for Disease Control and Prevention. Web-Based Injury Statistics Query and Reporting System (WISQARS) (National Center for Injury Prevention and Control, 2017). https:\/\/www.cdc.gov\/injury\/wisqars\/index.html"},{"key":"63200_CR3","unstructured":"OECD. Suicide rates (indicator) (Organisation for Economic Co-operation and Development Paris, 2019)."},{"key":"63200_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/j.newideapsych.2019.100758","volume":"57","author":"CJ Bryan","year":"2020","unstructured":"Bryan, C. J. et al. Nonlinear change processes and the emergence of suicidal behavior: A conceptual model based on the fluid vulnerability theory of suicide. New Ideas Psychol. 57, 100758 (2020).","journal-title":"New Ideas Psychol."},{"key":"63200_CR5","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1111\/sltb.12948","volume":"53","author":"CJ Bryan","year":"2023","unstructured":"Bryan, C. J. et al. Rapid intensification of suicide risk preceding suicidal behavior among primary care patients. Suicide Life-Threat. Behav. 53, 352\u2013361 (2023).","journal-title":"Suicide Life-Threat. Behav."},{"key":"63200_CR6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0260399","volume":"16","author":"P Werner","year":"2021","unstructured":"Werner, P. & Tur-Sinai, A. Prevalence and correlates of forgone care among adult Israeli Jews: A survey conducted during the COVID-19 outbreak. PLoS One 16, e0260399 (2021).","journal-title":"PLoS One"},{"key":"63200_CR7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-018-3369-2","volume":"18","author":"J Hwang","year":"2018","unstructured":"Hwang, J. Understanding reasons for unmet health care needs in Korea: What are health policy implications?. BMC Health Serv. Res. 18, 1\u20139 (2018).","journal-title":"BMC Health Serv. Res."},{"key":"63200_CR8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-022-07563-9","volume":"22","author":"AI Tavares","year":"2022","unstructured":"Tavares, A. I. Older Europeans\u2019 experience of unmet health care during the COVID-19 pandemic (first wave). BMC Health Serv. Res. 22, 1\u201313 (2022).","journal-title":"BMC Health Serv. Res."},{"key":"63200_CR9","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1177\/1403494819863530","volume":"48","author":"C Lindstr\u00f6m","year":"2020","unstructured":"Lindstr\u00f6m, C., Rosvall, M. & Lindstr\u00f6m, M. Unmet health-care needs and mortality: A prospective cohort study from southern Sweden. Scand. J. Public Health 48, 267\u2013274 (2020).","journal-title":"Scand. J. 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Office of Suicide Prevention Annual Report FY 2018\u20132019 (2019)."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-63200-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-63200-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-63200-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T05:04:19Z","timestamp":1718082259000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-63200-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,11]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["63200"],"URL":"https:\/\/doi.org\/10.1038\/s41598-024-63200-x","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,11]]},"assertion":[{"value":"18 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"13369"}}