Skip to main content Accessibility help
×
Home

Gender differences in healthcare service utilisation 1 year before suicide: national record linkage study

  • Chia-Ming Chang (a1), Shih-Cheng Liao (a2), Hung-Chi Chiang (a3), Ying-Yeh Chen (a4), Kwan-Cho Tseng (a2), Yeuk-Lun Chau (a5), Hsiu-Ju Chang (a6) and Ming-Been Lee (a7)...

Summary

All suicides (n=12 497) in Taiwan in 2001–2004 were identified from mortality records retrieved from the National Health Insurance Database. Altogether, 95.1% of females and 84.9% of males had been in contact with healthcare services in the year before their death. Females received significantly more diagnoses of psychiatric disorders (48.0% v. 30.2%) and major depression (17.8% v. 7.4%) than males. Such differences were consistent across different medical settings where contact with hospital-based non-psychiatric physicians was as common as with general practitioners (GPs). However, diagnoses of psychiatric disorders were underdiagnosed in both genders.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Gender differences in healthcare service utilisation 1 year before suicide: national record linkage study
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Gender differences in healthcare service utilisation 1 year before suicide: national record linkage study
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Gender differences in healthcare service utilisation 1 year before suicide: national record linkage study
      Available formats
      ×

Copyright

Corresponding author

Ming-Been Lee, Department of Psychiatry, National Taiwan University Hospital, No.7 Chung San South Road, Taipei, Taiwan. Email: mingbeen@ha.mc.ntu.edu.tw

Footnotes

Hide All

This study was supported by a grant from the Department of Health, Executive Yuan, Taiwan, R.O.C. to the National Suicide Prevention Center (94-3084), and by a grant from the Department of Health, Executive Yuan, Taiwan, R.O.C. (DOH93-TD-M-113-007) and National Science Council (NSC 93-2314-B-040-027) to C.-M.C.

Declaration of interest

None.

Footnotes

References

Hide All
1 Luoma, JB, Martin, CE, Pearson, JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry 2002; 159: 909–16.
2 Pirkis, J, Burgess, P. Suicide and recency of health care contacts. A systematic review. Br J Psychiatry 1998; 173: 462–74.
3 Cheng, ATA. Mental illness and suicide: a case–control study in east Taiwan. Arch Gen Psychiatry 1995; 52: 594603.
4 Appleby, L, Shaw, J, Amos, T, McDonnell, R, Harris, C, McCann, K, et al. Suicide within 12 months of contact with mental health services: national clinical survey. BMJ 1999; 318: 1235–9.
5 Isometsa, ET, Aro, HM, Henriksson, MM, Heikkinen, ME, Lonnqvist, JK. Suicide in major depression in different treatment settings. J Clin Psychiatry 1994; 55: 523–7.
6 Hawton, K. Sex and suicide. Gender differences in suicidal behaviour. Br J Psychiatry 2000; 177: 484–5.
7 World Health Organization. International Classification of Diseases, Ninth Revision (ICD–9). WHO, 1978.
8 US Department of Health and Human Services. International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) (6th edn). US Department of Health and Human Services, 1998.
9 Chen, TJ, Chou, LF, Hwang, SJ. Patterns of ambulatory care utilization in Taiwan. BMC Health Serv Res 2006; 6: 18.
10 Linsley, KR, Schapira, K, Kelly, TP. Open verdict v. suicide – importance to research. Br J Psychiatry 2001; 178: 465–8.
11 Lu, TH, Sun, SM, Huang, SM, Lin, JJ. Mind your manners: quality of manner of death certification among medical examiners and coroners in Taiwan. Am J Forensic Med Pathol 2006; 27: 352–4.

Gender differences in healthcare service utilisation 1 year before suicide: national record linkage study

  • Chia-Ming Chang (a1), Shih-Cheng Liao (a2), Hung-Chi Chiang (a3), Ying-Yeh Chen (a4), Kwan-Cho Tseng (a2), Yeuk-Lun Chau (a5), Hsiu-Ju Chang (a6) and Ming-Been Lee (a7)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Gender differences in healthcare service utilisation 1 year before suicide: national record linkage study

  • Chia-Ming Chang (a1), Shih-Cheng Liao (a2), Hung-Chi Chiang (a3), Ying-Yeh Chen (a4), Kwan-Cho Tseng (a2), Yeuk-Lun Chau (a5), Hsiu-Ju Chang (a6) and Ming-Been Lee (a7)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *