PMID- 33638573 OWN - NLM STAT- MEDLINE DCOM- 20220411 LR - 20220601 IS - 1943-278X (Electronic) IS - 0363-0234 (Linking) VI - 52 IP - 2 DP - 2022 Apr TI - Comparing warning signs of suicide between suicide decedents with depression and those non-diagnosed psychiatric disorders. PG - 178-189 LID - 10.1111/sltb.12739 [doi] AB - OBJECTIVE: Early recognition of a high-risk group impending suicide is important. We aimed to compare warning signs depending on the nature of the psychiatric disorder and whether it was a documented diagnosis. METHODS: Data of suicide decedents were collected from police records from 2013 to 2017. We evaluate psychiatric symptoms and warning signs in three aspects (language, behavior, and affect) using the Korea-Psychological Autopsy Checklist for Police Records (K-PAC-PR). RESULTS: A total of 13,265 suicide decedents were recruited for this study. Of them, 66.9% of females and 46.7% of males diagnosed psychiatric disorders, with depressive disorder being the most common one. Warning signs were observed in 93.0% of suicide decedents. They were observed more in those who were diagnosed with psychiatric disorders, especially in those with a depressive disorder. "Talking about dying or suicide" was the most common warning sign in all groups, and "apathetic behavior" was the most related warning sign for depressive disorder. Especially for "talking about dying or suicide," the proportion of observed "within a week" was high, making it valuable as a warning sign. CONCLUSION: Warning signs were commonly found in suicide decedents regardless of gender. They were more common among the decedents diagnosed with psychiatric disorders, especially among those with a depressive disorder. CI - (c) 2021 The American Association of Suicidology. FAU - Kim, Eun Ji AU - Kim EJ AD - Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. AD - Korea Psychological Autopsy Center (KPAC), Seoul, South Korea. FAU - Kim, Yuwon AU - Kim Y AD - Research Institute for Future Medicine, Samsung Medical Center, Seoul, South Korea. FAU - Lee, Gusang AU - Lee G AD - Korea Psychological Autopsy Center (KPAC), Seoul, South Korea. FAU - Choi, Jin Hwa AU - Choi JH AD - Korea Psychological Autopsy Center (KPAC), Seoul, South Korea. FAU - Yook, Vidal AU - Yook V AD - Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. AD - Korea Psychological Autopsy Center (KPAC), Seoul, South Korea. FAU - Shin, Myung-Hee AU - Shin MH AD - Department of Social and Preventive Medicine, Sungkyunkwan University School of Medicine, Seoul, South Korea. FAU - Jeon, Hong Jin AU - Jeon HJ AD - Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. AD - Korea Psychological Autopsy Center (KPAC), Seoul, South Korea. AD - Department of Health Sciences & Technology, Department of Medical Device Management & Research, and Department of Clinical Research Design & Evaluation, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University, Seoul, South Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210227 PL - England TA - Suicide Life Threat Behav JT - Suicide & life-threatening behavior JID - 7608054 SB - IM MH - Depression/complications/diagnosis/psychology MH - Female MH - Humans MH - Male MH - *Mental Disorders/complications/diagnosis MH - Republic of Korea MH - *Suicide/psychology EDAT- 2021/02/28 06:00 MHDA- 2022/04/12 06:00 CRDT- 2021/02/27 08:35 PHST- 2020/11/15 00:00 [revised] PHST- 2020/08/07 00:00 [received] PHST- 2020/12/14 00:00 [accepted] PHST- 2021/02/28 06:00 [pubmed] PHST- 2022/04/12 06:00 [medline] PHST- 2021/02/27 08:35 [entrez] AID - 10.1111/sltb.12739 [doi] PST - ppublish SO - Suicide Life Threat Behav. 2022 Apr;52(2):178-189. doi: 10.1111/sltb.12739. Epub 2021 Feb 27.