Suicide risk in juvenile open angle glaucoma patients  

作　　者：Hye-Jeong Seong Sukyoung Jung Sooyeon Choe 

机构地区：[1]Department of Ophthalmology,Chungnam National University Hospital,Daejeon 35015,Republic of Korea [2]Department of Ophthalmology,Chungnam National University College of Medicine,Daejeon 35015,Republic of Korea [3]Department of Health Care Policy Research,Korea Institute for Health and Social Affairs,Sejong 30147,Republic of Korea

出　　处：《International Journal of Ophthalmology(English edition)》2024年第10期1880-1886,共7页国际眼科杂志（英文版）

摘　　要：AIM:To investigate the association between juvenile open angle glaucoma(JOAG)and mental health among Koreans.METHODS:This study used nationally representative data from the 8th Korea National Health and Nutrition Examination Survey(KNHANES)2021.Glaucoma diagnosis followed the International Society of Geographical and Epidemiological Ophthalmology criteria based on glaucomatous structural defects,visual field defects,corrected vision,and intraocular pressure.As outcomes,suicidal behaviors,psychiatric counseling,and depression were evaluated through mental health questionnaires.Odds ratios(ORs)with 95%confidence intervals(CIs)were estimated using logistic regression models,adjusting for covariates.RESULTS:Among 7090 participants,3446 met the inclusion criteria for analysis,and 88(2.6%)were diagnosed with open angle glaucoma(OAG).After adjusting for age,sex,and best-corrected visual acuity(VA),participants with OAG were revealed to have significantly higher odds of suicidal behaviors(i.e.,ideation,planning,or attempts)compared with those without OAG(OR:2.70;95%CI:1.12-6.54;P=0.028).This association remained significant after further adjustments for socioeconomic status,lifestyle factors,and presence of chronic conditions(P=0.031 and 0.035,respectively).However,there was no significant difference for the other two outcomes,psychiatric counseling and depression.An age-stratified analysis revealed a stronger association between OAG and suicidal behaviors in younger JOAG participants(<40y)than in older OAG participants(≥40y;OR:3.80 vs 2.22;95%CI:0.79-18.22 vs 0.56-8.80,respectively).CONCLUSION:OAG patients show a higher risk of suicidal behaviors than those without glaucoma particularly in JOAG patients.

关 键 词：GLAUCOMA juvenile open angle glaucoma SUICIDE suicidal behavior 

分 类 号：R775[医药卫生—眼科]