Year: 2018 Source: PLOSOne. (2018). pone.0201717 SIEC No: 20180561

We assessed gender-specific factors associated with suicidal ideation among communitydwelling
stroke survivors. In total, 4,322 stroke survivors who participated in the 2013
Korean Community Health Survey were included in the final analysis. Sociodemographic
information, socio-family relationships, health behaviors, health status, and suicidal ideation
were assessed using a standardized questionnaire. On fully adjusted analysis, suicidal ideation
among males was more common in those who were widowed, rather than married
(odds ratio [OR] 1.59, 95% confidence interval [CI] 1.03–2.47), those who rarely contacted
neighbors (OR 1.50, 95% CI 1.10–2.06), current smokers (OR 1.54, 95% CI 1.03–2.29),
and frequent drinkers (OR 1.54, 95% CI 1.05–2.24). Suicidal ideation among females was
more common in older subjects, those with lower monthly household incomes, the unemployed
(OR 1.75, 95% CI 1.21–2.53), and housewives/students (OR 1.46, 95% CI 1.06–
2.03), those who rarely contacted friends (OR 1.43, 95% CI 1.12–1.82), and diabetics (OR
1.35, 95% CI 1.05–1.73). Perceived persistent high-level stress, depressive mood, poor
self-rated health, and a diagnosis of depression were commonly associated with suicidal
ideation in both genders. Gender differences should be considered by medical practitioners
and community policymakers when seeking to prevent and manage suicidal ideation in
stroke survivors.