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Suicide in South Korea

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Through South Korea, Poverty and Time (magazine)

Relative poverty among senior citizens in South Korea, although declining since 2011, has contributed to their high rate of suicide. Because of a poorly-funded social safety net for the elderly, many choose to take their own life so as not to be a financial burden to their families. The social tradition of children looking after their parents in old age has largely disappeared in 21st century South Korea. Rural residents tend to have higher suicide rates due to self-reported high rates of elderly discrimination. For example, 85.7% of people in their 50s reported experiencing ageism, especially when applying for jobs. Poverty, age discrimination, and suicide often occur together.

In 2011 the South Korean government enacted the suicide prevention act, which created a network of government funded suicide prevention and mental health welfare centers across the country. They had an effect of decreasing suicide rates when the number of suicides per 100,000 people declined by 4.1% from 28.5 in 2013 to 27.3 in 2014, the lowest in six years since 2008's 26.0 people.

A 2024 Time magazine investigation reported that South Korea's suicide prevention and mental health welfare centers receive insufficient government funding, data, and support. Senior officials from six local centers alleged that the central government withholds suicide-related data from them "to shield districts, cities, and provinces with high rates of suicide from reputational damage," obstructing their efforts "to enact policies that would meet the needs of their communities and, ultimately, save lives."

Statistics

Age

An extremely high suicide rate among the elderly is a major contributing factor to South Korea's overall suicide rate. As people age, certain sociopsychological factors such as income decline due to retirement, increased medical costs, physical deterioration or disabilities, loss of spouse or friends and no sense of purpose increases the risk of suicide. Many impoverished elderly people choose to die by suicide as to not be a burden on their families, since the South Korean welfare system is poorly funded and the tradition of children caring for their parents in old age has largely disappeared in the 21st century. As a result, people living in rural areas have higher suicide rates.

Although lower than the rate for the elderly, grade school and college students in Korea have a higher than average suicide rate.

Over a 5 year period, the number of suicide or self-inflicted injuries has increased from 4,947 in 2015 to 9,828 in 2019, and most cases involved people aged between 9 and 24. Kang Byung-won, a Parliament member from the Democratic party announced that "26.9 young South Koreans either attempt suicide or suffer self-inflicted injuries per day."

Gender

On average, men have a suicide rate that is twice as high as women. However, the suicide attempt rate is higher for women than men. According to a study, because men use more severe and lethal suicide methods, men have higher suicidal completion rate than women. The Risk-Rescue Rating Scale (RRRS), which measures the lethality of the suicidal method by gauging the ratio between five risk and five rescue factors, averaged out to be 37.18 for men and 34.00 for women. One study has translated this to the fact that women attempt to die by suicide more as a demonstration, while men die by suicide with a determined purpose.

While male adolescents generally have higher suicide rates than females, South Korea is an outlier where the female adolescent suicide rate is relatively high compared to other developed countries.

Marital status

Studies suggest that suicide rates are different between marital statuses. Individuals who were never married or had a change in their marital status due to divorce, death or separation are at a higher risk of suicide than married individuals. Divorced individuals are the most at-risk group, followed by individuals who have never married and widowed individuals were the lowest at-risk group. Family relationships also contributed to the mental health of men and women. The study of divorce, separated or widowed statuses showed that individuals dissatisfied with family relationships were at a higher risk of depression, thoughts of suicide and low self-esteem.

Roy Baumeister's escape theory is used to further explain the differences in suicide rates between marital statuses. According to Baumeister, the escape theory has six steps, increasing the chance of dying by suicide if the criteria for all six steps are met. Baumeister states that depression alone does not lead to suicide because most depressed individuals do not attempt suicide and not all who have attempted suicide are clinically depressed. According to Baumeister, the model can be viewed as a decision tree: First, the individual has a severe failure or setback that falls below theirs or society's high expectations and standards. Second, the individual starts to make unfavorable self-attributions about themselves causing them to mentally spiral downwards.

Third, the individual will fuel their suicidal ideation by believing the failure or setback is because they are inadequate, unlikable, and guilty and a bad person. Fourth, the individual's negative emotions lead them to believe they fall short of perceived expectations. Fifth, the individual will start to experience cognitive deconstruction by shifting to low levels of thinking and becoming emotionless. Sixth, cognitive deconstruction remove inhibitions making it difficult to recognize the consequences of suicide. Losing a spouse to death, divorce or separation might increase an individual's attempt at suicide.

Socioeconomic status

Socioeconomic status is measured by a population's level of education, degree of urbanity and deprivation of the residence. Low socioeconomic status, high stress, inadequate sleep, alcohol use, and smoking are associated with suicidal tendencies among adolescents. The economic hardship factor is noted as the most frequently referred cause for elderly suicides. As 71.4% of the elderly population is uneducated and 37.1% of them live in rural areas, they are more likely to face economic hardship, which can lead to health problems and family conflicts. All these factors together lead to an increase in suicidal ideation and completion.

Regions

Gangwon has a 37.84% higher suicide rate than the rate for all of South Korea. Following Gangwon, Chungnam rates second and Jeonbuk rates third. Ulsan, Gangwon, and Incheon have the highest suicide rate for people above age 65. Daegu has the highest suicide rate for those ages 40 to 59. Gangwon, Jeonnam, and Chungnam have the highest suicide rates for those ages 20 to 39.

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