• J. Korean Med. Sci. · Sep 2020

    Impacts of Remaining Single above the Mean Marriage Age on Mental Disorders and Suicidality: a Nationwide Study in Korea.

    • Jimin Lee, Hyerim Kim, Jungmin Woo, Sung Man Chang, Jin Pyo Hong, Dong Woo Lee, Bong Jin Hahm, Seong Jin Cho, Jong Ik Park, Hong Jin Jeon, Su Jeong Seong, Jee Eun Park, and Byung Soo Kim.
    • Department of Psychiatry, Kyungpook National University Hospital, Daegu, Korea.
    • J. Korean Med. Sci. 2020 Sep 21; 35 (37): e319.

    BackgroundThis study investigated the impact of getting older than the mean marriage age on mental disorders and suicidality among never-married people.MethodsWe performed an epidemiological survey, a nationwide study of mental disorders, in 2016. In this study, a multi-stage cluster sampling was adopted. The Korean version of the Composite International Diagnostic Interview was conducted with 5,102 respondents aged 18 years or above. The associations between never-married status, mental disorders, and suicidality were explored according to whether the mean age of first marriage (men = 32.8 years; women = 30.1 years) had passed.ResultsNever-married status over the mean marriage age was associated with agoraphobia, obsessive-compulsive disorder, mood disorders, and major depressive disorder after adjusting for sociodemographic factors. Respondents with never-married status above the mean marriage age were associated with suicide attempts (adjusted odds ratio [aOR], 3.21; 95% confidence interval [CI], 1.36-7.60) after controlling for sociodemographic factors and lifetime prevalence of mental disorders, while respondents with never-married status under the mean marriage age were not. Moreover, in respondents with never-married status, getting older than the mean marriage age was associated with suicidal ideations (aOR, 1.49; 95% CI, 1.04-2.15) and suicide attempts (aOR, 3.38; 95% CI, 1.46-7.84) after controlling for sociodemographic factors and lifetime prevalence of mental disorders.ConclusionNever-married status above the mean first marriage age was associated with mental disorders and suicidality. These findings suggest the need for a national strategy to develop an environment where people with never-married status do not suffer even if their marriage is delayed.© 2020 The Korean Academy of Medical Sciences.

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