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B. Subjects and data collection

2. Socio-environmental factors

(A) Socio-environmental factors (Index of Statistics Korea)

Based on a study by Franklin et al. (2017), the present study aimed to identify new risk factors by collecting additional socio-environmental indicators that may have an effect on suicidal thoughts and behavior in addition to the factors identified to date.

The researcher retrieved the list of all socio-environmental indicators contained in

“Statistics by Theme,” “Statistics by Agency,” and “e-Regional Statistics” published by Statistics Korea (as of April 26, 2018), and complied a total of 84 statistical indicators. As study data, those published up to May 30, 2018 were used. Each of these 84 indicators was coded as “A” or “B” depending on whether it was assumed to have an effect before or after the suicide attempt, respectively. As a result, 65 indicators were coded as A, and 19 indicators as B.

The data were arranged in accordance with the administrative divisions on which the published indicators are based: indicators published at the si-do (provincial-level divisions:

metropolitan cities and provinces) and si-gun-gu levels (municipal-level divisions: cities, counties, and districts) were matched to the patients’ residential locations. Table 1 presents the list of statistical indicators.

Table 1. List of the statistical indicators of the socio-environmental factors A1 Population density by

population census

Population density by population census

Metropolitan

city/Province persons/㎢ 2010

A2 Farm households population Farm households population

Metropolitan

city/Province persons 2014

A3 Fishery household population by age and gender/gender ratio

Fishery household population

Metropolitan

city/Province persons 2014

A4 Economic growth rate Economic growth rate Metropolitan

city/Province % 2014

A5 Rate of aging population Rate of aging population Municipality % 2014

A6 Aging index Aging index Municipality % 2014

A7 Current status of urban

population Based On Urban Area Municipality % 2014

A8 Current status of urban population

Based on administrative district

Metropolitan

city/Province % 2014

A9

Summary of economically active population by city &

province

Unemployment rate Metropolitan

city/Province % 2014

A10

Summary of economically active population by city &

province

Participation rate Metropolitan

city/Province % 2014

A11

Summary of economically active population by city &

province

Summary of economically active population by city &

province

Employment/population ratio (15-64)

Metropolitan

city/Province % 2014

A13 Not economically active population

Total not economically active population

Metropolitan city/Province

population of 1,000 2014

Code Statistical indicators A14 Not economically active

population Childcare Metropolitan

city/Province

population of 1,000 2014

A15 Not economically active

population House-keeping Metropolitan

city/Province

population of 1,000 2014 A16 Not economically active

population Attending school Metropolitan city/Province

population of 1,000 2014 A17 Not economically active

population Others Metropolitan

city/Province

population of 1,000 2014

A18

Number of establishments and workers by gender, region (Metropolitan city/Province),

No. of Establishments and Workers (by Gender) by Region (City, Province), Industry and Size

Total workers Municipality persons 2014

A20 Number of workers per population of 1,000

Number of workers per

population of 1,000 Municipality persons 2014 A21 Number of workers by

industry, size, and position

Self-employed

workers_count Municipality persons 2014

A22 Number of workers by industry, size, and position

Unpaid family and other

workers_count Municipality persons 2014

A23 Number of workers by industry, size, and position

Regular

employees_count Municipality persons 2014

A24 Number of workers by industry, size, and position

Temporary and daily

workers_count Municipality persons 2014 A25 Number of workers by

industry, size, and position

Agriculture, Forestry,

and Fishery Municipality persons 2014

A26 Number of workers by

industry, size, and position Mining Municipality persons 2014

A27 Number of workers by

industry, size, and position Manufacturing Municipality persons 2014

Code Statistical indicators A28 Number of workers by

industry, size, and position

Electricity, gas, steam

and water supply Municipality persons 2014

A29 Number of workers by industry, size, and position

Water supply, sewage, waste management, materials recovery

Municipality persons 2014

A30 Number of workers by

industry, size, and position Construction Municipality persons 2014 A31 Number of workers by

industry, size, and position

Wholesale and Retail

trade Municipality persons 2014

A32 Number of workers by industry, size, and position

Transportation and

storage Municipality persons 2014

A33 Number of workers by industry, size, and position

Accommodation and

Food Service Activities Municipality persons 2014

A34 Number of workers by industry, size, and position

Publishing, Film,

A35 Number of workers by industry, size, and position

Financial and insurance

activities Municipality persons 2014 A36 Number of workers by

industry, size, and position

Real estate and leasing

business Municipality persons 2014 A37 Number of workers by

industry, size, and position

Professional, scientific,

nd technical activities Municipality persons 2014

A38 Number of workers by industry, size, and position

Business Facilities Management and Business Support Services

Municipality persons 2014

A39 Number of workers by

industry, size, and position Education Services Municipality persons 2014 A40 Number of workers by

industry, size, and position

Human Health and

Social Work Activities Municipality persons 2014

A41 Number of workers by industry, size, and position

Art, sports and recreation related services

Metropolitan

city/Province persons 2014

Code Statistical indicators

A42 Number of workers by industry, size, and position

Membership

organizations, repair and Other Personal Services

Metropolitan

city/Province persons 2014

A43

Non-regular workers by gender / Metropolitan city &

province

Total Non-regular workers / Metropolitan city & province

Metropolitan city/Province

population of 1,000 2014

A44 Farm household debt (9 provinces)

Farm household debt (9 provinces)

Metropolitan

city/Province 1,000won 2014

A45

Social insurance enrollment rate by Metropolitan city/Province

Wage workers Metropolitan city/Province

population of 1,000 2014

A46

Social insurance enrollment rate by Metropolitan city/Province

National pension Metropolitan

city/Province % 2014

A47

Social insurance enrollment rate by Metropolitan city/Province

Health insurance Municipality % 2014

A48

Social insurance enrollment rate by Metropolitan city/Province

Employment insurance Metropolitan

city/Province % 2014

A49 Number of recipients for basic livelihood security

Number of recipients for basic livelihood security

Metropolitan

city/Province persons 2014

A50 Percentage of workers in health and social services

Percentage of workers in health and social services

Metropolitan

city/Province % 2014

A51 Share of social welfare budget in general accounting

Share of social welfare budget in general accounting

Municipality % 2014

A52 Current status of social welfare public workers

Total number of dedicated social welfare public workers

Municipality persons 2014

A53 Current status of social welfare public workers

Current

numbers_dedicated social welfare public workers

Metropolitan

city/Province persons 2014

Code Statistical indicators

A54 Current status of social welfare public workers

Occupancy rate of dedicated social welfare public workers

Metropolitan

city/Province % 2014

A55

Number of social welfare facilities per population of 100,000

Number of social welfare facilities per population of 100,000

Metropolitan

city/Province Number 2014

A56

Number of elderly welfare and leisure facilities per population of 1,000 elderly

Number of elderly welfare and leisure facilities per population of 1,000 elderly

Metropolitan

city/Province Number 2014

A57

Population aged over 65 years covered by medical insurance by Metropolitan city/Province

Population aged over 65 years covered by medical insurance by Metropolitan city/Province

Metropolitan

city/Province persons 2014

A58 Local safety rating status suicide Metropolitan

city/Province rating 2014 A59 Consumer price change rate Consumer price change

rate

Metropolitan

city/Province % 2014 A60 CPI for Living Necessaries

(2015=100 Gross index Municipality % 2014

A61 CPI for Living Necessaries (2015=100

Consumer price index for living necessities

Metropolitan

city/Province % 2014

A62 CPI for Living Necessaries (2015=100

Consumer Price Index for living necessities, including housing rent

Metropolitan

city/Province % 2014

A63

Rate of Local Tax Collection by Metropolitan Metropolitan city/Province

Amount of Levy Metropolitan

city/Province 1,000won 2014

A64 Financial independence ratio Financial independence ratio

Metropolitan

city/Province % 2014 A65 Financial self-sufficiency ratio Financial

self-sufficiency ratio

Metropolitan

city/Province % 2014

B1 Fire safety education completion rate

Fire safety education completion rate

Metropolitan

city/Province % 2014

Code Statistical indicators B2 119 emergency medical

services (vehicle, crew) 119 ambulances Metropolitan

city/Province Number 2014

B3 119 emergency medical

services (vehicle, crew) 119 paramedics Metropolitan

city/Province persons 2014

B3.1 119 emergency medical services (vehicle, crew)

Certified paramedic specialist

Metropolitan

city/Province persons 2014

B4 119 emergency medical services (vehicle, crew)

Percent of certified specialists

Metropolitan

city/Province % 2014

B5 Helicopter operation and rescue crew

Number of helicopter equipment owned

Metropolitan

city/Province Number 2014

B6

Number of ambulances and emergency medical technicians deployed

Ambulance Metropolitan

city/Province Number 2014

B7

Number of ambulances and emergency medical technicians deployed

Special ambulance Metropolitan

city/Province Number 2014

B8

Number of ambulances and emergency medical technicians deployed

Number of Manpower Metropolitan

city/Province persons 2014

B9

Number of ambulances and emergency medical technicians deployed

emergency medical technician (1 class)

Metropolitan

city/Province persons 2014

B10 Number of residents covered per one 119 safety centers

Number of residents covered per one 119 safety centers

Metropolitan

city/Province persons 2014

B11

Number of residents covered per one rescue/emergency crew

Number of residents covered per one rescue/emergency crew

Metropolitan

city/Province persons 2014

B12

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Total number of emergency medical institutions

Metropolitan

city/Province Number 2014

Code Statistical indicators

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Regional emergency

medical center Municipality Number 2014

B14

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Institutions other than emergency medical institutions operating an emergency room

Metropolitan

city/Province Number 2014

B18

Number of emergency medical specialists per population of 100,000

Number of emergency medical specialists per population of 100,000

Metropolitan

city/Province persons 2014

B19

Number of physicians working in medical institutions per population of 1,000

Number of physicians working in medical institutions per population of 1,000

Municipality persons 2014

All items of the statistical indicators presented in Table 1 were checked against the commentaries and annotations released by Statistics Korea; items with overlapping or missing information in any of the regions, except for Sejong Special Autonomous City, were excluded from the analysis. Table 2 presents the statistical indicators after eliminating such items. Table 3 presents the variables classified according to the socio-environmental factors associated with the statistical indicators selected for the final analysis.

Table 2. List of the statistical indicators of socio-environmental factors selected for the A1 Population density by

population census

Population density by population census

Metropolitan

city/Province persons/㎢ 2010 A2 Farm households population Farm households

population

Metropolitan

city/Province persons 2014 A3 Fishery household population Fishery household

population

Metropolitan

city/Province persons 2014 A4 Economic growth rate Economic growth rate Metropolitan

city/Province % 2014 A5 Rate of aging population Rate of aging

population Municipality % 2014

A6 Aging index Aging index Municipality % 2014

A8 Current Status of urban population

Based on

administrative district Municipality % 2014

A9

Summary of economically active population by city &

province

Unemployment rate Metropolitan

city/Province % 2014

A10

Summary of economically active population by city &

province

Participation rate Metropolitan

city/Province % 2014

A11

Summary of economically active population by city &

province

Summary of economically active population by city &

province

Employment/populatio n ratio (15-64)

Metropolitan

city/Province % 2014

A13 Not economically active population

Total not economically active population

Metropolitan

city/Province % 2014 A14 Not economically active

population Childcare Metropolitan

city/Province

population of 1,000 2014 A15 Not economically active

population House-keeping Metropolitan

city/Province

population of 1,000 2014

Code Statistical indicators A16 Not economically active

population Attending school Metropolitan city/Province

population of 1,000 2014 A17 Not economically active

population Others Metropolitan

city/Province

population of 1,000 2014

A18

Number of Establishments and Workers (by Gender) by Region (City, Province), Industry and Size

A20 Number of workers per population of 1,000

Number of workers per population of 1,000

Metropolitan

city/Province Number 2014 A21 Number of workers by

industry, size, and position

Self-employed

workers_count Municipality persons 2014 A22 Number of workers by

industry, size, and position

Unpaid family and

other workers_count Municipality persons 2014 A23 Number of workers by

industry, size, and position

Regular

employees_count Municipality persons 2014 A24 Number of workers by

industry, size, and position

Temporary and daily

workers_count Municipality persons 2014 A25 Number of workers by

industry, size, and position

Agriculture, Forestry,

and Fishery Municipality persons 2014 A26 Number of workers by

industry, size, and position Mining Municipality persons 2014 A27 Number of workers by

industry, size, and position Manufacturing Municipality persons 2014 A28 Number of workers by

industry, size, and position

Electricity, gas, steam

and water supply Municipality persons 2014

A29 Number of workers by industry, size, and position

Water supply, sewage, waste management, materials recovery

Municipality persons 2014

A30 Number of workers by

industry, size, and position Construction Municipality persons 2014 A31 Number of workers by

industry, size, and position

Wholesale and Retail

trade Municipality persons 2014

A32 Number of workers by industry, size, and position

Transportation and

storage Municipality persons 2014

Code Statistical indicators A33 Number of workers by

industry, size, and position

Accommodation and

Food Service Activities Municipality persons 2014

A34 Number of workers by industry, size, and position

Publishing, Film,

A35 Number of workers by industry, size, and position

Financial and insurance

activities Municipality persons 2014 A36 Number of workers by

industry, size, and position

Real estate and leasing

business Municipality persons 2014

A37 Number of workers by industry, size, and position

Professional, scientific,

and technical activities Municipality persons 2014

A38 Number of workers by industry, size, and position

Business Facilities Management and Business Support Services

Municipality persons 2014

A39 Number of workers by

industry, size, and position Education Services Municipality persons 2014 A40 Number of workers by

industry, size, and position

Human Health and

Social Work Activities Municipality persons 2014

A41 Number of workers by industry, size, and position

Art, sports and recreation related services

Municipality persons 2014

A42 Number of workers by industry, size, and position

Membership organizations, repair and Other Personal Services

Municipality persons 2014

A43

Non-regular workers by gender / Metropolitan city &

province

Total Non-regular workers / Metropolitan city & province

Metropolitan

city/Province persons 2014

A45

Social insurance enrollment rate by Metropolitan city/Province

Wage workers Metropolitan

city/Province persons 2014

A46

Social insurance enrollment rate by Metropolitan city/Province

National pension Metropolitan city/Province

population of 1,000 2014

Code Statistical indicators

Social insurance enrollment rate by Metropolitan city/Province

Health insurance Metropolitan

city/Province 1,000won 2014

A48

Social insurance enrollment rate by Metropolitan city/Province

Employment insurance Metropolitan city/Province

population of 1,000 2014

A49 Number of recipients for basic livelihood security

Number of recipients for basic livelihood security

Metropolitan

city/Province % 2014

A51 Share of social welfare budget in general accounting

Share of social welfare budget in general accounting

Municipality % 2014

A52 Current status of social welfare public workers

Total number of dedicated social welfare public workers

Metropolitan

city/Province % 2014

A53 Current status of social welfare public workers

Current

numbers_dedicated social welfare public workers

Metropolitan

city/Province persons 2014

A54 Current status of social welfare public workers

Occupancy rate of dedicated social welfare public workers

Metropolitan

city/Province % 2014

A55

Number of social welfare facilities per population of 100,000

Number of social welfare facilities per population of 100,000

Municipality % 2014

A56

Number of elderly welfare and leisure facilities per population of 1,000 elderly

Number of elderly welfare and leisure facilities per population of 1,000 elderly

Municipality persons 2014

A57

Population aged over 65 years covered by medical insurance by Metropolitan city/Province

Population aged over 65 years covered by medical insurance by Metropolitan city/Province

Metropolitan

city/Province persons 2014

A58 Local safety rating status Suicide Metropolitan

city/Province % 2014 A59 Consumer price change rate Consumer price change

rate

Metropolitan

city/Province Number 2014

Code Statistical indicators A60 CPI for living necessaries

(2015=100 Gross index Metropolitan

city/Province Number 2014 A61 CPI for living necessaries

(2015=100

Consumer price index for living necessities

Metropolitan

city/Province persons 2014

A62 CPI for living necessaries (2015=100

Consumer price index for living necessities, including housing rent

Metropolitan

city/Province rating 2014

A63

Rate of local tax collection by metropolitan Metropolitan city/Province

Amount of levy Metropolitan

city/Province % 2014

B1 Fire safety education completion rate

Fire safety education

completion rate Municipality % 2014 B2 119 emergency medical

services (vehicle, crew) 119 ambulances Metropolitan

city/Province % 2014 B3 119 emergency medical

services (vehicle, crew) 119 Paramedics Metropolitan

city/Province % 2014 B3.1 119 emergency medical

services (vehicle, crew)

Certified paramedic specialist

Metropolitan

city/Province 1,000won 2014 B4 119 emergency medical

services (vehicle, crew)

Percent of certified specialists

Metropolitan

city/Province % 2014 B5 Helicopter operation and

rescue crew

Number of helicopter equipment owned

Metropolitan

city/Province % 2014

B6

Number of ambulances and emergency medical technicians deployed

Ambulance Metropolitan

city/Province % 2014

B7

Number of ambulances and emergency medical technicians deployed

Special ambulance Metropolitan

city/Province Number 2014

B8

Number of ambulances and emergency medical technicians deployed

Number of Manpower Metropolitan

city/Province persons 2014

B9

Number of ambulances and emergency medical technicians deployed

Emergency medical technician (1 class)

Metropolitan

city/Province persons 2014

Code Statistical indicators

B10 Number of residents covered per one 119 safety centers

Number of residents covered per one 119 safety centers

Metropolitan

city/Province % 2014

B11

Number of residents covered per one rescue/emergency crew

Number of residents covered per one rescue/emergency crew

Metropolitan

city/Province Number 2014

B12

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Total number of emergency medical institutions

Metropolitan

city/Province Number 2014

B13

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Number of emergency medical facilities operated by

emergency medical institutions and other institutions

Institutions other than emergency medical

Number of emergency medical specialists per population of 100,000

Number of emergency medical specialists per population of 100,000

Metropolitan

city/Province Number 2014

B19

Number of physicians working in medical institutions per population of 1,000

Number of physicians working in medical institutions per population of 1,000

Municipality Number 2014

Table 3. Classification of variables according to socio-environmental factors

Environmental factors

Variable

Code Statistical indicator (category) Statistical indicator (item)

Socio-physical factors

A55 Number of social welfare facilities per population of 100,000

Number of social welfare facilities per population of 100,000

A56

Number of elderly welfare and leisure facilities per population of 1,000 elderly

Number of elderly welfare and leisure facilities per population of 1,000 elderly

B12

Number of emergency medical facilities operated by emergency medical institutions and other institutions

Total number of emergency medical institutions

B13

Number of emergency medical facilities operated by emergency medical institutions and other institutions

Regional emergency medical center

B14

Number of emergency medical facilities operated by emergency medical institutions and other institutions

Specialized emergency medical center

B15

Number of emergency medical facilities operated by emergency medical institutions and other institutions

Local emergency medical center

B16

Number of emergency medical facilities operated by emergency medical institutions and other institutions

Local emergency medical institution

B17

Number of emergency medical facilities operated by emergency medical institutions and other institutions

Institutions other than emergency medical institutions operating an emergency room

Socio-structural factors

A1 Population density by Population Census

Population density by Population Census

A2 Farm Households Population Farm Households Population A3 Fishery Household Population Fishery Household Population A5 Rate of aging population Rate of aging population

Environmental factors

Variable

Code Statistical indicator (category) Statistical indicator (item)

Socio-structural factors

A6 Aging index Aging index

A8 Current Status of Urban Population Based On Administrative District A21 Number of workers by industry, size,

and position Self-employed workers_count A22 Number of workers by industry, size,

and position

Unpaid family and other workers_count

A23 Number of workers by industry, size,

and position Regular employees_count

A24 Number of workers by industry, size,

and position Temporary and daily workers_count A25 Number of workers by industry, size,

and position Agriculture, Forestry, and Fishery A26 Number of workers by industry, size,

and position Mining

A27 Number of workers by industry, size,

and position Manufacturing

A28 Number of workers by industry, size, and position

Electricity, gas, steam and water supply

A29 Number of workers by industry, size, and position

Water supply, Sewage, waste management, materials recovery A30 Number of workers by industry, size,

and position Construction

A31 Number of workers by industry, size,

and position Wholesale and Retail trade A32 Number of workers by industry, size,

and position Transportation and storage A33 Number of workers by industry, size,

and position

and position

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