{
  "abstract": "Background/Objectives: Suicide became the leading cause of death among Korean adults in their 40s in 2024. We identified sociodemographic, health behavior, and mental health correlates of suicidal ideation in mid-life without adjustment for depression, which overlaps with the outcome through Patient Health Questionnaire-9 item 9 and was measured in only one of the two survey years. Methods: This cross-sectional secondary analysis of the 9th Korea National Health and Nutrition Examination Survey (2022-2023) used complete data from 4715 of 5153 adults aged 40-64 years. Anxiety symptoms were assessed with the Generalized Anxiety Disorder-7 scale (screening threshold ≥ 10). Complex-sample logistic regression incorporated strata, clusters, and pooled weights, with all covariates prespecified. Results: Suicidal ideation prevalence was 3.8%. Independent correlates were high perceived stress (odds ratio (OR) = 8.54, 95% confidence interval (CI) 5.47-13.34), one-generation other-type household (OR = 6.81, 3.29-14.08; n = 59, 11 events), elevated anxiety symptoms (OR = 5.01, 3.02-8.32), middle school education or below (OR = 2.13, 1.12-4.03), economic inactivity (OR = 1.85, 1.25-2.73), poor perceived health (OR = 1.70, 1.13-2.55), and low household income (OR = 1.57, 1.08-2.28). Wave-specific adjustment for depression attenuated the stress and anxiety associations by 15-55% without eliminating them. Conclusions: Mid-life suicidal ideation was associated with mental health vulnerability, household composition, and socioeconomic disadvantage. The value of these cross-sectional associations for screening or risk stratification requires prospective evaluation.",
  "abstract_shown": true,
  "affiliations": [
    "College of Nursing, Chungbuk National University, Cheongju 28644, Republic of Korea.",
    "Department of Nursing, Chungbuk National University Hospital, Cheongju 28644, Republic of Korea."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Jung-Ha Son",
      "orcid": "0009-0002-8075-6512"
    },
    {
      "affs": [
        0
      ],
      "name": "Chul-Gyu Kim"
    },
    {
      "affs": [
        1
      ],
      "name": "Ji-Su Hong"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Yun-Hee Oh"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Ji-Yeon Choi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/347ftpr409jyc.bib",
  "cited_by": 0,
  "doi": "10.3390/healthcare14203426",
  "fulltext_url": "https://europepmc.org/articles/PMC13704684",
  "id": "347ftpr409jyc",
  "issns": [
    "2227-9032"
  ],
  "landing_url": "https://europepmc.org/article/MED/42940471",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3203|Suicide and Self-Harm Studies"
    ]
  ],
  "openalex": "W7221800647",
  "pdf_url": "https://europepmc.org/articles/PMC13704684?pdf=render",
  "pmcid": "PMC13704684",
  "pmid": "42940471",
  "published": "2026-10-14",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/347ftpr409jyc.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:22:12Z",
      "native_id": "MED:42940471",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42940471"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Suicide and Self-Harm Studies",
      "subfield": "psychiatry"
    }
  ],
  "title": "Factors Associated with Suicidal Ideation Among Middle-Aged Korean Adults: A Cross-Sectional Analysis of the 2022-2023 Korea National Health and Nutrition Examination Survey.",
  "title_text": "Factors Associated with Suicidal Ideation Among Middle-Aged Korean Adults: A Cross-Sectional Analysis of the 2022-2023 Korea National Health and Nutrition Examination Survey.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:22:12Z",
  "url": "https://research.draconitic.com/paper/347ftpr409jyc",
  "venue": "Healthcare (Basel, Switzerland)",
  "versions": []
}