Influence of visual acuity on suicidal ideation, suicide attempts and XXXX in South Korea.

@entity1 @entity308 @entity7634 @entity146
BACKGROUND: To assess the influence of visual acuity (VA) on suicidal ideation, suicide attempts and @entity308 . METHODS: From 2008 to 2012, a total of 28   919 nationally representative @entity1 aged 19   years or older in the Korea National Health and Nutrition Examination Survey underwent additional ophthalmological examinations by the Korean Ophthalmologic Society. Associations between best corrected VA in the better-seeing eye based on decimal fraction and mental health were identified using multivariable logistic regression analysis after adjusting for possible biopsychosocial confounders. Self-reported mental health (suicidal ideation, suicide attempt and @entity308 ), @entity7634 Quality of Life-Visual Analog Scale and counselling experience were evaluated by direct interviews. A nomogram for risk of suicidal ideation was generated. RESULTS: By multivariable logistic regression analysis, low VA was significantly associated with suicidal ideation and suicide attempt but not @entity308 . @entity1 with a VA of no light perception to 0.2 had a nearly twofold and threefold increased risk of suicidal ideation (adjusted OR, 1.85; 95% CI 1.04 to 3.27) and suicidal attempt (adjusted OR, 3.44; 95% CI 0.92 to 12.79), compared with @entity1 with a VA of 1.0. Sociodemographic disparities, including age and socioeconomic status, existed for suicidal ideation, suicidal attempt and @entity308 . @entity7634 Quality of Life-Visual Analog Scale significantly decreased as VA decreased and was lower in @entity1 who attempted suicide. CONCLUSIONS: Low VA was associated with the occurrence of suicidal ideation or a suicide attempt. Ophthalmologists should embrace their responsibility to help reduce suicidality and prevent suicides in @entity1 with low VA by encouraging them to seek @entity146 care.
