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Objectives:Patients with chronic physical diseases suffer from high level of psychological distress, which is potential vulnerable factor for suicide. The aim of this study was to investigate the effect of chronic physical diseases on suicidal ideation among Korean adults. Methods:Analyses are based on data from sixth Korea National Health and Nutrition Examination Survey(2013- 2015) conducted by Korea Centers for Diseases Control and Prevention. The survey used a cross-sectional, national and representative sample consisting of 10,939 who were selected by using a stratified, clustered, multistage sampling method. Logistic regression analysis was conducted to test the association between chronic physical diseases and suicidal ideation while controlling for demographic characteristics and depression. Results:Our final regression model revealed that arthritis(OR=1.71, 95%CI : 1.28-2.27, p<0.001), asthma (OR=2.39, 95%CI : 1.49-3.84, p<0.001), atopic dermatitis(OR=2.52, 95%CI : 1.49-4.24, p<0.001), chronic kidney disease(OR=4.12, 95%CI : 1.81-9.35, p<0.001) were increased the likelihood of suicidal ideation. Conclusion:Patients with chronic physical diseases are at risk of suicide ideation. This finding highlights the need to assess suicidal risk for patients with chronic physical diseases.