The Effect of Depression, Avoidance Coping Style, Quality of Life on Suicidal Ideation of the Elder in Community

지역사회 재가노인의 우울, 회피적 대처방식, 삶의 질이 자살생각에 미치는 영향

  • Chang, Koung-Oh (Department of Nursing Science, Y'sU(Youngsan University))
  • 장경오 (와이즈유(영산대학교) 간호대학)
  • Received : 2018.05.23
  • Accepted : 2018.08.03
  • Published : 2018.08.31


This study was to examine the effects of depression, avoidance coping and quality of life on suicidal ideation of elders living at home. A descriptive survey study was conducted with a survey of 509 older people in person 50 senior center at G city from November 30, 2017 to 1. The data were analyzed with t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression using IBM SPSS WIN 24.0 program. The mean score of the was depression $8.50{\pm}3.51$, avoidance coping style $12.36{\pm}3.41$, quality of life $7.26{\pm}1.97$ and suicidal ideation $6.16{\pm}1.78$. Suicidal ideation was had a negative correlation with Depression(r=-.219, p<.001) and a positive correlation with avoidance coping style(r=.277, p<.001). The result of the regression indicated that depression, avoidance coping style and gender explained 12.1% of variance in suicidal ideation. The results suggest that depression, avoidance coping style and gender were associated with suicidal ideation. Therefore it is necessary to develop strategies to reduce the depression, avoidance coping style and improve quality of life for community dwelling elders to reduce suicidal ideation.


Avoidiance Coping;Depression;Elderly;Quality of life;Suicidal Ideation


Supported by : 와이즈유(영산대학교)


  1. S. S. Back, "Factors affecting on suicidal ideation in the elderly living alone", Journal of the Korean Data Analysis Society, Vol. 18(2) (B), pp. 1011-1021, 2016.
  2. Statistics Korea. 2017 elderly statistics [Internet]. Seoul: Statistics Korea. 2017 [cited 2018 April 2]. Available from:
  3. G. H. Cho, "Affects of self-esteem, melancholy and social support on the thinking of suicide of the elderly", Unpublished master's thesis, Keimyung University, Deagu, 2010.
  4. O. G. Kwon, J. S. Hur, "A study on the causal moel of suicide ideation among the low-incom elderly persons who living alone", Mental Health & Social Work, 14(4), pp.65-93, 2013.
  5. S. M. Park, "Health status and suicidal ideation in korean elderly: the role of living arrangement", Journal of Mental Health, 23(2), pp.98, 2014.
  6. R. S. Lazarus, S. Folkman, "Stress, appraisal, and coping, New York: Springer Publishing Co, 1984.
  7. K. C. Cukrowicz, A. G. Ekblad, J. S. Cheavens, M. Z. Rosenthal, T. R. Lynch, "Coping and thought suppression ad prdictors of suicidal ideation in depressed older adults with personality disorders", Aging and Mental Health, 12(1), pp.149-157, 2008.
  8. N. S. Endler, J. D. A. Parker, "Multidimentional assessment of coping: A critical evaluation", Journal of Personality and Social Psychology, 58(5), pp.844-854, 1990.
  9. E. J. Kwon, K. Park, "THE Mediating effects of thought suppression and avoidance coping style on the relationship between mindfulness and suicidal ideation in older adults", Journal of Rehabilitation Psychology, 23(1), pp.187-201, 2016.
  10. L. Liu, Z. Gou. J. Zou, "Social support mediates loneliness and depression in elderly people", Journal of Health Psychology, pp.1-9, 2014.
  11. S. S. Back, E. N. Ryoo, K. S. Park, "A model construction for quality of life in single aged women", The Journal of Korean Academic Society of Adult Nursing, 20(2), pp.187-199, 2008.
  12. H. M. Kim, "The effect of the self-control on the lone illness of the elderly living alone focused on the moderating effects of social support", Unpublished Doctoral Dissertation, Mokwon University, 2013.
  13. B. J. Kim, "Convergence study on the related risk factors of elderly's suicidal ideation based on the 6th korea national health and nutrition examination survey", Journal of Digital Convergence, 14(11), pp.27-35, 2016. DOI:
  14. E. J. Kim, "A study on the effect of the transactional analysis group program for elderly suicide prevention", Journal of Welfare Counselling Education", 2(1), pp.1-17, 2013.
  15. H. J. Kim, "The relationship among suicidal ideation and osteoarthritis in the elderly", Journal of Korea Entertainment Industry Association, 18(4), pp.223-230, 2014.
  16. Y. Y. Sim, "A study on the factors that influence depression and suicidal ideation of rural elders", Unpublished master's thesis, Kkottongnae University, Cheongju, 2012.
  17. E. H. Jang, S. I. Nam, "The effect of the four major difficulties on suicide ideation among the elderly focusing on the mediating effect of depression", Journal of Gerontological Social Welfare, 69, pp.123-151, 2015.
  18. S. H. Kim, " Suicidal ideation and suicide attempts in older adults: influences of chronic illness, functional limitations, and pain", Geriatric Nursing, 37(1), pp.9-12, 2016.
  19. H. L. Chan, C. Y. Liu, Y. L. Chau, C. M. Chang, " Prevalence and association of suicide ideation among taiwanese elderly - a population-based cross-sectional study", Chang Gung Medical Journal, 34(2), pp.197-204, 2011.
  20. M. J. Kim, "Suicidal ideation of the elderly using the data from the 8th korean welfare penal study", Journal of the Korean Data Analysis Society, 16(5B), PP.2725-2737, 2014.
  21. J. I. Sheikh, J. A. Yesavage, "Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. In T. L. Brink (Ed.), Clinical gerontology: A guide to assessment and intervention", pp. 165-173. New York: The Harwoth Press, 1986.
  22. B. S. Kee. "A preliminary study for the standardization of geriatric depression scale short form Korea version", Journal of the Korean Neuropsychiatric Association, 35 (2), 298-307, 1996.
  23. C. J. Holahan, R. H. Moos, "Personal and contextual determinants of coping strategies" .Journal of Personality and Social Psychology, 52(5), PP.946-955, 1987.
  24. S. E. You, J. H, Kwon, "The effects of perfectionism, social support, stress and coping style on depression in the middle-aged woman", Korean Journal of Clinical Psychology, 16(6), pp.67-84, 1997.
  25. H. J. Kim, J. G. Kwon, "Relationship between meaning of life and suicide ideation: mediating effects of perceived social support and avoidance coping style" Korean Journal of Clinical Psychology, 31(2), pp.589-606, 2012.
  26. EuroQoL Group, "EuroQul-a new facility for the measurement of health related quality of life", Health Police, 16(1), 199-208, 1990.
  27. J. W. Shin, Y. K. Park, S. R. Suh, J. E. Kim, "Factors influencing quality of life in elderly diabetic patients of korea: Analysis from the korea national health and nutrition examination survey in 2008", Journal of the Korean Gerontological Society, 31(3.), pp. 479-481, 2011.
  28. L. L. Harlow, M. D. Newcomb, P. M. Bentler, ".Depression, self-derogation, substance use, and suicide ideation: lack of purpose in life as a mediational factor", Journal of Clinical Psychology, 42(1), pp.5-21, 1986.<5::AID-JCLP2270420102>3.0.CO;2-9
  29. M, Kim, Y. R. Kweon, "Predictors of depression in residents of geriatric medical and welfare facilities", Journal of Korean Academic Psychiatric Mental Health Nursing, 19(2), pp.212-219, 2010.
  30. M. S. Lee, "Study on the effect of social support on depression and suicide of the old", Korean Journal of Clinical Social Work, 2(3), 2005.
  31. C. H. Zastrow, K. Kirst-Ashman, Understanding human behavior and the social environment", Thomson Learning, Inc. 2004,
  32. H. Y. Kim, "A study of factors influencing suicidal ideation of elders", Unpublished master's thesis, Ewha Womans University, Seoul, 2006.
  33. B. Yang, G. A. Clum, "Life stress, social support, and problem-solving skills predictive of depressive symptoms, hopelessness, and suicide ideation in an asian student population: a test of a model", Suicide and Life Threatening Behavior, 24(2), pp.127-139, 1994.
  34. M. O. Sung, "A study on the coping style and stress response of the elderly", Korean Journal of Clinical Social Work, 6(1), pp.51-67, 2009.
  35. Y. H. Kim, K. S. Pyo, "A study on the relationship self-esteem and quality of life of life of the elderly", International Journal of Welfare for the Aged, pp. 157-188, 2002.
  36. Y. J. NA, Y. H. Choi, "Health-related Quality of Life and Its Related Factors in Urban Elderly Women", Journal of the Korea Academia-Industrial cooperation Society, 15(12), 7224-7230, 2014. DOI:
  37. H. K. Kim, H. J. Lee, S. M. Park, "Factors influencing quality of life in elderly women living alone", Journal of the Korean Gerontological Society, Vol. 30, No. 2, pp. 279-292, 2010.
  38. S. J. Choi, "A study of the quality of life in old people[dissertation]. seoul; Ewha Woman's University; pp.1-145, 2000.
  39. M. H. Jung, M. H. Heo, "Study on the effects of suicide loss experience on suicidal ideation, plan and attempt of the elderly", Korean Journal of Gerontological Social Welfare, 72(1), pp305-333, 2017.
  40. E. Y. Chin, S. H. Ko, "Suicidal ideation and anger between community-living and institutionalized elders", Social Science Research Institute, 36(2), pp.251-270, 2012.
  41. K. O. Chang, "Effect of depression, sleep and self-esteem on quality of Life of elders living at Home", Journal of the Korea Academia-Industrial cooperation Society, 18(10), pp.401-412, 2017, DOI:
  42. B. G. Lee, Y. J. Oh, "Household types and suicide ideation among elderly people in korea", Family and Environment Research, 46(10), pp.49-57, 2008.
  43. K. O, Chang, S. J. Park, D. Y. Bae, "The effects of perceived health status, sleep, depression and pain on quality of life by gender in community-dwelling older adults", Journal of the Korea Academia-Industrial cooperation Society, 15(3), pp.1566-1575, 2014. DOI: