DOI QR코드

DOI QR Code

노인의 학대경험과 대처양식이 자살생각에 미치는 영향

The Effect of Abuse Experience and Coping Styles on Suicidal Ideation in the Elderly

  • 투고 : 2015.02.11
  • 심사 : 2015.03.24
  • 발행 : 2015.03.31

초록

Purpose: The aim of this study is to determine the impact of abuse experience and coping styles on suicidal ideation in Korean elders. Methods: Data were collected from the 2011 Korean National Survey on the Elderly. The participants were 10,537 elders aged 65 or older who had replied to the question on suicidal ideation. Socio-demographic and health related factors, abuse experience, and coping style were included as the influence factors of suicidal ideation. Data were analyzed using ${\chi}^2$-test and logistic stepwise regression with the SPSS/WIN 21.0 program. Results: The prevalence of abuse experience among the elders was 12.7% and that of suicidal ideation was 11.2%. Elders with abuse experience (OR=2.79, 95% CI=2.39~3.26) were more likely to have suicidal ideation but those with an active coping style (OR=0.69, 95% CI=0.57~0.84) were less likely to have suicidal ideation even with other influence factors controlled. Conclusion: Abuse experience of the elderly was a major risk factor that increased suicidal ideation, and active coping style was a protective factor that reduced suicidal ideation. These findings show that careful attention to elderly abuse and education for active coping style are necessary to reduce suicidal ideation among the elderly.

키워드

참고문헌

  1. Jeong KH, Oh YH, Lee YK, Sohn CK, Park BM, Lee SY, et al. 2011 a study on the status of elderly. Policy Report. Sejong City: Ministry of Health and Welfare; 2012 April. Report No.: 11-1352000-000672-12.
  2. Korea Elder Protection Agency. 2012 the report of current state on elder abuse. Policy Report. Seoul: Korea Elder Protection Agency; 2013 June. Report No.: 11-1352000-000267-10.
  3. Song MS. Elderly abuse in domestic settings: Nursing perspective. Journal of Nursing Query. 2007;16(1):78-101.
  4. Schmeidel AN, Daly JM, Rosenbaum ME, Schmuch GA, Jogerst GJ. Health care professionals' perspectives on barriers to elder abuse detection and reporting in primary care settings. Journal of Elder Abuse and Neglect. 2012;24(1):17-36. http://dx.doi.org/10.1080/08946566.2011.608044
  5. Waern M, Rubenowitz E, Wilhelmson K. Predictors of suicide in the old elderly. Gerontology. 2003;49(5):328-334. https://doi.org/10.1159/000071715
  6. Bae JH, Um KW. Factors affecting suicide attempt of the elderly. Journal of the Korean Gerontological Society. 2009;29 (4):1427-1444.
  7. Statistics Korea. Population and cause of death [Internet]. Seoul: Statistics Korea. 2013 [cited 2014 July 21]. Available from: http://kosis.kr/
  8. Kim JS, Lee SJ. Effect of health-related characteristics on suicidal ideation in the elderly. Journal of the Korean Data Analysis Society. 2013;15(4):2055-2067.
  9. Koo CY, Kim JS, Yu JO. A study on factors influencing elders' suicidal ideation: Focused on comparison of gender differences. Journal of Korean Academy of Community Health Nursing. 2014;25(1):24-32. http://dx.doi.org/10.12799/jkachn.2014.25.1.24
  10. Seo IK, Ko MS. Effects of the elderly's abuse experiences on their suicidal ideation & mediation effects of stress, depression and social supports. Health and Social Welfare Review. 2011;31(1):127-157. https://doi.org/10.15709/hswr.2011.31.1.127
  11. Jeong HR, Kim MW. A study on the effect of elderly's abuse experiences on the suicidal ideation and moderating effects of coping behaviors. Journal of Welfare for the Aged. 2014;63:7-33.
  12. Comijs HC, Pot AM, Smit JH, Bouter LM, Jonket C. Elder abuse in the community: Prevalence and consequences. Journal of the American Geriatric Society. 1998;46(7):885-888. https://doi.org/10.1111/j.1532-5415.1998.tb02724.x
  13. Korean Ministry of Gender Equality and Family. Domestic violence survey of South Korea [Internet]. Seoul: Korean Ministry of Gender Equality and Family. 2013 [cited 2014 December 22]. Available from: http://www.mogef.go.kr/
  14. Lee YK, Kim MH. A study on typology and the causal factors of elderly-abuse. Journal of the Korean Gerontological Society. 2008;28(4):1165-1178.
  15. Bae JY, Kim WH, Yoon KA. Depression, suicidal thoughts and the buffering effect of social support among the elderly. Journal of the Korean Gerontological Society. 2005;25(3):59-73.
  16. Yoon HK. Analysis on the related factors of over 65-year-old people sucide idea: Focused on comparing elderly living alone with ones not living alone -based on the KNHAES IV-2, V-2 (2008 and 2011)- [master's thesis]. Seoul: Hanyang University; 2013. 73 p.
  17. Kim KH, Kim JS, Lee BS, Lee EK, Ahn YM, Choi MH. A study about the factors affecting the suicidal thought in Korean elders. Journal of Korean Psychiatric and Mental Health Nursing Academic Society. 2010;19(4):391-399. https://doi.org/10.12934/jkpmhn.2010.19.4.391
  18. Youn MS, Kim SH, Chae WS. The effects of alcohol use, mental health factors on seniors' ideation of suicide. Journal of the Korean Alcohol Science. 2010;11(1):27-44.
  19. Kim HS. The elderly and deviant behavior (suicide). Journal of Welfare for the Aged. 2000;10:25-45.
  20. Kim HC, Sohn YM. A study on the characteristics of elderly suicide and suicidal type. Korean Journal of Psychology: Culture and Social Issues. 2006;12(2):1-19.
  21. Vanderhorst RK, McLaren S. Social relationships as predictors of depression and suicidal ideation in older adults. Aging & Mental Health. 2005;9(6):517–525. https://doi.org/10.1080/13607860500193062
  22. Kahng EJ. Factors related to suicide ideation by age group. Health-Welfare Policy Forum. 2005;107:81-86.
  23. Fairweather AK, Anstey KJ, Rodgers B, Jorm AF, Christensen H. Age and gender differences among Australian suicide ideators: Prevalence and correlates. The Journal of Nervous and Mental Disease. 2007;195(2):130-136. http://dx.doi.org/10.1097/01.nmd.0000254746.15325.fa
  24. Hong JH, Jo JP. Gender-specific influence of daily activity limitations on depression and suicidal ideation among the elderly. The Korean Gerontological Society Spring Symposium; 2010 Jun 7; The Chamber of Commerce and Industry. Seoul: The Korean Gerontological Society; 2010. 363 p.
  25. Moon DK. A meta-regression analysis on related triggering variables on the suicidal ideation of older adults. Journal of Welfare for the Aged. 2012;55:133-157.
  26. Hwang MG, Kim EJ. The effect of subjective quality of life and self-esteem on suicide ideation among the older adults: Focused on the mediating effect of depression. Journal of the Korean Gerontological Society. 2008;28(4):865-885.

피인용 문헌

  1. Predictors of Suicidal Ideation in Community-dwelling Older Men: A Comparison between Young-old and Old-old vol.25, pp.3, 2015, https://doi.org/10.12934/jkpmhn.2016.25.3.217
  2. 노년시기별 단독거주 노인의 심리적 복지감 예측 요인과 정책적 함의 vol.35, pp.1, 2015, https://doi.org/10.7466/jkhma.2017.35.1.1
  3. A Survival Analysis Study on Elderly Abuse Period and Risk Factors in the Period after Retirement of Korean Elderly People : Focused on Busan Metropolitan City and Gyeongsangnam-do vol.44, pp.2, 2017, https://doi.org/10.15855/swp.2017.44.2.179
  4. Factors Protecting against Suicidal Ideation in South Korean Community-Dwelling Older Adults: A Systematic Literature Review vol.62, pp.3, 2015, https://doi.org/10.1080/01634372.2018.1557310
  5. 지역사회 거주 노인의 자살생각 영향요인 : 수면과 우울을 중심으로 vol.5, pp.2, 2015, https://doi.org/10.17703/jcct.2019.5.2.287
  6. Factors associated with suicidal ideation: Comparisons between elderly living alone and living with others using vol.36, pp.2, 2019, https://doi.org/10.14367/kjhep.2019.36.2.53
  7. Factors Associated with Suicidal Ideation in Community-dwelling Older Adults: A Gender Comparison in Old-Old Adults vol.32, pp.3, 2020, https://doi.org/10.7475/kjan.2020.32.3.248
  8. Protective factors against suicidal ideation among community-dwelling older adults with experience of spousal physical abuse: focusing on direct and indirect protections vol.24, pp.11, 2015, https://doi.org/10.1080/13607863.2019.1636208
  9. G시 65세 이상 노인의 사회적 지지, 회피적 대처방식 및 우울이 자살생각에 미치는 영향 vol.22, pp.2, 2021, https://doi.org/10.5762/kais.2021.22.2.92