디지털융복합연구 (Journal of Digital Convergence)

  • 제16권4호
  • /
  • Pages.267-276
  • /
  • 2018
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

우울감있는 성인의 나이에 따른 자살생각 영향요인

Factors Affecting Suicidal Ideation of Depressed Adults by Age

  • 투고 : 2018.02.19
  • 심사 : 2018.04.20
  • 발행 : 2018.04.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 우울감있는 성인의 나이에 따른 자살생각에 영향을 주는 요인을 파악하여 자살시도를 사전에 예방하기 위한 간호중재 시 기초자료를 제공하고자 시도되었다. 본 연구대상자는 보건복지부와 질병관리본부에서 시행한 2013-2015년도 국민건강영양조사 대상자 총 15,568명 중 '2주 이상 연속 우울감 여부' 문항에 '있음'으로 명확하게 응답한 30세 이상 1,202명을 대상으로 하였다. IBM SPSS 23.0 프로그램을 이용하여 복합표본계획파일을 생성한 후 가중치를 부여하여 분석하였으며, 유의수준은 .05로 하였다. 본 연구결과는 다음과 같다. 자살생각에 유의한 영향을 준 요인으로는 소득(50-60대), 가구원수(50-60대), 결혼상태(40-50대), 주관적 건강(30-50대, 70대 이상), 스트레스(30대, 50대 이상), 경제활동상태(50대), 당뇨(60대 이상), 음주량(60대), BMI(40대)로 나타났다. 따라서, 자살예방 계획 및 중재 시 대상자의 일반적 건강관련 요인들을 고려한 맞춤식 중재가 필요하다.

The purpose of the study was to provide basic data for planning and offering nursing intervention to prevent suicide attempts by identifying the factors influencing the suicidal thoughts of depressed adults. The subjects of this study were 1,202 individuals who answered clearly in 2013-2015 National Health and Nutrition Survey. A composite sample plan file was generated using the IBM SPSS 23.0 program, and then the data were weighted and analyzed. Suicidal ideation was influenced by income (50-60s), number of family members (50-60s), marital status (40-50s), subjective health (30-50s, over 70s), stress (30s, over 50s), economic activity status (50s), diabetes (60s or older), alcohol consumption (60s), and Body Mass Index (BMI) (40s). These results suggest that tailor-made interventions for the prevention of suicide need to take into account the general and health-related factors of the subjects.

키워드

참고문헌

  1. H. S. Kim. (2017). The Regional Current Status and Factors of the Pre-Elderly/Elderly Suicide Rates and Policy Tasks. Journal of Korea Convergence Society, 8(8), 291-298. https://doi.org/10.15207/JKCS.2017.8.8.291
  2. http://kostat.go.kr
  3. http://www.yonhapnews.co.kr
  4. S. E. Kim. (2016). Relation between Mental Health and Suicide Resilience among University Students in South Korea, International Journal of Advanced Nursing Education and Research, 1(1), 105-110. http://dx.doi.org/10.21742/ijaner.2016.1.18
  5. M. H. Jung & S. H. Heo. (2017). 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), 305-333.
  6. M. R. Lee. (2017). Study on Suicide Research Trends in Korean Elderly through Key Words, International Journal of IT-based Social Welfare Promotion and Management, 4(1), 13-18. http://dx.doi.org/10.21742/ijswpm.2017
  7. Y. M. Ahn. (2014). 2013 National Survey on Suicide, Seoul : Ministry of Health Welfare.
  8. M. Davies & D. B. Kandel. (1991). Epidemiology of depressive mood in adolescents: an empirical study, Arch Gen Psychiatry. 39(10), 1205-1212. https://doi.org/10.1001/archpsyc.1982.04290100065011
  9. J. S. Cheon, S. S. Lee, J. R. Roh & B. H. Oh. (2005). Psychosocial Factors Associated with Suicidal Idea among Korean Elderly, Journal of Korean Geriatric Psychiatry, 9, 132-139.
  10. J. A. Park & S. E. Choi. (2016). Cost-effectiveness analysis of antidepressants in treatment of major depressive disorder, The Korean Journal of Health Economics and Policy, 16(2), 57-77.
  11. J. S. Park & Y. B. Kim. (2014). The Analysis on the Effect of Familism on Suicide Ideation: Focusing on Difference between young Adults and Old Adults, Journal of Digital Convergence. 12(7), 419-430. https://doi.org/10.14400/JDC.2014.12.7.419
  12. S. Y. Lee & M. L. Heo. (2015). A Study on Factors Affecting Middle-aged Men's Suicidal Ideation, Journal of the Korea Academia-Industrial cooperation Society, 16(7) 4777-4785. https://doi.org/10.5762/KAIS.2015.16.7.4777
  13. H. M. Park & H. S. Lee. (2013). Influencing Predictors of Suicidal Ideation in the Korean Middle Age, The Korean Journal of Stress research, 21(4), 323-329.
  14. Y. H. Park. (2017). Influences of Experience in Suicide Risk Factors, Mental Health, Depression on Suicide Ideation in College Freshmen, Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(2), 621-632. http://dx.doi.org/10.14257/AJMAHS.2017.02.86
  15. B. S. Yu & K. H. Jeong. (2016). A Study on the Determinants of Elderly Suicidal Idea : Focused on the Gyeonngi Province, Social Work Practice & Research, 13(2), 215-250.
  16. W. S. Chang. (2016). The Effect of Depression, Anxiety, Stress on Suicidal Ideation of the Elderly in Youngdong County, The Journal of the Korea Contents Association, 16(7), 720-729. https://doi.org/10.5392/JKCA.2016.16.07.720
  17. J. Y. Kim, D. H. Lee, J. W. Hwang, & K. U. Lee. (2016). Factors Influencing Suicidal Ideation among Lower-income Group Participating Self-sufficiency Program in Gangwon Province, Korea, The Journal of the Korea Contents Association, 16(12), 91-101. https://doi.org/10.5392/JKCA.2016.16.12.091
  18. M. R. Lee. (2017). Analysis of the content of domestic internet newspapers searched using the keyword of the elderly suicide, Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(6), 613-620. http://dx.doi.org/10.14257/ajmahs.2017.06.73
  19. O. P. Almeida, B. Draper, J. Snowdon, N. T. Lautenchlager, J. Pirkis, & G. Byrne. (2012). Factors Associated with suicidal thoughts in a large community study of older adults, Br J Psychiatry, 20(1), 466-472.
  20. Y. J. Kim. (2009). Comparison of Health Habits, Perceived Stress, Depression, and Suicidal Thinking by Gender between Elders Living Alone and Those Living with Others, The Korean journal of fundamentals of nursing, 16(3), 333-344.
  21. B. G. Park & S. K. Chun. (2013). Effects of Mid-life Crisis on Suicidal Ideation: Moderating Effects of Social Support and Spiritual Support, Korean Journal of Social Welfare Research, 38, 149-179.
  22. S. J. Han. (2016). A Study on the Influence of Perceived Health Status on Suicide Ideation of the Low-income Elderly: Considering Mediating Effects of Self-esteem and Depression, The Journal of Korean Academic Society of Home Care Nursing, 23(1), 16-24.
  23. S. E. Lee. (2017). Risk Factors for Suicidal Ideation across the Life Cycle among Korean Adults: Korean Psycho-social Anxiety Survey, Korean Journal of Adult Nursing, 29(2), 109-118. https://doi.org/10.7475/kjan.2017.29.2.109
  24. S. H. Park & B. D. Hwang. (2013). The Effect of Their Sense of Depression and Suicidal Thinking for Managerial Characteristics in Hypertense and Diabetic Patients, The Korean Journal of Health Service Management, 7(4), 221-232. https://doi.org/10.12811/kshsm.2013.7.4.221
  25. S. I. Nam, K. H. Choi, & H. J. Yi. (2014). Self-perceived health status, Depression, and Suicidal Behavior among People with Diabetes, Korean Journal of Social Welfare Studies, 45(1), 231-254. https://doi.org/10.16999/kasws.2014.45.1.231
  26. H. K. Kim. (2016). The Effect of Depression on Suicidal Thought Among the Elderly: Focused n the Moderating Effect of Drinking, Journal of Future Social Work Research, 7(1), 73-101.
  27. J. Robinson, J. Sareen, B. J. Cox, & J. Bolton. (2009). Self-medication of anxiety disorders with alcohol and drug: results from a nationally representative sample, Journal of Anxiety Disorders, 23, 38-45. https://doi.org/10.1016/j.janxdis.2008.03.013
  28. S. H. Hong. (2009). The Impact of Relative Comparison on Obesity and Suicide Risk, The Korean Journal of Health Economics and Policy, 15(2), 176-197.