Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Path Model Analysis of the Suicidal ideation in Middle-aged males

중년남성의 자살생각 경로모형 분석

  • 서영숙 (대구보건대학교 간호학과) ;
  • 정추영 (대구보건대학교 간호학과)
  • Received : 2018.10.16
  • Accepted : 2019.02.01
  • Published : 2019.02.28
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Abstract

The purpose of this study was to examine the fitness of a Path model to represent relations between stress, social support, depression, and suicidal ideation in middle-aged males. The participants were 236 middle-aged males, and data were collected from April 11 to June 1, 2018. The analysis was performed using descriptive statistics and Pearson's correlations in PASW Ver. 21.0, and AMOS Ver. 18.0 (a statistical structural equation modeling program), fitness characteristics of the final model were RMSEA 0.05, GFI 0.98, AGFI 0.95, and NFI 0.98. The major study results were as follows. First, stress had a direct effect on depression and drinking, and social support had a direct effect on depression. Second, stress and social support both directly affected suicidal ideation. Results also suggested depression had partial mediating effects on relations between stress, social support, and suicidal ideation. We suggest a program be devised to reduce suicidal ideation by middle-aged males. It is hoped our results will provide basic data for future studies.

본 연구의 목적은 중년남성의 자살생각에 영향을 미치는 스트레스, 사회적지지, 우울, 음주 간의 인과관계를 알아보고자 시도하였다. 연구대상자는 만44-64세 중년남성 236명을 대상으로 자가 보고형 설문지를 이용하였으며, 2018년 4월 11일 부터 6월 01일까지 자료 수집하였다. 수집된 자료는 PASW 21.0과 AMOS 18.0 programs을 이용하여 경로분석을 실시하였으며, 최종 모형의 적합지수는 RMSEA .05, GFI .99, AGFI .95, NFI .98로 나타났다. 연구결과는 다음과 같다. 첫째, 중년남성의 스트레스는 우울, 음주에 직접효과가 있었고, 사회적 지지는 우울에 직접효과가 나타났다. 둘째, 중년남성의 스트레스와 사회적 지지는 자살생각에 직접효과가 나타났으며, 스트레스와 사회적 지지는 자살생각에 간접효과가 나타났다. 따라서 중년 남성의 스트레스와 사회적 지지는 자살생각관계에서 우울의 부분매개효과가 확인되었다. 이러한 결과를 바탕으로 중년남성의 자살생각에 미치는 영향요인을 기초하여 자살생각을 감소할 수 있는 프로그램 개발 및 적용하는 것이 필요하다. 또한 본 연구의 결과가 자살생각의 기초자료로 활용되기를 기대한다.

Keywords

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Fig. 1 A path diagram of the study

Table 1. General Characteristics of subjects

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Table 2. Descriptive statistics, and Correlations among Study Variables

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Table 3. Goodness for fit tests

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Table 4. Standardized Direct, Indirect, Total Effect For Path Model

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References

  1. Statistics Korea. Annual report on the causes of death statistics 2016 [Internet], Seoul: Statistics Korea; 2016 [cited 2018 September 29]. Available from: https://kostat.go.kr/portal/korea/kornw/3/index.board?bmode=download&bSeq=&aSeq=356347&ord=5.
  2. Y. A. Song, J. Y. Kim, "The relationship between family factors and drinking/smoking among middle-aged men", Korean Society for Health Education and Promotion, vol. 30, no. 1, pp. 13-25, 2013.
  3. C. Parish, "Dramatic rise in suicide rate for middle-aged men", Mental Health Practice, vol. 16, no. 5, pp. 5, 2013. DOI: http://dx.doi.org/10.7748/mhp2013.07.16.10.5.s7
  4. E. H. Seo, E. Y. Kim, E. Y. Jung, "The effects of climacteric symptoms and hardiness on mid-life crisis", Journal of the Korea Academia-Industrial cooperation Society, vol. 17, no. 4, pp. 454-463, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.4.454
  5. M. W. Lee, H. J. Park, "A study on late-onset of hypogonadism, erectile dysfunction, depression, and quality of life among mi ddle-aged male worker", J. Korean. Aca. Adult Nurs. vol. 25, pp. 483-493, 2013. https://doi.org/10.7475/kjan.2013.25.5.483
  6. S. S. Baek., S. G. Yeoum., J. Y. Cho. "The causal relationship between andropause symptoms, depression, and suicidal ideation in middle-aged men", Journal of the Korean Data Analalysis Society, vol. 16, no. 5, pp. 2739-2755, 2014.
  7. E. Y. Kim, M. Y. Jang, E. Y. Jung, "The effects of subjective health status, climacteric symptoms and coping behaviors of office workers men on mid-life crisis", Korean J Str Res, vol. 22, no. 2, pp. 77-86, 2014. https://doi.org/10.17547/kjsr.2014.22.2.77
  8. N. C. Korten, H. C. Comijs, F. Lamers, B. W. Penninx, "Early and late onset depression in young and middle aged adults: differential symptomatology, characteristics and risk factors?", Journal of affective disorders, vol. 138, no. 3, pp. 259-267, 2012. DOI: http://dx.doi.org/10.1016/j.jad.2012.01.042
  9. H. K. Chang, B. K. Cha, "Influencing factors of climacteric women's depression.", J Korean Acad Nurs, vol. 33, no. 7, pp. 972-980, 2003. DOI:http://dx.doi.org/10.4040/jkan.2003.33.7.972
  10. H. J. Kim, I. H. Song, "Depressive mood, suicidal Iieation, and alcohol drinking behavior among married employees", Mental Health & Social Work, vol. 36, pp. 1-30. 2010.
  11. S. W. Yoo, Y. S. Kim, J. S. Noh, K. S. Oh, C. H. Kim, K Namkoong, et al, "The validation study of the Korean version of mini-international neuropsychiatric interview", Anxiety and Mood, vol. 2, no. 1, pp. 50-55, 2006.
  12. H. S. Kim, Y. S. Chae, Y. J. Bae, "The Protective Factors of Suicide Probability in Religious Male High School Students", J Korean Acad Nurs, vol. 42, no. 1, pp. 1-8, 2012. DOI: http://dx.doi.org/10.4040/jkan.2012.42.1.1
  13. E. O. Park, "The influencing factors on suicide attempt among adolescents in south korea", J Korean Acad Nurs, vol. 38, no. 3, pp. 465-473, 2008 https://doi.org/10.4040/jkan.2008.38.3.465
  14. Y. H. Park, "Effects of depression, self-esteem, and social support on suicidal ideation in college students", Child Health Nurs Res, vol. 23, no. 1, pp. 111-116J, 2017. DOI:https://doi.org/10.4094/chnr.2017.23.1.111
  15. M. K. Kim, "Relationship between negative emotions, family resilience, self-esteem and suicide ideation in university students", Korean Journal of Family Welfare, vol. 17, no. 1, pp. 61-83, 2012.
  16. H. S. Yoon, S. R. Yeom, "The mediating effects of resilience on depression and suicidal ideation of older adults in korea", Journal of Gerontological Social welfare, vol. 72, no.1, pp. 233-255, 2017. https://doi.org/10.21194/kjgsw.72.1.201703.233
  17. S. Y. Lee, M. Heo, "A study on factors affecting middle-aged men's suicidal ideation", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 7, pp. 4777-4785, 2015. DOI:http://dx.doi.org/10.5762/KAIS.2015.16.7.4777
  18. T. S. Choi, P. H. Kark, "The effect of self-consciousness and gender role stress upon mid-life crisis of middle-aged male, Korea Journal of Counseling, vol. 12, no. 3, pp. 931-944, 2011. https://doi.org/10.15703/kjc.12.3.201106.931
  19. H. J. Jeon, "Epidemiologic studies on depression and suicide", Journal of the Korean Medical Association. vol. 55, pp. 322-328, 2012. DOI: http://dx.doi.org/10.5124/jkma.2012.55.4.322
  20. W. Linda, B. Marroquin, R. Miranda, "Active and passive problem solving as moderators of the relation between negative life event stress and suicidal ideation among suicide attempters and non-attempters", Archives of Suicide Research, vol. 16, pp .183-197, 2012. https://doi.org/10.1080/13811118.2012.695233
  21. J. N. Sohn, "Factors Influencing Depression in Middle Aged Women: Focused on Quality of life on Menopause", Journal of Health Informatics and Statistics, vol. 43, no. 2, pp. 148-157, 2018. DOI:https://dx.doi.org/10.21032/jhis.2018.43.2.148
  22. B. G. Park, "Study on a moderating effect of psycho social characteristics in the relationship between depression and suicidal ideation among community elderly", Journal of the Korean Gerontological Society, vol. 28, no. 4, pp. 969-989, 2008.
  23. A. T. Beck, M. K. Weissman, "Assessment of suicidal intention: the scale for suicide ideation", Journal of Consulting and Clinical Psychology. vol. 47, no. 2, pp. 343-352, 1979. DOI:http://dx.doi.org/10.1037/0022-006X.47.2.343
  24. K. B. Park, M. S. Shin, "College goal and suicidal ideation among high school students", Korean Journal of Clinical Psychology, vol. 9, no. 1, pp. 20-32, 1990.
  25. J. H. Yim, J. M. Bae, S. S. Choi, H. S. Hwang, B. Y. Huh, "The validity of modified korean translated BEPSI(Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic", Korean Journal of Family Medicine, vol. 17, no. 1, pp. 42-53, 1996.
  26. G. G. Zimet, N. W. Dhalem, S. G. Zimet, G. K. Farley, "The multidimensional scale of perceived social support", Journal of Personality Assessment, vol. 52, no. 1, pp. 30-41, 1988. https://doi.org/10.1207/s15327752jpa5201_2
  27. L. S. Radloff, "The CES-D Scale: a self-report depression scale for research in the general population", Appl Psychol Meas, vol. 1, pp. :385-401, 1977. https://doi.org/10.1177/014662167700100306
  28. M. J. Cho, K. H. Kim, "Diagnostic validity of the CES-D (Korean version) in the Assessment of DSM-III-R major depression", J Korean Neuropsychiatry Assoc, vol 32, pp. 381-399, 1993.
  29. J. H. Mo, J. H. Bae, "Factors affecting suicidal behavior : focused on comparison gender and age difference", Health and Social Welfare Review, vol. 31, no. 2, pp. 121-145, 2011. https://doi.org/10.15709/hswr.2011.31.2.121
  30. B. S. Park, "The path analysis for mutual relationship of stress and depression that affect the suicidality; comparison of sex and age group", Health and Social Welfare Review, vol. 32, no. 3, pp. 485-521, 2012. https://doi.org/10.15709/hswr.2012.32.3.485
  31. S. I. Lee, "The Integrated Approach of the Social and Psychological Factors Affecting Suicidal Ideation", Democratic Society and policy Studies, vol. 30, no. 1, pp. 104-139, 2016.