Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Comparative, Integrated Study on emotional support, physical support, Socio-economic Factors related with Suicidal Ideation of 75 or older Seniors: Using the 2017 National Survey of Elderly

후기노인의 정서적, 신체적, 사회경제적 요인과 자살생각과의 비교융합연구: 2017년도 노인실태조사 자료를 활용하여

  • Kim, Young-Ran (Department of Radiology, Wonkwang Health Science University) ;
  • Park, Chang-Soo (Department of Nuclear Medicine, Chungnam National University Hospital) ;
  • Nam, Ho-Jin (Department of Preventive Medicine, School of Medicine, Chungnam National University)
  • 김영란 (원광보건대학교 방사선과) ;
  • 박창수 (충남대학교병원 핵의학과) ;
  • 남호진 (충남대학교 의과대학 예방의학교실)
  • Received : 2019.04.25
  • Accepted : 2019.07.20
  • Published : 2019.07.28
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Abstract

This study examined the effect of emotional factors, physical factors and socioeconomic factors on suicidal ideation of 75 or older seniors and sought to identify what kinds of factors should be satisfied to prevent their suicide. Using "2017 National Survey of the Elderly", the study conducted survey among 75 or older 3,023 males and 1,295 females. It used multivariate logistic regression analysis to identify the factors affecting suicidal ideation. As a result, the study found that ties with their offspring, the number of chronic diseases, being abused or not, depression and living with or without espouse had significant effects on their suicidal ideation and abuse was the largest factor. Therefore, in order to reduce suicide rate of 75 or older seniors, more active attention should be rendered to their physical, socioeconomic and emotional health problems, and measures to reduce elderly abuse should be sought. In particular, institutional improvement and revitalization of elderly counseling institutions are needed to reduce elder abuse

본 연구에서는 75세 이상 후기 노인의 정서적 요인, 신체적 요인, 사회경제적 요인과 자살생각과의 관련성을 살펴보고, 나아가 후기노인의 자살 예방을 위해서 어떠한 요인이 충족되어야 하는가에 대해 파악하고자 하였다. "2017년 노인실태조사" 자료를 사용하여 75세 이상 남성 3,023명, 여성 1,295명을 대상으로 하였다. 자살생각에 영향을 미치는 요인을 파악하기 위해 다변량 로지스틱 회귀분석를 사용하였다. 연구결과 자녀와의 유대관계, 만성질병의 수, 학대여부, 우울증, 배우자 유무가 유의하게 영향을 주었으며, 학대여부가 가장 위험도가 높았다. 따라서 후기 노인의 자살률을 감소시키기 위해서는 노인의 신체적, 사회경제적, 정서적 건강문제의 융합연구가 필요하며, 특히 노인 학대를 감소를 위한 제도적 개선 및 노인상담기관의 활성화가 필요하다.

Keywords

Table 1. The proportion of suicide ideation of the Old-Old according to the general characteristics

OHHGBW_2019_v10n7_63_t0001.png 이미지

Table 2. The relationship of emotional support and suicidal ideation

OHHGBW_2019_v10n7_63_t0002.png 이미지

Table 3. The relationship of physical support and suicidal ideation

OHHGBW_2019_v10n7_63_t0003.png 이미지

Table 4. The relationship of Socio-economic factor and suicidal ideation

OHHGBW_2019_v10n7_63_t0004.png 이미지

Table 5. Related factors of the old old elderly

OHHGBW_2019_v10n7_63_t0005.png 이미지

References

  1. Statistics Korea (2018). National statistics. Statistics Korea [Online]. www.kostat.go.kr/
  2. Statistics Korea (2018). Elderly person statistics Statistics Korea [Online]. www.kostat.go.kr/
  3. Korea Association for Suicide Prevention. (2009). Suicide Prevention Resource and Service Survey. KASP [Online]. http://suicideprevention.or.kr/
  4. Y. S. Hong & Y. S. Jeon (2005). The Effects of Life Stress and Depression for Adolescent Suicidal Ideation. The Korean Academy of Mental Health Social Work, 19(0), 275-292. DOI : G704-000500.2005..19.003
  5. D. Shaffer et al. (1996). Psychiatric diagnosis in child and adolescents suicide. Archives of General Psychiatry, 53, 339-348. DOI : 10.1001/archpsyc.1996
  6. H. S. Kim. (2002), A Study on Epistemology of Korean Elder's Suicidal Thought, Journal of Korea Gerontological Society, 22(1), 159-172. DOI : G704-000573.2002.22.1.010
  7. I. S. Nam. (2018). Path Analysis of the Relationship between Living Alone and Suicide Ideation in Korean Older Adults, Journal of Social Science, 29(2), 211-226. DOI : 10.16881/jss.2018.04.29.2.211
  8. J. N. Sohn (2012). A Study on Factors Influencing the Suicidal Ideation in Elderly People who Live Alone of Live with Family, Journal of Korean Academy Psychiatric and Mental Health Nursing, 21(2), 118-126. DOI : 10.12934/jkpmhn.2012.21.2.118
  9. H. J. Nam & S. G. Lee (2017). Suicidal Ideation of Elderly Living Alone in Urban and Rural Areas, its Related Factors, Korean Society for Rural Medicine and Community Health, 42(3), 145-154.
  10. M. J. Choi et al. (1999). Validation of Geriatric Depression Scale, Korean Version(GDS) in the Assessment of DSM-III-R Major Depression, Journal Of The Korean Neuropsychiatric Association, 38(1), 48-63.
  11. H. J. Nam & S. G. Lee (2017). Suicidal Ideation of Elderly Living Alone in Urban and Rural Areas, its Related Factors, Korean Society for Rural Medicine and Community Health, 42(3), 145-154. DOI: https://doi.org/10.5393/JAMCH.2017.42.3.145
  12. M. Y. Shim. (2014). The Impacts of the Abused Elder's Damage Experience on Mental Health: Focusing on the Moderation Effects of the Elderly's Behavioral Characteristics and the Use of Community Resources, Doctoral dissertation, Josun University, Gwangju.
  13. E. Son. (2002). Study on how the experience of abuse old females affects their mental health, Master dissertation Yonsei University.
  14. M. j. Choi, D. H. Kim, K. U. Lee & J. S. Yi. (2015). Physical, Psychological, and Social Risk Factors Affecting Suicidal Ideation among the Elderly, Journal of Korean Neuropsychiatric Association, 54(4), 459-467. DOI : 10.4306/jknpa.2015.54.4.459
  15. C. Y. Koo, J. S. Kim & J. Yu. (2014). A Study on Factors Influencing Elders' Suicidal Ideation: Focused on Comparison of Gender Differences, Journal of Korean Academy Community Health Nursing, 25(1), 24-32. DOI : 10.12799/jkachn.2014.25.1.24
  16. P. B. Mitchell & S. B. Harvey. (2014). Depression and the older medical patient--when and how to intervene. Maturitas 79, 153-159. DOI : 10.1016/j.maturitas.2014.05.010
  17. D. N. Juurlink, N. Herrmann, J. P. Szalai, A Kopp & D. A Redelmeier. (2004). Medical illness and the risk of suicide in the elderly. Archives of Internal Medicine, 164, 1179-1184. DOI : 10.1001/archinte..164.11.1179
  18. T. Bergman Levy, Y Barak, M Sigler & D Aizenberg. (2011). Suicide attemptsand burden of physical illness among depressed elderly inpatients. Archieves of Gerontology Geriatrics, 52, 115-117. DOI : 10.1016/j.archger.2010.02.012
  19. G Cheung, S Merry & F Sundram. (2015). Medical examiner and coroner reports: uses and limitations in the epidemiology and prevention of late-life suicide. International Journal of Geriatric Psychiatry, 30, 781-792. DOI : 10.1002/gps.4294
  20. Y. H. Choi. (2001). A Comparative Study on Health-Promoting Behavior, Lfe Stisfaction and Self-esteem of the Young and Old Old, The Journal of Korean Community Nursing, 12(2), 428-434.
  21. M. Y. Yang & S. Y. Bang. (2015). Factors of Suicidal Ideation among Elderly People with and without Spouse, The Korean journal of stress research, 23(1), 27-37. DOI : 10.17547/kjsr.2015.23.1.27
  22. M. J. Kim. (2014). Suicidal Ideation of the Elderly Using the Data from The 8th Korean Welfare Penal Study, Journal of The Korean Data Analysis Society, 16(5), 2725-2737. DOI : 10.12799/jkachn.2018.29.1.1