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Analysis of factors related to suicidal ideation among people with and without disabilities in elderly living alone

장애인과 비장애인 독거노인의 자살생각 영향요인 분석

  • Kim, Ye-Soon (Korea National Rehabilitation Center, Dept. of Healthcare and Public Health Research) ;
  • Nam, Young-Hee (Namseoul University, Dept. of Health Administration)
  • 김예순 (국립재활원 건강보건연구과) ;
  • 남영희 (남서울대학교 보건행정학과)
  • Received : 2021.06.18
  • Accepted : 2021.06.29
  • Published : 2021.08.31

Abstract

Purpose: This study purposed to analyze of factors related to suicidal ideation among people with and without disabilities in elderly living alone Methods: The study examines the factors of suicidal ideation using over 65 years of age who participated in the 2017 National Survey of Older Koreans of the elderly living alone data. Subjects were 2,265 person among elderly living alone over 65 years of age. Data were analyzed using descriptive statistics, X2-test, t-test, logistic regression analysis with the SPSS win 26.0 program. Results: Suicidal ideation of the elderly living alone with disabilities were 13.6% and 9.0% of the elderly living alone without disabilities, and the elderly living alone with disabilities had higher suicidal ideation (p<.05). The significant predictors of the suicidal ideation in elderly living alone with disabilities were employment and depression. The significant predictors of the suicidal ideation in elderly living alone without disabilities were age, gender, number of chronic disease, economic state, SLCA(Society, leisure, culture, and activities) and depression. Depression was analyzed as a common factor related to suicidal ideation in disabled and non-disabled elderly living alone. Conclusion: Based on the results of this study, it is necessary to develop a program for people with and without disabilities. It is necessary to prepare various programs and community support systems to prevent and manage depression for people with and without disabilities in elderly living alone.

Keywords

References

  1. Abascal, J., Bonail, B., Gardeazabal, L., Lafuente, A., & Salvador, Z. (2009, July). Managing intelligent services for people with disabilities and elderly people. In International Conference on Universal Access in Human-Computer Interaction (pp. 623-630). Springer, Berlin, Heidelberg.
  2. Ahn, Y. H. (2003). A community-based integrated preventive program of depression and its effectiveness in caring for vulnerable elderly. Journal of Korean Academy of Community Health Nursing, 14(2), 287-298.
  3. Bae, S. K., Um, T., & Lee, E. J. (2012). A study of the effect of instrumental activities of daily living and the mediating effect of depression on the quality of life of lone seniors. Health and Social Welfare Review, 32(4), 5-30. https://doi.org/10.15709/HSWR.2012.32.4.5
  4. Beland, F., Bergman, H., Lebel, P., Clarfield, A. M., Tousignant, P., Contandriopoulos, A. P., & Dallaire, L. (2006). A system of integrated care for older persons with disabilities in Canada: results from a randomized controlled trial. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 61(4), 367-373. https://doi.org/10.1093/gerona/61.4.367
  5. Bolina, A. F., Araujo, M. D. C., Haas, V. J., & Tavares, D. M. D. S. (2021). Association between living arrangement and quality of life for older adults in the community. Revista Latino-Americana de Enfermagem, 29.
  6. Han, S. S., Kang, S. W., & Jeong, S. H. (2012). Experiences of depressive symptom and suicidal thinking between the elderly living alone and the elderly couples. The korean journal of health service management, 6(3), 29-38. https://doi.org/10.12811/kshsm.2012.6.3.029
  7. Hwang, J. W., Lee, K. U., Kim, J. Y., Lee, D. H., & Kim, D. M. (2017). The affection of depression of the elderly living together and the elderly living alone on suicidal ideation and the moderating effects of personal relation. Mental Health & Social Work, 45(1), 36-62. https://doi.org/10.24301/MHSW.2017.03.45.1.36
  8. Ju, S. H. (2010). A Study on the Effects ADL and Depressoin on the Elderly Living Alone's Ideation of Suicide. Family and culture, 22(2), 31-53. https://doi.org/10.21478/family.22.2.201006.002
  9. Kim, E. K. (2015). The risk factors of suicidal ideation by age groups among the elderly in Korea. Korean Journal of Health Promotion, 15(2), 54-62. https://doi.org/10.15384/kjhp.2015.15.2.54
  10. Kim, N. H. (2021). The Effects of Depression of the Single Seniors with Chronic Diseases on Drinking: An Analysis of the Moderating Effect of Social Relationship Satisfaction. The Journal of the Korea Contents.
  11. Kim, Y. J. (2009). Comparison of health habits, perceived stress, depression, and suicidal thinking by gender between elders living alone and those living with others. Journal of Korean Academy of Fundamentals of Nursing, 16(3), 333-344.
  12. Kim, Y. S., & Ha, W. Y. (2015). A study of the effect of participation in productive leisure activities on the suicide ideation and physical and mental health of elderly living alone. Health and Social Welfare Review, 35(4), 344-374. https://doi.org/10.15709/HSWR.2015.35.4.344
  13. Korea Institute for Health and Social Affairs (2017). 2017 National Survey of Older Koreans.
  14. Korea Statistical Office (2019). Statistics on Causes of Death 2018.
  15. Korea Statistical Office (2019.) estimated future population 2017.
  16. KOSIS, http://kosis.kr.
  17. Kwon, J. D., Kim, Y. J., & Um, T. Y. (2011). Suicidal ideation among older adults who live alone with care services: a moderating effect of alcohol drinking in the relationship between previous suicidal attempts and suicidal ideation. J Welf Aged, 51(51), 297-320.
  18. Kwon, O. G., & Hur, J. S. (2013). A study on the causal model of suicide ideation among the low-income elderly persons who living alone-focused on the mediating effect of self-esteem, depression, and hopelessness. Mental Health and Social Work, 41(4), 65-93.
  19. Lee, G. Y., & Cho, E. (2013). A study on the effect of main variables to the suicidal ideation among the elderly living alone: Focused on the direct and indirect effects of social support. Health and Social Welfare Review, 33(1), 162-189. https://doi.org/10.15709/hswr.2013.33.1.162
  20. Lewis, V. M., Williams, K., Koko, C., Woolmore, J., Jones, C., & Powell, T. (2017). Disability, depression and suicide ideation in people with multiple sclerosis. Journal of affective disorders, 208, 662-669. https://doi.org/10.1016/j.jad.2016.08.038
  21. Ministry of health and welfare & Korea suicide prevention center (2020). 2020 WHITE BOOK.
  22. Park, B. G. (2014). The sense of loneliness as a moderator for relationship between financial loss and suicidal ideation in older adults living alone. Journal of Welfare for the Aged, 63, 175-201.
  23. Park, B., & Song, I. (2014). The relationship between stress and suicidal ideation for old adult living alone-multiple mediator effects of self-criticism and feelings of loneliness, and the moderating effects of social support. Korean Journal of Social Welfare, 66(2), 51-74. https://doi.org/10.20970/kasw.2014.66.1.005
  24. Prakash, I. J. (2003). Aging, disability, and disabled older people in India. Journal of aging & social policy, 15(2-3), 85-108. https://doi.org/10.1300/J031v15n02_06
  25. Russell, D., Turner, R. J., & Joiner, T. E. (2009). Physical disability and suicidal ideation: a community-based study of risk/protective factors for suicidal thoughts. Suicide and Life-Threatening Behavior, 39(4), 440-451. https://doi.org/10.1521/suli.2009.39.4.440
  26. Seo, I. K., & Lee, Y. S. (2015). Mediated Effects of Depression on the Relationship between Community Environment and Suicidal Ideation: A Comparative Study on the Elderly People Who Live Alone and Those Who Do Not. Korean Journal of Gerontological Social Welfare, 69, 383-415.
  27. Seo, I. K., & Lee, Y. S. (2016). Mediated Effects of Depression on the Relationship between Social Resources of the Elderly Living Alone and Their Suicidal Ideation: With a focus on the comparison between the elderly living alone in rural and urban areas. Korean Journal of Gerontological Social Welfare, 71(2), 219-247.
  28. Sohn, J. N. (2012). A Study on Factors Influencing the Suicidal Ideation in Elderly People who Live Alone or Live with Family. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 21(2), 118-126. https://doi.org/10.12934/jkpmhn.2012.21.2.118
  29. Song, Y. D., Son, J. A., & Park, S. M. (2010). An analysis of eco-systematic factors influencing suicidal ideation of the elderly who are living alone. Journal of the Korean Gerontological Society, 30(2), 643-660.
  30. Statistics research Institute (2020). Quality of LIife Indicators in Korea 2020.
  31. Suh, K. H., & Kim, Y. S. (2003). Self-esteem and depression of the elderly people living alone. Korean Journal of Psychological and Social Issues, 9(1), 115-137.
  32. Xu, H., Qin, L., Wang, J., Zhou, L., Luo, D., Hu, M., ... & Xiao, S. (2016). A cross-sectional study on risk factors and their interactions with suicidal ideation among the elderly in rural communities of Hunan, China. BMJ open, 6(4).
  33. Yang, J. E., & Moon, S. (2020). Factors associated with suicidal ideation in community-dwelling older adults: A gender comparison in old-old adults. Korean Journal of Adult Nursing, 32(3), 248-260. https://doi.org/10.7475/kjan.2020.32.3.248
  34. Yeo, Eugene; Oh, Miae (2019). An In-depth Analysis of the 2020 Korea Welfare Panel Study (KoWePS) - An Analysis of Longitudinal Data and Sample Characteristics.