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Eco-Systematic Approach to Suicidal Ideation of the Elderly - Focused on the Group Comparison according to their Suicidal Ideation in the Previous Year - (노인의 자살생각에 대한 생태체계적 접근 - 전년도 자살생각 여부집단 비교를 중심으로 -)

  • Bae, Gwang Il
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.35-63
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    • 2017
  • This study conducted researches to get related basic materials and grope for a way to prevent or treat suicidal ideation. For the researches, the study examined eco-systematical variables of suicidal ideation of those who are 65 years or older, and the influence of the change in the eco-systematical variables by using the source materials researched in sixteen cities/provinces over the country from KOWEPS(Korea Welfare Panel Study), and then reviewed if there any difference according to whether they had suicidal ideation or thought in the previous year. The analysis result shows that each variable of the ecological system such as individual, family, and social system has an effect on the elderly's suicidal ideation, and there is difference in the influence factor according to whether they had suicidal ideation in the previous year or not. The result implies the policy to cope with the elderly's suicide needs multidimensional approach of individual, family, and society rather than a simple individual level. And also there should be a different support or service according to their situation or conditions like previous suicidal ideation. Especially, it is quite significant that the factors do not influence the elderly who had suicidal ideation in the previous year, but have an effect on those who did not have any suicidal ideation, which means that the proactive and preventive support related to suicidal ideation would guarantee a more efficient and effective policy.

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The Effect of Subjective Quality of Life and Self-esteem on Suicide Ideation among the Older Adults: Focused on the Mediating Effect of Depression (노인의 주관적인 삶의 질과 자아존중감이 자살사고에 미치는 영향: 우울을 매개변인으로 하여)

  • Hwang, Mi-Gu;Kim, Eun-Joo
    • 한국노년학
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    • v.28 no.4
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    • pp.865-885
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    • 2008
  • This study addresses a number of issues related to suicide among older persons in Korea. The study investigates various aspects of elderly's suicide ideation, and how this quality of life and self-esteem impacts on their suicide ideation through depression. For the purpose of the study, the survey was conducted and 8,135 elderly 65 years old and over who reside in Gyeonggi-do participated. The result of the study indicated that quality of life, self-esteem and depression of the elderly showed statistically significant suicide ideation of the elderly. Participants were divided into two groups according to their physical health status. That is, to find out how quality of life and self-esteem of the elderly impact on the suicide ideation directly and indirectly through depression among elderly people with physical disease and no disease. The results showed that depression of the elderly people with physical disease was the most highly significant factors in explaining the elderly's suicidal ideation directly a comparison of elderly people with no physical disease. Therefore, depression is a major mental health problem associated with suicide. Finally, these findings of the study can improve the elderly people's quality of life and reduce suicide ideation.

The Influence of Perceived Burdensomeness on Suicidal Ideation of Older Adults: Moderated Mediating Effects of Meaning in Life and Social Participation (인식된 짐스러움이 노인 자살사고에 미치는 영향: 삶의 의미와 사회참여의 조절된 매개효과)

  • Juan Hong;Hoin Kwon
    • Korean Journal of Culture and Social Issue
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    • v.24 no.3
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    • pp.411-428
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    • 2018
  • This study has attempted to identify whether or not the effects of perceived burdensomeness and thwarted belongingness of the elderly on a suicidal ideation is mediated by the meaning in life and, during this process, examined if social participation known as a protective factor against elderly suicide has a moderating effect. For this, a total of 403 elderly men and women residing in Honam area have been selected as the subjects of the study, among whom self-report surveys have been conducted as to perceived burdensomeness, thwarted belongingness, meaning in life (presence of meaning/search for meaning) and social participation. The mediating analysis with the use of the process macro has identified the path where the perceived burdensomeness encourages a suicidal ideation through the presence of the meaning in life. On the other hand, the thwarted belongingness has turned out to be significant only in a direct path to a suicidal ideation. The analysis results of moderated mediating effects, including social participation have found that social participation does mediate the path to a suicidal ideation caused by the perceived burdensomeness through the presence of the meaning in life, verifying its moderated mediating effects.

Psychological Characteristics of Psychiatric outpatients with High Suicide Risk : Using MMPI-2-RF (정신건강의학과 외래 환자 중 자살 고위험 집단의 심리적 특성 : MMPI-2-RF를 이용하여)

  • Nam, Jisoo;Kim, Daeho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.8-19
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    • 2020
  • Objectives : The purpose of this study was to examine whether the MMPI-2-RF serves as a useful tool to differentiate between the subtypes of high risk of suicide among psychiatric outpatients. Methods : Patients were recruited from the department of psychiatry of university hospital. Participants were diagnosed using DSM-5 criteria by board certified psychiatrists. Their medical records were reviewed retrospectively. And participants were put into 4 groups (Suicide ideation, Suicide attempt, Non-suicidal self-injury, and general psychiatric diagnosis as a control group). For statistical comparison, the MANCOVA with gender as a covariate was used. Results : The results indicated that as previous research with non-clinical sample suggested, psychiatric outpatients with high suicide risk also have significantly higher Emotional/Internalizing Dysfunction, Helplessness/Hopelessness, Suicidal/Death Ideation, Demoralization, Cognitive complaints, Cynicism, Dysfunctional negative thoughts than general psychiatric patients group. But group differences within the high suicide risk patients have not been observed. However, suicide attempt group and NSSI group has higher Behavioral/Externalizing Dysfunction, RC4, AGG than general psychiatric patients group. But there was no difference between suicidal idea group and general psychiatric patients group. Conclusions : There was no group difference observed between all three subtypes, which mean the MMPI2-RF may not be the useful diagnostic tool to navigate high suicide risk subtypes. Even though there was no difference observed in the suicide ideation group, suicide attempt group and NSSI group have higher aggression and externalization. So those indexes could serve as a useful marker to investigate riskiness of suicide related symptoms.

Converged Association Between Suicidal ideation and Neighborhood Environment Among Some Adolescents (일부 청소년에서 자살생각과 거주지역환경과의 융합적 관련성)

  • Shin, Seung-Ok;Park, Jong
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.271-277
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    • 2015
  • The purpose of this study was to investigate the association between Suicidal ideation and Neighborhood environment among some adolescents. The G city 4,509 people which is suitable for this research at was aimed against the adolescents among the survey data collected. On the area neighborhood environment recognizes was good 1,805 people, was not good was 2,704 people. Suicidal ideation was where the neighborhood environment was bad 12.9%, good 8.8%. And in multiple logistic analysis, neighborhood environment was bad more significantly likely to be Suicidal ideation (OR=1.40, 95% CI=1.14-1.71). Therefore the residential zone environment needs to be monitored through the participation style local resident program. And it is regarded to find the plan that it lowers the suicide idea through the material and emotional converge support to the youth on the area where the residential zone environment is unable to be good in the national dimension.

Experiences of Parents as Suicide Survivors (자살로 자녀를 잃은 부모의 경험 -참척(慘慽) 고통과 화해-)

  • Kim, Ka Duc
    • Korean Journal of Social Welfare
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    • v.64 no.4
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    • pp.5-29
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    • 2012
  • This study aimed to express the experiences of the parents who lost their children by suicides in their own words from their own perspectives by van Manen(2000)'s hermeneutic phenomenological approach. The analysis of the words expressed by the research participants led to the following five fundamental themes. These are 'broken heart, sinner's grief, land of exile and time stood still, pains to be comforted, and days ahead with half-stitched wounds'. Several distinctions are found due to cultural differences from Korean parents. First, whereas the Western parents see the cause of their child's suicide as his/her independent issue, the Korean parents blame themselves entirely. This may have stemmed from the overly inter-dependency between the parents and the child. Second, whereas the Western perspective views the suicide as a type of illness from the individual's depression. The Korean perspective views the suicide as a shame that disgraces the parents or the family. This negative social perspective intensifies the self-blame and social isolation. Third, the Westerners recognize the prevention and responsibility of suicide resting with the society and government, but the Korean society recognize suicide as personal or family matter. Based on the finding above, I proposed a number of practical measures to aid the surviving parents who belong to a group with extremely high suicidal rates.

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Factors Affecting the Suicide Intention of Elderly in Agriculture, Forestry and Fisheries (농림어업종사 노인의 자살 의향 결정요인에 관한 연구)

  • Yi, Hyang-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.208-214
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    • 2021
  • It is necessary to consider the suicide problem of the senior citizens according to their occupation rather than simply dividing seniors according to whether they live in rural or urban areas to seek countermeasures against suicide. This study examines factors that influence the suicidal intentions of senior citizens engaged in the agriculture, forestry, and fishing industries using the ranking probit model. As a result, the suicidal intention of senior citizens working in the agriculture, forestry, and fishery industries who felt lonely increased by 3.0%, but the intention to commit suicide decreased by 1.1%, when they value their work, and the intent to commit suicide decreased by 2.7% when they feel a strong sense of belonging to their region. The more family members or relatives they meet every day, the suicide intentions of senior citizens in the agricultural, forestry, and fishing industries decreased by 2.5%. However, since the number of families living together is decreasing every year, there is an inevitable limit on face-to-face contact with family members or relatives. Therefore, it is necessary to establish policy that links the loneliness of senior citizens in the agricultural, forestry, and fishing industries with the effort of public institutions to promote social values.

Life Stress, Social Support and Suicidal Ideation of North Korean Refugee Women in South Korea (탈북여성의 일상생활 스트레스가 자살생각에 미치는 영향과 사회적 지지의 조절효과)

  • Kim, Jae Yop;Choi, Kwon Ho;Chae, Ji Hoon;Hwang, Hyun Joo
    • Korean Journal of Social Welfare Studies
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    • v.44 no.2
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    • pp.35-58
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    • 2013
  • The purpose of this study is to identify the moderating effect of social support between daily life stress and suicidal ideation of North Korean refugee women in South Korea. We survey with self-report questionnaires for 156 refugee women, conduct descriptive and regression analysis. As results, (1) almost half of the surveyed experience suicidal ideation in a year, (2) daily life stress affects suicidal ideation controlling with depression, PTSD, alcohol use, income, and age, (3) social support which North Korea refugee women perceive buffers the relationship between life stress and suicidal ideation. From these results, implications are suggested. Gender cognitive policies are needed in North Korea refugees in South Korea. Also, community mental health services and sustainable community program for North Korea refugee women are important to prevent their suicidal attempts.

Evaluation of Prevention System of Falls and Committing Suicide with Application Technology of Rollinder System (추락 및 투신자살 방지시스템의 조사 및 Rollinder System 적용기술)

  • Park, Sea-Man;Baek, Chung-Hyun;Choi, Byong-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.591-598
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    • 2019
  • The statistics of committing suicide in S. Korea is ranked in top with serious attempts of falling among OECD countries since 2003. The rates is slightly dropped by 5 percent point, nevertheless the falling is still high for the age of over 10 years old and this matter must be solved. Most of the case of suicides are the falling based on a trend view of falling which is serious matter and cannot be solved easily for both domestic and foreign countries. For example, the steel net of falling prevent was installed in the Golden Gate Bridge costed by 200 million-dollar. In New Zealand, the steel net of falling prevention had been removed and re-installed beccause of the high suicide rates. Canada and Australia also surrounded the bridge with steel fences to prevent suicide without consideration of the beauty of bridge. Therefore, this paper suggested a comparison study on both falling prevention systems in all countries and patent technologies. Also, it covers the blocking skills of approach in both security and limited area. This paper suggested the technical Rollinder system equipped with the mechanical apprentice to prevent effectively the falling sucides and wall passing. Before the installation of Rollinder System by 2016, there were 33 person who tried to fall in the river in Machang Bridge. However, the number of the committing suicides were dramatically reduced to zero after the installation of the system.

High Suicidal Risk Group of Elderly: Identification of Causal Factors and Development of Predictive Model (자살 고위험군 노인: 원인 파악 및 예측 모델 개발)

  • Gayeon Park;Woosik Shin;Hee-Woong Kim
    • Information Systems Review
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    • v.25 no.3
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    • pp.59-81
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    • 2023
  • Elderly suicide problem has become worse in South Korea. With a rapid aging of the population, the trend of suicide among the elderly is expected to accelerate, preventing elderly suicide has been considered an important societal problem. Thus, we aim to investigate various factors that explain suicidal ideation and to develop a predictive model for suicidal ideation in the context of elderly people in South Korea. To this end, this study contributes to addressing the elderly suicide problem. By using seven-year panel data from the Korea Welfare Panel Survey, we extract various potential causal factors for elderly suicidal ideation based on interpersonal theory of suicide and social disorganization theory. Then a panel logit model was employed to assess the impacts of potential factors on suicidal ideation and deep learning and machine learning algorithms were used to develop a predictive model for suicidal ideation of elderly people. The results of our study provide practical implications for preventing elderly suicide by identifying causal factors of suicidal ideation and a high suicidal risk group of the elderly. This study sheds light on synergy of mixed methodology and provides various academic implications.