• 제목/요약/키워드: suicide ideation of the elderly

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노인의 자살 생각과 위험요인 (Suicidal Ideation and Risk Factors among the Elderly in Korea)

  • 김현경;고성희;정승희
    • 한국보건간호학회지
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    • 제24권1호
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    • pp.82-92
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    • 2010
  • Purpose: This study aimed to identify the incidence and risk factors of suicidal ideation among the elderly in Korea. Methods: This cross-sectional study used secondary data of the 2005 Korean National Health and Nutrition Examination Survey. The participants were 1,097 elderly Koreans who responded to the health survey. Sociodemographics, health related characteristics, and the prevalence of suicidal ideation were obtained through face-to-face interviews. Risk factors of the suicidal ideation were also examined. Descriptive statistics and multivariate logistic regression were used for data analysis. Results: Of the 1,097 respondents, 30.5% had suicidal ideation during the past year. Depression and stress were the important risk factors; others included mobility, pain/discomfort, chronic illness, smoking, sleep, and leisure time physical activity. Sociodemographic characteristics such as gender, education, and marital status affected suicidal ideation. Conclusion: The high frequency of suicidal ideation in the elderly suggests the necessity of community-based interventions directed at depression and stress.

영동군 고령자들의 우울, 불안, 스트레스 정도가 자살생각에 미치는 영향 (The Effect of Depression, Anxiety, Stress on Suicidal Ideation of the Elderly in Youngdong County)

  • 장우심
    • 한국콘텐츠학회논문지
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    • 제16권7호
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    • pp.720-729
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    • 2016
  • 본 연구는 영동군 일부 고령자들의 우울, 불안, 스트레스 정도가 자살생각에 미치는 영향을 알아보고 고령자들의 자살 예방대책을 마련하여 삶의 질 향상에 도움이 되고자 하였다. 본 연구의 조사기간은 2015년 5월 6일부터 5월 23일까지였으며 영동군 11개 읍면에 거주하는 60세 이상의 고령자 367명을 임의표집하여 설문조사를 실시하였고 수집된 자료는 SPSS 19.0을 이용하여 분석하였다. 연구 결과, 우울, 불안, 스트레스가 정의 방향으로 자살생각에 영향을 미치는 것으로 나타났다. 우울, 불안, 스트레스, 자살생각 간의 상관관계는 유의하였으며, 우울과 불안간의 상관관계는 .796으로 가장 높았고 유의확률은 0.05 미만이었다. 본 연구의 결과를 토대로 고령자 자살 예방을 위해서는 첫째, 노인 정신건강 전수조사 및 관리, 둘째, 고령자를 위한 일자리 제공, 셋째, 보건안전요원의 증원과 함께 촘촘한 안전망 구축, 넷째, 생명존중에 대한 인식강화가 필요하다.

도시 재가 노인의 자살의도와 관련 요인 연구 (Suicidal Ideation and Associated Factors of the Elderly in Urban Areas)

  • 최서희;최연희;김희숙
    • 지역사회간호학회지
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    • 제19권1호
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    • pp.5-12
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    • 2008
  • Objectives: The study was to examine major factors that affect suicidal ideation of elderly in urban areas. Methods: The subjects were 302 elders who voluntarily participated in the study. The instruments for this study were scale for suicidal ideation(19 items), family concord (20 items), CED-depression(20 items) and family inventor of life events and changes(FILE, 22 items). Frequency, percentage, t-test, ANOVA, Duncan test, Pearson' correlation coefficient, stepwise multiple regression with SPSS program were used to analyze the data. Results: The average score of suicidal ideation was 14.88. Suicidal ideation was positively related to depression and stress, but negatively related to family concord, depression, family concord, stress and health status accounted for 86.1% of the variance in suicidal ideation. These results suggest that family concord, depression and stress can be potential risk factors for suicide of elderly. Conclusions: These findings may give useful information for developing suicidal prevention program on old age.

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The Moderating Effect of Gender on the Relationship Between Self-neglect and Suicidal Ideation in Older Adults of Korea

  • Jeong, Kyuhyoung;Jang, Daeyeon;Nam, Boyoung;Kwon, Soyoung;Seo, Eunsol
    • Journal of Preventive Medicine and Public Health
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    • 제55권5호
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    • pp.436-443
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    • 2022
  • Objectives: Previous studies have reported that self-neglect, which may be a sign of elder abuse, can result in suicide among older adults. The signs of self-neglect and its impact on the risk of suicide may differ by gender. Thus, this study explored the association between self-neglect and suicide risk in older Korean adults and examined the potential moderating effect of gender on this relationship. Methods: Data were collected from 356 Korean adults aged 65 or older through an online survey. Multiple regression analysis was used to test the research hypothesis. First, the associations between 4 sub-dimensions of self-neglect (i.e., daily life management issues, personal hygiene issues, financial management issues, and relational issues) and suicidal ideation were examined. Then, the moderating effect of gender on these relationships was investigated by including interaction terms. Results: Self-neglect was significantly associated with suicidal ideation in older adults. Aspects of self-neglect related to daily life management and relational factors were key predictors of suicidal ideation. Gender significantly moderated the effect of the relational dimension of self-neglect on suicidal ideation. The relational dimension of self-neglect was more strongly associated with suicidal ideation in older women than in older men. Conclusions: The findings suggest the importance of screening older adults with signs of self-neglect for suicide risk. Special attention should be paid to older women who experience relational issues as a high-risk group for suicidal ideation. Public programs and support systems should be established to improve daily life management and promote social relationships among older adults.

The Relationship between the Prevalence of Suicidal Ideation among Older Adults and Individual·Regional Factors

  • Chin, Young Ran;Kim, Chunmi;Park, Ilsu;Han, Song Yi
    • 지역사회간호학회지
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    • 제31권spc호
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    • pp.577-590
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    • 2020
  • Purpose: The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex. Methods: This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4. Results: The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814). Conclusion: In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

한국 노인의 자살생각에 관한 융복합 예측요인 : 패널자료분석 (Conjunctive Predictors of Suicidal Ideation in Korean Elderly : Panel Data Analysis)

  • 김현주
    • 한국융합학회논문지
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    • 제10권7호
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    • pp.391-397
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    • 2019
  • 우리나라의 인구 10만명 당 자살자 수는 24.6명으로 OECD국가 중 가장 높은 수준이다. 연령이 증가함에 따라 자살사망은 증가하고 있어 노인인구는 자살사망의 위험이 다른 인구집단에 비하여 매우 높다. 본 연구는 한국노인의 자살을 예측하는 요인을 확인하기 위하여 시도되었다. 노인을 대상으로 한 자살예방교육의 기초자료로 활용하고자 한국 복지패널의 2016년도에 구축된 11차 년도 복지패널 자료 중 만 65세 이상 노인 가구원 자료를 추출하여 분석하였다. 연구 대상자의 평균연령은 75.55세(표준편차 6.34)이며, 남성은 37%, 여성은 63%였으며, 지난 일 년간 자살생각을 한 적이 있는 대상자는 165명으로 전체의 3.4%였다. 주관적 건강상태와 우울, 자아존중감, 기초생활수급, 의료급여, 노인장기요양급여 등 사회서비스 수급여부의 관련요인을 포함하여 단계적 로지스틱 회귀분석 결과 우울(Exp(B)=1.113), 주관적 건강상태(Exp(B)=.767)가 자살생각을 예측하는 것으로 나타났다(Nagelkerke $R^2=.248$). 따라서 노인을 대상으로 한 자살예방프로그램의 효과적 적용을 위하여 주관적 건강상태의 사정과 우울증 선별검사를 통한 고위험군의 파악이 요구된다.

노부모와 성인자녀간의 가족결속도가 노인의 자살생각에 미치는 영향 연구: 복지유통관점 중심으로 (Family Solidarity between Old Parents and Adult Children, Welfare Distribution, and Suicidal Ideation of Elderly)

  • 정명희;김은정
    • 유통과학연구
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    • 제12권8호
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    • pp.91-102
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    • 2014
  • Purpose - Today, the importance of the service industry has increased. Social welfare businesses that follow the non-profit principle have neglected the distribution of the service. However, an intangible service, when produced and consumed, has a similar service delivery system to common service distribution and social welfare. Therefore, the author has assumed the efficiency of the service delivery system of social welfare to be equivalent to the service distribution industry. Hence, various kinds of social welfare services for the prevention of elderly suicide, from the perspective of distribution, are discussed. Studies on generational relations have thus far investigated depression from parent-children conflict, and satisfaction with their lives. Studies on the relationship between family solidarity and elderly suicide by analyzing existing social problems are rare. This study investigated the effects of family solidarity between old parents and adult children upon elderly suicide by analyzing serious psychological and social problems. This study revealed basic measures for elderly suicide prevention through services that could elevate family solidarity from the perspective of social welfare service distribution. Research design, data, and methodology - The subjects were 468 elderly, 65 years or older, at 18 senior welfare centers and halls for the elderly at Seoul and Gyeonggi-do. Questionnaire surveys, excluding invalid answers, were analyzed. Convenience sampling was used from February 5, 2014 to March 5, 2014. The findings were: First, women and those having spouses with advanced educational backgrounds and social activities had primary solidarity such as contact solidarity, affectionate solidarity, functional solidarity (giving help), and functional solidarity (receiving help). In addition, those who had good health, from a subjective point of view, had more solidarity. Second, the elderly who were men and single, and who had poorer educational backgrounds thought of suicide, lacked social activities, and had poor health, from a subjective point of view. Third, family solidarity between old parents and adult children had significantly negative influence on the suicidal ideation of the elderly. Results - The study revealed the following implications. First, the preparation for old age should consider not only economic welfare but also the psychological welfare due to the relationship with children. Second, the phenomenon of elderly suicide because of a lack of family solidarity could increase national loss and have great influence upon welfare in old age. Therefore, planning of welfare services for the elderly should consider the value of relationships with children to improve the psychological welfare of the elderly. Third, the social expenses of government-oriented support for parents should be discussed from the people's point of view. Conclusions - The subjects of the study comprised the elderly at Seoul and Gyenggi-do; therefore, it would be difficult to extrapolate the findings to all the elderly in the nation. The subject visited senior welfare centers as well as halls for the elderly; therefore, it would be difficult to assume that the trends were representative of the elderly in the nation.

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

  • 김영란;박창수;남호진
    • 한국융합학회논문지
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    • 제10권7호
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    • pp.63-70
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    • 2019
  • 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.

ICF 모델에 기반한 독거노인과 동거 노인의 자살 생각 관련 요인에 대한 비교분석: 2023년 지역사회건강조사 자료 활용 (Comparative Analysis of Factors Related to Suicidal Ideation between Elderly Living Alone and Living with Families Based on the ICF Model: Using Data from the 2023 Community Health Survey)

  • 심유화
    • 한국산업융합학회 논문집
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    • 제27권3호
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    • pp.709-725
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    • 2024
  • This study utilized the raw data from the Community Health Survey (2023) to compare differences in body function, activity, participation, environment, personal factors, and suicidal ideations between elderly individuals aged 65 and older living alone and those living with families in Korea. The study subjects consisted of 80,618 elderly individuals aged 65 and older. Cross-tabulation analysis χ2-test), independent sample t-test, and logistic regression analysis were conducted. The results indicated that for both elderly individuals living alone and those living with families, age(p<.001), smoking(p<.001), stress(p<.001), depression experience(p<.001), and falls experiences(p<.001) were risk factors that increased suicidal ideations. Conversely, educational level(p<.05), income level(p<.001), subjective health status(p<.001), social participation(p<.001), economic activity(p<.001), community environment(p<.001), and social relationships were protective factors that reduced suicidal ideations. These findings demonstrate that demographic characteristics and individual health status significantly influence suicidal ideation in the elderly, while social factors contribute to a decrease in suicidal ideation. Furthermore, considering the differences found between elderly individuals living alone and those living with families regarding hypertension and gender, differentiated interventions for suicide prevention are necessary.

노인 자살관련 요인: 무망감과 우울증이 자살생각에 미치는 영향에 대한 사회적 지지와 자아통제감의 효과를 중심으로 (Elderly Suicide and It's Related Factors : Focused on the Role of Social Support and Mastery in the Effects of Hopelessness and Depression on Suicidal Ideation)

  • 엄태완
    • 한국사회복지학
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    • 제59권2호
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    • pp.355-379
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    • 2007
  • 본 연구는 노인의 자살생각에 영향을 미칠 수 있는 무망감과 우울증에 대한 사회적 지지와 자아통제감의 효과에 관심을 가지고 접근하였다. 또한 노인자살의 변경 가능한 요인인 자살생각과 무망감 및 우울 변인의 관련성과 사회적 지지와 자아통제감 변인의 독립적 영향력을 분석의 초점에 두었다. 자료는 K도 3곳의 노인복지관 프로그램에 참여하는 65세 이상 320명에 대한 설문조사를 통하여 최종적으로 297부를 통계분석 하였다. 자료 분석결과, 노인의 자살관련 요인으로 가정된 자살생각과 무망감 및 우울은 공통적으로 학력, 결혼상태, 소득, 만성질환 수에 따른 차이를 나타내었다. 사회적 지지는 우울과 상호작용하여 자살생각을 조절할 수 있었지만, 사회적 지지와 무망감, 자아통제감과 무망감 및 우울은 자살생각에 대한 상호작용효과는 나타나지 않았다. 인구사회학적 변수를 통제한 상황에서도 사회적 지지와 자아통제감은 자살생각에 독립적인 영향력을 나타내었으며, 무망감과 우울도 자살생각과 정적 관련성을 가진다는 것을 확인할 수 있었다. 연구결과를 토대로 노인자살을 예방할 수 있는 실천 방안들이 논의되었다.

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