Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Suicidal Ideation and Risk Factors among the Elderly in Korea

노인의 자살 생각과 위험요인

  • Received : 2009.12.11
  • Accepted : 2010.02.19
  • Published : 2010.03.31
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Abstract

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.

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References

  1. Awata, S., Seki, T., Koizumi, Y., Sato, S., Hozawa, A., Omori, K., Kuriyama, S., Arai, H., Nagatomi, R., Matsuoka, H., & Tsuji, I. (2005). Factors associated with suicidal ideation in an elderly urban Japanese population: A community-based, cross-sectional study. Pschiatry Clin Neurosci, 59(3), 327-336. https://doi.org/10.1111/j.1440-1819.2005.01378.x
  2. Bae, J. Y., Kim, W. H., & Yoon, K. (2005). Depression, suicidal thoughts and the buffering effect of social support among the elderly. J Korea Gerontol Soc, 25(3), 59-73.
  3. Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal ideation: The scale for suicide ideation. J Consult Clin Psychol, 47(2), 343-352. https://doi.org/10.1037/0022-006X.47.2.343
  4. Boden, J. M., Fergusson, D. M., & Horwood, L. J. (2008). Cigarette smoking and suicidal behaviour: Results from a 25-year longitudinal study. Psychol Med, 38(3), 433-439.
  5. Braden, J. B., & Sullivan, M. D. (2008). Suicidal thoughts and behavior among adults with self-reported pain conditions in the national comorbidity survey replication. J Pain, 9(12), 1106-1115. https://doi.org/10.1016/j.jpain.2008.06.004
  6. Chen, C., Yang, M., Yang, M., Chang, S., Chueh, K., Su, Y., Yu, C. Y., & Cheng, T. C. (2008). Suicidal thoughts among elderly Taiwanese Aboriginal women. Int J Geriatr Psychiatry, 23, 1001-1006. https://doi.org/10.1002/gps.2024
  7. Chioqueta, A. P., & Stiles, T. C. (2007). Cognitive factors, engagement in sport, and suicide risk. Arch Suicide Res, 11(4), 375-390. https://doi.org/10.1080/13811110600897143
  8. Choi, Y. H., & Kim, S. H. (2008). Suicide ideation and related factors according to depression in older adults. J Korea Gerontol Soc, 28(2), 345-355.
  9. Conwell, Y., Duberstein, P. R., & Caine, E. D. (2002). Risk factors for suicide in later life. Biol Psychiatry, 52(3), 193-204. https://doi.org/10.1016/S0006-3223(02)01347-1
  10. Dennis, M., Baillon, S., Brugha, T., Lindesay, J., Stewart, R., & Meltzer, H. (2007). The spectrum of suicidal ideation in Great Britain: Comparisons across a 16-74 years age range. Psychol Med, 36(6), 795-805.
  11. Fairweather, A. K., Anstey, K. J., Rodger, B., Jorm, A. F., & Christensen, H. (2007). Age and gender differences among Australian suicide ideators: Prevalence and correlates. J Nerv Ment Dis, 195(2), 130-136. https://doi.org/10.1097/01.nmd.0000254746.15325.fa
  12. Goodwin, R. D., & Marusic, A. (2008). Association between short sleep and suicidal ideation and suicide attempt among adults in the general population. Sleep, 31(8), 1097-1101.
  13. Jeon, G., Jang, S., Rhee, S., Kawachi, I., & Cho, S. (2007). Gender differences in correlates of mental health among elderly Koreans. J Gerontol, 62B(5), S323-S329.
  14. Jo, K., & Kim, Y. (2008b). A phenomenological study on the restoration experience for suicide ideation of Korean elders. J Korean Acad Nurs, 38(2), 258-269. https://doi.org/10.4040/jkan.2008.38.2.258
  15. Jung, H., & Rho, S. (2007). A study on factors influencing elderly suicidal ideation: Focused on the mediating effects of depression and stress on suicidal ideation. J Korea Gerontol Soc, 27(4), 789-805.
  16. Kim, H. (2002). A study on epistemology of Korean elder's suicidal thought. J Korea Gerontol Soc, 22(1), 159-172.
  17. Kim, H., & Kim, B. (2008). A comparative study on suicidal ideation in the elderly and the a dolescents. J Korea Gerontol Soc, 28(2), 325-343.
  18. Korea National Statistical Office (2008, September). 2007 Death and the cause of death statistics. Retrieved December 22, 2008, from http://www.nso.go.kr/
  19. Ladwig, K. H., Klupsch, D., Ruf, E., Meisinger, C., Baumert, J., Erazo, N., Wichmann, H. E., & KORA Investigators (2008). Sex- and age-related increase in prevalence rates of death wishes and suicidal ideation in the community: Results from the KORA-F3Augsburg Study with 3,154 men and women, 35 to 84 years of age. Psychiatry Res, 161(2), 248-252. https://doi.org/10.1016/j.psychres.2008.03.011
  20. Lee, H., & Jo, K. (2006). A pathmodel for death anxiety to suicidal ideation of the elderly. J Korea Gerontol Soc, 26(4), 717-731.
  21. Ono, Y., Tanaka, E., Oyama, H., Toyokawa, K., Koizumi, T., Shinohe, K., Satoh, K., Nishizuka, E., Kominato, H., Nakamura, K., & Yoshimura, K. (2001). Epidemiology of suicidal ideation and help-seeking behaviors among the elderly in Japan. Pschiatry Clin Neurosci, 55, 605-610. https://doi.org/10.1046/j.1440-1819.2001.00912.x
  22. Pfaff, J. J., Almeida, O. P., Witte, T. K., Waesche, M. C., & Joiner, T. E. (2007). Relationship between quantity and frequency of alcohol use and indices of suicidal behavior in an elderly Australian sample. Suicide Life Threat Behav, 37(6), 616-626. https://doi.org/10.1521/suli.2007.37.6.616
  23. Sirey, J. A., Bruce, M. L., Carpenter, M., Booker, D., Reid, M. C., Newell, K., & Alexopoulos, G. S. (2008). Depressive symptoms and suicidal ideation among older adults receiving home delivered meals. Int J Geriatr Psychiatry, 23(12), 1306-1311. https://doi.org/10.1002/gps.2070
  24. Szanto, K., Gildengers, A., Mulsant, B. H., Brown, G., Alexopoulos, G. S., & Reynolds, C. F. (2002). Identification of suicidal ideation and prevention of suicidal behaviour in the elderly. Drugs Aging, 19(1), 11-24. https://doi.org/10.2165/00002512-200219010-00002
  25. Taylor, A., Grande, E. D., Gill, T., Fisher, L., & Goldney, R. (2007). Detecting determinants of suicidal ideation: South Australian surveillance system results. Int J Public Health, 52, 142-152. https://doi.org/10.1007/s00038-007-5064-7
  26. Vannoy, S. D., Duberstein, P., Cukrowicz, K., Lin, E., Fan, M. Y., & Unutzer, J. (2007). The relationship between suicide ideation and late-life depression. Am J Geriatr Psychiatry, 15(12), 1024-1033. https://doi.org/10.1097/JGP.0b013e3180cc2bf1
  27. Whelan, G. (2003). Alcohol: A much neglected risk factor in elderly mental disorders. Curr Opin Psychiatry, 16(6), 609-614. https://doi.org/10.1097/00001504-200311000-00002
  28. Wojnar, M., Ilgen, M. A., Wojnar, J., McCammon, R. J., Valenstein, M., & Brower, K. J. (2008). Sleep problems and suicidality in the National Comorbidity Survey replication. J Psychiatr Res, 43(5), 526-31.
  29. Yen, Y., Yang, M., Yang, M., Lung, F., Shin, C., Hahn, C., & Lo, H. Y. (2005). Suicidal ideation and associated factors among community-dwelling elders in Taiwan. Pschiatry Clin Neurosci, 59, 365-371. https://doi.org/10.1111/j.1440-1819.2005.01387.x