DOI QR코드

DOI QR Code

Study on Suicidal Ideation and Associated Factors in Rural Elderly

농촌 노인의 자살의도와 관련요인

  • Received : 2013.12.16
  • Accepted : 2014.04.28
  • Published : 2014.04.30

Abstract

Purpose: The purpose of this study was to investigate differences in suicidal ideation according to general characteristics, and to identify the associated factors of suicidal ideation in rural elderly. Method: We surveyed 168 elderly people using structured questionnaires from March through April, 2013. Data analy was performed using descriptive statistics, ${\chi}^2$ test, Fisher's Exact test, and multiple regression using the SPSS program. Results: Significantly differences in suicidal ideation score were observed according to drinking state(p=.036), sleep state(p=.013), health state(p=.020), and stress state(p=.049). The associated factors identified in this study significantly explained 13.2% of suicidal ideation. Smoking and sleep state were the most significant factors of suicidal ideation. Conclusion: Based on these results, development of programs for promotion of psychological health in order to reduce suicide rates of the elderly is urgent. In particular when focusing on relations between sleep disturbance and suicide, it is considered that nursing intervention will be required to promote quality of sleep in clinical practices and communities.

Keywords

References

  1. Beck, A. T., Kovacs, M. & Weissman, A. (1979). Assessment of suicidal intention: the Scale for Suicide Ideation. Journal of consulting and clinical psychology, 47(2), 343-352. http://dx.doi.org/10.1037/0022-006X.47.2.343
  2. Choi, S. H., Choi, Y. H., & Kim, H. S. (2008). Suicidal ideation and associated factors of the elderly in Urban area. Journal of Korean Academy of Community Health Nursing, 19(1), 5-12.
  3. Cutler, D. M., Glaeser, E. I., & Norberg, K. (2000). Explaining rise in youth suicide. United states: National Bureau of Economic Research, Working Paper.
  4. Davidson, C. L., Babson, K. A., Bonn-Miller, M. O., Souter, T., & Vannoy, S. (2013). The impact of exercise on suicide risk: examining pathways through depression, PTSD, and sleep in an inpatient sample of veterans. Suicide & Life-Threating Behavior, 43(3), 279-289. http://dx.doi.org/10.1111/sltb.12014
  5. Gunnell, D., Chang, S. S., Tsai, M. K., Tsao, C. K., & Wen, C. P. (2013). Sleep and suicide: an analysis of a cohort of 394,000 Taiwanese adults. Social Psychiatry and Psychiatric Epidemiology, 48(9), 1457-1465. http://dx.doi.org/10.3346/jkms.2013.28.4.602. Epub 2013 Mar 27.
  6. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavior, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. http://dx.doi.org/10.3758/BF03193146
  7. Kang, Y. H., Kim, M, Y., Lee, G. J., Jung, D. Y., & Ma, R. W. (2012). A study of social support, loneliness, sleep quality, and perceived health status among community-dwelling older adults, Journal of Korean Public Health Nursing, 26(2), 303-313. http://dx.doi.org/10.5932/JKPHN.2012.26.2.303
  8. Kwak, K. P., Song, C. J., Sakong, J. K., & Lee, K. H. (2004). Assessment and Prediction of Suicide Risk. The DongGuk Journal of Medicine, 11(1), 83-94..
  9. Kim, M. H., & Kim, H. S. (2011). A review on the risk factors for suicidal ideation among the Korean elderly(2000-2010). The Korean Journal of Public Health, 48(1), 23-34.
  10. Kim, H. K., Ko, S. H., & Chung, S. H. (2010). Suicidal ideation and risk factors among the elderly in Korea. Journal of Korean Academy of Public Health Nursing, 24(1), 82-92.
  11. Kim, H. S. (2002). A study on epistemology of Korean Elder's suicidal thought. Journal of the Korea Gerontological Society, 22(1), 159-172.
  12. Kim, K. T., Choi, S. S., Park, M. J., Park, S. H., Ko, S. H., & Park, H. S. (2011). The effect of family structures and psycho-social factors on suicidal ideation of senior citizens. Journal of Welfare for the Aged Institute, 52, 205-228.
  13. Kim, S. H., & Choi, Y. H. (2007). The influence of physical health on suicidal ideation in older adults. Journal of the Korea Gerontological Society, 27(4), 775-788.
  14. Lee, H. K., Sohn, M, S., & Choi, M, K. (2012). Factors affecting the mental health of the ages in Korea. Journal of the Korea Contents Society, 12(2), 672-682. https://doi.org/10.5392/JKCA.2012.12.12.672
  15. Lee, M. S. (2005). Study on the effect of social support on depression and suicide of the old. Unpublished master's thesis, Seoul Women's University, Seoul.
  16. Lee. S. H. (2013). Comparative study on influencing factors of suicidal ideation according to sex in the elderly. Journal of Korean Public Health Nursing, 27(3), 500-512. http://dx.doi.org/10.5932/JKPHN.2013.27.3.500
  17. Ministry of Health & Welfare (2011). 2011 Census of elderly (Notification No.11-1352000-000672-12). Seoul: Author.
  18. Mun. Y. H. & Im, M. Y. (2013). Suicidal ideation and associated factors of the elderly according to residence area. Journal of Korean Public Health Nursing, 27(3), 551-563. http://dx.doi.org/10.5932/JKPHN.2013.27.3.551
  19. Norra, C., & Richter, N. (2013). Sleep disturbances and suicidality: Relationships and clinical implications. Fortschritte der Neurologie-Psychiatrie, 81(10), 561-569. http://dx.doi.org/10.1055/s-0033-1350473
  20. Seo, H. S., & Jung, I. S. (2010). The relationship between self-esteem, family support and suicide ideation in home swelling elders. Journal of Korean Gerontological Nursing, 12(1), 1-9.
  21. Shin, M. S., Park, K. B., Oh, K. J., & Kim, Z. S. (1990). A study of suicidal ideation among high school students: the structural relation among depression, hopelessness, and suicidal ideation. Korean Journal of Clinical Psychology, 9(1), 1-19.
  22. 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 Mental Health Nursing, 21(2), 118-126. https://doi.org/10.12934/jkpmhn.2012.21.2.118
  23. Song, M. S., Kim, S. K., & Kim, N. C. (2010). Factors influencing depression among rural elderly. Journal of Korean Gerontological Nursing, 12(1), 21-28.
  24. Statistics Korea. (2011). Life table. Retrieved December 4, 2012, from http://kostat.go.kr
  25. Statistics Korea (2012). Population projection by region: 2010-2040. Retrieved June 27, 2012, from http://kostat.go.kr
  26. Wang, M. S., Hwang, S. S., Jung, H. C., Han, S. J., & Kang, K. A. (2013). Effect of suicidal risk, meaning in life on age -dependent life respect in patients at public hospital. Journal of Korean Public Health Nursing, 27(1), 113-128. http://dx.doi.org/10.5932/JKPHN.2013.27.1.113
  27. Yoon, M. S,, Kim, S. H., & Chae, W. S. (2010). The effects of alcohol use, mental health factors on seniors' ideation of suicide. Journal of Korean Alcohol Science, 11(1), 27-44.

Cited by

  1. A Comparative Study on Mental Health between Elderly Living Alone and Elderly Couples - Focus on Gender and Demographic Characteristics - vol.30, pp.2, 2016, https://doi.org/10.5932/JKPHN.2016.30.2.195