Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Suicidal Ideation of Elderly Living Alone in Urban and Rural Areas, its Related Factors

도시·농촌별 독거노인의 자살생각과 관련요인

  • Nam, Ho-Jin (Department of Public Health, Graduate School of Chungnam National University) ;
  • Lee, Sok-Goo (Department of Preventive Medicine, College of Medicine, Chungnam National University)
  • 남호진 (충남대학교 보건대학원 보건학과) ;
  • 이석구 (충남대학교 의과대학 예방의학교실)
  • Received : 2017.06.05
  • Accepted : 2017.09.25
  • Published : 2017.09.29
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Abstract

Objectives: This study used data of urban and rural elderly living alone to compare the general characteristics of the elderly who have had suicidal ideation, and to investigate the suicidal ideation of urban-rural elderly with varying degrees of emotional support status, health status, and health behavior. Methods and materials: The research participants included 2,750 elderly aged 65 or above, of which 1,487 were from dong unit and 1,263 were from eup myeon units according to the raw data of 2011 Survey on Elderly Status. All collected data were analyzed using cross tabulation of SPSSWIN(ver 21.0) program and multivariate logistic regression. Results: The results were as follows. First, the factors that influenced the suicidal ideation of urban and rural elderly living alone included degree of depression, experience of abuse, and nutritional management status. Second, the suicidal ideation of urban elderly living alone was affected by the emotional support of their children who live apart and their grandchildren. Third, the suicidal ideation of rural elderly living alone was affected by the emotional support of their kin (including siblings).

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References

  1. Korea National Statistical Office. Korean Statistical Information Service Statistical Database : Health, Cause of Death [cited 2014 september 10]. Available from : URL:http://kosis.kr/
  2. National Institute of Population and Social Security Research. Population Statistics [cited 2014 september 12]. Available from : URL:http://www.ipss.go.jp/
  3. Kim KH, Kim JS, Lee BS, Lee EK, Ahn YM, Choi MH. A Study about the factors affecting the suicidal thought in Korean elders. J Korean Acad Psychiatr Ment Health Nurs 2010;19(4):391-399 (Korean) https://doi.org/10.12934/jkpmhn.2010.19.4.391
  4. Kim HS. A Study on epistemology of Korean elder's suicidal thought. J Korean Gerontol Soc 2002;22(1):159-172 (Korean)
  5. Song YD, Son JA, Park SM. An analysis of eco-systematic factors influencing suicidal ideation of the elderly who are living alone. J Korean Gerontol Soc 2010;30(2):643-660 (Korean)
  6. Harwood D, Jacoby R. Suicidal behaviour among the elderly, in the international handbook of suicide and attempted suicide. England, John Wiley & Sons, 2000, pp.275-291
  7. Lester D. A depression paradox theory of suicide. Personality and individual differences 1989;10(10):1103-1104 https://doi.org/10.1016/0191-8869(89)90263-8
  8. Bonner RL, Rich AR. Toward a predictive model of suicidal ideation and behavior: Some preliminary data in college students. Suicide and Life-Threatening Behavior 1987;17(1):50-63 https://doi.org/10.1111/j.1943-278X.1987.tb00061.x
  9. Shaffer D, Gould MS, Fisher P, Trautman P, Moreau D, Kleinman M, et al. Psychiatric diagnosis in child and adolescent suicide. Archives of general psychiatry 1996;53(4):339-48 https://doi.org/10.1001/archpsyc.1996.01830040075012
  10. Eom TW. 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. Korean Journal of Social Welfare 2007;59(2):355-379 (Korean) https://doi.org/10.20970/kasw.2007.59.2.014
  11. Jung MH. A study on the influence of elderly's health factors to suicidal ideation - focused on the mediating effects of coping behaviors. Korea Care Management Research 2014;11(3): 47-76 (Korean)
  12. Han SS, Kang SW, Yoo WK, Phee YG. A study of the determinants of suicidal ideation among the elderly in Korea. Health Soc Aff Rev 2009;29(1):192-212 (Korean)
  13. Han HK, Lee YR. A study on factors impacting on the mental health level of the elderly people living alone. J Korean Gerontol Soc 2009;29(3): 805-822 (Korean)
  14. Ko JU, Kim SB. A study of influence factors on the suicidal tendency of elderly living alone. Health and Social Science 2011;30(2):29-48 (Korean)
  15. Rim CS, Jang GS, Jeong MS. A study on influential factors for the suicide ideation of the elderly living alone. Journal of Social Science Research 2013;22(0):192-223 (Korean)
  16. Kang HW, Park KM. Comparison of correlates of depression in late-life between urban and rural areas. J Korean Gerontol Soc 2012;32(1): 129-143 (Korean)
  17. Chen X, Silverstein M. Intergenerational social support and the psychological well-being of older parents in China. Research on aging 2000;22(1):43-65 https://doi.org/10.1177/0164027500221003
  18. Cheong KW. Family ties between aging parents and adult children living in separate households: Social support from a social exchange perspective. Korea J Population Stud 2001;24(1):123-148 (Korean)
  19. Yesavage JA, Sheikh JI. Geriatric depression scale (GDS) recent evidence and development of a shorter version. Clinical gerontologist 1986;5(1-2):165-173 https://doi.org/10.1300/J018v05n01_09
  20. Cho MJ, Bae JN, Suh GH, Hahm BJ, Kim JK, Lee DW, et al. Validation of geriatric depression scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association 1999;38(1):48-63 (Korean)
  21. Song MS, Kim NC. Study on suicidal ideation and associated factors in rural elderly. Journal of Korean Public Health Nursing 2014;28(1): 127-137 (Korean) https://doi.org/10.5932/JKPHN.2014.28.1.127
  22. Sohn SY. A comparative study on the quality of life of the elderly and its' affecting factors between rural and urban areas. J Korean Gerontol Soc 2006;26(3):601-615 (Korean)
  23. Bae JY. Case study about elderly suicide. Journal of Korean Association of Welfare for the Aged 2004;23(0):65-82 (Korean)
  24. Bae JH. Factors affecting suicide ideation of the elderly. Journal of Welfare for the Aged 2009;44(0):49-70 (Korean)
  25. Seo IK, Ko MS. Effects of the elderly's abuse experiences on their suicidal ideation & mediation effects of stress, depression and social supports. Health Soc Welf Rev 2011;31(1):127-157 (Korean) https://doi.org/10.15709/hswr.2011.31.1.127
  26. Sohn JN. 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 2012;21(2):118-126 (Korean) https://doi.org/10.12934/jkpmhn.2012.21.2.118
  27. Coren S, Hewitt PL. Sex differences in elderly suicide rates: Some predictive factors. Aging & Mental Health 1999;3(2):112-118 https://doi.org/10.1080/13607869956262
  28. Jung YM, Kim JH. Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. Journal of Korean Academy of Nursing 2004;34(3): 495-503 (Korean) https://doi.org/10.4040/jkan.2004.34.3.495
  29. Park YH, Suh EE. The risk of malnutrition, depression, and the perceived health status of older adults. Journal of Korean Academy of Nursing 2007;37(6):941-948 (Korean) https://doi.org/10.4040/jkan.2007.37.6.941
  30. Furman EF. Undernutrition in older adults across the continuum of care: nutritional assessment, barriers, and interventions. Journal of Gerontological Nursing 2006;32(1):22-27 https://doi.org/10.3928/0098-9134-20060101-11