Journal of Home Health Care Nursing (가정∙방문간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정∙방문간호학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Influence of Perceived Health Status on Suicide Ideation of the Low-income Elderly: Considering Mediating Effects of Self-esteem and Depression

저소득 재가노인의 주관적 건강인식이 자살생각에 미치는 영향 : 우울과 자아존중감 매개효과를 중심으로

  • Received : 2016.04.14
  • Accepted : 2016.05.31
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to identify the mediating effect of self-esteem and depression in the relationship between perceived health status of the low-income elderly and their suicide ideation. Methods: Participants were 201 elderly people living at home in two cities who were receiving home health services from public health centers. Face-to-face interviews were conducted from October in 2013 to April in 2014. Data were analyzed using SPSS 21.0 and AMOS 21.0. Results: Subjects' perceived health status had a direct effect on increasing self-esteem and reducing depression. Subjects' self-esteem and depression had a direct effect on suicide ideation. Perceived health status had an indirect effect on suicide ideation that was mediated by self-esteem and depression. Conclusion: Results of this study indicate that to prevent suicide of the elderly, it is critical to increase their health status. Additionally, there is a need to construct and implement strategies to strengthen self-esteem of low-income elderly in order to decrease depression.

Keywords

References

  1. An O. H., & Lee, J. H. (2008). Factors influencing self-rated health in elderly women in the community. The Korean Journal of Fundamentals of Nursing, 15(3), 284-290.
  2. Baumeister R. F. (1990). Suicide as escape from self. Psychological Review, 97(1), 90-113. http://dx.doi.org/10.1037/0033-295X.97.1.90
  3. 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. https://doi.org/10.1037/0022-006X.47.2.343
  4. Choi, Y. H., & Kim, S. H. (2008). Suicide ideation and related factors according to depressing in older adults. Journal of the Korean Gerontological Society, 28(2), 345-355.
  5. Domken, M., Scott, J., & Kelly, P. (1994). What factors predict discrepancies between self and observer ratings of depression? Journal of Affective Disorders, 31(4), 253-259. https://doi.org/10.1016/0165-0327(94)90101-5
  6. Harlow, L. L., Newcomb, M. D., & Bentler, P. M. (1986). Depression, self-derogation, substance use and suicide ideation: Lack of purpose in life as a mediational factor. Journal of Clinical Psychology, 42(1), 5-21. https://doi.org/10.1002/1097-4679(198601)42:1<5::AID-JCLP2270420102>3.0.CO;2-9
  7. Hong, Y. S. (1998). A structural model for health-seeking behavior in midlife women. Korean Academic Society of Occupational Health Nursing, 7(2), 121-129.
  8. Jang, Y. S., Koh, K. H., Lee, S. W., Lee, J. W., Koh, H. Y., & Jin, J. H. (2012). Korea's Health and Welfare Trends 2012. Korea Institution for Health and Social Affairs.
  9. Jon, B. J. (1974). Self-esteem: A test of its measurability. Yonsei Nonchong, 11(1), 107-130.
  10. Jung, S. D. (2004). Predictors of self-esteem among older adults in nursing home. Journal of the Korea Gerontological Society, 24(4), 107-122.
  11. Juurlink, D. N., Hermann, N., Szalai, J. P., Koop, A., & Redelmeier, D. A. (2004). Medical illness and the risk of suicide in the elderly. Archives of Internal Medicine, 164,(11) 1179-1184. https://doi.org/10.1001/archinte.164.11.1179
  12. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association, 35(2), 298-307.
  13. Kim, D. H. (2001). A study on the correlation among family support, self-esteem and depression in elderly. Korean Society of Welfare for the Aged, 13(1), 113-144.
  14. Kim, H. S. (2002). A study on epistemology of korean elder's suicidal thought. Korea Gerontological Society, 22(1), 159-172.
  15. Kim, H. S., & Kim, B. S. (2007). A path analysis on suicidal ideation in the elderly. The Korean Journal of Counseling and Psychotherapy, 19(3), 801-818.
  16. Kim, S. H., & Choi, Y. H. (2007). The influence of physical health on suicidal ideation in older adults. Korea Gerontological Society, 27(4), 775-788.
  17. Kwak, Y. B. (2012). The effects of alcohol use, depression, self-esteem on suicidal ideation of the aged. Published master's thesis, Chonbuk National University, Jeonju.
  18. Kwak, Y. B., Ko, S. H., & Kim, H. K. (2013). The effects of alcohol use, depression, and self-esteem on suicidal ideation of the aged. Journal of Digital Convergence, 11(9), 221-228. https://doi.org/10.14400/JDPM.2013.11.9.221
  19. Kwon, O. G., & Hur, J. S. (2013). A study on the casual model of suicide ideation among the low-income elderly persons who living alone. Mental Health and Social Work, 41(4), 65-93.
  20. OECD (2013). Pensions at a Glance 2013 Korea. Paris: Organization for Economic Co-operation and Development (OECD).
  21. OECD (2014). OECD Health Data 2014. Paris: Organization for Economic Co-operation and Development(OECD).
  22. Oh, Y. H., Bae, W. O., & Kim, Y. S. (2006). A study on physical and mental function affecting self-perceived health of older persons in korea. Journal of the Korea Gerontological Society, 26(3), 461-476.
  23. Park B. G., & Chun, S. K. (2006). A study of factors influencing older adults' suicidal ideation through the Intermediary of depression. Mental Health and Social Work, 22(1) 58-90.
  24. Park, S. C. (2005). A study of factors influencing suicidal ideation of elders. Unpublished master's thesis, Ewha Womens' University, Seoul.
  25. Rosenberg, M. (1965). Society and the Adolescent Self Image. Princeton NJ: Princeton University Press.
  26. Shin, H. J. (2011). Effects of korean elder's four major pains on suicidal thought mediated by depression: Focused on gyungrodang users. Journal of the Korean Gerontological Society, 31(3), 653-672.
  27. Song, Y. D., Son, J. A., & Park, S. M. (2010). An analysis of eco-systematic factors influencing suicidal ideation of the elderly who are living alone. Journal of the Korean Gerontological Society, 30(2), 643-660.
  28. Statistics Korea (2014-a). 2013 Cause of death. Seoul: Statistics Korea.
  29. Statistics Korea (2014-b). 2013 Elderly statistics. Seoul: Statistics Korea.
  30. Ware, J. E. Jr. (1987). Standards for validating health measure: Definition and content. Journal of Chronic Diseases, 40(6), 473-480. https://doi.org/10.1016/0021-9681(87)90003-8
  31. Yang O. K., & Ju, S. H. (2011). An exploratory study on the influencing factors to suicidal ideation among single-household elderly population. Mental Health and Social Work, 37(4), 321-347.