DOI QR코드

DOI QR Code

Risk Factors for Suicidal Ideation across the Life Cycle among Korean Adults: Korean Psycho-social Anxiety Survey

한국 성인의 생애주기별 자살생각의 위험요인: 한국 사회·심리적 불안 조사

  • Received : 2016.12.26
  • Accepted : 2017.04.18
  • Published : 2017.04.30

Abstract

Purpose: To identify the risk factors for suicidal ideation across the life cycle among Korean adults using data from 2015 Korean Psycho-social Anxiety Survey. Methods: The data were statistically analyzed using hierarchical logistic regression analysis. Results: The factors associated with suicidal ideation among the young adult group were education level (odds ratio [OR] 1.62, 95% confidence interval [CI] 1.05~2.49), self-esteem (OR 1.19, 95% CI 1.12~1.27), stress (OR 3.26, 95% CI 2.07~5.15), anger control problems (OR 3.58, 95% CI 2.34~5.50), and depression (OR 2.59, 95% CI 1.66~4.04) whereas among the middle-aged adults the factors were education level (OR 1.58, 95% CI 1.12~2.23), existence of a spouse (OR 2.55, 95% CI 1.72~3.78), self-esteem (OR 1.13, 95% CI 1.08~1.18), stress (OR 2.46, 95% CI 1.81~3.33), anger control problems (OR 1.70, 95% CI 1.22~2.36), and depression (OR 2.64, 95% CI 1.91~3.64). Among the older adult group the findings were the existence of a spouse (OR 2.16, 95% CI 1.37~3.39), self-esteem (OR 1.22, 95% CI 1.13~1.32), stress (OR 2.21, 95% CI 1.38~3.54), anxiety (OR 2.42, 95% CI 1.46~4.02), and depression (OR 2.48, 95% CI 1.30~4.72). Conclusion: The findings suggest that there may be a need for different suicide intervention programs to decrease suicidal ideation across the life cycle.

Keywords

References

  1. Organization for Economic Cooperation and Development. Society at a Glance 2016 [Internet]. Paris: OECD; 2016 [cited 2016 November 14]. Available from: http://www.oecd-ilibrary.org/social-issues-migration-health/society-at-a-glance-2016_9789264261488-en
  2. Statistics Korea. 2015 Cause of death statistics [Internet]. Daejeon: Statistics Korea; 2015 [cited 2016 October 29]. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=356345&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt=
  3. Han B, Compton WM, Gfroerer J, McKeon R. Prevalence and correlates of past 12-month suicide attempt among adults with past-year suicidal ideation in the United States. The Journal of Clinical Psychiatry. 2015;76(3):295-302. https://doi.org/10.4088/JCP.14m09287
  4. Victor SE, Klonsky ED. Correlates of suicide attempts among self-injurers: a meta-analysis. Clinical Psychology Review. 2014; 34(4):282-97. https://doi.org/10.1016/j.cpr.2014.03.005
  5. Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. The British Journal of Psychiatry. 2008;192(2):98-105. https://doi.org/10.1192/bjp.bp.107.040113
  6. Ministry of Health and Welfare. The 2011 epidemiological survey of mental disorders in Korea. Epidemiological Report. Sejong: Ministry of Health and Welfare, 2011 December.
  7. Ministry of Health and Welfare. 2013 national survey on suicide. Policy Report. Sejong: Ministry of Health and Welfare, 2014 March.
  8. Jang JM, Park JI, Oh KY, Lee KH, Kim MS, Yoon MS, et al. Predictors of suicidal ideation in a community sample: roles of anger, self-esteem, and depression. Psychiatry Research. 2014; 216(1):74-81. https://doi.org/10.1016/j.psychres.2013.12.054
  9. Kim SY, Jung MY, Kim KN. Factors associated with suicidal ideation by age group among Korean adults: using the fifth Korea National Health and Nutrition Examination Survey (KNHANES V, 2012). Korean Journal of Health Education and Promotion. 2014;31(2):1-14. https://doi.org/10.14367/kjhep.2014.31.2.1
  10. Lee HY, Hahm MI, Park EC. Differential association of socio-economic status with gender- and age-defined suicidal ideation among adult and elderly individuals in South Korea. Psychiatry Research. 2013;210(1):323-8. https://doi.org/10.1016/j.psychres.2013.05.012
  11. Park EO, Choi SJ. Prevalence of suicidal ideation and related risk factors among Korean adults. Academy of Psychiatric and Mental Health Nursing. 2013;22(2):88-96. https://doi.org/10.12934/jkpmhn.2013.22.2.88
  12. Ra CK, Cho Y. Differentiated effects of social participation components on suicidal ideation across age groups in South Korea. BMC Public Health. 2013;13:1-8. https://doi.org/10.1186/1471-2458-13-890
  13. Moon DK. A meta-regression analysis on related triggering variables on the suicidal ideation of older adults. Journal of Welfare for the Aged. 2012;55:133-58.
  14. Brunoni AR, Nunes MA, Lotufo PA, Bensenor IM. Acute suicidal ideation in middle-aged adults from Brazil. Results from the baseline data of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Psychiatry Research. 2015;225(3):556-62. https://doi.org/10.1016/j.psychres.2014.11.047
  15. Han B, McKeon R, Gfroerer J. Suicidal ideation among community-dwelling adults in the United States. American Journal of Public Health. 2014;104(3):488-97. https://doi.org/10.2105/AJPH.2013.301600
  16. Korea Institute for Health and Social Affairs. Some causes of the psycho-social anxiety in Korea and how to address them. Research Report. Sejong: Korea Institute for Health and Social Affairs, 2015 December. Report No.: 2015-22.
  17. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press; 1965. p.1-326.
  18. Jeon BJ. Self-esteem: a test of its measurability. Yonsei Nonchong. 1974;11(1):107-29.
  19. Chae SM. Psychosocial anxiety and mental health in old age. Health and Welfare Policy Forum. 2016;239:84-96.
  20. Zung WWK. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371-9. https://doi.org/10.1016/S0033-3182(71)71479-0
  21. Lee JH. Development of the Korean form of Zung's self-rating anxiety scale. Yeungnam University Journal of Medicine. 1996; 13(2):279-94. https://doi.org/10.12701/yujm.1996.13.2.279
  22. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. https://doi.org/10.1177/014662167700100306
  23. Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D depression symptoms index. Journal of Aging and Health. 1993;5(2):179-93. https://doi.org/10.1177/089826439300500202
  24. Shin JD. National health status in the light of the Korea welfare panel study. Health and Welfare Policy Forum. 2010;170:23-31.
  25. Korea Institute for Health and Social Affairs. 2014 a national survey on the living status and welfare needs of the aged. Policy Report. Sejong: Korea Institute for Health and Social Affairs, 2014 December. Report No.: 11-1352000-001426-12.
  26. Kumar MB, Walls M, Janz T, Hutchinson P, Turner T, Graham C. Suicidal ideation among Metis adult men and women-associated risk and protective factors: findings from a nationally representative survey. International Journal of Circumpolar Health. 2012;71(1):18829. https://doi.org/10.3402/ijch.v71i0.18829
  27. Park HJ, Bae JY. Efficient suicide prevention intervention: meta-analysis. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2013;22(4):273-84. https://doi.org/10.12934/jkpmhn.2013.22.4.273
  28. Statistics Korea. 2016 social survey [Internet]. Daejeon: Statistics Korea; 2016 [cited 2016 November 23]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.boa rd?bmode=read&aSeq=357457
  29. Ra CL, Lee HK. Employment transitions and suicide ideation among echo generation. Health Policy and Management. 2013; 23(4):369-75. https://doi.org/10.4332/KJHPA.2013.23.4.369
  30. Seoul Statistics. 2016 Seoul survey [Internet]. Seoul: Seoul Statistics; 2016 [cited 2017 February 11]. Available from: http://stat.seoul.go.kr/jsp3/news.view.jsp?link=1&cd=005&srl=430

Cited by

  1. 우울과 스트레스에 관한 국내 연구 분석 : 치료와 대상자를 중심으로 vol.7, pp.6, 2017, https://doi.org/10.22156/cs4smb.2017.7.6.053
  2. Factors Affecting Suicidal Ideation of Depressed Adults by Age vol.16, pp.4, 2017, https://doi.org/10.14400/jdc.2018.16.4.267
  3. Gender Differences of Affecting Factors on the Anxiety among the Eco-generation vol.44, pp.1, 2017, https://doi.org/10.21032/jhis.2019.44.1.22
  4. Perceived discrimination and suicidal ideation of Korean adults with disability: Examining the mediating role of depressive symptoms vol.36, pp.2, 2017, https://doi.org/10.14367/kjhep.2019.36.2.65
  5. 중년성인의 주관적 사회계층과 자살생각에 대한 융합연구: 사회적 지지와 자아존중감의 다중매개 효과 vol.10, pp.7, 2020, https://doi.org/10.22156/cs4smb.2020.10.07.108
  6. 노인 혈액투석 환자의 삶의 의미, 우울, 사회적 지지가 자살생각에 미치는 영향 vol.31, pp.3, 2017, https://doi.org/10.12799/jkachn.2020.31.3.279
  7. Suicidal ideation of immigrant women in Korea vol.38, pp.2, 2017, https://doi.org/10.14367/kjhep.2021.38.2.29
  8. Analysis of risk factors affecting suicidal ideation in South Korea by life cycle stage vol.12, pp.5, 2021, https://doi.org/10.24171/j.phrp.2021.0208