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The Role of Social Support for the Influences of Perceived Burdensomeness and Hopelessness on Suicidal Ideation of the Elderly

노인의 자살생각을 높이는 지각된 짐스러움과 절망감에 대한 사회적 지지의 역할

  • 전영선 (대구가톨릭대학교 심리학과) ;
  • 허창구 (대구가톨릭대학교 심리학과)
  • Received : 2018.10.01
  • Accepted : 2019.01.04
  • Published : 2019.01.31

Abstract

The aims of this study were verifying the influences of social support(family, friend, community) on perceived burdensomeness and hopelessness and mediating effects of perceived burdensomeness and hopelessness between social support and suicidal ideation. In results, family support reduced suicidal ideation of the elderly through mediating role of perceived burdensomeness as well as serial mediating effect of perceived burdensomeness and hopelessness. Friend support reduced suicidal ideation of the elderly through parallel and serial mediating effects of perceived burdensomeness and hopelessness. Community support reduced suicidal ideation of the elderly through mediating role of hopelessness. Social support show not direct effect but indirect effect on suicidal ideation through reduction of negative influencing factor(burdensomeness, hopelessness). In conclusion, we proposed it were needed that various efforts which improve the relation between family members in the age of nuclear family and ageing era, social policy support which development social network of the elderly, and the efforts which keep informed the social policy support of the community.

본 연구는 노인의 자살생각에 중요한 영향을 미치는 것으로 밝혀진 지각된 짐스러움과 절망감을 감소시킬 변인으로 사회적 지지를 제안하고, 사회적 지지가 지각된 짐스러움과 절망감을 매개로 노인의 자살생각에 미치는 부적 영향을 확인하기 위해 수행되었다. 연구결과, 사회적 지지의 하위차원 중 가족지지는 노인의 지각된 짐스러움을 줄여줌으로써 자살생각을 감소시킬 뿐 아니라, 감소된 짐스러움이 절망감을 감소시켜 노인의 자살생각을 줄여주는 것으로 나타났다. 친구지지는 노인의 지각된 짐스러움 및 절망감을 줄여줌으로써 자살생각을 줄여줄 뿐 아니라, 감소된 짐스러움이 절망감을 낮춤으로써 노인의 자살생각을 줄여주고 있었다. 지역사회지지는 노인의 지각된 짐스러움에 영향을 미치지는 못했으나 노인이 느끼는 절망감을 줄여줌으로써 자살생각을 줄여주는 것으로 나타났다. 한편, 사회적 지지의 하위요인들(가족, 친구, 지역사회)은 자살생각에 대해 직접적인 효과를 보여주기보다, 다른 부정적인 요인을 감소시킴으로써 자살생각에 대한 간접적인 효과를 보여주었다. 이상의 결과에 근거하여, 고령화 사회와 핵가족화 사회에서 자칫 소원해 질 수 있는 가족관계를 개선하기 위한 노력의 필요성과 노인의 대인관계 및 사회적 네트워크 형성에 대한 지원, 그리고 지역사회 지원정책의 이용을 장려하는 적극적인 홍보 노력이 병행될 필요가 있음을 제안하였다.

Keywords

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Fig. 1. Conceptual model of the research

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Fig. 2. Path coefficients of research models *p<.05, **p<.01. Path coefficients are unstandardized coefficient (B). Controled Variable(Academic Achievement, Health, Economic Satisfaction).

Table 1. Suicidal ideation, perceived burdensomeness, hopelessness, and social support by general characteristics of respondents

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Table 2. Correlations between variables

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Table 3. Indirect effect between social support and suicidal ideation

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References

  1. J. Y. Kim, S. H. Han, "The Effect of Lifelong Learning on Psychological Well-Being and Successful Aging in the Elderly," Journal of Educational Studies, vol. 34, no. 2, pp. 179-208, 2013. DOI: http://doi.org/10.18612/cnujes.2013.34.2.179
  2. H. S. Jeong, "A Study on the Philosophical to the Problems of Korean Society's Aged Man," Journal of the New Korean Philosophical Association, vol. 71, pp. 335-354, 2013.
  3. C. H. Hahm, S. O. Kang, "Study of Elderly Problems as the Social Problems and the Leisure Concept for the Elderly Life," Journal of Korean Association of Physical Education and Sport for Girls and Women, vol. 22, no. 5, pp. 177-188, 2008.
  4. Statistics Korea, The causes of death statistics 2016.
  5. OECD Health Statistics 2015.
  6. H. Y. Lee, S. H. Cho, "Factor Affecting the Suicidal Ideation of Elderly in Gyeonggi Province," Journal of community welfare, vol. 43, pp. 191-216, 2012.
  7. S. M, Hong, Y. S. Kang, H. K. Kim, "The Analysis of Research Trend on Elderly Suicide in Korea," Korea Academy Industrial Cooperation Society, vol. 14, no. 11, pp. 5752-5761, 2013. https://doi.org/10.5762/KAIS.2013.14.11.5752
  8. H. S. Kim, "Sociological Understandings of Elderly Suicide and Its Primary Prevention," Korea Journal of Population Studies, vol. 23, no. 2, pp. 167-187, 2000.
  9. K. S. Choi, "A research on the Relationship between the Socio-economic Factors of the Regions and Suicidal Ideation of the Elderly," Korea Academy Industrial Cooperation Society, vol. 17, no. 11, pp. 584-594, 2016. https://doi.org/10.5762/KAIS.2016.17.11.584
  10. S. Emed, C. Laura, "Geder in early suicide: analysis of coroners inquest of 200case of elderly suicide in Cheshire 1989-2001," International Journal of Geriatric Psychiatry. vol. 18, pp. 1082-1087, 2003. DOI: https://doi.org/10.1002/gps.1012
  11. D. Harwood, R. Jacoby, "Suicidal Behaviour among the Elderly," the International Handbook of Suicide and Attempted Suicide, vol. 18, pp. 275-289, edited by Hawton, Keith. NY: John wiley & Sons. Ltd. 2000.
  12. J. Y. Bae, "Case Study about Elderly Suicide," Journal of Welfare for th Aged. vol 23, spring, pp. 65-82, 2004.
  13. J. L. McIntosh, "Suicide prevention in the elderly (age 65-99)," Suicide and Life-Threatening Behavior, vol. 25, no. 1, pp. 180-192, 1995.
  14. H. I. Choi, "A Study on Factors Affecting Elderly Suicidal Ideation," Doctoral Dissertation, Daegu University, 2008.
  15. A. H. Patricia, "Evidenced-based protocol: Elderly Suicide-Secondary Prevention," Journal of Gerontological Nursing, vol. 29, JUN, pp. 6-17, 2003. DOI: https://doi.org/10.3928/0098-9134-20030601-05
  16. M. S. Kim, M. J. Park, "The Impact of Religion on the Quality of Life of the Elderly," Journal of the Korea Gerontological Society, vol. 20, no. 2, pp. 29-47, 2000.
  17. C. J. Kim, "Life Satisfaction among the Rural Elderly: With a Special Focus on the Impact of Religious Life," Korean Journal of Local Government & Administration Studies, vol. 25, no. 1, pp. 281-301, 2011.
  18. H. K. Kim, S. H. Ko, S. H. Chung, "Suicidal Ideation and Risk Factors among the Elderly in Korea," Journal of Korean Public Health Nursing, vol. 24, no. 1, pp. 82-92, 2010. https://doi.org/10.5932/JKPHN.2010.24.1.082
  19. H. S. Kim, "A Study on Epistemology of Korean Elder's Suicidal Thought," Journal of the Korea Gerontological Society, vol. 22, no. 1, pp. 159-172, 2002.
  20. H. I. Choi, "A Study of Factor Influencing on Elderly Suicide Thinking," Journal of Social Welfare Development, vol. 12, no. 3, pp. 273-298, 2006. DOI: http://dx.doi.org/10.12811/kshsm.2014.8.2.149.
  21. R. W. Maris, "The Relationship of nonfatal suicide attempts to completed suicides," in Maris, R. W., Berman, A. L., Maltsberger, J. T. and Yufit, R. I. (Eds.), Assessment and Reduction of Suicide, New York: Guilford Press, 362-380, 1992.
  22. D. W. Seo, "National Attitude Survey of life respect and suicide." Korea Association for Suicide Prevention 2005 Symposium.
  23. E. J. Kang, "Factor Related to Suicide Ideation by Age Group," Helath-Welfare Policy Forum, vol. 107, pp. 81-86, 2005.
  24. B. R. Lee, J. K. Lee, "Comparison of the effects of economic and social participations on the life satisfaction of old adults," Korean Journal of Gerontological Social Welfare, vol. 71, no. 2, pp. 351-377, 2016. https://doi.org/10.21194/kjgsw.71.2.201606.351
  25. H. S. Kim, L. K. Kwon, "Relationship between Elderly Suicide Rates and Socio-economic Factors in Korea : centering around the Trend of Changes in 1990-2010," Journal of the Korea Contents Association, vol. 13, no. 6, pp. 236-245, 2013. DOI: http://doi.org/10.5392/JKCA.2013.13.06.236
  26. Y. Conwell, E. D. Caine, K. Olson, "Suicide and Cancer in Later Life," Hospital and Community Psychiatry, vol. 41, no. 12, pp. 1334-1339, 1990. DOI: https://doi.org/10.1016/S0006-3223(02)01347-1
  27. A. J. Friedhoff, et al., "Diagnosis and Treatment of Depression in Later Life," Journal of American Medical Association, vol. 268, no. 8, pp. 1018-1024, 1992. DOI: https://doi.org/10.1001/jama.1992.03490080092032
  28. R. F. Baumeister, "Suicide as escape from self," Psychological Review, vol. 97, pp. 90-113, 1990. https://doi.org/10.1037/0033-295X.97.1.90
  29. H. S. Kim, B. S. Kim, "A Path Analysis on Suicidal Ideation in the Elderly," The Korean Journal of Counseling and Psychotherapy, vol. 19, no. 3, pp. 801-818, 2008.
  30. T. R. Lynch, J. S. Cheavens, J. Q. Morse, M. Z. Rosenthal, "A model predicting suicidal ideation and hopelessness in depressed older adults: The impact of emotion inhibition and affect intensity," Aging & Mental Health, vol. 8, no. 6, pp. 486-497, 2004. DOI: http://dx.doi.org/10.1080/13607860412331303775
  31. A. T. Beck, G. Brown, R. K. Berchick, B. L. Stewart, R. A. Steer, "Relationship Between hopelessness and ultimate suicide: a replication with psychiatric outpatients," American Journal of Psychiatry, vol. 147, no. 2, pp. 190-195, 1990. DOI: https://doi.org/10.1176/ajp.147.2.190.
  32. G. K. Brown, A. T. Beck, R. A. Steer, J. R. Grisham, "Risk factors for suicide in psychiatric out-patient: A 20-year prospective study," Journal of Consulting and Clinical Psychology, vol. 69, pp. 371-377, 2000. DIO: http://dx.doi.org/10.1037/0022-006X.68.3.371
  33. T. Joiner, "Why people die by suicide", Harvard University Press, 2007.
  34. T. E. Joiner, K. A. Van Orden, T. K. Witte, E. A. Selvy, J. D. Riverio, R. Lewis, M. Rudd, "Main redictions of the interpersonal-psychological theory of suicidal behavior: Empirical tests in two samples of young adults," Journal of Abnormal Psychology, vol. 118, no. 3, pp. 634-646, 2009. DOI: http://dx.doi.org/10.1037/a0016500
  35. K. A. Van Orden, M. E. Lynam, D. Hollar, T. E. Joiner, "Perceived burdensomeness as an indicator of suicidal symptoms," Cognitive Therapy & Research, vol. 30, no. 4, pp. 457-467, 2006. DOI: http://psycnet.apa.org/doi/10.1007/s10608-006-9057-2
  36. K. J. Chu, S. Y. Lee, "Relationships among Perceived Burdensomeness, Hopelessness, Depression, and Suicidal Ideation in Adolescents and Elders," The Korean Journal of Developmental Psychology, vol. 25, no. 3, pp. 31-53, 2012.
  37. J. M. Ha, Y. J. Song, H. U. Nam, "The Effect of Perceived Burdensomeness and Failed Belongingness to Elderly Suicidal Ideation," Journal of Welfare for the Aged, vol. 55, pp. 65-84, 2012.
  38. M. S. Choi, "The Relationship of Self-Esteem, Mental Health, Perceived Social Support & Social Avoidance and Distress According to Purpose in Life," The Korean Journal of Health Psychology, vol. 16, no. 2, pp. 363-377, 2011. DOI: https://doi.org/10.17315/kjhp.2011.16.2.008
  39. S. S. Koo, O. H. Jung, S. H. Jang, "The Relationships of Ego-Identity, Social support and Mental health of Adolescents," Journal of the Korean Contents Association, vol. 11, no. 9, pp. 225-237, 2011. DOI: https://doi.org/10.5392/JKCA.2011.11.9.225
  40. J. L. McIntosh, J. F. Santos, R. W. Hubbard, J. C. Overholser, "Elder Suicide Research Theory and Treatment," Washington DC: American Psychological Association, 1994.
  41. S. I. Kim, "Relationship among Social Support, Psychological Well-Being and Depression of Elderly Participate in Physical Activity," The Korean Journal of Physical Education, vol. 51, no. 1, pp. 333-344, 2012.
  42. T. W. Eom, "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, vol. 59, no. 2, pp. 355-379, 2007. DOI: https://doi.org/10.20970/kasw.2007.59.2.014
  43. I. G. Oh, "The impact of social Network and Hopelessness on Suicide Ideation among the Low-Income Adults," Journal of Welfare for the Aged. vol. 44, pp. 111-130, 2009.
  44. G. Y. Lee, E. H. Cho, "A Study on the Effect of Main Variables to the Suicidal Ideation among the Elderly Living Alone : Focused on the Direct and Indirect Effects of Social Support," Health and Social Welfare Review, vol. 33. no. 1, pp. 162-189, 2013. DOI: https://doi.org/10.15709/hswr.2013.33.1.162
  45. D. B. Kim, S. Y. Park, "Characteristics of Social network and Suicidal ideation : Verifying of mediation effect of depression," Korean Journal of Social Welfare Research. vol. 24, pp. 109-129, 2010.
  46. Y. G. Yoo, S. H. Ko, K. B. Kim, S. H. Chung, "Effects of Perceived Social Support on Self Esteem in Elderly," Korean Journal of Adult Nursing, vol. 16, no. 1, pp. 102-110, 2004.
  47. J. Y. Bae, W. H. Kim, K. A. Yoon, "Depression, suicidal thoughts and the buffering effect of social support among the elderly," Journal of the Korean Gerontological Society, vol. 23, no. 3, pp. 59-73, 2005.
  48. T. E. Joiner, K. A. Van Orden, T. K. Witte, E. A. Selby, J. D. Ribeiro, R. Lewis, M. D. Rudd, "Main predictions of the interpersonal-psychological theory of suicidal behavior: Empirical tests in two samples of young adults," Journal of Abnormal Psychology. vol. 118, no. 3, pp. 634-646, 2009. DOI: https://doi.org/10.1037/a0016500
  49. H. Christensen, P. J. Batterham, A. J. Mackinnon, T. Donke, A. Soubelet, "Predictors of the risk factors for suicide identified by the interpersonal-psychological theory of suicidal behaviour," Psychiatry Research. vol. 219, no. 2, pp. 290-297, 2014. DOI: http://dx.doi.org/10.1016/j.psychres.2014.05.029
  50. D. W. Hollingsworth, et al., "The indirect effect of perceived burdensomeness on the relationship between indices of social support and suicide ideation in college students," Journal of American college health, vol. 66, no. 1, pp. 9-16, 2018. DOI: https://doi.org/10.1080/07448481.2017.1363764
  51. A. T. Beck, M. Kovacs, A. Weissman, "Assessment of suicidal intention: The scale for suicide ideation," Journal of Consulting and Clinic Psychology, vol. 47, no. 2, pp. 343-352, 1979. DOI: http://dx.doi.org/10.1037/0022-006X.47.2.343
  52. M. S. Shin, K. B. Park, K. J. Oh, Z. S. Kim, "A Study of Suicidal Ideation among High School Students : The Structural Relation among Depression, Hopelessness, and Suicidal Ideation," Korean Journal of Clinical Psychology, vol. 9, no. 1, pp. 1-19, 1990.
  53. K. A. Van Orden, T. K. Witte, K. H. Gordon, T. W. Bender, T. E. Joiner, "Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults," Journal of Consulting & Clinical Psychology, vol. 76, no. 1, pp. 72-83, 2008. DOI: https://doi.org/10.1037/0022-006X.76.1.72
  54. M. H. Jo, "An Evaluation of Interpersonal Psychological Model of Suicide in Korean Army," Master's Thesis, Korea University, 2010.
  55. K. C. Cukrowicz, J. S. Cheavens, K, A. Van Orden, R. M. Ragain, R. L. Cook, "Perceived burdensomeness and suicide ideation in older adults," Psychology & Aging, vol. 26, no. 2, pp. 331-338, 2011. DOI: https://doi.org/10.1037/a0021836
  56. A. T. Beck, A. Weissman, M. Kovac, "Alcoholism, Hopelessness and Suicidal Behavior," Journal of Studies on Alcohol and Drugs, vol. 37, pp. 66-77, 1976. DOI: https://doi.org/10.15288/jsa.1976.37.66
  57. T. W. Eom, "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, vol. 59, no. 2, pp. 355-379, 2007. DOI: http://dx.doi.org/10.20970/kasw.2007.59.2.014
  58. D. Z. Gregory, W. D. Nancy, G. Z. Sara, K. F. Gordon, "The Multidimensional Scale of Perceived Social Support," Journal of Personality Assessment, vol. 52, no. 1, pp. 30-41, 1988. DOI: https://doi.org/10.1207/s15327752jpa5201_2
  59. O. S. Kim, "Study of Suicide-Thinking of Solitary Elderly : Focused on Euijeongbu City," Master's Thesis, Kyunghee University, 2009.
  60. A. F. Hayes, "Introduction to mediation, moderation, and conditional process analysis: A regression-based approach", Guilford Press, 2013.
  61. M. J. Yang, S. J. Cho, "An Analysis related with Suicide Impulse according to Family Intimacy of Aged People in a Metropolis and a Fishing Village," Korea Academy Industrial Cooperation Society, vol. 15, no. 2, pp. 801-806, 2014. DOI: https://doi.org/10.5762/KAIS.2014.15.2.801
  62. N. Krause, "Negative Integration and Satisfaction with Social Support Among Older adults," Journal of Gerontology, vol. 50, no. 2, pp. 59-73, 1995. DOI: https://doi.org/10.1093/geronb/50B.2.P59
  63. J. H. Bae, "Social Support and Life Satisfaction of the Rural Elderly: Focusing on the Function of Support by Their Children and Neighbors," Social Welfare Polocy. vol. 20, pp. 197-216, 2004.
  64. H. T. Chae, "The Current Conditions and Improvement Devices of the Formal Networks for Elderly Living Alone," Journal of Social Welfare Development, vol. 10, no. 2, pp. 185-206, 2004.