The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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Factors Affecting the Suicidal Ideation of the Elderly Living in the Community : Focused on Sleep and Depression

지역사회 거주 노인의 자살생각 영향요인 : 수면과 우울을 중심으로

  • Received : 2019.02.15
  • Accepted : 2019.04.17
  • Published : 2019.05.31
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Abstract

The purpose of this study was to investigate the factors influencing suicidal ideation among the elderly over 60 years old living in the community centered on sleep and depression. A total of 210 elderly people living in a metropolitan city were surveyed about suicidal ideation, sleep pattern (sleep time, quality of sleep) and depression. Data analysis showed that 14.3% of the subjects were seniors with a high suicidal ideation, 23.3% were sleeping less than 5 hours, 17.6% were poor sleep quality, and 33.3% were depressed. According to multiple logistic regression analysis, the factors influencing suicidal ideation were identified as depression (OR=6.889, 95% CI=2.679-17.712), sleep quality (OR=3.770, 95% CI=1.469-9.679), and gender (OR=3.080, 95% CI=1.266-7.491). These three factors accounted for 31.6% of suicidal ideation variables. Based on the results of this study, it is suggested that reducing the depression and improving the quality of sleep in consideration of gender should be an essential strategy for the elderly in the community to reduce the suicidal ideation.

본 연구는 지역사회에 거주하는 60세 이상 노인의 자살생각 영향요인을 수면과 우울을 중심으로 분석하고자 실시하였다. 수도권 도시거주 노인 210명을 대상으로 자살생각, 수면양상(수면시간, 수면의 질), 우울에 대한 설문조사를 통해 자료를 수집하여 분석한 결과, 자살생각을 많이 하는 노인은 14.3%, 수면시간이 5시간 이하인 노인은 23.3%, 수면의 질이 나쁜 노인은 17.6%, 우울한 노인은 33.3% 이었다. 다중 로지스틱 회귀분석 결과, 최종적으로 자살생각 수준에 영향을 미친 요인은 우울(OR=6.889, 95%CI=2.679-17.712), 수면의 질(OR=3.770, 95%CI=1.469-9.679), 성별(OR=3.080, 95%CI=1.266-7.491)로 확인되었고, 이 세 가지가 자살생각 변인의 31.6%를 설명하였다. 본 연구 결과를 토대로 지역사회 거주 노인의 자살생각 경감을 위해서는 성별을 고려한 우울 감소와 수면의 질 개선이 필수적인 전략이며 이러한 전략을 반영한 자살예방 교육 프로그램 개발 및 정책 방안 마련을 제언한다.

Keywords

표 1. 대상자의 일반적 특성 Table 1. General characteristics of subjects (N=210)

GJMGCK_2019_v5n2_287_t0001.png 이미지

표 2. 대상자의 자살생각, 수면, 우울 Table 2. Suicidal ideation, sleep and depression of subjects (N=210)

GJMGCK_2019_v5n2_287_t0002.png 이미지

표 3. 자살생각에 따른 관련 변수의 차이 Table 3. Differences of associated factors between suicidal ideation group (N=210)

GJMGCK_2019_v5n2_287_t0003.png 이미지

표 4. 자살생각에 영향을 미치는 요인 Table 4. Factors associated with suicidal ideation (N=210)

GJMGCK_2019_v5n2_287_t0004.png 이미지

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