Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Conjunctive Predictors of Suicidal Ideation in Korean Elderly : Panel Data Analysis

한국 노인의 자살생각에 관한 융복합 예측요인 : 패널자료분석

  • 김현주 (제주한라대학교 간호학부)
  • Received : 2019.04.09
  • Accepted : 2019.07.20
  • Published : 2019.07.28
Download PDF
⟨ Previous Next ⟩

Abstract

In 2016, the number of suicides per 100,000 population in Korea was 24.6, which is the highest record of OECD countries. The number of suicide deaths increased with age. Elderly people have a higher risk of completed suicide than any other age group. The purpose of this study was to analyze the panel data of the Korean Welfare Panel Study to identify the factors affecting the suicide of Korean older people. This study analyzed the data of the 11th Korean Welfare Panel Study, which was constructed in 2016. The mean age of the participants was 75.55 years and 37% were man and 63% were women. The annual prevalence of suicidal ideation was 3.4%. The effects of depression(Exp(B)=1.113) and subjective health status((Exp(B)=.767) on suicidal ideation was statistically significant by stepwise logistic regression analysis(Nagelkerke $R^2=.248$). Therefore, for the effective application of suicide prevention program for the older people, assessment of subjective health status and depression screening should be preceded.

우리나라의 인구 10만명 당 자살자 수는 24.6명으로 OECD국가 중 가장 높은 수준이다. 연령이 증가함에 따라 자살사망은 증가하고 있어 노인인구는 자살사망의 위험이 다른 인구집단에 비하여 매우 높다. 본 연구는 한국노인의 자살을 예측하는 요인을 확인하기 위하여 시도되었다. 노인을 대상으로 한 자살예방교육의 기초자료로 활용하고자 한국 복지패널의 2016년도에 구축된 11차 년도 복지패널 자료 중 만 65세 이상 노인 가구원 자료를 추출하여 분석하였다. 연구 대상자의 평균연령은 75.55세(표준편차 6.34)이며, 남성은 37%, 여성은 63%였으며, 지난 일 년간 자살생각을 한 적이 있는 대상자는 165명으로 전체의 3.4%였다. 주관적 건강상태와 우울, 자아존중감, 기초생활수급, 의료급여, 노인장기요양급여 등 사회서비스 수급여부의 관련요인을 포함하여 단계적 로지스틱 회귀분석 결과 우울(Exp(B)=1.113), 주관적 건강상태(Exp(B)=.767)가 자살생각을 예측하는 것으로 나타났다(Nagelkerke $R^2=.248$). 따라서 노인을 대상으로 한 자살예방프로그램의 효과적 적용을 위하여 주관적 건강상태의 사정과 우울증 선별검사를 통한 고위험군의 파악이 요구된다.

Keywords

Table 1. General characteristics, seil-esteem, perceived health status, benefits of social services & suicidal behavior of the study population

OHHGBW_2019_v10n7_391_t0001.png 이미지

Table 2. Difference in suicidal ideation according to general characteristics

OHHGBW_2019_v10n7_391_t0002.png 이미지

Table 3. Difference in depression and self-esteem according to suicidal ideation

OHHGBW_2019_v10n7_391_t0003.png 이미지

Table 4. Conjunctive predictors of suicidal ideation

OHHGBW_2019_v10n7_391_t0004.png 이미지

References

  1. Statistics Korea. (2017). Cause of death statistics in 2016. Daejeon : Statistics Korea.
  2. C. Yeates & C. Thompson. (2008). Suicidal behavior in elders. The Psychiatric clinics of North America, 31(2), 333-356 https://doi.org/10.1016/j.psc.2008.01.004
  3. P. W. O'Carroll, A. L. Berman, R. W. Maris, E. K. Moscicki, B. L. Tanney & M. M. Silverman. (1996). Beyond the Tower of Babel: a nomenclature for suicidology. Suicide and Life-Threatening Behavior, 26(3), 237-252. https://doi.org/10.1111/j.1943-278X.1996.tb00609.x
  4. C. S. Han, B. H. Jang, J. Y. Lee, J. H. Ahn, J. H. Lim & J. Y. Yang.(2012). A Study on the Regional Risk Factors on the Elderly Suicide. Seoul :NECA.
  5. H. O'Connell, A. V. Chin, C. Cunningham & B. A. Lawlor. (2004). Recent developments: Suicide in older people. The BMJ, 329(7471), 895-899. https://doi.org/10.1136/bmj.329.7471.895
  6. L. S. Seyfried, H. C. Kales, R. V. Ignacio, Y. Conwell & M. Valenstein. (2011). Predictors of suicide in patients with dementia. Alzheimer''s & Dementia, 7(6), 567 - 573 https://doi.org/10.1016/j.jalz.2011.01.006
  7. O. P. Almeida et al. (2012). Factors associated with suicidal thoughts in a large community study of older adults. The British Journal of Psychiatry, 201(6), 466 -.472. https://doi.org/10.1192/bjp.bp.112.110130
  8. H. S. Kim & B. S. Kim. (2007). A Path Analysis on Suicidal Ideation in the Elderly. The Korean Journal of Counseling and Psychotherapy, 19(3), 801-818.
  9. Y. S. Chong & Y. J. Jeong. (2015). A Review on Variables Related to Suicide of the Korean Youth and Elderly : An Application of Vulnerability Stress Model to Suicide. The Korean Journal of Developmental Psychology, 28(3). 227-254.
  10. Z. Li, A. Page, G. Martin & R. Taylor. (2011). Attributable risk of psychiatric and socio-economic factors for suicide from individual-level, population-based studies: a systematic review. Social science & medicine, 72(4), 608-616. https://doi.org/10.1016/j.socscimed.2010.11.008
  11. M. S. Hoe, B. S. Park & S. W. Bae. (2015). Testing Measurement Invariance of the 11-item Korean Version CES-D Scale. Mental Health & Social Work, 43(2), 313-339.
  12. F. J. Kohout, L. F. Berkman, D. A. Evans & J. Cornoni-Huntley. (1993). Two shorter forms of the CES-D depression symptoms index. Journal of aging and health, 5(2), 179-193. https://doi.org/10.1177/089826439300500202
  13. E. H. Cho, J. H. Chun & S. W. Lee. (2000). A model for the factors affecting depression in the elderly with chronic disease. J Korean Geriatr Soc. 4(3),148-163
  14. G. I. Bae. (2017). Eco-Systematic Approach to Suicidal Ideation of the Elderly - Focused on the Group Comparison according to their Suicidal Ideation in the Previous Year. Korean Journal of Social Welfare, 69(3), 35-63. https://doi.org/10.20970/kasw.2017.69.3.002
  15. K. H. Kim, J. S. Kim, B. S. Lee, E. K. Lee, Y. M. Ahn & M. H. Choi. (2010). A Study about the Factors Affecting the Suicidal Thought in Korean Elders. J Korean Acad Psychiatr Ment Health Nurs, 19(4), 391-399 https://doi.org/10.12934/jkpmhn.2010.19.4.391
  16. S. H. Lee. (2013). Comparative Study on Influencing Factors of Suicidal Ideation according to Sex in the Elderly. Journal of Korean Public Health Nursing, 27(3), 500-512. https://doi.org/10.5932/JKPHN.2013.27.3.500
  17. C. Y. Koo, J. S. Kim & J. O. Yu. (2014). A Study on Factors Influencing Elders' Suicidal Ideation: Focused on Comparison of Gender Differences. J. Korean Acad Community Health Nurs, 25(1), 24-32 https://doi.org/10.12799/jkachn.2014.25.1.24
  18. K. R. Kim, N. H. Hwang, J. W. Jeong, K. M. Song, C. M. Yang & S. H. Lee. (2016). Policy Support for the Last Phase of Life for Oldest-Older People in a Post-Aged Korea. KIHASA Research Paper 2016-39. Sejong : KIHASA.
  19. S. Y. Park, Y. M. Chun, J. H. Seong &. S. H. Lee. (2013) Effects of Elder's Role Performance and Self-esteem on Successful Aging. J Korean Gerontol Nurs, 15(1), 43-50
  20. H. Mo & J. H. Bae. (2011). Factors Affecting Suicidal Behavior : Focused on Comparison Gender and Age Difference. Health and Social Welfare Review, 31(2), 121-145 https://doi.org/10.15709/hswr.2011.31.2.121
  21. D. B. Kim & E. S. Sohn. (2005). A meta-analysis of the variables related to depression in elderly. Journal of the Korean Gerontological Society, 25(4), 167-187.
  22. Y. H. Lee & S. Shinkar. (2003). A comparison of correlates of self-rated health and functional disability of older persons in the far east. Arch Gerontol Geriatr, 37(1), 63-76 https://doi.org/10.1016/S0167-4943(03)00021-9