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한국 성인의 생애주기별 자살생각 영향요인

Factors Influencing Suicidal Ideation by Life Cycle of Korean Adults

  • 방소연 (대전과학기술대학교 간호학과)
  • Bang, So-Youn (Department of Nursing, Daejeon Institute of Science and Technology)
  • 투고 : 2021.02.03
  • 심사 : 2021.05.07
  • 발행 : 2021.05.31

초록

본 연구의 목적은 한국 성인의 생애주기별 자살생각에 대한 이해를 도모하고 자살생각에 영향을 미치는 요인을 확인하기 위한 것으로, 한국의료패널 2016년도 자료를 이용한 2차분석 연구이다. 만 19세 이상 성인 중 자살생각, 신체적 요인, 정신적 요인 등의 주요 자료에 결측치가 없는 14,538명을 대상으로 연령에 따라 청·장년기(19~39세), 중년기(40~64세), 노년기(65세 이상)로 구분하고 χ2-test와 t-test, multiple logistic regression으로 자료를 분석하였다. 연구결과, 청·장년기 2.9%(108명), 중년기 3.2%(181명), 노년기 3.7%(80명)의 대상자가 지난 1년간 자살생각을 한 것으로 나타났다. 생애주기별 자살생각에 영향을 미치는 요인은 청·장년기 대상자는 불안, 우울, 약물 복용과 삶의 질이고, 중년기 대상자는 주관적 건강상태, 스트레스, 불안, 우울, 약물 복용과 삶의 질이며, 노년기 대상자는 체질량지수, 스트레스, 불안, 우울과 삶의 질이었다. 따라서 생애주기별 자살생각에 영향을 미치는 요인은 생애주기에 따른 자살 위험집단을 선별하기 위한 주요 요인으로 고려하고, 위험집단의 자살을 예방 및 관리하기 위한 차별화된 중재 프로그램이 개발 및 제공되어야 할 것이다.

The purpose of this study was to promote an understanding of suicidal ideation and identify the factors that influence suicide ideation according to the life cycle of Korean adults. This study was a secondary analysis study using the Korea Health Panel 2016 data. Among adults over 19 years of age, 14,538 people with no missing values in suicidal ideation and influencing factors were classified into young adults (19-39 years old), middle-aged adults (40-64 years old), and the elderly (65 years or over). The data were analyzed by multiple logistic regression. The results showed that 2.9% (108 people) of young adults, 3.2% (181 people) of middle-aged adults, and 3.7% (80 people) of the elderly had suicide ideation over the past year. Factors influencing suicidal ideation by life cycle were anxiety, depression, drug use and quality of life for young adults, subjective health status, stress, anxiety, depression, drug use and quality of life for middle-aged adults. The factors affecting the elderly were body mass index, stress, anxiety, depression, and quality of life. Therefore, factors influencing suicidal ideation should be considered as a major factor for screening risk groups according to the life cycle, and differentiated intervention programs should be developed and provided to prevent and manage suicide in risk groups.

키워드

과제정보

본 논문은 2020년도 대전과학기술대학교 교내 학술연구비 지원에 의하여 수행된 것임

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