Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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The Relationships between Rural Elderly's Suicide Literacy, Suicide Stigma and Coping Advice for Suicide Prevention: The Moderated Mediation Effect of Social Expectations for Experiencing Negative Emotions

일개 농촌 지역 노인의 자살 리터러시 수준과 자살 낙인 인식 및 자살 위기대처 능력의 관계: 부정적 정서 경험에 대한 사회적 기대의 조절된 매개 효과

  • An, Soontae (Department of Communication and Media, Ewha Womans University) ;
  • Lee, Hannah (Ewha Institute for Age Integration Research) ;
  • Cho, Jeonghee (Community Health Practicianer, Gimje Community Health Centery)
  • 안순태 (이화여자대학교 커뮤니케이션미디어학부) ;
  • 이하나 (이화여자대학교 연령통합고령사회연구소) ;
  • 조정희 (김제시보건소 장흥보건진료소)
  • Received : 2021.12.03
  • Accepted : 2022.05.10
  • Published : 2022.06.30
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Abstract

Purpose: The purpose of this study is to examine the effects of the rural elderly suicide literacy level upon suicide stigma and coping advice with suicidal crises (recommending professional help for a suicidal person). In particular, this study investigates the role of cultural norms (perceived social expectations for the experience of negative emotions) on suicide stigma and coping ability. Methods: A survey was conducted addressing elderly people (N=119) living in rural areas. Regression analysis using SPSS PROCESS macro was used to examine the relationships among the key variables. Results: Participants with higher suicide literacy showed lower suicide stigma, and this perception had a significant effect on enhancing their coping advice with suicidal crises. Also, perceived social expectations significantly influenced the relationship between suicide stigma and coping advice. With lower levels of social expectations, the mediating effect of suicide stigma on the relationship between suicide literacy and recommending professional help did not exist whereas the indirect effect was significant when it pertained to high levels of social expectations. Conclusion: This result signifies that suicide stigma serves as a barrier deterring Koreans from reaching out for professional help regarding their mental health. Moreover, these findings underscore the importance of cultural psychological factors such as perceived social expectations in terms of developing suicide prevention strategies.

Keywords

Acknowledgement

이 논문은 2020년 정부(교육부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(NRF-2020S1A5C2A03092919). 이 논문은 2021년 정부(교육부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(NRF-2021S1A5A8068758).

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