• 대한통합의학회지
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• 제8권4호
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• pp.67-77
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• 2020

Purpose : Recently, Korea has entered an aging society due to the steadily increasing proportion of the elderly population. Additionally, elderly suicidal rate in Korea is the highest among OECD member countries. Because old age is a time when all functions are weakened physically, mentally, and socially, negative experiences, including depression and poor quality of life in the elderly, may lead to suicidal intentions. This study attempts to understand the relationship between depression and quality of life experienced by the elderly and their suicidal intentions. Methods : The survey was conducted from January 2 to March 31, 2019 by administering a questionnaire targeting people aged ≥ 65 years, who were registered at public health centers located in U-city, Gyeonggi-do. In total, 1,015 copies of data were used for the final analysis. The collected data were analyzed using the SPSS/WIN 23.0 program. The χ2 test was performed to investigate the relationship between the demographic characteristics and the suicidal intentions of the elderly subjects. The t-test was performed to determine the relationship between suicidal intentions, depression, and quality of life in elderly subjects. Results : The study results revealed that 168 people (16.6 %) had thought of suicide and 3.2 % had actually tried to commit suicide. The reasons for suicidal thoughts were family problems in 60 (5.6 %), economic problems in 49 (4.6 %), and physical illness in 44 (4.1 %). Those with suicidal intentions had higher levels of depression (t=11.712, p<.001) and higher quality of life scores (t=-9.565, p<.001). Conclusion : Based on these results, it is proposed that a suicide prevention policy and program that can improve the elderly's depression and quality of life is necessary.

• 한국엔터테인먼트산업학회논문지
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• 제13권3호
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• pp.301-315
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• 2019

본 연구는 사회참여가 노인의 자살생각을 예측하는 경로에서 생활만족도와 우울의 매개효과를 검증하는 것에 목적이 있다. 연구목적의 검증을 위해, 본 연구는 서울시 복지패널 2차년도 데이터(2010년도)에서 65세 이상의 고령자 약 1,429명을 선택하였다. 그리고 본 연구는 AM0S 18.0의 구조방정식 모형을 분석방법으로 사용하였다. 이러한 분석방법을 통해 도출한 분석결과는 다음과 같다. 첫째, 사회참여가 노인의 자살생각을 예측하는 직접경로의 효과성이 입증되었다. 둘째, 사회참여가 생활만족도와 우울의 매개변수를 경유하여 노인의 자살생각을 예측하는 매개경로의 효과성이 검증되었다. 제시된 분석결과를 통해 본 연구는 노인의 자살생각에 대한 개입방안과 후속 연구를 위한 시사점을 모색하였다.

• 보건의료산업학회지
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• 제8권2호
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• pp.149-160
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• 2014

The suicide rate in the elderly is continually increasing. Effective suicide prevention requires that factors affecting suicidal ideation are specifically identified and personalized intervention programs are developed. This study aimed to identify the influencing factors of suicidal ideation in Korean elderly. The data of the 2012 Korean National Health & Nutrition Examination Survey was analyzed by using the SPSS program. Frequency, percentile, Chi-square test, multiple logistic regression were used. The influencing factors of suicidal ideation were education, income, exercise, perceived stress and depression. The Odds Ratio of the depression was 5.68 and the Odds Ratio of the perceived stress was 3.45. This study suggested that elderly suicidal prevention programs should be developed in preventing and reducing stress and depression.

• 한국농촌간호학회지
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• 제16권1호
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• pp.18-28
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• 2021

Purpose: This study attempted to confirm whether the suicide prevention effect could be achieved by managing the frailty of the elderly in rural areas. Methods: This study is a single-group pre-post study design. The frailty management program was applied twice a week for 12 weeks for the vulnerable elderly in the rural area from 16th April to 31st May in 2020. The program consisted of physical exercise, health education on nutrition management and disease control, cognitive training, and protein drink provision. Results: The average age of the participants was 77.1 years, and they lived alone (88.6%). As a result of providing the program, there were positive results such as increase in body strength (pre 12.27: post 13.27) and weight (pre 58.51: post 59.13), and decrease in depression (pre 4.66: post 1.20), and there was no statistically significant change in quality of life, Time Up & Go, and BMI. Conclusion: Frailty should be managed to prevent suicide in the elderly. It is necessary to expand and apply various programs that combine physical functions and emotional interventions such as health education, and exercise to maintain muscle strength.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.105-118
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• 2021

Objectives: This study aimed to examine the effect of Activities Daily Living(ADL)(physical health), depression(mental health), social participation(social health) on suicidal ideation among community dwelling elderly. Methods: Samples were obtained from 184 people aged over 65 years old in one county of Kyungsangbukdo. The survey samples were divided into the presence and absence group of the suicidal ideation. Data were analyzed with x² test, t-test and logistic regression analysis. Results: First, suicidal ideation were significantly different by religion. Secondly, after adjusting for socio-economic variables, logistic regression analysis showed that only depression was associated with higher odds of suicidal ideation Conclusions: It was suggested to develop customized depression and suicide prevention program were required to reduce suicide rate of the elderly.

• 대한임상독성학회지
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• 제9권2호
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• pp.81-87
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• 2011

Purpose: Incidents of suicide attempt and acute poisoning in the elderly population is rising. This study investigated the clinical nature of acute poisoning and differences between the survival and mortality groups in the elderly. Methods: We retrospectively investigated 325 patients with acute poisoning who visited the emergency department. Patients were divided into two groups, one survival and one death group. Information regarding patient sex, age, root cause of poisoning, time of year of poisoning, type of intoxicant, duration of time between intoxicant ingestion and arrival at the emergency department, total length of hospital stay, and any previous suicide attempts and subsequent hospitalization were collected. An initial Glasgow Coma Scale (GCS) and an initial and final Poison Severity Score (PSS) for each patient was calculated. Results: The survival rate for men was higher than for women in this study. The most common reason of drug intoxication was suicide, with accidental ingestion and substance abuse occurring in descending frequency. Seasonal factors were reflected in the data with the highest number of incidents occurring in spring and the lowest number in winter. Compared with the mortality group, the survival group had a lower initial PSS with a higher GCS. Conclusion: We conclude that being female, having suicide as a root cause, agrochemicals as an intoxicant, low initial Glasgow Coma Scale and high initial Poisoning Severity Score, are all associated with poor prognosis.

• 디지털융복합연구
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• 제12권7호
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• pp.419-430
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• 2014

본 연구의 목적은 가족주의 가치관(familism)이 자살생각에 영향을 주는지 분석하는 것이다. 자살생각은 가족 간 갈등에 영향을 받는 것으로 알려져 있으며, 사회정서선택이론(socioemotional selectivity theory)에 의하면 가족관계는 청 장년층에 비해 노년층에서 더 중요한 것으로 이해되고 있다. 본 연구는 선행 연구를 바탕으로 가족주의 가치관과 자살생각과의 관계가 청 장년층에 비해 노년층에서 부각될 것으로 예측하였다. 본 연구에서는 2008년 실시된 한국인의 성공적 노년에 대한 조사 자료를 활용해 분석을 실시하였다. 이 조사는 2008년 제주도를 제외한 전국의 20세 이상 성인을 대상으로 실시되었다. 조사의 표본은 1,000명이며 표준화된 설문지를 활용한 일 대 일 면접조사를 통해 자료를 수집하였다. 본 연구의 주요 분석 결과는 다음과 같다. 첫째, 자살생각은 청 장년 집단과 노인 집단에서 상이한 요인에 영향을 받는 것으로 나타났다. 둘째, 자살생각은 우울이나 스트레스 등 정신적 건강 요인에도 영향을 받는 것으로 확인되었다. 셋째, 노년층에서는 가족주의 가치관이 자살생각과 부적 관계를 보이고 있으나 청 장년층에서는 유의미하지 않은 것으로 나타났다.

• 한국융합학회논문지
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• 제11권3호
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• pp.301-310
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• 2020

본 연구는 스트레스가 자살생각에 미치는 영향과 우울의 매개효과를 확인하기 위해 시도된 융합연구이다. 연구 대상은 G시 65세 이상 노인 166명, 연구기간은 2018년 8월 29일부터 9월 9일까지 진행하였다. 자료분석은 빈도와 백분율, t-test, ANOVA, Scheffe test, Pearson correlation coefficient, multiple regression 및 Sobel test로 분석하였다. 연구결과, 1단계에서 스트레스가 우울에 유의한 영향을 주었고 (β=0.533, p<.001), 2단계에서는 스트레스가 자살생각에 유의한 영향을 주었으며(β=0.497, p<.001), 3단계에서는 스트레스(β=0.389, p<.001)와 매개변수 우울(β=0.203, p=.011)이 유의한 예측 요인이었다. 변수의 설명력은 스트레스만 있는 경우 24.3%였고, 스트레스에 우울 동반 시 26.8%로 나타나, 스트레스가 자살생각에 미치는 영향에서 우울이 부분매개효과가 있는 것으로 확인되었다(p=.014). 본 연구결과를 토대로 노인의 자살생각 감소를 위한 기초자료로 활용될 수 있을 것으로 사료되며, 추후 자살 예방 프로그램 개발을 위한 후속 연구가 요구된다.

• 한국산학기술학회논문지
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• 제15권5호
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• pp.2882-2892
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• 2014

본 연구는 재가 취약계층 여성 노인을 대상으로 한 우울 자살예방 프로그램을 개발하고 그 효과를 검증하여 지역사회에서 용이하게 활용할 수 있는 프로그램을 보급하고자 하는 데 그 목적을 두고 있다. 우울 자살예방 프로그램은 인지행동 이론에 기초하고, 선행연구결과를 토대로 연구자들에 의해 개발되었다. 프로그램의 효과는 시계열설계를 이용한 실험연구설계로 12명의 재가 여성노인을 대상으로 검증하였다. 우울 자살예방 프로그램을 적용한 결과 중재 직전에 비해 중재 직후에는 대상자의 우울, 자살생각, 무망감 수준에서 통계적으로 유의한 변화가 없었으나, 중재 직전에 비해 중재 4주 후에는 우울, 자살생각, 무망감 수준에서 통계적으로 유의한 변화가 나타났다. 이상 결과에 근거하여 지역사회 정신건강증진센터 또는 복지관의 종사자들이 본 프로그램을 적극 활용할 것을 제언한다.

• 대한간호학회지
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• 제38권2호
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• pp.258-269
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• 2008

Purpose: The purpose of this study was to understand and analyze the experience of restoration among Korean elders with suicide ideation. Methods: A phenomenological research method guided data collection and analysis. A total of five elders having had suicide ideation participated. Data were collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. Results: As the results of analysis, the following three constituents have been found as a retrospective focus based on the primary suicide ideation: expanding their view and facing reality, reconstructing their view about life and death as well as self. Conclusion: The results of this study may contribute to health professionals working at various crisis settings to understand Korean elders with suicide ideation.