• 한국치위생학회지
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• 제20권3호
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• pp.335-346
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• 2020

Objectives: This study investigated the association between oral health and suicide attempts in adults aged 65 years or older using the 7^th Korea National Health and Examination Survey (KHANES, 2016-2018). Methods: Of the total 24,269 participants of the 7^th KHANES (2016-2018), 1,488 adults aged 65 years or older who had an oral health examination were selected. Variations in suicide attempts with demographic characteristics and perceived oral health status were analyzed using the χ² test, and the association between oral health and suicide attempts was analyzed using the logistic regression model. Results: The suicide attempt rate was higher among older adults with chewing (p<0.01) and speaking (p<0.05) difficulties. The odds ratio for a suicide attempt was 1.05 times higher among those with tooth loss (p<0.05). Conclusions: Our results showed that older adults with tooth loss had an increased risk of suicide. Thus, it is important to prevent tooth loss, in the first place, through proper oral health management. If tooth loss occurs, appropriate treatment should be prioritized to facilitate functional recovery. Finally, national support is required for older adults with limited access to dental care.

• 기본간호학회지
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• 제16권3호
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• pp.333-344
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• 2009

Purpose: This study was done to identify differences in health habits, perceived stress, depression, and suicidal thinking by gender for elderly people who are living alone and elderly people who are living with others. Method: The study participants were 4,051 people aged 65 years and over who were surveyed in the Third Korea National Health and Nutrition Examination Survey in 2005. The relationship among outcomes and living arrangement by gender in elders was assessed using multiple logistic regression while controlling for sociodemographic characteristics. Results: Older men living alone were less likely to have breakfast and more likely to perceive stress and think of suicide than older men living with family or others. On the other hand, older women who live alone were less likely to perceive stress than older women who live with others. Age, educational level, income, and number of diseases were significantly associated with each individual outcome. Conclusion: This study showed that living alone has a significant impact on physical health habits and psychological health of elderly people, especially for older men. Therefore, living arrangement should be considered in developing a health promotion program for elders as well as age, gender, education, and income.

• 대한통합의학회지
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• 제7권1호
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• pp.57-64
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• 2019

Purpose : This study was implemented to identify the risk conditions influencing suicidal ideation in a nationally representative sample of elderly South Koreans. Methods : Data from 1,152 men and 1,581 women aged 65 years or older were gathered from the 2013 and 2014 Korea National Health and Nutrition Examination Survey VI. All analyses were performed using SPSS. To determine significant correlations between risk condition and suicidal ideation, a t-test was used. Results : There were differences in suicidal ideation according to the following individual factors: age, educational background, marital status, economic activity, recognition of stress, experience of depression, and economic status. There were differences in suicidal ideation according to the following health-related factors: subjective health status, EQ-5D (EuroQoL-5 Dimensions), hours of sleep, and BMI. There were also differences in suicidal ideation according to the following disease-related factors: HTN, COPD, asthma, stroke, depression and osteoarthritis. Conclusion : The findings indicate that broad intervention programs should be distributed to prevent suicidal ideation. It is also recommended that programs be developed in a way that can help manage the variables identified in this study. Furthermore, follow-up studies should be conducted to verify the program.

• 대한임상독성학회지
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• 제17권2호
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• pp.94-101
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• 2019

Purpose: This study examined the clinical characteristics of severe elderly poisoning patients to determine the factors that can prevent them. Methods: Data were collected from patients over 65 years of age presenting to the emergency center with poisoning from 2013 to 2018. Their medical records were analyzed retrospectively, and patients with a poisoning severity score of three or more were defined as the severe poisoning group. The risk factors were evaluated by univariate and multivariate analysis. Results: This study analyzed 292 patients, of whom 37 (12.7%) belonged to the severe poisoning group. The severe poisoning group showed a significantly higher association with pesticide poisoning and intentional suicide attempts. Loneliness and somatization were the cause of the suicidal ideas. No significant differences in age, sex, drinking, ingestion time, poisonous materials other than pesticides, and neuropsychological consultation were observed between the two groups. Conclusion: The severe elderly poisoning patients were the result of intentional poisoning for suicide. Loneliness and somatization were the most influential causes of suicidal poisoning. Therefore, psychiatric screening and frequent medical treatment for elderly people are required to prevent severe poisoning in elderly patients.

• 한국산학기술학회논문지
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• 제11권2호
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• pp.750-757
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• 2010

본 연구는 응급의료센터에 내원한 음독환자의 발생현황 및 중독학적 특성이 거주 지역 및 연령에 따라 차이가 있는지 알아보기 위하여 5개 병원 응급의료센터의 의무기록을 2007년 1월 1일부터 2007년 12월 31일까지 조사하였다. 총 624명 내원 환자 중에서 65세 이상 노인음독환자를 도시지역과 농촌지역으로 나누어 비교한 결과, 중독 원인물질이 농약인 경우가 농촌지역 노인군에서 도시지역 노인군보다 높았으며, 성별 분포, 동거가족 유무, 질병력, 자살기왕력, 내원시 의식 상태, 내원시 음주 상태 등에는 두 군 간에 차이가 없었다. 결론적으로 농약 중독은 사망에 가장 큰 영향을 주는 변수로 농약의 판매와 관리에 대한 새로운 지침 마련이 절실히 요구된다. 또한 지역과 연령 특성을 고려한 자살방지 프로그램의 활성화와 중독예방 교육을 실시하여야 할 것이다.

• 한국융합학회논문지
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• 제10권7호
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• pp.391-397
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• 2019

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.

• 디지털융복합연구
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• 제18권7호
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• pp.9-19
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• 2020

본 연구는 지역 간 자살률 차이를 분석하고 사회복지 등 지역 특성이 자살률에 미치는 영향을 확인하기 위하여 수행되었다. 주요 분석결과는 다음과 같다. 첫째, 특별시와 광역시의 자살률이 광역도에 비해 크게 낮았고, 시·구가 군지역에 비해 낮아서 농어촌 지역의 자살률이 높았다. 둘째, 사회복지요인에 따라서는 인구 10만명 당 문화시설과 사회복지시설 수가 많은 지역의 자살률이 높았고, 정신 보건시설 수가 적은 지역과 사회복지예산비율이 낮은 지역의 자살률이 높아서 농어촌 특성을 가지고 있는 지역의 자살률이 높았다. 셋째, 지역사회 특징이 자살률 차이에 미치는 영향을 분석한 결과 경제여건이 나쁜 지역, 노인 인구비율·이혼률이 높은 지역, 사회보장 수급자 수·독거노인 가구 수가 적은 지역의 자살률이 높아서 농어촌 특성을 가진 지역일수록 자살률이 높았다. 끝으로 사회복지요인은 지역 자살률 차이에 영향을 미치지 않았다. 지역에서 제공되는 사회복지서비스와 투입되는 예산이 자살률 감소에 실질적인 영향을 미치지 못하는 것으로 평가된다. 향후 지역사회 자살률을 낮출 수 있는 지역사회복지 실천의 질적, 양적 개선이 필요하다.

• 한국정보시스템학회지:정보시스템연구
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• 제28권3호
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• pp.249-276
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• 2019

Purpose The purpose of this study is to develop a prediction model and decision rules for the elderly's suicidal ideation based on the Korean Welfare Panel survey data. By utilizing this data, we obtained many decision rules to predict the elderly's suicide ideation. Design/methodology/approach This study used classification analysis to derive decision rules to predict on the basis of decision tree technique. Weka 3.8 is used as the data mining tool in this study. The decision tree algorithm uses J48, also known as C4.5. In addition, 66.6% of the total data was divided into learning data and verification data. We considered all possible variables based on previous studies in predicting suicidal ideation of the elderly. Finally, 99 variables including the target variable were used. Classification analysis was performed by introducing sampling technique through backward elimination and data balancing. Findings As a result, there were significant differences between the data sets. The selected data sets have different, various decision tree and several rules. Based on the decision tree method, we derived the rules for suicide prevention. The decision tree derives not only the rules for the suicidal ideation of the depressed group, but also the rules for the suicidal ideation of the non-depressed group. In addition, in developing the predictive model, the problem of over-fitting due to the data imbalance phenomenon was directly identified through the application of data balancing. We could conclude that it is necessary to balance the data on the target variables in order to perform the correct classification analysis without over-fitting. In addition, although data balancing is applied, it is shown that performance is not inferior in prediction rate when compared with a biased prediction model.

• 산업융합연구
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• 제20권10호
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• pp.79-86
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• 2022

본 연구의 목적은 농촌지역에 거주하는 독거 당뇨병 노인의 자살사고에 영향을 미치는 요인을 파악하는 것이다. 본 연구는 서술적 조사연구이다. 연구대상자는 O 지역에 거주하는 당뇨병을 진단받은 만 65세 이상 노인 466명이다. 수집된 자료는 SPSS 26.0 프로그램을 이용하여 서술통계, t-test, χ²-test, 로지스틱 회귀분석을 활용하여 분석하였다. 연구대상자 중 자살사고가 있다고 응답한 대상자는 27.3%이었고. 인지기능이 낮을수록(t=-4.23, p<.001), 우울(t=9.56, p<.001) 및 외로움(t=4.88, p<.001) 이 높을수록 자살사고에 유의한 차이가 있었다. 자살사고 관련 요인은 인지기능(OR=0.86, p<.001), 우울(OR=1.18, p<.001) 및 외로움(OR=1.17, p=.001)으로 나타났으며, 이 요인들은 대상자의 자살사고를 32.2%를 설명하였다. 따라서 농촌지역에 거주하는 독거 당뇨병 노인의 자살사고를 감소시키기 위해 인지기능, 우울 및 외로움을 향상시킬 수 있는 중재가 필요하다.

• Asian Journal of Innovation and Policy
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• 제8권2호
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• pp.208-237
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• 2019

Serious social problems related to the elderly have appeared in the Gangwon Province because the population in this area is rapidly aging. Gangwon has the highest suicide rate and the highest percentage of single households. In the process of preparing for the super-aging society, Time Bank (TB) System has been actively used in 34 countries, especially in the United States, the United Kingdom, and Japan. In Korea, the Gumi Senior Club has joined this system since 2004. TB is a multilateral exchanged system based on the philosophy that everyone's time is valued equally. Time credits are given to the person who provides social services, such as citizen participation and elderly care. People receive the desired services using time credits or donating them. If this system were applied to the Gangwon Province in accordance with its characteristics, it would help to reduce the elderly's prejudices and manage their diverse health problems. A virtual local currency using IT technologies is needed to boost the regional economy. The elderly's participation in TB is strongly needed. Future research about the effectiveness of health management is then discussed.