• Title/Summary/Keyword: Elderly suicide prevention

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Role of Police for Enhancement of Elderly Safety (노인안전 강화를 위한 경찰의 역할)

  • Cha, Min-Kyu;Kwack, Dae-Gyung
    • Korean Security Journal
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    • no.41
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    • pp.387-408
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    • 2014
  • South Korea already became an aging society, and is now in the process of becoming an aged society. With increasing elderly population, elderly safety issues such as traffic accidents and elderly suicides are becoming important problems. Elderly victimization are increasing, and elderly safety accident is also becoming an imporotant social problem. The police is doing various activities for elderly safety. The police is conducting programs for the elderly, such as a prevention program for fraud against elderly, and safety checks and traffic safety education for preventing elderly traffic accidents. Also, there's a program of providing regular visits for a lone elderly, expansion of CCTV network and fingerprint registration to prevent elderlies with Alzheimer's disease going missing. However, these programs are not done on a national scale, but rather limited to local police stations. The purpose of this study is to seek police roles for enhancing elderly safety, due to lack of police activity in this area. Recommendation for police roles in enhancing elderly safety is to first conduct routine crackdowns on fraud against elderly and also conduct education programs for preventing fraud. Also, crimes such as elderly abuse is lead by elderly protection agencies, but considering elderly abuse is a crime, the police should take a leading role. Also, to prevent elderly suicide, meticulous management of elderlies with high suicide risk is necessary, and elderly protection areas should be designated to prevent traffic accidents. Also, elderlies should be induced to turn in their driver's license. To conduct these matters of elderly safety, an organization exclusively charged with elderly safety is necessary. Elderly safety is a broad concept, and since police alone cannot handle the task of ensuring elderly safety, the police should take on a leading role in cooperative efforts with various institutions of the government, non-profit organizations and the community to establish a social saftey net for elderly safety.

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A Study on Factors Influencing Elders' Suicidal Ideation: Focused on Comparison of Gender Differences (노인의 성별에 따른 자살생각 영향요인)

  • Koo, Chun Young;Kim, Jung Soon;Yu, Jungok
    • Research in Community and Public Health Nursing
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    • v.25 no.1
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    • pp.24-32
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    • 2014
  • Purpose: The purpose of this study is to describe the prevalence of suicidal ideation and to investigate related factors contributing to suicidal ideation in elderly people with focus on comparison of gender differences. Methods: From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES-IV), the researchers selected 3,164 old adults aged over 65. The original study was a population-based epidemiological survey of health and nutrition in a stratified multistage clustered probability design. Data were analyzed by using ${\chi}^2$-test and t-test and multiple logistic regression with the SPSS/WIN18.0 program. Results: Suicidal ideation in women (37.5%) occurred more frequently than men (17.5%). Depression, stress, restriction on activities and quality of life were significant variables of suicidal ideation in both the men and women aged 65 over. Low educational levels and economic states were significantly associated with suicidal ideation in men but not in women. Conclusion: The development of a suicide prevention program for elders requires different approaches to the genders respectively. It is also recommended that programs be developed that can help control the variables identified in this study along with a follow-up study for verifying the model.

Mediating Effects According to Family Type in the Complex Relationship between Psychological and Material Factors and Depression in the Elderly (노인의 심리적, 물질적 요인과 우울감, 복합관계에서 가족형태에 따른 조절효과분석)

  • Yang, Kyung-Hee;Jeong, Mun-Gyung
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.437-444
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    • 2015
  • The aim of this study is to investigate influential factors for depression with respect to mental health in the elderly and present the groups in order to develop intervention strategies with human for the prevention of depression and suicide. For this purpose, this study held interviews using a questionnaire targeting normal elderly above the age of 65 who did not use social welfare services living in Seoul, Gyonggi and Jeonnam. The data collected was analysed with the use of a frequency test, a descriptive statistical analysis, a correlation analysis and a multi-regression analysis. The results of the study show that the influence of psychological factors in the subjects on their depression was significant. That is, Depending on your type of psychological factors of family influences the sense of difference of melancholy. Second, the influence of material factors of the subjects on their depression was significant depending on their family type. That is, the influence of material factors in the elderly on their depression differed depending on family type.

A Study on Antecedents of Suicidal Ideation among Korean Older Adults: A test of the Stress-diathesis Model (노인의 자살 생각에 영향을 미치는 선행요인에 관한 연구: 스트레스 소질 모델(Stress-diathesis Model)을 중심으로)

  • Ahn, Joonhee;Chun, Miae
    • 한국노년학
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    • v.29 no.2
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    • pp.489-511
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    • 2009
  • While late-life suicide has been increasing and become an important issue for public health in Korea, little is known about the phenomenon and its contributing risk factors based on which effective preventive measures can be made. Since suicidal ideation is a major precursor to attempted and completed suicide, the objective of the present study was to reveal primary contributors to suicidal ideation. Data were collected from a cross-sectional survey of 247 community-dwelling Korean older adults (age≥60) in the mid-size city in Korea. The statistical methodology employed a robust hierarchical regression procedure that iteratively downweights outliers. Based on the stress-diathesis model, the study examined major diathesis and stressors directly explaining suicidal ideation. The study also explored the significant interaction among these factors. The findings revealed that living alone and depression were significant main antecedents of suicidal ideation. In addition, neuroticism X life events and neuroticism X depression were significant interaction terms with the strongest explanatory power, which provides an empirical evidence to support the stress-diathesis model in explaining suicidal phenomenon of the Korean elderly. The result demonstrates the theoretical implication as well as the practical implication for developing and implementing late-life suicide prevention strategies. Limitations and directions for future research are discussed.

A Study on the Implementation of Urban Senior Multi-Carezon for the Elderly (고령화에 따른 도시형 노인 시니어 멀티 케어존 실효성에 관한연구)

  • Lee, Jong-Sik
    • Journal of the Korea Knowledge Information Technology Society
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    • v.13 no.2
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    • pp.273-286
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    • 2018
  • Korean government has taken various population policy so far According to demographic results, The aging population is rapidly aging and it is expected to deepen in the future. However, many senior citizens are also exposed to poor economic conditions and inconsistent health care risks Most seniors suffer from mental illness and chronic diseases. seniors in traditional cities feel very alienated as they change from large family to small family. As the number of elderly people living alone grows, social problems increase. At present, the health care for the elderly who live alone is not being taken properly, and they are under a very poor management system, both physically and mentally. Every human being has to be old, and we aim to spend our old age processes physically and mentally healthy. As the basic age of the elderly increases, it is necessary to consider various aspects of the welfare policies and medical policies that are followed. In this study, 100 elderly people over the age of 65 were surveyed for economic situations and physical and mental health conditions, and specially performed study on utility of 'urban senior multi care zone' to prove the necessity of introducing the latest digital devices to resolve these problems more effectively by analyzing serious feelings of alienation, loneliness, and emotional situations. Lastly, We conducted this research to find ways to help the elderly through customized health care.

The Relationship between Existence of Spouses and Depression of Korean Elderly (우리나라 노인의 배우자 유무와 우울과의 관련성)

  • Park, Hyung-Su;Jung, Mi-Hwa;Yu, Jin-Ho
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.5
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    • pp.1181-1187
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    • 2012
  • The depression of the elderly decreases satisfaction in life and is also an important risky factor of their suicide. The subjects of the study were 615 males and 904 females aged above 65 who had the 2008 Korea National Health and Nutrition Examination Survey on the relations between presence of spouses and depression given by the Korea Center for Disease Control and Prevention. Through a chi-square test and a multiple logistic regression, the relations between general characteristics, contraction, health characteristics and depression were analysed. As a result of the multiple logistic regression for which age, family income, subjective health status, presence of activity limitation and stress were revised, the odds ratio of the males without spouses was 2.37(95% CI 1.03-5.45), which indicates that they had more depression than female subjects. However, for the female subjects, there were no relations between presence of spouses and depression.

Study on a moderating effect of psycho-social characteristics in the relationship between depression and suicidal ideation among community elderly (노인의 심리사회적 특성이 우울감과 자살생각에 미치는 조절효과에 관한 연구)

  • Park, Bonggil
    • 한국노년학
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    • v.28 no.4
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    • pp.969-989
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    • 2008
  • This study attempts to explain how depression among community elderly relate to suicidal ideation and whether or not the psycho-social characteristics of elderly persons moderate the relationship between these two variables. This study was conducted in Seoul, Busan, and Daegu and included 273 persons 65 years and above who were using senior welfare centers in the communities. For the questionnaire and analysis, this research uses the Health Care, Life Event, Self-esteem, Family Assessment scales. This research utilizes a wide range of statistical analyses, such as descriptive analysis, Pearson's correlation, reliability analysis, multiple regression, and general linear modeling. The calculations employed the use of SPSS/PC+ 12.0. This research indicates, among other things, that elderly persons with a high level of depression and psycho-social characteristics show a tendency toward higher suicidal ideation and that the level of self-esteem, life event, and family communication plays a moderating role in the relationship between depression and suicidal ideation among community elderly. In conclusion, elderly persons who experienced with a high level of psycho-social characteristics shows a relatively greater tendency toward suicidal ideation when compared to elderly persons having a low level of psycho-social characteristics. The intervention's effectiveness in reducing suicidal ideation can reinforce self-esteem, and cope with stressful life events and family discord as prevention strategy to reduce risk factors for suicide in late life.

Risk Factors for Suicidal Ideation among Middle Class Korean: Focusing on Psychosocial Comparison - An Analysis of a Nationwide Survey of the 8th Korea Health Panel Data (중산층 한국인의 생애주기별 자살 충동경험과 위험요인: 비교의식과 관련된 사회심리적 특성을 중심으로 - 8차 한국의료패널 자료분석)

  • Jo, Ahra;Kang, Bora;Seo, Youngju;Gil, Eunha;Oh, Heeyoung
    • Research in Community and Public Health Nursing
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    • v.29 no.1
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    • pp.1-10
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    • 2018
  • Purpose: The purpose of this study was to examine the prevalence and risk factors of suicidal ideation among middle class Korean. Methods: Cross sectional study was designed for secondary data analysis. From the 8th Korea Health Panel survey (2008~2013), a total of 6,037 data was drawn and analyzed by developmental stage using descriptive statistics including frequency, percentage, $x^2$ test, and logistic regression analysis. Results: Across all age groups, high physical-mental stress, frustration, anxiety about the future and low self-perceived health status or social class were found to be the risk factors of suicidal ideation. Peer-compared subjective health status and frustration significantly influenced the adolescents. The young adults'suicidal ideation was mainly influenced by physical and mental stress, frustration and absence of economic activity. For the middle-aged, physical and mental stress, frustration, future anxiety, low peer-compared subjective health status were found to be the major influencing factors. The predominant risk factors for the elderly were frustration and low peer-compared subjective health status. Conclusion: Making comparisons to others significantly influence suicidal ideation throughout all life cycles. Improvement of mental health and suicide prevention can be enhanced by avoiding negative comparison to others.

TELEPHONE PSYCHOTHERAPY WITH ADOLESCENTS (청소년 정신 장애자에 대한 전화 정신 치료의 효용)

  • Lee, Kil-Hong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.129-137
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    • 1992
  • This article describes several clinical usefullness of the telephone in psychotherapy with adolescents through case analysis by Tolchin, and discussed various management problems and some practical guidelines for therapists planning to utilize telephone psychotherapy with adolescents through literature analysis. In general, most adolescent patients in regular treatment benefit from knowing that the therapist can be reached by phone and that their call will be returned that same day. The therapist's telephone availability helps the young patient to develope a positive working alliance. Telephone psychotherapy had it's first widespread application in crisis intervention and suicide prevention. It's current uses also include enhancement of self-control in cases of self-destructive adolescents, and management of anxious, depressive, or anorexic adolescents. In addition, such widely divergent modalities of treatment as follow up of patients discharged from a psychiatric hospital, alcoholic rehabilitation programs, drug hotlines, sex counselling group therapy for visually impaired elderly, control of separation anxiety in girls, resolution of fear on the mental disorders, and helpful modality to continue psychotherapy without geographic barrier during longer periods of separation with therapist are currently available via telephone. But telephone psychotherapy is generally not suitable for more self-defensive and introverted cases, more dependent chronic callers, silent cases, test callers. the cases of telephone scatologias, the cases of intellectualized discussion, of more dependent cases calling phone in order to get attention from therapist. Telephone psychotherapy for adolescents serves as an important and useful method in the therapeutic armamentarium for this most challenging and rewarding population.

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Factors Affecting on Suicidal Ideation in Community Dwelling Elders (지역사회 노인의 자살생각에 영향을 미치는 요인)

  • Park, Keum-Sook;Kim, Young-Hee;Lee, Kyoung-Wan;Lyu, Yeoung-Su;Jeong, Heon-Young
    • Journal of Oriental Neuropsychiatry
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    • v.26 no.1
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    • pp.39-48
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    • 2015
  • Objectives: This study was conducted to analyze the hwa-byung, self-perceived health, life-stress, social support, depression, and factors affecting on suicidal ideation in community dwelling elders. Methods: This study was a cross-sectional descriptive study. The subjects were 165 elderly in I city. The data was collected from November $21^{st}$ to December $5^{th}$ of 2014 by using structured questionnaire. T-test, Pearson's correlation coefficients, and stepwise multiple regression were performed by SPSS/PC 17.0. Results: There were more females than males in hwa-byung (t=.-3.068, p=.003). In the visit parent, more than once a month was a significantly higher in social support (t=.3.333, p=.001). Hwa-byung (t=.-2.577, p=.011), life-stress (t=.-3.800, p=.001), depression (t=.-2.776, p=.006), and suicidal ideation (t=.-4.316, p<.001) were shown to be high in the elders with lower level of living. Subjects with health insurance had high self-perceived health (t=-3.800, p=.001) and low hwa-byung (t=-4.102, p<.001), life-stress (t=-4.482, p<.001), depression (t=-5.296, p<.001), and suicidal ideation (t=.-2.152, p=.036), according to the type of insurance. In the correlation, sleeping hours (r=-.180, p=.020), self-perceived health (r=-.364, p,.001), and suicidal ideation had negative correlation; hwa-byung (r=.404, p<.001), life-stress (r=.300, p<.001), social support (r=-.310, p<.001), depression (r=.423, p<.001) and suicidal ideation had positive correlation. Factors affecting the suicidal ideation in community dwelling elders were depression (${\beta}$=.42, p<.001), hwa-byung (${\beta}$=.23, p=.004), social support (${\beta}$=-.18, p=.012), and level of living (${\beta}$=.24, p=.001). Discussion: For the prevention of elderly suicide, it is necessary to care for psychosocial status and solve economic difficulties through social support.