• 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.

• 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.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.15 no.1
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• pp.107-113
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• 2008

Purpose: The purpose of this study was to identify the degree and relationship between self-esteem, depression, and suicidal ideation of youths in the auxiliary police force. Method: This descriptive study was conducted using a structured questionnaire from February 1 to March 25, 2007. The participants were 180 youths from 19 to 25 years old (average 20.82 years old) who were auxiliary policemen. The data were analyzed using the SPSS Win 12.0 program. Results: Six of the auxiliary police (3.34%) reported critical scores in suicidal ideation. There was a significant difference in depression according to work area. Self-esteem showed a significant negative correlation with depression (r=-0.38, p<.001) and suicidal ideation (r=-0.39, p<.001). There was a positive correlation between depression and suicidal ideation(r=0.53, p<.001). Conclusion: The findings suggest that auxiliary policemen have higher levels of depression and suicidal ideation. Therefore, further study is needed to develop and examine nursing interventions the enhance self-esteem, so that depression and suicidal ideation can be minimized.

• Journal of Korean Public Health Nursing
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• v.24 no.1
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• pp.82-92
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• 2010

Purpose: This study aimed to identify the incidence and risk factors of suicidal ideation among the elderly in Korea. Methods: This cross-sectional study used secondary data of the 2005 Korean National Health and Nutrition Examination Survey. The participants were 1,097 elderly Koreans who responded to the health survey. Sociodemographics, health related characteristics, and the prevalence of suicidal ideation were obtained through face-to-face interviews. Risk factors of the suicidal ideation were also examined. Descriptive statistics and multivariate logistic regression were used for data analysis. Results: Of the 1,097 respondents, 30.5% had suicidal ideation during the past year. Depression and stress were the important risk factors; others included mobility, pain/discomfort, chronic illness, smoking, sleep, and leisure time physical activity. Sociodemographic characteristics such as gender, education, and marital status affected suicidal ideation. Conclusion: The high frequency of suicidal ideation in the elderly suggests the necessity of community-based interventions directed at depression and stress.

• Research in Community and Public Health Nursing
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• v.19 no.1
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• pp.5-12
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• 2008

Objectives: The study was to examine major factors that affect suicidal ideation of elderly in urban areas. Methods: The subjects were 302 elders who voluntarily participated in the study. The instruments for this study were scale for suicidal ideation(19 items), family concord (20 items), CED-depression(20 items) and family inventor of life events and changes(FILE, 22 items). Frequency, percentage, t-test, ANOVA, Duncan test, Pearson' correlation coefficient, stepwise multiple regression with SPSS program were used to analyze the data. Results: The average score of suicidal ideation was 14.88. Suicidal ideation was positively related to depression and stress, but negatively related to family concord, depression, family concord, stress and health status accounted for 86.1% of the variance in suicidal ideation. These results suggest that family concord, depression and stress can be potential risk factors for suicide of elderly. Conclusions: These findings may give useful information for developing suicidal prevention program on old age.

• Journal of Korean Academy of Nursing
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• v.43 no.2
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• pp.296-303
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• 2013

Purpose: The purpose of this study was to investigate the prevalence of depression and suicidal ideation in elders with dementia and to identify factors influencing their suicidal ideation. Methods: A descriptive and cross-sectional study was conducted from February to March, 2011. The participants were 298 older adults whose MMSE-KC score was 15 to 23. Collected Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: According to the Geriatric Depression Scale (GDS) classification criteria, 86.2% of the elders in this study exhibited depression (GDS=5), and 31.5% manifested severe depression. The mean score of suicidal ideation was 5.70 (range 0-20). The risk factors for suicidal ideation were depression, suicidal attempt experience, present location for care, and activities of daily living. Conclusion: The results of this study can be utilized in the development of suicide prevention programs for older adults with dementia. In particular, depression should be screened and managed to reduce suicidal ideation of older adults with dementia.

• The Korean Journal of Health Service Management
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• v.8 no.2
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• pp.209-220
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• 2014

The purpose of this study was to identify the effects of depression, self-efficacy and social support on suicidal ideation in people with mental disorder. The participants for this study were 165 patients from psychiatric hospital, day hospital, community mental health center and nursing home, located in Busan. A self-report survey was used for data collection, which was carried out from May 1 to 30, 2011. The collected data were analyzed using SPSS21.0 program. According to results, Suicidal ideation was influenced by age, number of admission, psychiatric diagnosis and history of suicidal attempts. This study showed that suicide ideation had positive correlation with depression, negative with social support. History of suicidal attempt, depression, self-esteem and social support accounted for 52.8% regarding suicidal ideation. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes decreasing depression and suicidal attempt and increasing the self-esteem and social support in order to decrease suicidal ideation.

• Journal of Korean Academy of Nursing
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• v.34 no.1
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• pp.102-110
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• 2004

Purpose: This study was done to identify the state of internet addiction and to investigate the relationships among internet addiction, depression and suicidal ideation in adolescents. Method: Participants were 1,670 high school students in an urban city. The Internet Addiction Scale was used to measure internet addiction, the DISC-MDD-SQ was used to measure depression, and the Suicidal Ideation Questionnaire-JR was used to measure suicidal ideation. Result: 38.1 % of participants were perceived to be in the early stages of internet addiction and 1.5% reported heavy addiction. Overall the internet addiction scale score was 37.57(${\pm12.52}$). The differences of internet addiction in sample characteristics were found to be significant in rank in class. The differences in DISC-MDD-SQ and IAS scores among the states of internet addiction were statistically significant. The level of internet addiction correlated positively to the level of depression and suicidal ideation. Conclusion: Based upon these findings, there were significant positive correlations among Internet addiction, depression, and suicidal ideation in adolescents. As schools are often the first line for the identification of potential life-threatening behaviors, nurses, especially school-based health professionals, need to be cognizant of measures and procedures for the assessment of Internet addiction, depression, and suicidal ideation.

• Child Health Nursing Research
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• v.18 no.4
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• pp.157-163
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• 2012

Purpose: This study was conducted to identify the effects of life stress and depression in undergraduates on suicidal ideation. Methods: The participants in this study were 306 nursing students from three different cities. Collected data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The mean score for life stress was 48.48, for depression, 28.59, and for suicidal ideation, 5.90. There were positive relationships between depression and life stress, suicidal ideation and life stress, and suicidal ideation and depression. The four factors of life stress, depression, school life, and gender were identified as factors influencing on suicidal ideation in undergraduates. Conclusion: The findings of this study indicate that the establishment of mental health care centers in universities, and development and implementation of nursing intervention programs for suicide prevention would be helpful.

• Journal of Korean Public Health Nursing
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• v.30 no.3
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• pp.381-394
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• 2016

Purpose: In this study, the fitness of a path model on suicidal ideation in university students was examined including the relationship of the following stress perception, problem focused coping style, dysfunctional impulsivity, somatization, anger, and depression. Methods: The subjects consisted of 645 university students. Data was collected using questionnaires and analyses was performed using SPSS/WIN 12.0 and LISREL 8.30. Results: According to the modified model, depression was found to have the most significant direct effect on suicidal ideation. Stress perception and problem focused coping style were also found to have a significant direct effect on suicidal ideation. On the other hand the anger, somatization, and dysfunctional impulsivity were found to have a significant indirect effect mediated by depression on suicidal ideation. Conclusion: These results suggest that university students' suicidal ideation can be decreased by managing stress perception, dysfunctional impulsivity, depression, anger, and somatization and increasing problem focused coping style. Based on the outcomes of this study, it is necessary to develop stress management methods and positive coping styles.