• Journal of Industrial Convergence
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• v.21 no.5
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• pp.51-58
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• 2023

The purpose of this study is to analyze suicidal ideation of elderly people with diabetes living alone and to investigate the relationship between suicidal ideation, loneliness, and depression. This study was conducted through secondary data analysis using total survey data for the elderly living alone in O province. The subjects of this study were 466 elderly people who were diagnosed with diabetes among the elderly living alone. The data of this study were analyzed using descriptive statistics, t-test, Pearson's correlation coefficients, multi-linear regression analysis, and the three-step mediating effect verification procedure of Baron & Kenny using the SPSS 26.0 program. The average loneliness score and average depression score of the subjects were 4.52±3.30 and 4.88±4.03, respectively, and 27.3% of the subjects said they had a suicidal ideation. The subject's loneliness (β=.20, p=.005) and depression (β=.30, p<.001) was found to be a significant factor in predicting suicide ideation. In addition, depression was found to be partially mediated in the relationship between loneliness and suicidal ideation. Through the results of this study, loneliness and depression were found to be important factors related to suicidal ideation in the elderly with diabetes living alone. In addition, in order to improve suicidal ideation in the elderly with diabetes living alone, intervention to lower the level of loneliness and depression is necessary.

• 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.

• The Journal of Information Systems
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• v.28 no.3
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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.

• Journal of agricultural medicine and community health
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• v.39 no.2
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• pp.81-93
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• 2014

Objectives: The objective of this study was to identify the factors associated with suicidal ideation among the elderly living alone received the elderly care service in a rural area. Methods: This study was surveyed 206 the elderly living alone who received the elderly care service in G-gun, Jeollanamdo. The collected data were socio-demographic and health-related characteristics, family support and suicidal ideation. The used methods for statistical analysis were used t-test, analysis of variance, Pearson's correlational analysis and the multiple logistic regression analysis. Results: In univariate analysis, the suicidal ideation of the elderly living alone was statistically significant associated with age, monthly income, sufficiency of sleeping, depression, stress, activities of daily living, instrumental activities of daily living, perceived health status and family support. As a result of multiple regression analysis, the associated factors with suicidal ideation were age, depression, stress and the activities of daily living. Conclusions: The suicidal ideation of the elderly living alone in the rural area was associated with age, mental health and independency of living. It will be needed the multidisciplinary approaches to prevent the suicidal ideation and attempts of the elderly living alone.

• Industry Promotion Research
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• v.7 no.1
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• pp.43-58
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• 2022

The purpose of this study is to explore and identify the factors influencing the suicidal ideation among middle-aged and elderly people with disabilities. For this, the study has used the panel data of the 7th (2012) through 11th sessions (2016) of the Korea Welfare Panel Survey. In the middle-aged (40 years old to 64 years old), it was found that ordinary income and family life stress significantly affected Suicidal ideation. In the elderly aged 65 to 74, the marital status, ordinary income, depression, family life stress, and satisfaction with family life significantly influenced Suicidal ideation. In the elderly aged 75 or older, depression was the decisive factor affecting Suicidal ideation This study has suggested an effective social welfare intervention plan to prevent the occurrence of suicide among middle-aged and elderly people with disabilities, which emerges as a serious social issue in Korea.

• The Journal of the Korea Contents Association
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• v.19 no.6
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• pp.644-654
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• 2019

The purpose of this study was to investigate the effects of depression, self-esteem and daily life ability on suicidal ideation in elderly people with chronic illness. The subjects were 170 outpatients and inpatients in a general hospital in D city. After conducting questionnaires for data collection, t-test, ANOVA and multiple regression analysis were performed and analyzed using SPSS 12.0 / win program. The results showed that suicidal ideation was influenced by gender, health status, chronic disease diagnosis, and experience of suicide attempt, with a positive correlation with depression and a negative correlation with daily life ability. The suicide attempt experience, depression, self-esteem and daily living ability showed 50.8% explanatory power against suicidal ideation. In order to reduce suicidal ideation, it is necessary to reduce suicidal ideation of elderly people with chronic diseases by managing an intervention program that reduces depression and improves daily life ability.

• Mood & Emotion
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• v.16 no.3
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• pp.152-157
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• 2018

Objectives : The purpose of this study was to examine psychosocial factors influencing suicidal ideation of community dwelling elderly, using the senior community center in Jeonnam Province. Methods : A total of 2,202 subjects (369 males, 1,833 females) were recruited. We evaluated sociodemographic factors, using a self-reporting questionnaire. Subjects completed the Geriatric Depression Scale-Short Form Korean Version (SGDS), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean version of the General Health Questionale-12 (GHQ-12) and Satisfaction with Life scale (SWLS), to assess psychosocial factors affecting suicidal ideation. Results : Among 2,202 subjects, 179 (8.1%) reported recent suicidal ideation. Self-perceptive health status (p<0.001) and physical disease (p=0.002) revealed differences between two groups. The scores of four scales in the suicidal group were significantly different from the control group: SGDS (p<0.001) and GHQ-12 (p<0.001) were higher, while MSPSS (p<0.001) and SWLS (p<0.001) were lower, in the suicidal ideation group than the control group. Multivariate logistic regression analysis revealed that physical disease (OR 2.575, 95%CI 1.022-6.492), SGDS (OR 1.181, 95%CI 1.120-1.246) and GHQ-12 (OR 1.192, 95%CI 1.108-1.283), were significantly associated with suicidal ideation. Conclusion : Findings support that physical disease, depression, and general mental health may correlate to suicidal ideation in the elderly.

• Research in Community and Public Health Nursing
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• v.30 no.2
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• pp.130-140
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• 2019

Purpose: The aim of this study is to explore levels of suicidal ideation and identify subgroups of high suicidal risk among the depressed elderly in Korea. Methods: A descriptive cross-sectional design was adopted on secondary data from the 6th (1st year) Korean national health and nutrition examination survey (KNHANES). A total of 239 depressed elders aged 60 or over who participated in the KNHANES. The prevalence of suicidal ideation and its related factors, including sociodemographic, physical, psychological characteristics and quality of life (EQ-5D index) were examined. Descriptive statistics and a decision tree analysis were performed using the SPSS/WIN 23.0 and SPSS Modeler 14.2 programs. Results: Of the depressed elderly, 28.9% had suicidal ideation. Three groups with high suicidal ideation were identified. Predictive factors included perceived stress level, household income level, quality of life and restriction of activity. In the highest risk group were those depressed elderly with moderate and low levels of stress, less than .71 of EQ-5D index and restriction of activity, and 80.0% of these participants had suicidal ideation. The accuracy of the model was 80.8%, its sensitivity 85.9%, and its specificity 68.1%. Conclusion: Multi-dimensional intervention should be designed to decrease suicide among the depressed elderly, particularly focusing on subgroups with high risk factors. This research is expected to contribute itself to the policy design and solution building in the future as it suggests policy implications in preventing the suicide of the depressed elderly.

• Korean Journal of Health Education and Promotion
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• v.31 no.2
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• pp.1-14
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• 2014

Objectives: This study aimed to investigate factors influencing suicidal ideation among Korean adults. Methods: Cross-sectional data from the fifth Korea National Health and Nutritional Examination Survey conducted in 2012 were analyzed in this study. The subjects were categorized into three groups by subjects' age(defined as young adults(20-39), middle-aged adults(40-59), and the elderly(60 or more). Data were analyzed by frequency, Chi-square test and multiple logistic regression using SPSS 18.0. Results: The factors influencing suicidal ideation were different among three age groups. The influencing factors were (1) gender, marital status, household income, perceived stress and depression in the young adult group, (2) household income, perceived health status, perceived stress and depression in the middle-aged group, (3) gender, regular physical activity, smoking, perceived health status, perceived stress and depression in the elderly group. Conclusions: The health education considering the characteristics of each age group should be developed and applied to prevent adults' suicidal ideation because the factors influencing suicidal ideation were revealed differently between the age groups.

• Journal of the Korean Home Economics Association
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• v.47 no.9
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• pp.111-124
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• 2009

The purpose of this study was to develop the group counseling program for elderly decreasing the level of depression and preventing suicidal ideation and to evaluate the effectiveness of this program. The subjects of this study were 18 elderly people who are older than 65 years old, they were divided into 2 groups: the experimental group(n = 9) and control group(n = 9). The experimental group participated in the group counseling program. The programs of these experimental groups were implemented twice a week for 90-120 minutes per session over 6-week period. But there were no treatments for the control group. The pre-test, the post-test and the follow-up test were implemented in order to evaluate the effectiveness of the program. The instruments used in the study were the Korean Dementia Rating Scale, the Geriatric Depression Scale Short Form-Korean Version and the Scale for Suicidal Ideation. The data were analyzed by Mann-Whitney U Test and Wilcoxon Matched-Pairs Signed Ranks Test. The findings of the study were as follows: The experimental group had significant effects on decreasing the level of depression and the suicidal ideation. Meanwhile the control group were increasing the depression and did not show any significant change in the suicidal ideation. Based on these findings, the limitation of the study was discussed, and further research was suggested.