• Title/Summary/Keyword: The Elderly suicidal Ideation

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Influence of Resilience and Depression on Suicidal Ideation in Elderly (회복탄력성과 우울이 노인의 자살생각에 미치는 영향)

  • Park, Jong-Suk;Park, Yong-Kyung;Jeong, Seong-Hwa;Lee, Chae-Shik;Kim, Hong
    • 한국노년학
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    • v.34 no.2
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    • pp.247-258
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    • 2014
  • The aim of this study was to investigate the influence of resilience and depression on suicidal ideation in elderly. The survey was conducted by 335 subjects (aged 65 to 70 years old; both gender) living in Daegu and Gyeongbuk district. Data were collected through interview-based questionnaires which were constructed to include the general characteristics(8 items), suicidal ideation(19 items), depression(15 items), and resilience(27 items). Collected data were analyzed by frequency, t-test, one-way ANOVA, and regression analysis. The present results showed that the main general factors affecting the resilience of elderly were age, the type of dwelling, pin money, and health. The influencing factors on suicidal ideation were health status, depression level, and the resilience in elderly. In particular, the suicidal ideation was more affected by self-regulation and affirmation of the subcategory in resilience. In conclusion, the resilience and depression is need to be considered as one of the main factors for decreasing the suicidal ideation in elderly.

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.

The Relationship between Grief level and Suicidal Ideation of Elderly Living Alone and the Moderation Effect of Social Support (독거노인의 비애수준이 자살사고에 미치는 영향: 사회적 지지의 조절효과)

  • Lee, Jin Hyang;Choi, Yeun Soon;Park, Ki Soo
    • Journal of agricultural medicine and community health
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    • v.43 no.1
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    • pp.31-40
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    • 2018
  • Objectives: The purpose of this study is to examine the moderating effect of social supports on the relationship between grief level and suicidal ideation of the elderly living alone. Methods: We analyzed data from a questionnaire administered to subjects aged 65 years or older living alone for a 2017 community mental health project in Gyeongnam S city. To investigate the moderating effects of variables, we conducted a hierarchial regression analysis and confirmed the change $R^2$. Results: When adjusted for education and economic level, grief level had not a direct impact on suicidal ideation. And it was found that interdependent social support was moderating variables in the relationship of grief level and suicidal ideation of the elderly living alone. Conclusions: There is a need for appropriate programs that reduce suicidal ideation and therefore suicidal action. Moreover, it is especially necessary to enhance interdependent social supports.

Suicide among the Elderly in Korea: A Meta-Analysis (노인의 자살생각에 영향을 미치는 요인군에 대한 메타분석)

  • Lee, Jung-eun;Lyu, Jiyoung
    • 한국노년학
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    • v.37 no.3
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    • pp.601-616
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    • 2017
  • Elderly suicide is a major public health issue in South Korea. The aim of this study was to systematically examine the current knowledge about suicidal ideation among Korean older adults with specific focus on risk and preventive factors. In order to achieve this aim, a meta-analysis was conducted using Korean academic peer-reviewed journals published since 2001. A total of 97 articles were selected that met the research criteria (e.g., original study findings and key words of suicidal ideation, suicidal thought, and suicide). Three domains were identified and used for further analysis: individual, family, and society. Results showed that among individual factors, depression and burden or stress increased the risk of suicidal ideation, while better mental health reduced the risk of suicidal ideation. Among family factors, living alone was a risk factor for suicidal ideation, while family cohesion was a preventive factor for suicidal ideation. Among social factors, elderly discrimination, social isolation, and negative relationships were significant risk factors, while social support, social environment, and social activities were significant preventive factors affecting suicidal ideation. The results suggest several practical implications for developing suicide prevention programs and counseling approaches to address suicidal ideation. For example, depression and stress can be reduced by MBSR (Mindfulness-Based Stress Reduction) program where meditation is used as a coping strategy. In addition, counseling programs specifically focused on improving family and social relations should be implemented. Government should continuously support for these programs to prevent suicide among older Koreans.

A study on the Influencing Factors of Suicidal Ideation of the Young-old and Old-old Elderly in South Korea: Focusing on the Individual, Family, and Community System Factors (전기·후기 노인의 자살생각 영향 요인에 관한 연구: 개인체계, 가족체계, 지역사회체계 요인을 중심으로)

  • Jeong, Kyu Hyoung;Ko, A Ra
    • Korean Journal of Family Social Work
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    • no.53
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    • pp.45-78
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    • 2016
  • The purpose of this study is to classify the old into the old people as Young-old(Age 65-74) and Old-old(Older than 75) Elderly in Korea and is to check the factors influencing on the suicidal ideation based on eco-system approach. For the research data, the survey data of actual condition of the old people in 2014 was used. The samples of analysis in this study are the Young-old people who have spouse Old-old people, which are in total 6, 201. In order to check the characteristics of suicidal ideation of the Young-old people and Old-old people, Chi-square analysis was implemented and binomial logistic regression analysis was conducted to check the influencing factors of suicidal Ideation of Young-old and Old-old Elderly. As a result of analysis, there were significant difference in the factors influencing on suicidal ideation of the Young-old people and the Old-old people. The variables in terms of the sociology of population among personal system factors have affected more to the suicidal ideation of Old-old people than the Young-old people. Variables in terms of health have influenced on the Old-old people and the variables in terms of economy have significantly affected to the Young-old people. It has been suggested that the conflict of conjugality and marital conflict affect to the suicidal ideation of Young- old people however it has been appeared that the Old-old people are significantly affected not only by the conjugality but also by the relationship with children. In order to reduce the suicidal ideation of the old people, the customized approach per group of the old people has been presented.

Associations between Physical Disorders and Suicidal Ideation in Elders (노인의 신체질환과 자살사고 간의 연관성)

  • Park, Cheol;Kang, Hee-Ju;Lee, Ju-Yeon;Kim, Seon-Young;Bae, Kyung-Yeol;Kim, Sung-Wan;Kim, Jae-Min;Shin, Il-Seon;Yoon, Jin-Sang
    • Anxiety and mood
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    • v.10 no.1
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    • pp.24-29
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    • 2014
  • Objectives : This study aimed to investigate the associations between physical disorders and prevalent/incident suicidal ideation in a community dwelling older population aged 65 years or over. Methods : 1204 people aged 65 years or over evaluated at baseline. Suicidal ideation was identified using the questions from the community version of the Geriatric Mental State Schedule ("GMS B3"). Reported physical disorders covering 11 common and generally chronic health problems were ascertained. Covariates included were depression, age, gender, years of education, accommodation status, past occupation, and current occupation. Of 1066 without suicidal ideation at baseline, 805 (76%) were followed 2 years later, and incident suicidal ideation was evaluated. Results : Prevalent suicidal ideation was significantly associated with 4 of 11 physical disorders: eyesight problems, persistent cough, heart disease and paralysis or weakness in one leg or arm. Incident suicidal ideation was associated with 3 physical disorders: asthma, high blood pressure and paralysis or weakness in one leg or arm. Both prevalent and incident suicidal ideation were significantly associated with increased number of physical disorders. Conclusions : Certain physical disorders were comorbid and precipitating factors of suicidal ideation in elders. And appropriate intervention and treatment of physical disorders might prevent suicidal ideation in elderly.

Comparative, Integrated Study on emotional support, physical support, Socio-economic Factors related with Suicidal Ideation of 75 or older Seniors: Using the 2017 National Survey of Elderly (후기노인의 정서적, 신체적, 사회경제적 요인과 자살생각과의 비교융합연구: 2017년도 노인실태조사 자료를 활용하여)

  • Kim, Young-Ran;Park, Chang-Soo;Nam, Ho-Jin
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.63-70
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    • 2019
  • This study examined the effect of emotional factors, physical factors and socioeconomic factors on suicidal ideation of 75 or older seniors and sought to identify what kinds of factors should be satisfied to prevent their suicide. Using "2017 National Survey of the Elderly", the study conducted survey among 75 or older 3,023 males and 1,295 females. It used multivariate logistic regression analysis to identify the factors affecting suicidal ideation. As a result, the study found that ties with their offspring, the number of chronic diseases, being abused or not, depression and living with or without espouse had significant effects on their suicidal ideation and abuse was the largest factor. Therefore, in order to reduce suicide rate of 75 or older seniors, more active attention should be rendered to their physical, socioeconomic and emotional health problems, and measures to reduce elderly abuse should be sought. In particular, institutional improvement and revitalization of elderly counseling institutions are needed to reduce elder abuse

A Study on the Effect of Elderly Dementia Caregiver's Stress to their Suicidal Ideation -Mediating Effect of Self-efficacy- (치매노인 보호자의 부양스트레스가 자살샘각에 미치는 영향 -자기효능감의 매개효과-)

  • Jeong, Hwa-Cheol
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.167-182
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    • 2017
  • The purpose of this study is to examine the effects of care-giving stress of dementia elderly on the caregiver's suicidal ideation. In addition, mediating effect of self-efficacy was examined. In order to accomplish these purposes, a total of 336 who are caregivers of dementia elderly using self-report questionnaires. In this study, 325 elderly patients were used for final analysis. Date were analyzed by frequency and descriptive analysis, regression model analysis with SPSS 22.0. The analysis result of dementia elderly caregiver's symptoms showed that prevalence of suicidal ideation were 32.6%. Regression analysis was conducted under the control of dementia elderly's disease period, ratings, general characteristics and age, sex, educational background, occupation status, health status, living standard level of caregivers who were the subject of the survey. As a result, it was confirmed that the care giving stress had a statistically significant effect on suicidal ideation. Also, the self-efficacy of caregivers was found to partial mediate the relationship between care-giving stress and suicidal ideation(***p<.001). Based on this result, I suggested the various policies and the necessity of social welfare intervention to restore the mental health of caregivers of the elderly with dementia.

Prediction Model of Suicidal Ideation in Elderly Men Living Alone Based on Ecological System Theory (생태학적 체계이론에 기반한 남자독거노인의 자살생각 예측모형)

  • Hong, Si Myung
    • Journal of agricultural medicine and community health
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    • v.42 no.2
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    • pp.57-68
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    • 2017
  • Objectives: This study was performed to build the predictive model of suicidal ideation of elderly men living alone. Methods: As for the subject, 251 subjects suitable for the selection criteria were selected among elderly men living alone above 65 years old in one region in Gyeongnam and three regions in Gyeongbuk. The data were collected via questionnaires and analyzed using SPSS version 20.0 and Amos version 18.0. Results: The goodness-of-fit test result of hypothetical model were suitable for recommended level: ${\chi}^2/df=1.47$, RMR=.04, GFI=.92, AGFI=.90, CFI=.95, IFI=.95, RMSEA=.04. Self-esteem, individual coping, family cohesion, social support, social activity, and depression explained 55% of the model of suicidal ideation. The most influential direct factor of suicidal ideation was self-esteem, and social isolation was the most influential indirect influence on suicidal ideation. Conclusion: To sum up the above results, if we promote the researched variables of self-esteem, family cohesion, social activity, individual coping and social support in addition to developing and utilizing an efficient customized suicidal prevention nursing intervention program thereby reducing depression and social isolation, suicidal ideation of elderly men living alone would be prevented.

The Effect of Social Support and, Avoidance Coping Style and Depression on Suicidal Ideation among in the Elderly over the Age 65 in G City (G시 65세 이상 노인의 사회적 지지, 회피적 대처방식 및 우울이 자살생각에 미치는 영향)

  • Oh, Eum-Jung;Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.92-103
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    • 2021
  • This study was undertaken to examine the effects of social support, as well as avoidance coping, depression and suicidal ideation, of the elderly over 65 years, in G city. This was a descriptive survey study, enrolling 482 subjects from 9 elderly schools in G city, from October 31, 2019 to 1. Data collected were analyzed with t-test, ANOVA, Pearson's correlation coefficients and multiple regression, using the SPSS WIN 24.0 program. The average score of social support was 5.71±1.11, avoidance coping style 12.41±3.45, depression 6.33±2.77, and suicidal ideation 6.17±1.87. Suicidal ideation (r=0.292, p<0.001) positively correlated with avoidance coping, and negatively correlated with gender (r=-0.02, p=0.018), number of family (r=-0.12, p=0.008), social support (r=-0.19, p<0.001), and depression (r=-0.24, p<0.001). Results of regression indicated that gender, social support, avoidance coping style, and depression explained 12.8% of variance in suicidal ideation. Therefore, our results indicate the necessity to develop a support program that improves the social support, and addresses avoidance coping style, depression and suicidal ideation, thereby helping to reduce negative thinking amongst the community of seniors aged over 65 years.