노인의 자살사고에 영향을 미치는 신체적, 정신적, 사회적 위험 요인
Physical, Psychological, and Social Risk Factors Affecting Suicidal Ideation among the Elderly
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Objectives The aim of this study is to examine the physical, psychological, and social factors influencing suicidal ideation among elderly Koreans. Methods Community Health Survey data obtained in 2013 were used for this study with a sample of 4367 elderly who reside in Gangwon province. The data were analyzed using the chi-square test and the logistic regression test to examine the relationship between suicidal ideation and other variables. Results Depression was the single most influential variable, both directly and indirectly increas¬ing suicidal ideation. In particular, the increase of suicidal ideation among those with severe dis¬ease was affected by depression. Perceived poor social support and perceived poor health sta¬tus were the two highest risk factors after depression, implying that subjective assessment of the elderly affects suicidal ideation significantly. Poor economic status and current smoking showed significantly higher risk for women only, although poor health, poor social support, and poor so¬cial activity commonly attributed to the risk of suicidal ideation in both genders. Conclusion This study suggests that suicidal ideation among the elderly should be approached in a multi-perspective way considering depression, social support, and physical health. It is notable that not only lack of resources but also perceived sense of poor social and physical well-being significantly affect suicidal ideation.
Abstract
Objectives The aim of this study is to examine the physical, psychological, and social factors influencing suicidal ideation among elderly Koreans. Methods Community Health Survey data obtained in 2013 were used for this study with a sample of 4367 elderly who reside in Gangwon province. The data were analyzed using the chi-square test and the logistic regression test to examine the relationship between suicidal ideation and other variables. Results Depression was the single most influential variable, both directly and indirectly increas¬ing suicidal ideation. In particular, the increase of suicidal ideation among those with severe dis¬ease was affected by depression. Perceived poor social support and perceived poor health sta¬tus were the two highest risk factors after depression, implying that subjective assessment of the elderly affects suicidal ideation significantly. Poor economic status and current smoking showed significantly higher risk for women only, although poor health, poor social support, and poor so¬cial activity commonly attributed to the risk of suicidal ideation in both genders. Conclusion This study suggests that suicidal ideation among the elderly should be approached in a multi-perspective way considering depression, social support, and physical health. It is notable that not only lack of resources but also perceived sense of poor social and physical well-being significantly affect suicidal ideation.
참고문헌 (36)
- Health:key tables from OECD, "Organization for Economic Cooperation and Development", OECD, ~ (2012)
- 한삼성, "노인의 자살생각 결정요인에 관한 연구", 보건사회연구, 29(1), pp.164~181 (2009), 한국보건사회연구원
- Van Orden K, "Suicides in late life", Curr Psychiatry Rep, 13, pp.234~241 (2011)
- Conwell Y, "Suicidal behavior in elders", Psychiatr Clin North Am, 31, pp.333~356 (2008)
- 김형수, "생애주기별 자살현황과 예방대책", 노인복지연구, (34), pp.271~292 (2006), 한국노인복지학회
- Mitchell PB, "Depression and the older medical patient--when and how to intervene", Maturitas, 79, pp.153~159 (2014)
- Juurlink DN, "Medical illness and the risk of suicide in the elderly", Arch Intern Med, 164, pp.1179~1184 (2004)
- Bergman Levy T, "Suicide attempts and burden of physical illness among depressed elderly inpatients", Arch Gerontol Geriatr, 52, pp.115~117 (2011)
- Cheung G, "Medical examiner and coroner reports:uses and limitations in the epidemiology and prevention of late-life suicide", Int J Geriatr Psychiatry, 30, pp.781~792 (2015)
- Vanderhorst RK, "Social relationships as predictors of depression and suicidal ideation in older adults", Aging Ment Health, 9, pp.517~525 (2005)
- Wu ZQ, "Correlation between loneliness and social relationship among empty nest elderly in Anhui rural area, China", Aging Ment Health, 14, pp.108~112 (2010)
- Golden J, "Loneliness, social support networks, mood and wellbeing in community-dwelling elderly", Int J Geriatr Psychiatry, 24, pp.694~700 (2009)
- Rowe JL, "Social support and suicidal ideation in older adults using home healthcare services", Am J Geriatr Psychiatry, 14, pp.758~766 (2006)
- Rana AQ, "Associations of pain and depression with marital status in patients diagnosed with Parkinson’s disease", Acta Neurol Scand (2015)[DOI]
- 안동흔, "The Effect of Post-Stroke Depression on Rehabilitation Outcome and the Impact of Caregiver Type as a Factor of Post-Stroke Depression", Annals of Rehabilitation Medicine, 39(1), pp.74~80 (2015), 대한재활의학회
- Holvast F, "Loneliness is associated with poor prognosis in late-life depression: Longitudinal analysis of the Netherlands study of depression in older persons", J Affect Disord, 185, pp.1~7 (2015)
- Voshaar RC, "Suicide in patients suffering from late-life anxiety disorders;a comparison with younger patients", Int Psychogeriatr, 27, pp.1197~1205 (2015)
- Carney SS, "Suicide over 60: the San Diego study", J Am Geriatr Soc, 42, pp.174~180 (1994)
- Minayo MC, "Suicide attempts among the elderly: a review of the literature (2002", 2013), 2015, pp.20, 1751~1762
- 전홍진, "우울증과 자살", 대한의사협회지, 54(4), pp.370~375 (2011), 대한의사협회
- "Medium and long term welfare policy for the aged in Gangwon province"[URL]
- Manuals for using Community Health Survey data 2013, "KCDC", 4~11 (2015)
- 김형수, "한국노인의 자살생각과 관련요인 연구", 한국노년학, 22(1), pp.159~172 (2002), 한국노년학회
- Park EO, "Factors Influencing Suicidal Ideation Among Korean Adults by Age: Results of the 2010-2011 Korean Health and Nutrition Examination Survey", Community Ment Health J (2015)[DOI]
- Jongheon Park, "Factors That Affect Suicidal Attempt Risk Among Korean Elderly Adults: A Path Analysis", 예방의학회지, 48(1), pp.28~37 (2015), 대한예방의학회
- Serafini G, "The impact of anxiety, depression, and suicidality on quality of life and functional status of patients with congestive heart failure and hypertension: an observational cross-sectional study.", Prim Care Companion J Clin Psychiatry, 12, pp.e1~e9 (2010)
- Alexopoulos GS, "Reducing suicidal ideation and depression in older primary care patients: 24-month outcomes of the PROSPECT study", Am J Psychiatry, 166, pp.882~890 (2009)
- Alexopoulos GS, "Clinical determinants of suicidal ideation and behavior in geriatric depression", Arch Gen Psychiatry, 56, pp.1048~1053 (1999)
- 이승희, "노인의 성별에 따른 자살생각 영향요인 비교 연구", 한국보건간호학회지, 27(3), pp.500~512 (2013), 한국보건간호학회
- 권오균, "독거노인 자살시도 영향요인에 관한 연구: 서울 및 경기지역 노인을 중심으로", 한국가정관리학회지, 32(5), pp.207~219 (2014), 한국가정관리학회
- 한삼성, "독거노인과 부부노인의 우울감 및 자살생각 경험", 보건의료산업학회지, 6(3), pp.29~38 (2012), 보건의료산업학회
- 김영주, "남녀별 독거노인과 동거노인의 건강습관, 스트레스, 우울, 자살생각 비교", 기본간호학회지, 16(3), pp.333~344 (2009), 기본간호학회
- 양옥경, "독거노인 자살사고에 영향을 미치는 요인에 관한 탐색적 연구", 정신보건과 사회사업, (37), pp.321~347 (2011), 한국정신보건사회복지학회
- 서인균, "노인의 스트레스와 자살생각간의 관계에 대한 우울의 매개효과：독거노인과 비독거노인 비교연구", 노인복지연구, (61), pp.135~163 (2013), 한국노인복지학회
- Gallant MP, "Gender and race differences in the predictors of daily health practices among older adults", Health Educ Res, 16, pp.21~31 (2001)
- 성미혜, "여성 독거노인의 사회적 지지와 외로움", 한국보건간호학회지, 25(1), pp.95~106 (2011), 한국보건간호학회