지역사회 거주 노인의 우울과 자살사고에 관한 연구
Depression and Suicide Ideation in Community Dwelling Elderly
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초록
Objectives：This study was aimed to investigate the difference of depressive symptom and suicide ideation according to socioeconomic state in community dwelling elderly. Methods：We investigated 835 elderly subjects including 445(53.3%) of home visit health service group and 390 (46.7%) of senior center group from April 2013 to May 2013. Their demographic and socioeconomic data were investigated. Depressive symptoms were evaluated by the Korean form of the Geriatric Depression Scale(KGDS) and suicide ideation was evaluated by the Beck’s Scale for suicide ideation(SSI). Using these data, we analyzed associated factor with depressive symptom and suicide ideation. Results：The prevalence of depressive symptom was 41%. The prevalence of depressive symptom in home visit health service group(59.3%) was significantly higher than that of senior center group(22.0%)(p＜0.001). The prevalence of suicide ideation in home visit health service group(15.3%) was significantly higher than that of senior center group (3.3%)(p＜0.001). Depressive symptom(Odd ratio : 8.59, 95% CI : 4.49-16.40), living alone(Odd ratio : 1.72, CI : 1.01-2.94), no exercise(Odd ratio : 1.69, 1.01-2.83), no current occupation(Odd ratio : 3.41, CI : 1.16-10.07) were associated with suicide ideation independently. Conclusions：In this study, home visit health care service group in low socioeconomic elderly had higher prevalence of depressive symptom and suicide ideation than that of standard elderly. These results suggest that future mental health care policy has to consider the importance of low socioeconomic community dwelling elderly.
Abstract
Objectives：This study was aimed to investigate the difference of depressive symptom and suicide ideation according to socioeconomic state in community dwelling elderly. Methods：We investigated 835 elderly subjects including 445(53.3%) of home visit health service group and 390 (46.7%) of senior center group from April 2013 to May 2013. Their demographic and socioeconomic data were investigated. Depressive symptoms were evaluated by the Korean form of the Geriatric Depression Scale(KGDS) and suicide ideation was evaluated by the Beck’s Scale for suicide ideation(SSI). Using these data, we analyzed associated factor with depressive symptom and suicide ideation. Results：The prevalence of depressive symptom was 41%. The prevalence of depressive symptom in home visit health service group(59.3%) was significantly higher than that of senior center group(22.0%)(p＜0.001). The prevalence of suicide ideation in home visit health service group(15.3%) was significantly higher than that of senior center group (3.3%)(p＜0.001). Depressive symptom(Odd ratio : 8.59, 95% CI : 4.49-16.40), living alone(Odd ratio : 1.72, CI : 1.01-2.94), no exercise(Odd ratio : 1.69, 1.01-2.83), no current occupation(Odd ratio : 3.41, CI : 1.16-10.07) were associated with suicide ideation independently. Conclusions：In this study, home visit health care service group in low socioeconomic elderly had higher prevalence of depressive symptom and suicide ideation than that of standard elderly. These results suggest that future mental health care policy has to consider the importance of low socioeconomic community dwelling elderly.
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