A Study on Factors Affecting Suicidal Tendency of the Elderly Living Alone on Care Services
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives : The high suicide rate has risen as a main concern in South Korea. Given the complexity of the mechanism resulting in complete suicide, studies targeting various populations are needed for broader understanding of its risk factors. This study aims to analyze the factors affecting the suicidal tendency in the population of the elderly living alone in Seoul depending on basic elderly-care services. Methods : A total number of 415 people participated in the study. Home-visit interviews were administered by trained interviewers. Suicidal tendency was measured by the Korean version of mini international neuropsychiatric interview (K-MINI). Health-related quality of life was measured by a brief version of the World Health Organization Quality-of-life Scale (WHOQOL-BREF). Alcohol problem was assessed by the Korean version of the alcohol use disorders identification test (AUDIT-K). Among total subjects of 415 interviewees, the actual responses of 408 people were used for the final analysis. Results : The result showed that the suicide risk was high in persons isolated from social support [odds ratio (OR) = 4.49], having depression (OR = 14.85), and having low quality of life (OR = 4.39). Conclusions : We found that social support, depression and health-related quality of life are associated with suicidal tendency in the elderly living alone on basic services. Our evidence will contribute to suicide prevention policy for the elderly living alone on care services.
Abstract
Objectives : The high suicide rate has risen as a main concern in South Korea. Given the complexity of the mechanism resulting in complete suicide, studies targeting various populations are needed for broader understanding of its risk factors. This study aims to analyze the factors affecting the suicidal tendency in the population of the elderly living alone in Seoul depending on basic elderly-care services. Methods : A total number of 415 people participated in the study. Home-visit interviews were administered by trained interviewers. Suicidal tendency was measured by the Korean version of mini international neuropsychiatric interview (K-MINI). Health-related quality of life was measured by a brief version of the World Health Organization Quality-of-life Scale (WHOQOL-BREF). Alcohol problem was assessed by the Korean version of the alcohol use disorders identification test (AUDIT-K). Among total subjects of 415 interviewees, the actual responses of 408 people were used for the final analysis. Results : The result showed that the suicide risk was high in persons isolated from social support [odds ratio (OR) = 4.49], having depression (OR = 14.85), and having low quality of life (OR = 4.39). Conclusions : We found that social support, depression and health-related quality of life are associated with suicidal tendency in the elderly living alone on basic services. Our evidence will contribute to suicide prevention policy for the elderly living alone on care services.
참고문헌 (30)
- "World Health Statistics Data Visualizations Dashboard 2017" (2017)[URL]
- Schulz R, "Depression as a risk factor for non-suicide mortality in the elderly", Biol Psychiatry, 52, pp.205~225 (2002)[DOI]
- Berglund M, "The influence of alcohol drinking and alcohol use disorders on psychiatric disorders and suicidal behavior", Alcohol Clin Exp Res, 22, pp.333~345 (1998)[DOI]
- Conwell Y, "Suicide in older adults", Psychiatr Clin North Am, 34, pp.451~468 (2011)[DOI]
- Promoting Individual, Family, and Community Connectedness to Prevent Suicidal Behavior, "Centers for Disease Control and Prevention", Cent. Dis. Control Prev, 3~5 (2008)
- Schneider B, "Living alone, obesity, and smoking increase risk for suicide independently of depressive mood findings from the population-based MONICA", KORA Augsburg cohort study, 2014, pp.152-154, 416~421
- Fukunaga R, "Living alone is associated with depression among the elderly in a rural community in Japan", Psychogeriatrics, 12, pp.179~185 (2012)[DOI]
- Gordon RS Jr, "An operational classification of disease prevention", Public Health Rep, 98, pp.107~109 (1983)
- Statics Korea, "2016 the Elderly Statistics", Statics Korea, ~ (2016)
- Rim CS, "A study on influential factors for the suicide ideation of the elderly living alone", Social Science Studies, 22, pp.192~223 (2013)
- 서인균, "독거노인의 사회적 자원과 자살생각간의 관계에 대한 우울의 매개효과 -농촌과 도시독거노인 비교를 중심으로-", 노인복지연구, 71(2), pp.219~247 (2016), 한국노인복지학회[DOI]
- Yoo SW, "Validity of Korean version of the mini-international neuropsychiatric interview", Anxiety and mood, 2, pp.50~55 (2006)
- "WHO Quality of Life-BREF (WHOQOL-BREF)"[URL]
- Min SK, "Development of Korean version of WHO Quality of Life Scale abbreviated version (WHOQOL-BREF)", J Korean Neuropyschiatr Assoc, 39, pp.571~579 (2000)
- Babor TF, "From clinical research to secondary prevention: international collaboration in the development of the Alcohol Disorders Identification Test (AUDIT)", Alcohol Health and Research World, 13, pp.371~375 (1989)
- Lee BO, "Development of Korean version of Alcohol Use Disorders Identification Test (AUDIT-K): its reliability and validity", J Korean Acad Addict Psychiatry, 4, pp.83~92 (2000)
- Harris EC, "Suicide as an outcome for mental disorders. A meta-analysis", Br J Psychiatry, 170, pp.205~228 (1997)[DOI]
- Harwood D, "Psychiatric disorder and personality factors associated with suicide in older people: a descriptive and case-control study", Int J Geriatr Psychiatry, 16, pp.155~165 (2001)[DOI]
- Conwell Y, "Health status and suicide in the second half of life", Int J Geriatr Psychiatry, 25, pp.371~379 (2010)[DOI]
- Girgus JS, "The gender difference in depression: are elderly women at greater risk for depression than elderly men?", Geriatrics, 2, pp.35~ (2017)[DOI]
- Albert PR, "Why is depression more prevalent in women?", J Psychiatry Neurosci, 40, pp.219~221 (2015)[DOI]
- Jeon GS, "Gender differences in correlates of mental health among elderly Koreans", J Gerontol B Psychol Sci Soc Sci, 62, pp.S323~S329 (2007)[DOI]
- Lewitzka U, "Suicidal ideation vs. suicide attempts: clinical and psychosocial profiledifferences among depressed patients: a study on personality traits, psychopathological variables, and sociodemographic factors in 228 patients", J Nerv Ment Dis, 205, pp.361~371 (2017)[DOI]
- Nock MK, "Risk factors for suicide ideation differ from those for the transition to suicide attempt: the importance of creativity, rigor, and urgency in suicide research", Clinical Psychology: Science and Practice, 23, pp.31~34 (2016)[DOI]
- Conwell Y, "Relationships of age and axis I diagnoses in victims of completed suicide: a psychological autopsy study", Am J Psychiatry, 153, pp.1001~1008 (1996)[DOI]
- Henriksson MM, "Mental disorders in elderly suicide", Int Psychogeriatr, 7, pp.275~286 (1995)[DOI]
- Cattell H, "Suicide in the elderly", Advances in Psychiatric Treatment, 6, pp.102~108 (2000)[DOI]
- 권중돈, "노인돌봄서비스 이용 독거노인의 자살생각에 영향을 미치는 요인에 관한 연구-자살시도경험과 음주행위와의 관계를 중심으로-", 노인복지연구, (51), pp.297~320 (2011), 한국노인복지학회[DOI]
- "Suicide Rates by Gender and Age"[URL]
- Klonsky ED, "The three-step theory (3ST): a new theory of suicide rooted in the ideation-to-action framework", International Journal of Cognitive Therapy, 8, pp.114~129 (2015)[DOI]