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지역사회 노인의 자살생각 영향요인: 우울, 외로움, 자아존중감, 일상생활수행능력을 중심으로

Factors Affecting the Suicidal Ideation in the Elderly Living in the Community: Focusing on Depression, Loneliness, Self-esteem, and Activities of Daily Living

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Purpose: This study aimed to identify the factors affecting the suicidal ideation among older adults in the community. Methods: Data were collected from 135 older adults living in C, S, and J cities, aged 65 years or older, from March 8 to April 30, 2021, using structured questionnaires. The data were analyzed using the SPSS 23.0 program for descriptive statistics, independent t-test, one-way ANOVA, Kruskal-Wallis, Scheffé test, Pearson’s correlation analysis, and hierarchical regression. Results: The mean score for suicidal ideation was 5.27±5.86. The significant predictors of suicidal ideation in older adults were activities of daily living (β=.28, p<.001), loneliness (β=.27, p=.003), self-rated health (β=-.23, p=.004), depression (β=.19, p=.047), and the existence of a spouse (β=.19, p=.009), with an explanatory power of 33.0%. Conclusion: Based on this study, we suggest that suicidal ideation in the elderly can be reduced by implementing a psychological program. Where there is no living spouse in the older adults’ lives, such a program would improve physical health and reduce loneliness and depression.

Abstract

Purpose: This study aimed to identify the factors affecting the suicidal ideation among older adults in the community. Methods: Data were collected from 135 older adults living in C, S, and J cities, aged 65 years or older, from March 8 to April 30, 2021, using structured questionnaires. The data were analyzed using the SPSS 23.0 program for descriptive statistics, independent t-test, one-way ANOVA, Kruskal-Wallis, Scheffé test, Pearson’s correlation analysis, and hierarchical regression. Results: The mean score for suicidal ideation was 5.27±5.86. The significant predictors of suicidal ideation in older adults were activities of daily living (β=.28, p<.001), loneliness (β=.27, p=.003), self-rated health (β=-.23, p=.004), depression (β=.19, p=.047), and the existence of a spouse (β=.19, p=.009), with an explanatory power of 33.0%. Conclusion: Based on this study, we suggest that suicidal ideation in the elderly can be reduced by implementing a psychological program. Where there is no living spouse in the older adults’ lives, such a program would improve physical health and reduce loneliness and depression.

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