The Relationship between Type D Personality and Suicidality in Low-Income, Middle-Aged Adults
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ObjectiveaaLow-income adults are considered to be a group at high risk for suicide. We sought to examine the effect of type D personality and other socio-demographic factors on suicidality in low-income, middle-aged Koreans. MethodsaaIn total, 306 low-income, middle-aged Koreans [age: 49.16±5.24 (40–59) years, 156 males, 150 females] were enrolled from the Korean National Basic Livelihood Security System. Socio-demographic data, including employment status, income, health, marital status, and educational attainment, were gathered. Beck’s 19-item Scale for Suicidal Ideation (SSI) was applied to evaluate suicidality, and the DS14 was used to assess type D personality. ResultsaaUnemployment (p<0.01) and absence of spouse (p=0.03) predicted higher SSI scores independent of other socioeconomic factors. All type D personality scores [i.e., negative affectivity (NA), social inhibition (SI), and total score] predicted higher SSI scores independent of all socioeconomic factors (all, p<0.001). Subjects with type D personality had higher SSI scores (p<0.001), and the association between suicidality and socio-demographic factors (employment or physical health) could be found only in subjects without type D personality. ConclusionaaType D personality was a risk factor for suicide in low-income Koreans, independently from socio-economic factors. In addition, the socio-demographic factors were less prominently associated with suicidality in those with type D personality.
Abstract
ObjectiveaaLow-income adults are considered to be a group at high risk for suicide. We sought to examine the effect of type D personality and other socio-demographic factors on suicidality in low-income, middle-aged Koreans. MethodsaaIn total, 306 low-income, middle-aged Koreans [age: 49.16±5.24 (40–59) years, 156 males, 150 females] were enrolled from the Korean National Basic Livelihood Security System. Socio-demographic data, including employment status, income, health, marital status, and educational attainment, were gathered. Beck’s 19-item Scale for Suicidal Ideation (SSI) was applied to evaluate suicidality, and the DS14 was used to assess type D personality. ResultsaaUnemployment (p<0.01) and absence of spouse (p=0.03) predicted higher SSI scores independent of other socioeconomic factors. All type D personality scores [i.e., negative affectivity (NA), social inhibition (SI), and total score] predicted higher SSI scores independent of all socioeconomic factors (all, p<0.001). Subjects with type D personality had higher SSI scores (p<0.001), and the association between suicidality and socio-demographic factors (employment or physical health) could be found only in subjects without type D personality. ConclusionaaType D personality was a risk factor for suicide in low-income Koreans, independently from socio-economic factors. In addition, the socio-demographic factors were less prominently associated with suicidality in those with type D personality.
참고문헌 (34)
- Lorant V, "Socio-economic inequalities in suicide: a European comparative study", Br J Psychiatry, 187, pp.49~54 (2005)
- Rich CL, "Suicide, stressors, and the life cycle", Am J Psychiatry, 148, pp.524~527 (1991)
- Kreitman N, "Suicide, unemployment, and domestic gas detoxification in Britain", J Epidemiol Community Health, 38, pp.1~6 (1984)
- Schony W, "Epidemiological data on suicide in Upper-Austria 1977-1984", Crisis, 8, pp.49~52 (1987)
- Kim MH, "Socioeconomic inequalities in suicidal ideation, parasuicides, and completed suicides in South Korea", Soc Sci Med, 70, pp.1254~1261 (2010)
- Korea National Statistical Office, "Social indexes of Korea 2012", Statistics Korea, ~ (2012)
- Ben Park BC, "Social integration and suicide in South Korea", Crisis, 27, pp.48~50 (2006)
- Ma X, "Lifetime prevalence of suicidal ideation, suicide plans and attempts in rural and urban regions of Beijing, China", Aust N Z J Psychiatry, 43, pp.158~166 (2009)
- Yamasaki A, "Low income, unemployment, and suicide mortality rates for middle-age persons in Japan", Psychol Rep, 96, pp.337~348 (2005)
- Brezo J, "Personality traits as correlates of suicidal ideation, suicide attempts, and suicide completions: a systematic review", Acta Psychiatr Scand, 113, pp.180~206 (2006)
- Useda JD, "Personality and attempted suicide in depressed adults 50 years of age and older: a facet level analysis", Compr Psychiatry, 45, pp.353~361 (2004)
- Okan Ekinci, "Temperament and Character in Euthymic Major Depressive Disorder Patients: The Effect of Previous Suicide Attempts and Psychotic Mood Episodes", PSYCHIATRY INVESTIGATION, 9(2), pp.119~126 (2012), 대한신경정신의학회
- Yen S, "Personality traits as prospective predictors of suicide attempts", Acta Psychiatr Scand, 120, pp.222~229 (2009)
- Denollet J, "Personality as independent predictor of long-term mortality in patients with coronary heart disease", Lancet, 347, pp.417~421 (1996)
- O’Dell KR, "Does type-D personality predict outcomes among patients with cardiovascular disease? A meta-analytic review", J Psychosom Res, 71, pp.199~206 (2011)
- Pedersen SS, "Validity of the Type D personality construct in Danish post-MI patients and healthy controls", J Psychosom Res, 57, pp.265~272 (2004)
- De Fruyt F, "Type D personality: a five-factor model perspective", Psychol Health, 17, pp.671~683 (2002)
- Howard S, "Construct, concurrent and discriminant validity of Type D personality in the general population: associations with anxiety, depression, stress and cardiac output", Psychol Health, 27, pp.242~258 (2012)
- Langhinrichsen-Rohling J, "Suicidal behavior, negative affect, gender, and self-reported delinquency in college students", Suicide Life Threat Behav, 34, pp.255~266 (2004)
- Fushimi M, "Suicide patterns and characteristics in Akita, Japan", Psychiatry Clin Neurosci, 59, pp.296~302 (2005)
- Hall RC, "Suicide risk assessment: a review of risk factors for suicide in 100 patients who made severe suicide attempts. Evaluation of suicide risk in a time of managed care", Psychosomatics, 40, pp.18~27 (1999)
- Michal M, "Type-D personality and depersonalization are associated with suicidal ideation in the German general population aged 35-74: results from the Gutenberg Heart Study", J Affect Disord, 125, pp.227~233 (2010)
- Beck AT, "Assessment of suicidal intention: the Scale for Suicide Ideation", J Consult Clin Psychol, 47, pp.343~352 (1979)
- Shin MS, "Study of suicide attitude in high school students; analysis of structural relationship between depression-hopelessness-suicide", Korean J Psychol, 9, pp.1~19 (1990)
- Denollet J., "DS14: standard assessment of negative affectivity, social inhibition, and Type D personality", Psychosom Med, 67, pp.89~97 (2005)
- 임홍의, "Assessment of the Type D Personality Construct in the Korean Population: A Validation Study of the Korean DS14", Journal of Korean Medical Science, 26(1), pp.116~123 (2011), 대한의학회
- Capron DW, "Role of anxiety sensitivity subfactors in suicidal ideation and suicide attempt history", Depress Anxiety, 29, pp.195~201 (2012)
- Luoma JB, "Suicide and marital status in the United States, 1991-1996: is widowhood a risk factor?", Am J Public Health, 92, pp.1518~1522 (2002)
- Goodwin RD, "Suicide attempts in the United States: the role of physical illness", Soc Sci Med, 56, pp.1783~1788 (2003)
- Abel EL, "Educational attainment and suicide rates in the United States", Psychol Rep, 97, pp.25~28 (2005)
- Jungeilges J, "Economic welfare, civil liberty, and suicide: an empirical investigation", J Soc Econ, 31, pp.215~231 (2002)
- Yen S, "Borderline personality disorder criteria associated with prospectively observed suicidal behavior", Am J Psychiatry, 161, pp.1296~1298 (2004)
- 송은경, "심혈관질환의심리사회적위험요인으로써의D유형성격에관한논문분석", Journal of Korean Academy of Nursing, 38(1), pp.19~28 (2008), 한국간호과학회
- Sokero TP, "Suicidal ideation and attempts among psychiatric patients with major depressive disorder", J Clin Psychiatry, 64, pp.1094~1100 (2003)