KMID : 0387420150260010039
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Korean Society of Oriental Neuropsychiatry 2015 Volume.26 No. 1 p.39 ~ p.48
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Factors Affecting on Suicidal Ideation in Community Dwelling Elders
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Park Kum-Sook
Kim Young-Hee Lee Gyoung-Wan Lyu Yeoung-Su Jeong Heon-Young
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Abstract
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Objectives: This study was conducted to analyze the hwa-byung, self-perceived health, life-stress, social support, depression, and factors affecting on suicidal ideation in community dwelling elders.
Methods: This study was a cross-sectional descriptive study. The subjects were 165 elderly in I city. The data was collected from November $21^{st}$ to December $5^{th}$ ¼ö½Ä À̹ÌÁö of 2014 by using structured questionnaire. T-test, Pearson's correlation coefficients, and stepwise multiple regression were performed by SPSS/PC 17.0.
Results: There were more females than males in hwa-byung (t=.-3.068, p=.003). In the visit parent, more than once a month was a significantly higher in social support (t=.3.333, p=.001). Hwa-byung (t=.-2.577, p=.011), life-stress (t=.-3.800, p=.001), depression (t=.-2.776, p=.006), and suicidal ideation (t=.-4.316, p<.001) were shown to be high in the elders with lower level of living. Subjects with health insurance had high self-perceived health (t=-3.800, p=.001) and low hwa-byung (t=-4.102, p<.001), life-stress (t=-4.482, p<.001), depression (t=-5.296, p<.001), and suicidal ideation (t=.-2.152, p=.036), according to the type of insurance. In the correlation, sleeping hours (r=-.180, p=.020), self-perceived health (r=-.364, p,.001), and suicidal ideation had negative correlation; hwa-byung (r=.404, p<.001), life-stress (r=.300, p<.001), social support (r=-.310, p<.001), depression (r=.423, p<.001) and suicidal ideation had positive correlation. Factors affecting the suicidal ideation in community dwelling elders were depression (${\beta}$ =.42, p<.001), hwa-byung (${\beta}$ =.23, p=.004), social support (${\beta}$ =-.18, p=.012), and level of living (${\beta}$ =.24, p=.001).
Discussion: For the prevention of elderly suicide, it is necessary to care for psychosocial status and solve economic difficulties through social support.
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KEYWORD
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Depression, Hwa-byung, Social support, Suicidal ideation
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