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KMID : 0614420160440030064
Mental Health & Social Work
2016 Volume.44 No. 3 p.64 ~ p.92
The Relationship among the Social Exclusion, Depression, and Suicidal Ideation in the Middle-Aged Individuals
Song Seung-Yeon

Abstract
The suicide prevention policies are limited to the ¡®individualization of suicide¡¯ which looks the suicide in the personal psychological dimension even though the suicide rate in South Korea is constantly increasing. The study examined the relationship between the social exclusion, depression and suicidal ideation of middle-aged individuals under the premise that there will be multidimensional and complex macroscopic causes like the social exclusion on the background that influences suicide. For this, utilized the Ninth(2014) data from KOWEPS, the study statistically verified the direct route where the social exclusion explains the suicidal ideation of middle-aged individuals and indirect route where the social exclusion reaches the suicidal ideation by mediating the depression. The results show that, exclusion of economic activities and health completely mediated the route to suicidal ideation through depression. Moreover, it was revealed that the exclusion of labor activities, housing, and social participation were partially mediating the route to suicidal ideation through depression. The findings suggest that the necessity on the shift of perspective on the suicide intervention policy by trying out not only the psychiatric approach which approaches the cause of ¡®suicide¡¯ with personal psychiatric problem but also the approach in the dimension of social exclusion which comprehensively reflects the socio-structural aspects.
KEYWORD
social exclusion, suicidal ideation, depression, middle-aged
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