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KMID : 0981220190190040445
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Congnitive Behavior Therapy in Korea
2019 Volume.19 No. 4 p.445 ~ p.465
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The moderating effect of reasons for living on the relation between thwarted interpersonal needs and suicidal ideation in older adults
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Han Jong-Min
You Sung-Eun
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Abstract
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The study aimed to examine the moderating effect of reasons for living in the relationship between thwarted interpersonal needs and suicidal ideation among older adults. Specifically, it was hypothesized that reasons for living would moderate the relationship between thwarted belongingness and suicidal ideation, as well as the relationship between perceived burdensomeness and suicidal ideation above and beyond psychiatric symptoms of depression and demographic risk factors. A total of 290 community older adults completed self-report questionnaires assessing thwarted belongingness, perceived burdensomeness, reasons for living, depressive symptoms, and suicidal ideation. First, the current study supported validity of Linehan (1983)’s reasons for living inventory in Korean older adults, but revealed the 3 factor structure with survival and coping beliefs (factor 1), fear of death and social disapproval (factor 2), and family responsibility and child related concerns (factor 3). Results of hierarchical multiple regression showed significant associations of perceived burdensomeness, survival and coping beliefs with suicidal ideation even after adjusting for depressive symptoms, age, and education. Survival and coping beliefs were the only factor that significantly moderated the relationship between thwarted belongingness and suicidal ideation, in which high survival and coping beliefs protected against suicidal ideation for older adults with thwarted belongingness. The current study indicated the important role of older adults’ survival needs and perceived coping ability, as well as perceived burdensomeness in suicidal ideation in older adults.
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KEYWORD
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suicidal ideation, reasons for living, thwarted belongingness, perceived burdensomeness, older adults
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