J Agric Med Community Health.  2017 Jun;42(2):57-68. 10.5393/JAMCH.2017.42.2.057.

Prediction Model of Suicidal Ideation in Elderly Men Living Alone Based on Ecological System Theory

Affiliations
  • 1Department of Nursing, Cheongam College, Korea. mac216@hanmail.net

Abstract


OBJECTIVES
This study was performed to build the predictive model of suicidal ideation of elderly men living alone.
METHODS
As for the subject, 251 subjects suitable for the selection criteria were selected among elderly men living alone above 65 years old in one region in Gyeongnam and three regions in Gyeongbuk. The data were collected via questionnaires and analyzed using SPSS version 20.0 and Amos version 18.0.
RESULTS
The goodness-of-fit test result of hypothetical model were suitable for recommended level: χ²/df=1.47, RMR=.04, GFI=.92, AGFI=.90, CFI=.95, IFI=.95, RMSEA=.04. Self-esteem, individual coping, family cohesion, social support, social activity, and depression explained 55% of the model of suicidal ideation. The most influential direct factor of suicidal ideation was self-esteem, and social isolation was the most influential indirect influence on suicidal ideation.
CONCLUSION
To sum up the above results, if we promote the researched variables of self-esteem, family cohesion, social activity, individual coping and social support in addition to developing and utilizing an efficient customized suicidal prevention nursing intervention program thereby reducing depression and social isolation, suicidal ideation of elderly men living alone would be prevented.

Keyword

Aged; Depression; Self concept; Suicidal ideation

MeSH Terms

Aged*
Depression
Ecosystem*
Gyeongsangbuk-do
Humans
Male
Nursing
Patient Selection
Self Concept
Social Isolation
Suicidal Ideation*
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