Korean J Biol Psychiatry.  2018 Aug;25(3):72-78. 10.0000/kjbp.2018.25.3.72.

A Study on Factors Affecting Suicidal Tendency of the Elderly Living Alone on Care Services

Affiliations
  • 1Seoul National University Hospital Public Health Medical Service, Seoul, Korea.
  • 2JongnoGu Community Mental Health Center, Seoul, Korea. mom9899@hanmail.net
  • 3Department of Psychiatry, Seoul National University Hospital, Seoul, Korea.
  • 4Seoul Mental Health Center, Seoul, Korea.
  • 5Department of Psychiatry, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
  • 6Seoul National University, College of Medicine, Seoul, Korea.

Abstract


OBJECTIVES
The high suicide rate has risen as a main concern in South Korea. Given the complexity of the mechanism resulting in complete suicide, studies targeting various populations are needed for broader understanding of its risk factors. This study aims to analyze the factors affecting the suicidal tendency in the population of the elderly living alone in Seoul depending on basic elderly-care services.
METHODS
A total number of 415 people participated in the study. Home-visit interviews were administered by trained interviewers. Suicidal tendency was measured by the Korean version of mini international neuropsychiatric interview (K-MINI). Health-related quality of life was measured by a brief version of the World Health Organization Quality-of-life Scale (WHOQOL-BREF). Alcohol problem was assessed by the Korean version of the alcohol use disorders identification test (AUDIT-K). Among total subjects of 415 interviewees, the actual responses of 408 people were used for the final analysis.
RESULTS
The result showed that the suicide risk was high in persons isolated from social support [odds ratio (OR) = 4.49], having depression (OR = 14.85), and having low quality of life (OR = 4.39).
CONCLUSIONS
We found that social support, depression and health-related quality of life are associated with suicidal tendency in the elderly living alone on basic services. Our evidence will contribute to suicide prevention policy for the elderly living alone on care services.

Keyword

The elderly living alone; Suicide; Depression; Social connectedness

MeSH Terms

Aged*
Depression
Humans
Korea
Quality of Life
Risk Factors
Seoul
Suicide
World Health Organization
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