J Korean Acad Psychiatr Ment Health Nurs.  2019 Dec;28(4):393-403. 10.12934/jkpmhn.2019.28.4.393.

Factors associated with Suicidal Ideation of Elderly People based on Complete Enumeration of a Community Setting

• Lee SJ
• Lee EJ

• KMID: 2467511
• DOI: http://doi.org/10.12934/jkpmhn.2019.28.4.393

Abstract

PURPOSE
The purposes of this study were to investigate relationships of depression, hopelessness, self-esteem, and social support with suicide ideation and to identify factors associated with suicidal ideation of elderly people.
METHODS
A descriptive correlational study was conducted with 100 elderly people residing in a community setting. Data were collected in September 2019 through structured questionnaires to assess depression, hopelessness, self-esteem, social support, and suicide ideation. Data were analyzed using descriptive statistics, t-test, one-way ANOVA with Scheffé test, Pearson's correlation coefficients, and hierarchical regression analyses.
RESULTS
Presence of spouse (t=−3.32, p < .001), satisfaction in children relationships (F=3.56, p=.032), overall life assessment (F=3.94, p=.023), and pain/ill-being (t=−2.04, p=.043) showed significant differences in suicidal ideation. Suicidal ideation and self-esteem were negatively correlated (r=−.49, p < .001). Depression and suicidal ideation(r=.56, p < .001) and hopelessness and suicidal ideation (r=.49, p < .001) were positively correlated. Factors of suicidal ideation of elderly people were depression (β=.36, p=.017) and self-esteem (β=−.21, p=.046), that explained 30.1% of the total variance in the proposed model.
CONCLUSION
A community intervention programs for preventing suicide among elderly people should include nursing strategies about depression and self-esteem. In addition, partnership with elder's spouse could be helpful to reduce suicidal ideation.

Keyword

Aged; Suicide; Depression; Self concept

MeSH Terms

Aged*
Child
Depression
Humans
Nursing
Self Concept
Spouses
Suicidal Ideation*
Suicide

Reference

1. Korean Statistical Information Service. 2019 KOSIS index: estimated aging population [Internet]. 2019. [cited 2019 Aug 7]. Available from:. http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&checkFlag=N.

2. Kim JH. Population policy outlook 2018. Health and Welfare Policy Forum. 2018; 255:61–74.

3. Chae SM. Psychosocial anxiety and mental health in old age. Health and Welfare Policy Forum. 2016; 239:84–96.

4. Min SG. Modem psychiatry. Seoul: Ilzogak;2015. p. 994.

5. Organization for Economic Cooperation and Development. Society at a glance 2016: OECD social indicators [Internet]. 2016. [cited 2019 Aug 13]. Available from:. https://doi.org/10.1787/9789264261488-en.

6. Korean Statistical Information Service. 2019 KOSIS index: cause of death [Internet]. 2017. [cited 2019 Aug 8]. Available from:. http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B34E01&checkFlag=N.

7. Statistics Korea. Current status and future plans for national strategies for suicide prevention. Commission on suicide prevention policy-press release [Internet]. 2019. [cited 2019 Oct 29]. Available from:. http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&bSeq=&aSeq=377395&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=srch&sTarget=title&sTxt=%EC%9E%90%EC%82%B4.

8. Yoo BS, Jeong KH. A study on the determinants of elderly suicidal idea: focused on the Gyeonngi province. Social Work Practice & Research. 2016; 13(2):215–250.

9. Hwang MG, Kim EJ. The effect of subjective quality of life and self-esteem on suicide ideation among the older adults: focused on the mediating effect of depression. Journal of the Korean Gerontological Society. 2008; 28(4):865–885.

10. Song YD, Son JA, Park SM. An analysis of eco-systematic factors influencing suicidal ideation of the elderly who are living alone. Journal of the Korean Gerontological Society. 2010; 30(2):643–660.

11. Jeon YS, Heo CG. The role of social support for the influences of perceived burdensomeness and hopelessness on suicidal ideation of the elderly. Journal of the Korea Academia-Industrial cooperation Society. 2019; 20(1):64–74. https://doi.org/10.5762/KAIS.2019.20.1.64.

12. Jo KW, Kim YK. A phenomenological study on the restoration experience for suicide ideation of Korean elders. Journal of Korean Academy of Nursing. 2008; 38(2):258–269.

13. Kim HS, Kim BS. A path analysis on suicidal ideation in the elderly. Korean Journal of Counseling and Psychotherapy. 2007; 19(3):801–818.

14. Cohen S, Hoberman HM. Positive events and social support as buffers of life change stress. Journal of Applied Social Psychology. 1983; 13(2):99–125. https://doi.org/10.1111/j.1559-1816.1983.tb02325.x.

15. Hwang JW, Lee KU, Kim JY, Lee DH, Kim DM. The affection of depression of the elderly living together and the elderly living alone on suicidal ideation and the moderating effects of personal relation. Mental Health & Social Work. 2017; 45(1):36–62. https://doi.org/10.24301/MHSW.2017.03.45.1.36.

16. Kim JH, Tak Y. Factors influencing suicidal ideation in the elderly: using 2015 Korea welfare panel study. Journal of the Korean Data Analysis Society. 2018; 20(2):1051–1062.

17. Kim CJ, Hwang JS. A study on the effects of senile disease and depression on the seniors' ideation of suicide. Journal of the Korean Gerontological Society. 2008; 28(3):425–442.

18. Jung HY, Roh SH. A study on factors influencing elderly suicidal ideation: focused on the mediating effects of depression and stress on suicidal ideation. Journal of the Korean Gerontological Society. 2007; 27(4):789–805.

19. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a Geriatric Depression Screening scale: a preliminary report. Journal of Psychiatric Research. 1982-1983; 17(1):37–49. https://doi.org/10.1016/0022-3956(82)90033-4.

20. Jerome A, Yesavage MD, Sheikh JI. 9/Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist. 1986; 5(1-2):165–173. https://doi.org/10.1300/J018v05n01_09.

21. Kee BS. A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korea version. Journal of the Korean Neuropsychiatric Association. 1996; 35(2):298–307.

22. Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: the hopelessness scale. Journal of Consulting and Clinical Psychology. 1974; 42(6):861–865. https://doi.org/10.1037/h0037562.

23. Shin MS, Park KB, Oh KJ, Kim ZS. A study of suicidal ideation among high school students: the structural relation among depression, hopelessness, and suicidal ideation. Korean Journal of Clinical Psychology. 1990; 9(1):1–19.

24. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press;1965. p. 326.

25. Jon BJ. Self-esteem: a test of its measurability. Yonsei Nonchong. 1974; 11(1):107–130.

26. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment. 1988; 52(1):30–41. https://doi.org/10.1207/s15327752jpa5201_2.

27. Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999; 37:241–269.

28. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the scale for suicide ideation. Journal of Consulting and Clinical Psychology. 1979; 47(2):343–352. https://doi.org/10.1037/0022-006x.47.2.343.

29. Lee GS, Choi G. Phenomenological study on the experiences of latter-aged elderly suicide attempt. The Journal of the Korea Contents Association. 2015; 15(7):244–254. https://doi.org/10.5392/JKCA.2015.15.07.244.

30. Kwon OG, Hur J. A study on the causal model of suicide ideation among the low-income elderly persons who living alone focused on the mediating effect of self-esteem, depression, and hopelessness. Mental Health & Social Work. 2013; 41(4):65–93.