Epidemiol Health.  2019;41:e2019022. 10.4178/epih.e2019022.

Individual and regional factors associated with suicidal ideation among Korean elderly: a multilevel analysis of the Korea Community Health Survey

• Jeong SH
• Chun BC

• KMID: 2469425
• DOI: http://doi.org/10.4178/epih.e2019022

Abstract

OBJECTIVES
This study aimed to identify the individual and regional characteristics that influence suicidal ideation among the Korean elderly population.
METHODS
Using data collected from the 2013 Korea Community Health Survey, a multilevel analysis was performed to establish an understanding of individual behavioral patterns and regional influences on suicidal ideation.
RESULTS
Among the 77,407 individuals sampled, 11,236 (14.5%) elderly people over 60 years of age experienced suicidal ideation. Among individual factors, age, frequency of communication with friends, religious activity, social activity, leisure activity, trust in neighbors, subjective stress level, depressive symptoms, and subjective health status were significantly associated with suicidal ideation. The results showed that the lower the regional deprivation level, the higher the suicidal ideation odds ratio. In terms of regional size, the most significant effects were found in rural areas.
CONCLUSIONS
This study suggested that suicidal ideation in the elderly is associated with community factors, such as the regional deprivation index, as well as personal factors.

Keyword

Suicidal ideation; Aged; Multilevel analysis; Socioeconomic factors; Korea Community Health Survey

MeSH Terms

Age Factors
Aged*
Depression
Diagnostic Self Evaluation
Friends
Health Surveys*
Humans
Korea*
Leisure Activities
Multilevel Analysis*
Odds Ratio
Socioeconomic Factors
Suicidal Ideation*