J Agric Med Community Health.  2020 Mar;45(1):1-12. 10.5393/JAMCH.2020.45.1.001.

The Relationship between Sense of Loss and Suicidal Ideation among Rural Elders use Primary Health Care Post's Services : Mediating Effect of Depression

• Bong EJ

• KMID: 2507149
• DOI: http://doi.org/10.5393/JAMCH.2020.45.1.001

Abstract

Purpose
The purpose of this study was to examine the mediating effects of depression on relationship between sense of loss and suicidal ideation among Rural Elders use Primary Health Care Post's Services.
Methods
This study was conducted using a descriptive survey design. Participants were 345 rural elders use Primary Health Care Post's Services in Jeollanam-do. Data were collected from August 1 to 31, 2017 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0.
Results
There were significant positive correlations between sense of loss, depression and suicidal ideation. It was found that physical loss is very high and significantly different only subjective health status on suicidal ideation. Also, Depression partially mediated the relationship between sense of loss and suicidal ideation of Rural Elders. Addtionally, The results show that depression plays a key role in suicidal ideation of Rural Elders.
Conclusions
Based on the present findings, nursing interventions should be developed to decrease depression, with additional consideration towards sense of loss, specially physical loss, in order to prevent suicidal ideation among Rural Elders use Primary Health Care Post's Services.

Keyword

Depression; Suicidal ideation; Elder; Primary health care