[논문]독거노인과 비독거노인의 자살생각 영향 요인 비교

이동노; 전동일

doi:10.22156/cs4smb.2020.10.02.138

독거노인과 비독거노인의 자살생각 영향 요인 비교
Comparative Study on Suicidal Ideation Factors between the Elderlies Living Alone and the Elderlies Cohabiting 원문보기

융합정보논문지 = Journal of Convergence for Information Technology, v.10 no.2, 2020년, pp.138 - 145

이동노 (강원대학교 사회복지학과) , 전동일 (강원대학교 사회복지학과)

초록
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본 연구의 목적은 독거노인의 자살생각에 영향을 주는 요인을 규명하여 자살예방을 위한 프로그램 개발과 수행에 필요한 기초자료로 활용되도록 하기 위하여 시행 되였다. 본 연구는 2017년 제4차 노인실태조사 자료를 활용한 이차분석 연구이며 2017년 현재 전국 17개 시·도의 일반 주거시설에 거주하는 65세 이상의 노인 10,299명의 자료를 활용하여 로지스틱 회귀분석을 시행하였다. 분석결과 독거노인 10.5%가 자살에 대해 생각해 보았고 성별, 나이, 만성질환 수, 우울증, 차별경험에서 자살생각 정도가 유의하게 차이를 나타냈다. 따라서 독거노인의 자살예방을 위해서 만성질환자에 대한 지속적인 관리와 우울증환자의 조기발견 및 다양한 사회활동 프로그램에 참여할 수 있도록 공공· 민간영역 모두 관심과 적극적인 관리가 필요하다.

Abstract ▼ AI-Helper

The purpose of this study is to identify factors influencing suicidal ideation for the elderly living alone. Utilizing the identified factors as the base data, the study aims to develop community programs for suicide prevention. This research is a secondary analysis of the 2017 national survey, 'Survey on the Elderly,' conducting logistics regression analysis on the data collected on 10,299 elderly aged 65 or older living in 17 general residential facilities as of 2017. The analysis reveals that 10.5% of the elderly living alone have contemplated suicide. The frequency of suicidal ideation was attributed to such factors as gender, age, chronic disease, depression and experiences of abuse and discrimination. To prevent suicide among the elderly, therefore, active management from both public and private sectors are needed for early detection of chronic diseases and depression.

주제어

표/그림 (5)

표 Table 1. General characteristics of the research subjects (N=10,069)
표 Table 2. Terminology
표 Table 3. Suicidal ideation after the age of 60
표 Table 4. Level of key variables
표 Table 5. Factors affecting suicidal ideation for the elderly living alone

AI 본문요약
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문제 정의

This study is a secondary data analysis of the 2017 ‘Survey on the Elderly’ [1] which firstly aims to investigate whether seniors living alone have more suicidal ideation than those cohabiting with family members subsequently identifying the possible contributing factors to suicidal ideation of the elderlies living alone.
To render a more comprehensive understanding of suicides among the elderly living alone, this study aims to analyze the factors influencing suicidal ideation by comparing the elderly who live alone with those who don’t.

가설 설정

First, do the elderly people living alone have more suicidal ideation than the elderly cohabiting?

제안 방법

First, technical statistics—frequency and percentage—were conducted to determine the general characteristics of the research subjects.
Fourth, multiple logistic regression was performed to cross-analyze suicidal ideation between the elderly living alone and those cohabiting.
First, technical statistics—frequency and percentage—were conducted to determine the general characteristics of the research subjects. Second, the chi-square test was utilized to analyze the difference between the suicidal ideation in the elderly living alone and those cohabiting after the age of 60.
This study categorizes those aged 65 or older into two groups: either as living alone or cohabiting to identify the factors—individual, health, income and social—that cause suicidal ideation based on data from the 2017 Survey on the Elderly.
Twelve independent variables were injected into the model, including gender, age, partnership, religious faith, health, number of chronic diseases, depression, debt, personal income, household income, experiences of abuse and discrimination. The dependent variable was set as suicidal ideation, and the result of the logistics regression analysis is shown in Table 5.

성능/효과

First, suicidal ideation factors for the elderlies living alone and those cohabiting were mostly similar though a few variables existed, which suggests that a suicide prevention manual needs to be prepared in consideration of the elderly’s cohabitation status.
First, the elderly living alone had more experience of suicide than those cohabiting. There is also a difference in the reason for the suicidal ideation for those living alone and those cohabiting, so when it comes to providing services, those two groups should be differentiated rather than being considered as a unified group.
Fourth, as for debt, the elderly cohabiting had more suicidal ideation whereas the elderly living alone were remained largely unaffected. As it appears that the elderly living together had more debts than the elderly living alone, the debt factors for the elderly cohabiting should not be overlooked
Fourth, debt increased the suicidal ideation for the elderlies cohabiting. This means, even in the elderly’ familial relationship, there exists an obligation to be fulfilled by the elderly.
Second, as for the elderlies living alone, it is expected male elderlies are psychologically more vulnerable to loneliness and thus more exposed to suicidal ideation than the female. This signifies male elderlies living alone are possibly high-risk individuals than other groups.
Third, even if elderlies resides with the offspring, those without a spouse were more likely to be suicidal. It is possible the elderlies’ emotional needs are not being met by their cohabiting children, justifying the services that allow interaction among the same peer group.
Third, the level of the major variables of the resarch target was cross-analyzed between the elderly cohabiting and those living alone using frequency and percentages.
Thirdly, as for health factor, the elderly with chronic diseases had more suicidal ideation, and in this case, it was found that the elderly living together had more suicidal ideation than those living alone. Also, since depression experience is identified as a high risk factor for both the elderly living together and alone, so it is believed that there should be realistic program development such as close community service with staff dedicated to expanding public resources, away from the existing program framework.

참고문헌 (22)

Korea Institute for Health and Social Affair. (2017). Elderly Survey 2017. Ministry of Health and Welfare.
H. J. Shin. (2014) Disease on the Suicide Thought of the Elderly, Moderating Effects of Poverty. Korean Elderly Welfare Society Conference, 4(2), 55-64.
Health Insurance Review & Assessmemt Service (2015). 2015 Medical Expense Statistics.
M. H. Jung & S. H. Heo. (2017). Study on the Effects of Suicide Loss Experience on Ideation, Ideation. Plan and Attempt of the Elderly, 72(1), 305-333.
O. S. Kim. (2009). A Study of Suicide-Thinking of Solitary Elderly. Master's thesis. Kyung-Hee University, Seoul.
Statistics Korea. (2019). Elderly statistics. Press Release.
A. L. Go & G. H. Jeong. (2016). A Study on the Factors Influencing Suicide Thought of the Elderly. Korean Society of Social Welfare Administration Conference, 245-249.
Y. S. Yoo. (2019). Personal Factors Affecting the Suicidal Ideation of Elderly. Journal of the Korea Entertainment Industry Association, 13(2), 231-242.
S. Y. Choi. (2013). The Empirical study About Ecosystem Factors on Thoughts of Suicide of Elderly that Care for a Chronic Invalid. Doctoral dissertation. Hoseo University, Cheonan.
S. S. Jo. (2019). Coping Resources for Life-Events Stress and Suicidal Ideation of Older Adults with Chronic Disease in Hospital. Doctoral dissertation. Yonsei University, Seoul.
K. H. Jo. (2007). Effects of a Nurse Presence Program on Suicide Prevention for Elders with a Chronic Disease. Journal of Korean Academy of Nursing, 37(7), 1027-1038.

원문보기 상세보기
J. W. Hwang, K. U. Lee, J. Y. Kim, D. H. Lee & D. M. Kim. (2017). 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, 45(1), 36-62.
H. A. Choi. (2011). An Analysis on Depression and Suicide Ideation of Korean Adults by using Korea National Health and Nutrition Examination Survey. Master's thesis. Kangwon National University, Chuncheon.
H. M. Park. (2011). A study of Correlation of depression and suicide in elders. Master's thesis. Dongguk University, Seoul.
N. Y. Kim. (2019). Predicting Factors of Suicidal Ideation in Elderly with Depression: Focusing on Social Networks and Resilience. Master's thesis. Hanyang University, Seoul.
D. Y. Moon (2008). Characteristics of Depression and Suicide in the Elderly. Master's thesis. University of Ulsan, Ulsan.
S. H. Jang. (2015). A Study on the Influencing Factors of Depressive Symptoms and Suicidal Ideation among Elderly. Master's thesis. Wonkwang University, Iksan.
B. G. Park. (2014). The Sense of Loneliness as a Moderator for Relationship between Financial Loss and Suicidal Ideation in Older Adults Living Alone. Journal of Welfare for the Aged, 63, 176-201.
J. M. Choi & S Y. Kim. (2014). Relationship between Perceived Income Inequality and Suicidal Ideation in the Elderly. The Journal of the Korea Contents Association, 14(11), 743-758.

원문보기 상세보기
I. G. Seo. (2010). A Study on the Influence of Abuse Experience on Suicidal Ideation of the Elderly. Doctoral dissertation. Wonkwang University, Iksan.
K. M. Kim. (2016). The Effects of the Elderly's ageism and Exclusion Experience on Suicidal Ideation. Doctoral dissertation. Dongguk University, Seoul.
E. M. Kang & K. H. Chung. (2016). The Factors Influencing Educational Requirements on Quality Improvement Activities of Log term Care Hospital Manpower. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 6(8), 175-186.

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동의어: Packet Collision Rate

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