Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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The Relationship between Grief level and Suicidal Ideation of Elderly Living Alone and the Moderation Effect of Social Support

독거노인의 비애수준이 자살사고에 미치는 영향: 사회적 지지의 조절효과

  • Lee, Jin Hyang (Department of Social Welfare, Koje College) ;
  • Choi, Yeun Soon (Department of Preventive Medicine & Public Health, College of Medicine, Institute of Health Science, Gyeongsang National University) ;
  • Park, Ki Soo (Department of Preventive Medicine & Public Health, College of Medicine, Institute of Health Science, Gyeongsang National University)
  • 이진향 (거제대학교 사회복지과) ;
  • 최연순 (경상대학교 의과대학 건강과학연구원 및 예방의학교실) ;
  • 박기수 (경상대학교 의과대학 건강과학연구원 및 예방의학교실)
  • Received : 2018.03.02
  • Accepted : 2018.03.21
  • Published : 2018.03.31
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Abstract

Objectives: The purpose of this study is to examine the moderating effect of social supports on the relationship between grief level and suicidal ideation of the elderly living alone. Methods: We analyzed data from a questionnaire administered to subjects aged 65 years or older living alone for a 2017 community mental health project in Gyeongnam S city. To investigate the moderating effects of variables, we conducted a hierarchial regression analysis and confirmed the change $R^2$. Results: When adjusted for education and economic level, grief level had not a direct impact on suicidal ideation. And it was found that interdependent social support was moderating variables in the relationship of grief level and suicidal ideation of the elderly living alone. Conclusions: There is a need for appropriate programs that reduce suicidal ideation and therefore suicidal action. Moreover, it is especially necessary to enhance interdependent social supports.

본 연구는 독거노인의 비애수준과 자살생각의 관련성 및 사회적 지지의 중재효과를 규명하기 위해 실시되었다. 분석결과, 독거노인의 비애수준과 자살생각 간 영향관계에서 사회적지지 중 상호의 존적 지지의 조절효과를 확인할 수 있었다. 이에 독거노인의 자살생각을 감소시켜 실제 자살로 이어지는 행위를 줄이기 위한 방안으로 사회적 지지 특히, 상호의존적 지지를 증진시킬 수 있는 개입 프로그램의 필요성을 확인하였다.

Keywords

References

  1. Statistics Korea. The elderly statistics. 2015. [cited 2017 April 15]. Available from http://kostat.go.kr/wnsearch/search.jsp
  2. Lee HK. A study on the relationship between grief level and suicidal ideation among the bereaved elderly who are living alone-focusing on the mediating effects of depression. Mental Health & Social Work 2016;44(1):24-47 (Korean)
  3. Draper B. Attempted suicide in old age. Int J Geriatr Psychiatry 1996;11(7):577-587. https://doi.org/10.1002/(SICI)1099-1166(199607)11:7<577::AID-GPS362>3.0.CO;2-V
  4. Bedford VH, Blieszner R, editors. Handbook of Aging and the Family. Westport CT. Greenwood Press. 1995.
  5. Bae JH. Factors affecting suicide ideation of the elderly. Journal of Welfare for the Aged 2009;44:46-69 (Korean)
  6. Kim HO, Choi YS, Lee JH, Seo AR, Park KS. The Association between Hopelessness, Social Support and Community Integration and Depression among Elderly Living Alone. J Agric Med Community Health 2016;41(4):195-204 (Korean) https://doi.org/10.5393/JAMCH.2016.41.4.195
  7. Kawachi I, Berkman LF. Social ties and mental health. Journal of Urban Health: Bulletin of the New York Academy of Medicin 2001;78(3):458-467 https://doi.org/10.1093/jurban/78.3.458
  8. Chang SJ. Personal growth through spousal bereavement in later life. Korean Journal of Social Welfare Studies 2013;65(4):165-193 (Korean) https://doi.org/10.20970/kasw.2013.65.4.007
  9. Conwell Y, Waite L. Measuring social isolation among older adults using multiple indicators from NSHAP study. J Gerontol. Social Sciences 2009;64B:i38-i46 https://doi.org/10.1093/geronb/gbp037
  10. Fitzpatrick R, Newman S, Archer R, Shipley M. Social support, disability and depression: a longitudinal study of rheumatoid arthritis. Soc Sci Med 1991;33(5):605-611 https://doi.org/10.1016/0277-9536(91)90218-2
  11. Kim JY, Choi YS. The effects of social support on depression of older people in local small cities. The Journal of the Korea Contents Association 2015;15(4):208-219 (Korean) https://doi.org/10.5392/JKCA.2015.15.04.208
  12. Son JM, Byun SH. Effects of spouse bereavement in old age on emotion and social interaction. The Journal of the Korea Contents Association 2015;15(9):233-242 (Korean) https://doi.org/10.5392/JKCA.2015.15.09.233
  13. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: the scale for suicide ideation. J Consult Clin Psychol 1979;47(2):343-52. https://doi.org/10.1037/0022-006X.47.2.343
  14. Nam I. Predictors of Complicated Grief among Korean Older People. Journal of the Korean Gerontological Society. 2015;35(1):35-50 (Korean)
  15. Lee KW, Kim SY, Chung WB, Hwang GS, Hwang YW, Hwang IH. The validity and reliability of korean wersion of lubben social network scale. Korean J Fam Med 2009;30:352-358 (Korean) https://doi.org/10.4082/kjfm.2009.30.5.352
  16. Yoo HJ. Successful aging of the widowed elderly women in rural areas. Journal of Korea Gerontological Society 2007;27(3):617-634 (Korean)
  17. Latham AE, Prigerson HG. Suicidality and bereavement: complicated grief as psychiatric disorder presenting greatest risk for suicidality. Suicide and Life Threatening Behavior 2004; 34(4): 350-362 https://doi.org/10.1521/suli.34.4.350.53737
  18. McIntosh JL. Suicide prevention in elderly (age 65-99). Suicide and life-threatening behavior. New York Spring 1995;25(1):180
  19. Park MJ. Negative life stressor and suicide ideation in community dwelling plder adults-compensatory and buffering effects of protective factors. Mental Health & Social Work 2009;32:199-214 (Korean)
  20. Chang SJ. A longitudinal study of social network trajectory among widowed middle and older adults. Journal of Korea Gerontological Society 2011;31(4):1083-1101 (Korean)
  21. Shu WJ. Social work intervention strategies for preventing suicide in the elderly: with special reference to factors affecting on elderly suicide. [dissertation]. Pusan. Pusan National University. 2005 (Korean)
  22. Maren S. Synaptic mechanisms of associative memory in the amygdala. Neuron 2005;47(6):783-786 https://doi.org/10.1016/j.neuron.2005.08.009
  23. Yim JY, Kim HY Youm YS. The Effect of social support and conflict in different types of relationships on depression and suicidal ideation among the young-old and the old-old. Korean Journal of Clinical Psychology 2016;35(3):645-657 (Korean) https://doi.org/10.15842/kjcp.2016.35.3.005
  24. Nam HJ., Lee SG. Suicidal ideation of elderly living alone in urban and rural areas, its related factors. J Agric Med Community Health 2017;42(3):145-154 (Korean) https://doi.org/10.5393/JAMCH.2017.42.3.145
  25. Park JW. A study to development a scale of social support. [dissertation]. Seoul. Yonsei University. 1985 (Korean)
  26. Lee HK, Kwon JH. The influence of grief level on suicidal ideation among bereaved single-household elderly- focusing on moderating effect of social support. Journal of Welfare for the Aged 2015;69:193-213 (Korean)
  27. Oh SG, Cho J, Kim YH, Kim JM. Influence of depression on psychological death anxiety of the elderly: moderate effect of self-esteem. The Korea Contents Society 2015;12(12):243-254 (Korean)
  28. Park MJ. Negative life stressors and suicide ideation in community dwelling older adults-compensatory and buffering effects of protective factors. Mental Health & Social Work 2009;32:199-214 (Korean)
  29. Park BG, Chun SK. Effects of Mid-life Crisis on Suicidal Ideation: Moderating Effects of Social Support and Spiritual Support. Korean Journal of Social Welfare Research 2013;38:149-179 (Korean)
  30. Lee EH. A study on factors affecting suicidal ideation for the elderly- focused on the moderation effects of social support. The Korean Association for Comparative Government 2011;15(2):369-392 (Korean) https://doi.org/10.18397/kcgr.2011.15.2.369