Purpose The purpose of this study was to identify the risk factors for suicidal ideation according to gender of old-old adults in South Korea. Methods Data were collected from the 2017 Living Profiles of Older People Survey, and participants were 4214 older adults (aged 75 years and above). Data were analyzed using SPSS Statistics 21.0 for Windows. Differences in suicidal ideation by gender were identified using the x2 test or independent t-test, with multi-variate logistic regression analyses conducted to determine the factors associated with suicidal ideation by gender. Results Among old-old adult participant, the prevalence of suicidal ideation in men and women were 5.4% and 6.7%, respectively. The significant predictive factors for suicidal ideation in men were the following: living alone, frequency of contact with children and friends etc., experience of discrimination, conflict with children, self-blame, anxiety, perceived health, number of chronic diseases, and diagnosed depression. The significant predictive factors for suicidal ideation in women were the following: frequency of contact with children, experience of discrimination, experience of abuse, conflict with children, anxiety, number of chronic diseases, perceived economic status, and diagnosed depression. Conclusion The study revealed differences in factors associated with suicidal ideation according to gender among old-old adults. These findings suggested that different approaches and strategies for suicidal prevention programs should therefore be considered according to gender in this population age group.
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PURPOSE This study aimed to investigate suicide ideation and attempts in older women living alone and to identify the factors affecting suicide ideation. METHODS This is a cross-sectional correlational study using secondary data analysis. Original data (n=1,023) were collected using face-to-face interviews from August to October 2018 in Siheung city to investigate the need for health care and daily life support services. Study participants were 297 older women (age=74.67±5.35), with inclusion criteria being women≥65 years old and living alone, those without cognitive impairment(Mini-Mental State Examination-2 Standard Version (MMSE-2 SV)≥24), and those who could evaluate instrumental activities of daily living. Data were analyzed using descriptive analysis, independent t-test, Pearson's correlation coefficient, and multiple linear regression analysis. RESULTS Data analysis showed 26.9% of participants reported suicide ideation with a frequency of 4.14 out of 10 points. Among study participants, 8.8% had attempted suicide with an average of 2.65 attempts. Participants who had children thought about suicide more than those who did not. Living children, personal income, participation in economic activity, social support, depression, chronic diseases, frailty, and suicide attempts were significantly correlated with suicide ideation. Therefore, depression, frailty and suicide attempts were factors affecting suicide ideation for older women living alone. CONCLUSION Our findings provide evidence that evaluating depression, frailty, and history of suicide attempts is important for suicide prevention in older women living alone.
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PURPOSE To identify the risk factors for suicidal ideation across the life cycle among Korean adults using data from 2015 Korean Psycho-social Anxiety Survey. METHODS The data were statistically analyzed using hierarchical logistic regression analysis. RESULTS The factors associated with suicidal ideation among the young adult group were education level (odds ratio [OR] 1.62, 95% confidence interval [CI] 1.05~2.49), self-esteem (OR 1.19, 95% CI 1.12~1.27), stress (OR 3.26, 95% CI 2.07~5.15), anger control problems (OR 3.58, 95% CI 2.34~5.50), and depression (OR 2.59, 95% CI 1.66~4.04) whereas among the middle-aged adults the factors were education level (OR 1.58, 95% CI 1.12~2.23), existence of a spouse (OR 2.55, 95% CI 1.72~3.78), self-esteem(OR 1.13, 95% CI 1.08~1.18), stress (OR 2.46, 95% CI 1.81~3.33), anger control problems (OR 1.70, 95% CI 1.22~2.36), and depression (OR 2.64, 95% CI 1.91~3.64). Among the older adult group the findings were the existence of a spouse (OR 2.16, 95% CI 1.37~3.39), self-esteem(OR 1.22, 95% CI 1.13~1.32), stress (OR 2.21, 95% CI 1.38~3.54), anxiety (OR 2.42, 95% CI 1.46~4.02), and depression (OR 2.48, 95% CI 1.30~4.72). CONCLUSION The findings suggest that there may be a need for different suicide intervention programs to decrease suicidal ideation across the life cycle.
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