Abstract
Methods
A total of 136 subjects over 60 years old who visited the public offices in Bucheon-si, Gyeonggi Province in South Korea participated in the study. Subjects completed a series of questionnaires including the following : demographic information ; physical illness ; psychological illness ; suicidal ideation. In addition, Center for Epidemiologic Studies-Depression Scale and Attitudes Towards Suicide-20 were used to assess the severity of depression and the attitude towards suicide, respectively.
Results
Multivariate logistic regression analyses were performed to determine the factors that affect suicidal ideation in the elderly. As a result, living alone, depression, having any physical illness, and permissive attitude towards suicide were risk factors for suicidal ideation in the elderly.
Conclusion
ConclusionZZIn addition to previously identified risks factors (living alone, physical illness, and depression), the study found that permissive attitude towards suicide also serves as a risk factor for suicide in elderly people. Therefore, permissive attitude towards suicide should be addressed and evaluated in order to prevent suicide in the elderly.
References
1. Kostat.go.kr [homepage on the Internet]. Annual report about elderly population in 2015. cited 2015 Sep 24. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=348565.
2. Kostat.go.kr [homepage on the Internet]. Analysis of present condition and causes of suicide in the elderly. cited 2007. Available from: http://kostat.go.kr/edu/sri_kor_new/1/1/index.action?bmode=read&p_idx=61&pageNo=7&search_mode=&keyword=.
3. Centers for Disease Control and Prevention. Main cause of suicide attempt is health problem. Korea: Centers for Disease Control and Prevention;2008.
4. Bonner RL, Rich AR. Toward a predictive model of suicidal ideation and behavior: some preliminary data in college students. Suicide Life Threat Behav. 1987; 17:50–63.
6. Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999; 56:617–626.
7. McIntosh JL. Suicide prevention in the elderly (age 65-99). Suicide Life Threat Behav. 1995; 25:180–192.
10. McIntosh JL. Epidemiology of suicide in the elderly. Suicide Life Threat Behav. 1992; 22:15–35.
11. McCall PL. Adolescent and elderly white male suicide trends: evidence of changing well-being. J Gerontol. 1991; 46:S43–S51.
13. Conwell Y. Suicide in later life: a review and recommendations for prevention. Suicide Life Threat Behav. 2001; 31:32–47.
14. Conwell Y, Caine ED, Olsen K. Suicide and cancer in late life. Hosp Community Psychiatry. 1990; 41:1334–1339.
15. Waern M, Rubenowitz E, Wilhelmson K. Predictors of suicide in the old elderly. Gerontology. 2003; 49:328–334.
16. Conwell Y. Management of suicidal behavior in the elderly. Psychiatr Clin North Am. 1997; 20:667–683.
17. Kodaka M, Postuvan V, Inagaki M, Yamada M. A systematic review of scales that measure attitudes toward suicide. Int J Soc Psychiatry. 2011; 57:338–361.
18. Limbacher M, Domino G. Attitudes toward suicide among attempters, contemplators, and nonattempters. Omega. 1986; 16:325–334.
19. Jeon HJ, Park JH, Shim EJ. Permissive attitude toward suicide and future intent in individuals with and without depression: results from a nationwide survey in Korea. J Nerv Ment Dis. 2013; 201:286–291.
20. Radloff LS. The CES-D scale a self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1:385–401.
21. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc. 1993; 32:381–399.
22. Renberg ES, Jacobsson L. Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide Life Threat Behav. 2003; 33:52–64.
23. Park JI, Kim YJ. Factor structure of Korean Version of Attitudes Toward Suicide (ATTS-20). Ment Health Soc Work. 2014; 42:91–113.
24. Juurlink DN, Herrmann N, Szalai JP, Kopp A, Redelmeier DA. Medical illness and the risk of suicide in the elderly. Arch Intern Med. 2004; 164:1179–1184.
25. Sohn JN. A study on factors influencing the suicidal ideation in elderly people who live alone or live with family. J Korean Acad Psychiatr Ment Health Nurs. 2012; 21:118–126.
26. Lee EH. A study on factors affecting suicidal ideation for the elderly-focused on the moderation effects of social support-. Korean Comp Govern Rev. 2011; 15:369–392.
27. Forsell Y, Jorm AF, Winblad B. Suicidal thoughts and associated factors in an elderly population. Acta Psychiatr Scand. 1997; 95:108–111.
29. Kim HK, Ko SH, Chung SH. Suicidal ideation and risk factors among the elderly in Korea. J Korean Public Health Nurs. 2010; 24:82–92.
30. Li Y, Li Y, Cao J. Factors associated with suicidal behaviors in mainland China: a meta-analysis. BMC Public Health. 2012; 12:524.
31. Bae JY. Literature review of eco-system theory=elderly suicide. Soc Sci Rev. 2004; 22:233–252.
32. Kahng SK. Does depression predict suicide?: Gender and age difference in the relationship between depression and suicidal attitudes. Korean J Soc Welf Stud. 2010; 41:67–100.