Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.25(3) > 1058079

Lee and Hong: Predictors of Suicidal Ideation in Community-dwelling Older Men: A Comparison between Young-old and Old-old

Abstract

Purpose

This study was done to examine the prevalence of suicidal ideation and predictors of suicidal ideation in community-dwelling older men, comparing young-old (65 to 74) and old-old (75 and over).

Methods

The 2014 National Elderly Survey was used with a sample of 2,790 elderly men. Multivariable logistic regression analysis was used to identify the predictive factors for suicidal ideation in elderly men.

Results

The proportions of participants with suicidal ideation were significantly different between young-old and old-old men (χ2=4.46, p=.035). The multivariable logistic regression analyses revealed that being a recipient of basic livelihood security, experiencing discrimination, conflicting with children, and being depressed were significantly associated with suicidal ideation in young-old men. In old-old men, living arrangements, conflicting with children, and being depressed were significantly associated with suicidal ideation.

Conclusion

Results indicate that the development of suicide prevention programs requires different approaches young-old and old-old men.

Figures and Tables

Figure 1

Conceptual framework for this study.

jkapmhn-25-217-g001
Table 1

Characteristics of Participant by Age Group (N=2,790)

jkapmhn-25-217-i001

*Missing data excluded.

Table 2

Univariable Analysis for Suicidal Ideation related Variables by Age Group (N=2,790)

jkapmhn-25-217-i002

*Missing data excluded.

Table 3

Logistic Regression Analysis for Suicidal Ideation related Variables by Age Group (N=2,790)

jkapmhn-25-217-i003

OR=Odds ratio; CI=Confidence interval.

Notes

CONFLICTS OF INTEREST The authors declared no conflict of interest.

References

1. Statistics Korea. 2015 statistics for the aged [Internet]. 2015. 09. cited 2016 Mar 27. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.-board?bmode=read&aSeq=348565.
2. Organization for Economic Cooperation and Development. 2015 OECD health statistics [Internet]. 2015. cited 2016 Mar 5. Available from: http://dx.doi.org/10.1787/health-data-en.
3. Korea Institute for Health and Social Affairs. 2014 a national survey on the living status and welfare needs of the aged. Policy Report. Seoul: Korea Institute for Health and Social Affairs;2014. 12. Report No. 11-1352000-001426-12.
4. Draper BM. Suicidal behaviour and suicide prevention in later life. Maturitas. 2014; 79(2):179–183. DOI: 10.1016/j.maturitas.2014.04.003.
5. Yook SP, Choi KH, Kim EJ, Lee HS. Elders in crisis: suicide awareness, prevention, and intervention for the elderly. Seoul: Hakjisa;2011. p. 320.
6. American Association of Suicidology. USA suicide: 2014 official final data [Internet]. 2015. 12. cited 2016 May 30. Available from: http://www.suicidology.org/resources/facts-statistics.
7. Law CK, Kölves K, De Leo D. Influences of population-level factors on suicides in older adults: a national ecological study from Australia. Int J Geriatr Psychiatry. 2016; 31(4):384–391. DOI: 10.1002/gps.4343.
8. Ministry of Health and Welfare. 2013 national survey on suicide [Internet]. 2014. 04. cited 2016 May 20. Available from: http://www.prism.go.kr/homepage/researchCommon/retrieveResearchDetailPopup.do;jsessionid=7F24C53B7F9230A50B29527545372F2A.node02?research_id=1351000-201300187.
9. Chan SM, Chiu FK, Lam CW, Wong SM, Conwell Y. A multidimensional risk factor model for suicide attempts in later life. Neuropsychiatr Dis Treat. 2014; 10:1807–1817.
10. Steck N, Junker C, Maessen M, Reisch T, Zwahlen M, Egger M. Suicide assisted by right-to-die associations: a population based cohort study. Int J Epidemiol. 2014; 43(2):614–622. DOI: 10.1093/ije/dyu010.
11. Jang SY, Choi B, Ju EY, Kim YM, Kang SB, Park S, et al. Association between restriction of activity related to chronic diseases and suicidal ideation in older adults in Korea. Geriatr Gerontol Int. 2014; 14(4):983–988. DOI: 10.1111/ggi.12202.
12. Koo CY, Kim JS, Yu J. A study on factors influencing elders’ suicidal ideation: focused on comparison of gender differences. J Korean Acad Community Health Nurs. 2014; 25(1):24–32. DOI: 10.12799/jkachn.2014.25.1.24.
13. Kim J, Lee YS, Lee J. Living arrangements and suicidal ideation among the Korean older adults. Aging Mental Health. 2016; 20(12):1305–1313. DOI: 10.1080/13607863.2015.1078280.
14. Lim KC, Kim S. Prevalence and correlates of depression in older Koreans: comparison of young-old and old-old. J Korean Acad Psychiatr Ment Health Nurs. 2012; 21(1):1–10. DOI: 10.12934/jkpmhn.2012.21.1.1.
15. Golan N. Treatment in crisis interventions. New York, NY: Free Press;1978. p. 266.
16. Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, et al. Korean version of mini mental status examination for dementia screening and its' short form. Psychiatry Investigation. 2010; 7(2):102–108. DOI: 10.4306/pi.2010.7.2.102.
17. Yesavage JA, Brink TL, Rose TI, Lum O, Huang V, Adey M, et al. Development and validation of geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-1983; 17(1):37–49.
18. Sheikh JI, Yesavage JA. 9/Geriatric depression scale(GDS): recent evidence and development of a shorter version. Clinical Gerontologist. 1986; 5(1-2):165–173. DOI: 10.1300/J018v05n01_09.
19. Cho MJ, Bae JN, Suh GH, Hahm BJ, Kim JK, Lee DW, et al. Validation of geriatric depression scale Korean version(GDS) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc. 1999; 38(1):48–63.
20. Jeong JH, Kim JS. The effect of abuse experience and coping styles on suicidal ideation in the elderly. J Korean Acad Community Health Nurs. 2015; 26(1):42–51. DOI: 10.12799/jkachn.2015.26.1.42.
21. Lemeshow S, Hosmer DW Jr. A review of goodness of fit statistics for use in the development of logistic regression models. Am J Epidemiol. 1982; 115(1):92–106.
22. Allison PD.. Missing data. Thousand Oaks, CA: Sage Publications;2001. p. 104.
23. Kim JS, Lee SJ. Factors affecting suicide attempts of the elderly with suicide ideation: secondary data analysis of KNHANES. J Korea Gerontol Soc. 2014; 34(1):73–85.
24. Choi I, Hwang HM. A study on ageism, hopelessness and suicidal ideation on elderly. Korean J Health Commun. 2015; 10(1):17–25. DOI: 10.15715/kjhcom.2015.10.1.17.
25. Lee HY, Cho SH. Factor affecting the suicidal ideation of elderly in Gyeonggi province. J Community Welf. 2012; 43:191–216. DOI: 10.15300/jcw.2012.12.43.191.
26. Choi M, Kim DH, Lee KU, Yi JS. Physical, psychological, and social risk factors affecting suicidal ideation among the elderly. J Korean Neuropsychiatr Assoc. 2015; 54(4):459–467. DOI: 10.4306/jknpa.2015.54.4.459.
27. Hawton K, Casañas i Comabella C, Haw C, Saunders K. Risk factors for suicide in individuals with depression: a systematic review. J Affect Disord. 2013; 147(1-3):17–28. DOI: 10.1016/j.jad.2013.01.004.
28. Moon DK. A meta-regression analysis on related triggering variables on the suicidal ideation of older adults. J Welf Aged. 2012; 55:133–158.
29. Aguilera DC. Crisis intervention: theory and methodology. 7th ed. St. Louis: Mosby;1994. p. 335.
TOOLS
Similar articles