Effects of Welfare and Mental Health Resources on the Suicide in Community - Focused on social welfare infra and mental health infra

Son

Psychiatric Ment Health Nurs

2020

Accessible summary What is known on the subject? Pre‐ and postmenopausal women (PPW) experience changes in physical, psychological and social health. South‐East Asia’s female suicide rate is the highest compared with other countries, and the suicide rate of PPW in these countries continues to increase. The most influential factor in Asian women’s suicidal ideation is family conflict; specifically, if PPW in South Korea cannot express their anger, it results in a culture‐bound syndrome called “Hwa‐Byung.” However, there is a lack of research on Asian PPW. What the paper adds to existing knowledge? This study found differences in individual‐ and community‐level factors affecting suicidal ideation between pre‐ and postmenopausal women. Individual factors that commonly affected suicidal ideation were experiencing violence, stress and depression. Individual factors that affected the suicidal ideation of premenopausal women more than postmenopausal women were religious beliefs, alcohol use and chronic disease. Community level factors affecting suicidal ideation were locational depression and locational counselling for stress in premenopausal women and locational counselling for depression in postmenopausal women. What are the implications for practice? Mental health nurses could help prevent suicide by developing and applying community‐based programmes for PPW, considering the specific socio‐economic and cultural context and characteristics of Asian women. Mental health nurses could help PPW participate in programmes by preparing various interventions such as case management, personal counselling, physical activity, home‐based mental health services, cognitive behavioural therapy and digital interventions for self‐management. Mental health nurses need to prepare various methods such as online, offline, individual and group methods to work effectively in any social situation. Abstract IntroductionPre‐ and postmenopausal women (PPW) experience physical and psychological changes with hormonal changes. Among Asian middle‐aged women, family and culture affect suicidal ideation, and the suicide rate among this population is increasing. There are few existing research on suicidal ideation among Asian PPW. AimWe examined individual‐ and community‐level factors that predict suicidal ideation among PPW. MethodLarge‐scale panel data from 5,154 South Korean PPW aged 35–64 years were used in a series of multilevel logistic regression analyses to examine factors associated with suicidal ideation at individual and community levels. ResultsAmong premenopausal women, religious beliefs, alcohol use, chronic disease, experience of violence, stress and depression were individual‐level factors. Locational depression and locational counselling for stress were community‐level factors. Among postmenopausal women, experience of violence, stress, depression and perceived health status were individual level factors, and locational counselling for depression was a community level factor. DiscussionSuicidal ideation among PPW is affect...

Section: Discussionmentioning

confidence: 99%

Factors affecting suicidal ideation among premenopausal and postmenopausal women

Son

Psychiatric Ment Health Nurs

2020

“…According to research results that have revealed factors related to suicide, there are variables in which factors at the individual or regional level may be related to years of life lost (YLLs) due to suicide. Among them, a number of studies have discovered an association between suicide, the aging population, and divorce rates [17,18]. Among socioeconomic factors, the ratio of social budgets put toward mental health has been found to affect suicide rates at a regional level [19].…”

Section: Introductionmentioning

confidence: 99%

“…Among socioeconomic factors, the ratio of social budgets put toward mental health has been found to affect suicide rates at a regional level [19]. In addition, interventions for health behaviors, including addressing obesity and engaging in physical activity, seem to be consequential [20], as are mental health resources [18].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Regional Years of Life Lost (YLLs) due to Suicide in South Korea

Jung

Yoon

2020

IJERPH

South Korea’s suicide rate has remained among the highest in the world for some years, and there is also a gap in suicide rates among regions within the country. This study investigates the differences in years of life lost (YLLs) due to suicide in 250 districts and the factors associated with regional YLLs in South Korea in 2016. The relationships between YLLs due to suicide by region and factors such as population characteristics, health behaviors, socioeconomic factors, and mental health resources in the community were examined through multiple linear regression analysis. The gap between districts with the highest and lowest YLL due to suicide per 100,000 people was more than a 7-times difference. Factors related to YLLs due to suicide by region were physical activity rates and community mental healthcare centers, and there were differences in these factors according to gender. In conclusion, to prevent suicide at the community level, it is necessary to consider gender in establishing intervention strategies. The community needs to play an active role in promoting mental health and reducing suicide among local residents and to continue to invest in the support and management of those at high risk of suicide.

Korean Journal of Health Education and Promotion

Compositional and Contextual Factors Related to Area Differentials in Suicide

Kang¹

2013

Objectives: Rural-urban differences in suicide have been observed in many settings. However, there has been little research addressing what factors can explain these differences. The purpose of this study was to analyze which compositional factors and contextual factors in local areas might be related to local suicide. Methods: The study design was cross-sectional. The data for 251 primary local governments on their age-standardized suicide mortality and their predefined indicators of compositional factors and contextual factors were obtained from Korean Statistical Information Service as of year 2010. Bivariate analysis including one-way ANOVA and chi-square test were used to identify the differences in local features by area type. Seven poisson regression models for each of total, males, and females were used to analyze which compositional and contextual factors were related to suicide. Results: There were differences in suicide between gu and goon in total, male, and female groups. For total, compositional factors including divorce and smoking rate, and contextual factors including financial independency, water and waterwaste coverage, and number of wastewater discharge factories were found to explain the urban-rural differences. Conclusions: This study provided some evidence that contextual factors at the local level as well as compositional factors are useful for predicting local suicide mortality.