Factors Affecting on Suicidal Ideation in Community Dwelling Elders

Abstract

Objectives: This study was conducted to analyze the hwa-byung, self-perceived health, life-stress, social support, depression, and factors affecting on suicidal ideation in community dwelling elders. Methods: This study was a cross-sectional descriptive study. The subjects were 165 elderly in I city. The data was collected from November 21 st to December 5 th of 2014 by using structured questionnaire. T-test, Pearson's correlation coefficients, and stepwise multiple regression were performed by SPSS/PC 17.0. Results: There were more females than males in hwa-byung (t=.−3.068, p=.003). In the visit parent, more than once a month was a significantly higher in social support (t=.3.333, p=.001). Hwa-byung (t=.−2.577, p=.011), life-stress (t=.−3.800, p=.001), depression (t=.−2.776, p=.006), and suicidal ideation (t=.−4.316, p＜.001) were shown to be high in the elders with lower level of living. Subjects with health insurance had high self-perceived health (t=−3.800, p=.001) and low hwa-byung (t=− 4.102, p＜.001), life-stress (t=−4.482, p＜.001), depression (t=−5.296, p＜.001), and suicidal ideation (t=.−2.152, p=.036), according to the type of insurance. In the correlation, sleeping hours (r=−.180, p=.020), self-perceived health (r=−.364, p＜.001), and suicidal ideation had negative correlation; hwa-byung (r=.404, p＜.001), life-stress (r=.300, p＜.001), social support (r=−.310, p＜.001), depression (r=.423, p＜.001) and suicidal ideation had positive correlation. Factors affecting the suicidal ideation in community dwelling elders were depression (β=.42, p＜.001), hwa-byung (β=.23, p=.004), social support (β=−.18, p=.012), and level of living (β=.24, p=.001). Discussion: For the prevention of elderly suicide, it is necessary to care for psychosocial status and solve economic difficulties through social support.

Mediating Effect of Quality of Sleep Moderated by Meaning in Life on the Relationship between Hwabyung and Suicidal Ideation in Middle-Aged Korean Women

“…In previous studies, Hwabyung in middle-aged women before and after menopause was associated with suicide [24]. In addition, Hwabyung symptoms in older populations have been reported to have a direct effect on suicidal ideation [22], which is consistent with the results of this study. The symptoms of Hwabyung are the accumulation of resentment and anger caused by long-term stress [13], which negatively affects daily life and quality of life [40].…”

“…Physical symptoms during menopause include facial redness, sweating, sleep disorders, and fatigue, which become more severe as women enter late menopause [ 20 ]. Insomnia is a representative physical symptom that appears in the early stages of Hwabyung, and sleep time and quality are related to Hwabyung symptoms [ 21 , 22 , 23 ]. The Hwabyung experienced by middle-aged women before and after menopause is a symptom that should be treated seriously because it can affect extreme thoughts, such as suicide [ 24 ].…”

“…A correlation between Hwabyung, quality of sleep, and suicidal ideation is evident in such literature. Hwabyung tends to appear more often in women after middle age, and if it is not properly managed, it can persist into old age and affect the suicide risk in older adults [ 22 ]. However, middle-aged women in Korea continue to suffer from Hwabyung, and they are known to experience serious physical pain and sleep disorders due to it [ 23 ].…”

“…Based on the literature, Hwabyung has a significant impact on suicidal ideation [ 22 ]. Hwabyung is negatively correlated with sleep time [ 22 , 23 ], and the longer the sleep time and the higher the quality of sleep, the lower the suicidal ideation [ 22 , 25 , 27 , 33 ].…”

Gender-Specific Predictors of Suicidal Ideation Among Korean Older Adults: A 2-Year Prospective Study

“…Furthermore, the majority of the previous studies that examined the factors influencing suicidal ideation among older adults are cross-sectional, and thus are unable to properly explain causal relationships (H. S. Kim, 2002;Park et al, 2014). A regression analysis in a cross-sectional design has a limitation because it can only make assumptions regarding positive correlations between variables from a specific perspective.…”