Factors that influence suicidal ideation among elderly Korean immigrants: focus on diatheses and stressors

Kim, Bum Jung; Ahn, Joonhee

doi:10.1080/13607863.2013.866631

Cited by 12 publications

(11 citation statements)

References 39 publications

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“…Of the 31 included articles (Tables 1 – 4 ), one was from 1976 ( 37 ), and all others were published after 1990, with seven articles between 1990 and 2000 ( 38 – 44 ), 13 articles between 2001 and 2010 ( 45 – 57 ), and 10 articles between 2011 and 2016 ( 58 – 67 ). The association between personality and either death by suicide, attempted suicide or suicidal ideation was the primary outcome in 18 articles ( 39 , 41 , 43 , 45 , 46 , 48 , 50 , 51 , 53 – 56 , 59 , 61 , 63 , 65 – 67 ), while the other 13 articles reported on personality in relation to a different study focus ( 37 , 38 , 40 , 42 , 44 , 47 , 49 , 52 , 57 , 58 , 60 , 62 , 64 ). Except for one qualitative study on death by suicide ( 56 ) (displayed in Table 2 ), all studies were quantitative.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 14 articles measuring dimensional personality traits (Table 4 ), two based their findings on the Eysenck Personality Model, assessing only Neuroticism in one case ( 64 ), and Neuroticism and Extroversion in the other ( 61 ). Based on the reasonable levels of correlation established by Costa and McCrae between Eysenck’s Neuroticism and Extroversion and the Five-Factor neuroticism and extraversion domains ( 68 ), we considered these constructs equivalent when reporting results.…”

Section: Resultsmentioning

confidence: 99%

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Personality and Suicidal Behavior in Old Age: A Systematic Literature Review

et al. 2018

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BackgroundSuicide rates generally peak in the second half of life and are particularly high in older men; however, little is known about the contribution of dispositional factors to late-life suicide. Maladaptive personality traits have been strongly implicated in suicide among younger adults, but the extent to which they continue to play a role in late-life suicidal behavior is unclear. We also do not know whether specific personality profiles interact with the stressors of aging to cause suicidal behavior.MethodsWe sought to synthesize the data on personality pathology in late-life suicidal ideation and behavior via a systematic review using the PubMed, Google Scholar, PsycInfo, Scopus, Ovid, Web of Science, Embase, and Cochrane search engines. The included key words related to three descriptors: “personality,” “suicide,” and “elderly.” Included articles evaluated personality based on the Five-Factor Model (FFM) or ICD/DSM diagnostic criteria in older samples with minimum age cutoffs of 50 years or older. Our original search identified 1,183 articles, of which 31 were retained.ResultsIncluded studies were heterogeneous in their design and personality measurements. Studies of categorical personality disorders were particularly scarce and suggested a stronger association with late-life suicidal ideation than with death by suicide. Only obsessive–compulsive and avoidant personality traits were associated with death by suicide in old age, but only in studies that did not control for depression. All personality constructs were positively linked to suicidal ideation, except for histrionic personality, which emerged as a negative predictor. Studies employing the FFM also indicated that older adults who died by suicide were less likely to display a maladaptive personality profile than elderly suicide attempters and younger suicide victims, having both lower levels of neuroticism and higher levels of conscientiousness than these comparison groups. Nevertheless, older suicide victims displayed lower levels of openness to experience than younger victims in two samples.ConclusionMaladaptive personality manifests in milder, subthreshold, and more heterogeneous forms in late-life vs. early-life suicide. An inability to adapt to the changes occurring in late life may help explain the association between suicide in old age and higher conscientiousness as well as obsessive–compulsive and avoidant personality disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Personality and Suicidal Behavior in Old Age: A Systematic Literature Review

et al. 2018

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“…The higher score implied greater hopelessness. Previous work using the BHS scale with older Korean populations also yielded acceptable reliability and validity levels [ 5 , 21 ]. The internal reliability for the BHS in this study was .91.…”

Section: Methodsmentioning

confidence: 95%

“…Another reason is their living arrangements. In addition to the increased worries about various economic challenges caused by the financial crisis and having decreased savings, in comparison to others, older Korean immigrants are more likely to live alone or with only their spouse [ 21 , 41 ]. There is empirical evidence which shows that older adults living alone tend to feel lonely and hopeless which results in higher rates of depression and suicide [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

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The Relationship between Neuroticism, Hopelessness, and Depression in Older Korean Immigrants

et al. 2016

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PurposeThis study aimed to investigate the relationship between neuroticism, hopelessness, and depression among older Korean immigrants. To extend this line of research, this study aimed to examine the effects of neuroticism and hopelessness in predicting depression among older Korean immigrants.MethodsData for this study came from a survey of 220 first generation Korean immigrants aged 65 years or older in Los Angeles County in 2012. Data were collected by face-to-face interviews with trained social workers using a structured questionnaire translated into Korean. All interviews were conducted in Korean. The neuroticism sub-scale of the Eysenck Personality Questionnaire was used to assess neuroticism (EPQN). Hopelessness was measured by the Beck Hopelessness Scale (BHS). Depression was measured by the 20-item Center of Epidemiological Studies Depression (CES-D) scale.ResultsThe study found that age (β = .26, p< .01), gender (β = -.13, p< .01), income (β = -.13, p< .01), neuroticism (β = .51, p< .01), and hopelessness (β = .15, p< .01) were significant predictors of depression.ConclusionThe study provides preventive strategies that would help in the development of depression-reduction services or programs for the population, especially for those living with neuroticism and hopelessness.

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The Relationships Between Functional Limitation, Depression, Suicidal Ideation, and Coping in Older Korean Immigrants

Ahn

Kim

2015

J Immigrant Minority Health

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Older adults with functional limitations may be at higher risk for depression and suicidal ideation compared to their counterparts without such limits. This study examined the structural relationships between functional limitation, depression, suicidal ideation, and coping strategies in older Korean immigrants. Using data from 220 community dwelling Korean immigrants (age ≧ 65) in Los Angeles County, path analysis was conducted to test the study hypotheses. The resulting model accounted for 56% of the variance in suicidal ideation, with functional limitation making significant contribution to suicidal ideation. Meanwhile, depression, which had the strongest direct effects on suicidal ideation, also played a significant role in mediating between functional limitation and suicidal ideation. Furthermore, adaptive coping was significantly associated with both functional limitation and suicidal ideation. Findings provide implications for implementing suicide-prevention programs for older Korean immigrants, especially those living with functional disability.

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Factors that influence suicidal ideation among elderly Korean immigrants: focus on diatheses and stressors

Abstract: The theoretical implications as well as the practical implications for developing and implementing late-life suicide prevention strategies are discussed.

Cited by 12 publications

References 39 publications

Personality and Suicidal Behavior in Old Age: A Systematic Literature Review

Personality and Suicidal Behavior in Old Age: A Systematic Literature Review

The Relationship between Neuroticism, Hopelessness, and Depression in Older Korean Immigrants

The Relationships Between Functional Limitation, Depression, Suicidal Ideation, and Coping in Older Korean Immigrants

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