J Korean Acad Community Health Nurs.  2020 Dec;31(S):577-590. 10.12799/jkachn.2020.31.S.577.

The Relationship between the Prevalence of Suicidal Ideation among Older Adults and Individual · Regional Factors

Affiliations
  • 1Associate Professor, Department of Nursing, Chungwoon University, Hongseong, Korea
  • 2Professor, Department of Nursing Science, Sunmoon University, Asan, Korea
  • 3Associate Professor, Department of Healthcare Management, Dong-eui University, Busan, Korea
  • 4Assistant Professor, Department of Nursing Science, Sunmoon University, Asan, Korea

Abstract

Purpose
The purpose of this study was to find out the suicidal ideation rate of the elderly including individual and regional factors by sex.
Methods
This is secondary analysis study that combines the data of the 2017 Community Health Survey with the e-indicator data set of the National Statistical Office, and a descriptive correlation study. Statistical analysis used hierarchical logistic regression by SAS 9.4.
Results
The 11.5% of the elderly had suicidal ideation within the last year, and 18.4% in Chungnam is the highest. Individual characteristics include females, older people, lower education levels, no job or housewife, no spouse, less than seven hours of sleep per day on the average, low subjective health, high subjective stress, and the worse their economic conditions, the more they had suicide ideation. Considering regional characteristics, suicidal ideation tended to increase significantly as the number of hospital beds per 1,000 people and the rate of obesity was lower, the rate of stress perception was higher, and the odds value was small. When both individual and regional factors were considered, the model conformity of the suicidal ideation improved (ICC=0.0814).
Conclusion
In order to lower the suicidal rate of the elderly, it seems that both individual and community factors need to be comprehensively approached from the stage of suicidal ideation in the community.

Keyword

Aged; Suicidal ideation; Geography; Sex; Health surveys
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