Epidemiology and Health

Original Articles

Individual and regional factors associated with suicidal ideation among Korean elderly: a multilevel analysis of the Korea Community Health Survey: Sang Hee Jeong, Byung Chul Chun; Epidemiol Health. 2019;41:e2019022. Published online May 26, 2019; DOI: https://doi.org/10.4178/epih.e2019022

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Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
This study aimed to identify the individual and regional characteristics that influence suicidal ideation among the Korean elderly population.

METHODS

Using data collected from the 2013 Korea Community Health Survey, a multilevel analysis was performed to establish an understanding of individual behavioral patterns and regional influences on suicidal ideation.

RESULTS

Among the 77,407 individuals sampled, 11,236 (14.5%) elderly people over 60 years of age experienced suicidal ideation. Among individual factors, age, frequency of communication with friends, religious activity, social activity, leisure activity, trust in neighbors, subjective stress level, depressive symptoms, and subjective health status were significantly associated with suicidal ideation. The results showed that the lower the regional deprivation level, the higher the suicidal ideation odds ratio. In terms of regional size, the most significant effects were found in rural areas.

CONCLUSIONS

This study suggested that suicidal ideation in the elderly is associated with community factors, such as the regional deprivation index, as well as personal factors.

Summary

Korean summary
본 연구는 60세 이상 연령의 개인 요인에 따른 자살 생각에 영향을 미치는 요인과 지역 요인을 모두 반영하여 자살 생각에 영향을 미치는 요인을 파악하는 것으로 지역사회건강조사에 응답한 60대 이상 노인 77,407명 중 11,236(14.5%)명을 표본대상으로 선정하여 노인의 자살생각 가능성과 관련된 개인의 행태와 지역 또는 집단에서 영향력을 파악하기 위한 다수준 분석을 실시하였다. 결과적으로 본 연구는 60세이상의 노인에서 자살 생각에 개인적 요인 뿐 아니라 지역박탈지수와 같은 지역 요인이 관여한다는 점을 시사한다.

Citations

Citations to this article as recorded by

A systematic review of psychosocial protective factors against suicide and suicidality among older adults
Myung Ki, Sylvie Lapierre, Boeun Gim, Minji Hwang, Minku Kang, Luc Dargis, Myoungjee Jung, Emily Jiali Koh, Brian Mishara
International Psychogeriatrics.2024; : 1. CrossRef
Effects of health-related quality of life and long-term care insurance infrastructure on suicidal ideation among older Korean adults
Changsook Lee, Sun-Young Heo
Asia Pacific Journal of Social Work and Development.2023; 33(2): 101. CrossRef
Influencing factors of psychological pain among older people in China: A cross-sectional study
Han Zhou, Dong Han, Haisen Zhou, Xinfeng Ke, Dongdong Jiang
Heliyon.2023; 9(10): e21141. CrossRef
Socioeconomic factors associated with suicidal behaviors in South Korea: systematic review on the current state of evidence
Nicolas Raschke, Amir Mohsenpour, Leona Aschentrup, Florian Fischer, Kamil J. Wrona
BMC Public Health.2022;[Epub] CrossRef
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Epidemiology and Health.2022; 45: e2023002. CrossRef
Body mass index, subjective body shape, and suicidal ideation among community-dwelling Korean adults
Chae Eun Yong, Young Bum Kim, Jiyoung Lyu
Archives of Public Health.2021;[Epub] CrossRef
Depression and quality of life in Brazilian and Portuguese older people communities
Bruno Araújo da Silva Dantas, Anna Carolyna Vieira Cavalcante, Jéssica Maria Arouca de Miranda, Gislani Acásia da Silva Toscano, Thaiza Teixeira Xavier Nobre, Felismina Rosa Parreira Mendes, Francisco Arnoldo Nunes de Miranda, Eulália Maria Chaves Maia, G
Medicine.2021; 100(46): e27830. CrossRef
Do Older Adults with Parent(s) Alive Experience Higher Psychological Pain and Suicidal Ideation? A Cross-Sectional Study in China
Ying Yang, Shizhen Wang, Borui Hu, Jinwei Hao, Runhu Hu, Yinling Zhou, Zongfu Mao
International Journal of Environmental Research and Public Health.2020; 17(17): 6399. CrossRef

Prevalence and comorbidity of common mental disorders and associations with suicidal ideation in the adult population: Yousef Veisani, Fathola Mohamadian, Ali Delpisheh; Epidemiol Health. 2017;39:e2017031. Published online July 22, 2017; DOI: https://doi.org/10.4178/epih.e2017031

12,780 View
263 Download
15 Web of Science
14 Crossref

Abstract PDF

Abstract

OBJECTIVES
Little information exists on the association between comorbidities of mental disorders and suicidal ideation in developing countries. The current study examined the relationship between the presence of comorbid mental disorders and suicidal ideation in the adult population.

METHODS

This cross-sectional study was conducted using the cluster random sampling method in 3 steps. Data were collected from a household assets survey and the self-administered 28-item General Health Questionnaire as first step in screening, and the Persian version of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition - Text Revision was used in the second stage to determine the prevalence of mental disorders. Bivariate and multivariate analysis were used to investigate the associations between mental disorders and suicidal ideation.

RESULTS

Of the 763 participants, 199 (26.1%) had 1 or more mental disorder. Forty-two (71.4%) subjects with comorbidities had a history of suicidal ideation, whereas 59 (7.7%) of all participants had a history of suicidal ideation. We found that major depressive disorder and obsessive-compulsive disorder were the most predictive of suicidal ideation in both sexes. The odds ratio for suicidal ideation associated with having 3 comorbid disorders was 2.70 (95% confidence interval [CI], 1.40 to 14.12) in males and 3.06 (95% CI, 1.25 to 15.22) in females.

CONCLUSIONS

Consistent with pervious data, our results confirmed that mental disorders and comorbidities of mental disorders were important predictors of suicidal ideation. Our findings are very useful for applied intervention programs to reduce the suicide rate in regions in which it is high.

Summary

Citations

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The effects of prevalence of inequalities in mental disorders between groups using Blinder– Oaxaca decomposition
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Journal of Education and Health Promotion.2023; 12(1): 91. CrossRef
High prevalence of mental disorders: a population-based cross-sectional study in the city of Ilam, Iran
Hojatollah Kakaei, Farajolah Maleki, Azam Biderafsh, Reza Valizadeh, Mohammad Ali Mansournia, Iraj Pakzad, Reza Pakzad
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Journal of Education and Health Promotion.2021; 10(1): 307. CrossRef
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Alcohol and Alcoholism.2020; 55(3): 278. CrossRef
Inequalities in common mental disorders between advantaged and disadvantaged groups: an Oaxaca – Blinder decomposition analysis on socio-economic factors
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International Journal of Human Rights in Healthcare.2020; 13(4): 325. CrossRef
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International Journal of Molecular Sciences.2020; 21(18): 6758. CrossRef
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Suicide Risk in Obsessive-Compulsive Disorder and Exploration of Risk Factors: A Systematic Review
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Current Neuropharmacology.2019; 17(8): 681. CrossRef
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Suicide in early China and the current West
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Shiraz E-Medical Journal.2018;[Epub] CrossRef

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