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    노인의 우울과 자살생각의 관계에 대한 위기사건, 사회적 지지의 조절효과 = Moderating Effects of Life Problems, Social Support on the Relationship between Depression and Suicidal I deation of Older People

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    https://www.riss.kr/link?id=A103529660

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Depression has been regarded as a key factor for suicidal ideation among older people. However, not all depressed older people contemplate suicide. Some factors may prevent depressed elders from suicidal thought, while others make them more deeply involved. This study assessed if life problems and social support (family, friends) have such moderating effects on the relationship between depression and suicidal thought of older people. The survey data collected from 359 community residing older people (65 and over) were used for analysis. Major results were as follows. First, depression had a strong impact on suicidal ideation of older persons. Second, family support was negatively related with suicidal ideation, while stresses due to life problems were positively related with it. Third, the effect of depression on suicidal ideation of older people was modified by both family support and life problems. That is, social support from spouse and children attenuated the effect of depression on suicidal ideation of older people, while life problems magnified it. Based on the results, some practical implications were suggested. Depressed older people should be identified as at-risk group for suicide. Prompt intervention would be necessary to reduce risk for suicidal thought among depressed elders who experienced serious life problems recently. Family support needed to be activated for depressed older people, because it played an important role regarding their consideration of suicide.
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    Depression has been regarded as a key factor for suicidal ideation among older people. However, not all depressed older people contemplate suicide. Some factors may prevent depressed elders from suicidal thought, while others make them more deeply inv...

    Depression has been regarded as a key factor for suicidal ideation among older people. However, not all depressed older people contemplate suicide. Some factors may prevent depressed elders from suicidal thought, while others make them more deeply involved. This study assessed if life problems and social support (family, friends) have such moderating effects on the relationship between depression and suicidal thought of older people. The survey data collected from 359 community residing older people (65 and over) were used for analysis. Major results were as follows. First, depression had a strong impact on suicidal ideation of older persons. Second, family support was negatively related with suicidal ideation, while stresses due to life problems were positively related with it. Third, the effect of depression on suicidal ideation of older people was modified by both family support and life problems. That is, social support from spouse and children attenuated the effect of depression on suicidal ideation of older people, while life problems magnified it. Based on the results, some practical implications were suggested. Depressed older people should be identified as at-risk group for suicide. Prompt intervention would be necessary to reduce risk for suicidal thought among depressed elders who experienced serious life problems recently. Family support needed to be activated for depressed older people, because it played an important role regarding their consideration of suicide.

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    참고문헌 (Reference)

    1 기백석, "한국판 노인 우울척도 단축형의 표준화 예비 연구" 35 (35): 298-307, 1996

    2 "통계청"

    3 김기환, "청소년 자살의 특성과 유형에 관한 연구" 9 : 127-152, 2000

    4 강상경, "우울이 자살을 예측하는가? : 우울과 자살태도 관계의 성별·연령 차이" 한국사회복지연구회 41 (41): 67-100, 2010

    5 이미애, "스트레스 대처방안을 매개로 한 노인의 스트레스와 우울 및 자살생각 간의 관계" 한국사회복지연구회 34 (34): 307-325, 2007

    6 보건복지부, "보건복지통계"

    7 최서희, "도시 재가 노인의 자살의도 및 관련요인" 지역사회간호학회 19 (19): 5-12, 2008

    8 이혜자, "대도시 여성노인의 정신건강과 사회인구학적 관련 변인" 22 : 127-150, 2003

    9 김현순, "노인의 자살생각에 대한 경로분석" 한국상담심리학회 19 (19): 801-818, 2007

    10 한삼성, "노인의 자살생각 결정요인에 관한 연구" 한국보건사회연구원 29 (29): 164-181, 2009

    1 기백석, "한국판 노인 우울척도 단축형의 표준화 예비 연구" 35 (35): 298-307, 1996

    2 "통계청"

    3 김기환, "청소년 자살의 특성과 유형에 관한 연구" 9 : 127-152, 2000

    4 강상경, "우울이 자살을 예측하는가? : 우울과 자살태도 관계의 성별·연령 차이" 한국사회복지연구회 41 (41): 67-100, 2010

    5 이미애, "스트레스 대처방안을 매개로 한 노인의 스트레스와 우울 및 자살생각 간의 관계" 한국사회복지연구회 34 (34): 307-325, 2007

    6 보건복지부, "보건복지통계"

    7 최서희, "도시 재가 노인의 자살의도 및 관련요인" 지역사회간호학회 19 (19): 5-12, 2008

    8 이혜자, "대도시 여성노인의 정신건강과 사회인구학적 관련 변인" 22 : 127-150, 2003

    9 김현순, "노인의 자살생각에 대한 경로분석" 한국상담심리학회 19 (19): 801-818, 2007

    10 한삼성, "노인의 자살생각 결정요인에 관한 연구" 한국보건사회연구원 29 (29): 164-181, 2009

    11 배지연, "노인의 우울 및 자살생각에 있어서 사회적지지의 완충효과" 한국노년학회 25 (25): 59-73, 2005

    12 박봉길, "노인의 심리사회적 특성이 우울감과 자살생각에 미치는 조절효과에 관한 연구*" 한국노년학회 28 (28): 969-989, 2008

    13 김효창, "노인 자살의 특성과 자살유형에 관한 연구" 한국문화및사회문제심리학회 12 (12): 1-19, 2006

    14 엄태완, "노인 자살관련 요인: 무망감과 우울증이 자살생각에 미치는 영향에 대한 사회적 지지와 자아통제감의 효과를 중심으로" 한국사회복지학회 59 (59): 355-379, 2007

    15 Holms, T. H., "The social readjustment rating scale" 11 : 213-218, 1967

    16 Barnow, S., "The relation between suicidal feelings and mental disorders in the elderly: results from Berlin Aging Study(BASE)" 34 : 741-746, 2004

    17 Carey, K. M., "The lived experiences of the independent oldest old in community-based programs: A Heideggerian Hermeneutical Analysis" The University of Chicago 2004

    18 Hobbs, M., "The interrelations of agency, depression, and sucicidal ideation among older adults" 39 (39): 161-171, 2009

    19 Brown, S. L., "The interplay among risk factors for suicide ideation and suicide: the role of depression, poor health, and loved ones’ messages of support and criticism" 32 : 131-141, 2003

    20 McLaren, S., "The association of depression and sense of belonging with suicidal ideation among older adults: applicability of resiliency models" 37 (37): 89-102, 2007

    21 이인정, "The Role of Social Support in the Relationship between Stressful Life Events and Quality of Life among the Oldest Old" 한국사회복지연구회 40 (40): 405-430, 2009

    22 Nelson, J. C., "Symptoms of late-life depression: frequency and change during treatment" 13 : 520-526, 2005

    23 Conwell, Y., "Suicide prevention in later life: a glass half full, or half empty?(2009)" 166 (166): 845-848, 2009

    24 Corna, L. M., "Suicide ideation in older adults: relationship to mental health problems and service use" 50 (50): 785-797, 2010

    25 Heisel, M., "Suicide and its prevention among older adults" 51 (51): 143-154, 2006

    26 Bonnewyn, A., "Suicidality and suicide in older people" 19 : 271-294, 2009

    27 Li, L. W., "Social support and depressive symptoms: Differential patterns in wife and daughter caregivers" 52 (52): 200-211, 1999

    28 Vanderhorst, R. K., "Social relationships as predictors of depression and suicidal ideation in older adults" 9 : 517-525, 2005

    29 Schroepfer, T. A., "Social relationships and their role in the consideration to hasten death" 48 (48): 612-621, 2008

    30 Sandlands, E. A., "Self-poisoning by the older person: a review" 17 : 191-198, 2007

    31 Cohen, C. I., "Racial differences in suicidality in an older urban population" 48 (48): 71-78, 2008

    32 Harwood, D. M. J., "Psychiatric disorder and personality factors associated with suicide in older people; a descriptive and case-control study" 16 : 155-165, 2001

    33 Waern, M., "Predictors of suicide in the old elderly" 49 (49): 328-334, 2003

    34 Duberstein, P. R., "Personality traits and suicidal behavior and ideation in depressed inpatients 50 year of age and older" 55 (55): 18-26, 2000

    35 Oyama, H., "Outcomes of community-based screening for depression and suicide prevention among Japanese elders" 46 (46): 821-826, 2006

    36 Scocco, P., "One-year prevalence of death thoughts, suicidal ideation" 17 : 842-846, 2002

    37 박미진, "Negative life stressors and suicide ideation in community dwelling older adults: Compensatory and buffering effects of protective factors" 한국정신보건사회복지학회 (32) : 199-214, 2009

    38 Kiyak, A., "Methodological Inquiry into the Schedule of Recent Life Events" 1976

    39 Krause, N., "Lifetime trauma, emotional support, aand life satisfaction among older adults" 44 (44): 615-623, 2004

    40 Harwood, D. M. J., "Life problems and physical illness as risk factors for suicide in older people: a descriptive and case-control study" 36 : 1265-1274, 2006

    41 OECD, "Health Data"

    42 Sheikh, J., "Geriatric depression scale(GDS) recent evidence and development of a shorter version" 5 (5): 165-173, 1986

    43 Ingersoll-Dayton, B. N., "Gender differences in social support and quality of life among retirees" University of Michigan 1982

    44 Oyama, H., "Effects of community-based intervention using depression screening on elderly suicide risk: a meta-analysis of the evidence from Japan" 44 : 311-320, 2008

    45 Vanderwerker, L. C., "Differences in risk factors for suicidality between African American and White patients vulnerable to suicide" 37 (37): 1-9, 2007

    46 Preville, M., "Correlates of suicide in the older adult population in Quebec" 35 (35): 91-105, 2005

    47 Beck, A. T., "Assessment of suicidal intention: the scale for suicidal ideation" 47 (47): 343-352, 1979

    48 Adams, R. G., "Aging well with friends and family" 39 (39): 209-224, 1995

    49 안준희, "A Study on Antecedents of Suicidal Ideation among Korean Older Adults: A test of the Stress-diathesis Model" 한국노년학회 29 (29): 489-511, 2009

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