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The Effects of Support and ADL on Suicidal Ideation among Elderly in Korea: The Mediating Effect of Self-esteem and Hope

Affiliations

  • Department of Social Welfare, Seosan City Hall, Korea
  • Department of Child and Adolescent Welfare, Hanseo University, Korea

Abstract


Background/Objectives: This study aimed to identify any structural relationships among Activities of Daily Living (ADL), support and suicidal ideation and to analyze the mediating roles of hope and self-esteem. Methods/Statistical Analysis: The study targeted 330 elderly persons aged 65 or older in S urban and rural complex city. For analysis of data, the study used frequency, correlation, reliability, mean comparison and multiple regression analysis and structural equation modeling. Findings: The correlation analysis showed the following results. First, support and hope, support and self-esteem, ADL and hope and ADL and self-esteem had significant positive correlations but ADL and suicidal ideation, hope and suicidal ideation and self-esteem and suicidal ideation had significant negative correlations. Second, the structural equation model analysis showed that support for the elderly had a significant influence on hope and self-esteem and that ADL had a significant influence on hope, self-esteem and suicidal ideation. Third, in the relationship between support for the elderly and suicidal ideation, hope and self-esteem had indirect effects and were found to be mediating variables. This means that support for the elderly does not have a direct effect on suicidal ideation but is indirectly influenced by hope and self-esteem. In addition, it was found that ADL directly influenced suicidal ideation and was mediated by hope and self-esteem. This result shows that suicidal ideation in the elderly is influenced by hope and self-esteem as well as ADL. Consequently, ADL, hope and self-esteem should all be subjects of focus for preventing suicide among the elderly. Additionally, the roles of hope and self-esteem, which mediate the relationships between support and suicidal ideation and between ADL and suicidal ideation, should also be considered. Application/Improvement: This study will be applicable to prevent the elderly from suicide.

Keywords

ADL, Elderly People, Hope, Self-Esteem, Suicidal Ideation, Support

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References


  • National Statistical Office. National Census. 2015. Available from: www.census.gov
  • Kwon HY. A study on the effect of the elderly’s social support and self-esteem on the suicidal ideation. Hanyang University; 2012.
  • Lee YS. The effect of ecological factors of the bereaved on suicide ideation: Focusing on the moderating effects of living arrangement and gender differences. Sungkyul University; 2011.
  • National Statistical Office. National Census. 2012. Available from: www.statcan.gc.ca/start-debut-eng.html
  • Seosan City Hall. Yearly statistics of Seosan. 2011. Available from: www.alliance-healthycities.com/htmls/database/.../Seosan_CityProfile.pdf 6. Seosan City Health Center. Annual survey of Seosan community health. 2009. Available from: www.oneheartt.org/
  • Seosan City Health Center. Annual survey of Seosan community health. 2012. Available from: www.oneheartt.org/
  • Process of suicidal ideation among low-income older adults in South Korea using a path analysis: Focusing on differences in household living arrangement. Yonsei University; 2008. Available from: www.ncbi.nlm.nih.gov/pubmed/ 26317145
  • Kim HS. A study on factors related with Suicidal Ideation of the elderly in Korea. Korean Journal of Gerontological Society. 2002; 22(1):159–72.
  • Jang MH. Structural model of depression and suicidal ideation of the elderly. Kyunghee University; 2006 p. 21–40.
  • Dennis D. The influence of limitation in activity of daily living and physical health on suicidal ideation: Results from a population survey of Great Britain. Soc Psychiatry Psychiatr Epidemiol. 2009; 44(8):608–13.
  • McGee RF. Hope: A factor influencing crisis resolution. Advances in Nursing Sciences. 1984; 6(4):34–44.
  • Seo HJ. An intervention strategy of social work for preventing suicide of the elderly. Busan University; 2004.
  • Ha SH. The relationship between suicide impulsion of adolescents and psychological variables. Inha University; 2000. p. 185–92.
  • West SG, Finch JF, Curran PJ. Structural equation models with nonnormal variables. Problems and remedies. Structural equation modeling: Concepts, issues and applications. Newbury Park: Yearly Survey of Seosan Regional Health; 1995. p. 56–75.

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