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중년성인의 자살생각 관련 요인: 2016∼2017년도 국민건강영양조사의 2차 자료분석

Influencing Factors of Suicidal Ideation among Korean Middle-aged Adults: A Secondary Data Analysis from the 2016-2017 Korean National Health and Nutrition Examination Survey

Nursing & Health Issues 2020년 25권 2호 p.83 ~ 91
김고운, 김수진,
소속 상세정보
김고운 ( Kim Go-Un ) - Yonsei University College of Nursing
김수진 ( Kim Soo-Jin ) - Chonnam National University College of Nursing

Abstract


Purpose: This study aimed to identify the prevalence of suicidal ideation and influencing factors among Korean middle-aged men and women through the use of national health statistics.

Methods: This study employed statistical data extracted from the 2016-2017 Korean National Health and Nutrition Examination Survey, and subjects were 3,008 middle-aged men and women, aged 40-65 years. The following variables were included in survey items: marital status, education, current employment status, income, living arrangement, smoking, drinking, sleep duration, chronic disease, depression, and counselling. Data were analysed utilizing a complex sample multiple logistic regression analysis with the SPSS/WIN 25.0 program.

Results: The prevalence of suicidal ideation was found to be 3.0% in middle-aged men and 5.1% in middle-aged women. Influencing factors of suicidal ideation among middle-aged men included current employment status (OR=0.44, 95% CI=0.20∼0.96) and whether they had received counselling (OR=9.38, 95% CI=2.47∼35.54), while other factors such as high income levels (OR=0.35, 95% CI=0.13∼0.93), upper-middle income levels (OR=0.35, 95% CI=0.16∼0.77), if respondents were drinkers (OR=3.18, 95% CI=1.20∼8.47), and if they had received counselling (OR=8.58, 95% CI=1.79∼41.04) were related to suicidal ideation among middle-aged women.

Conclusion: The results of this study show that influencing factors of suicidal ideation in Korean middle-aged men and women are different. Therefore, taking these findings into consideration, it may be helpful to tailor interventions according to gender. In addition, healthcare providers should assess suicidal ideation and provide interventions without discriminating against those who receive mental health counselling, regardless of whether they are men or women.

키워드

중년; 성인; 자살
Middle-aged; Adult; Suicide

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