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J Korean Acad Psychiatr Ment Health Nurs > Volume 28(3); 2019 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2019;28(3):248-258.
DOI: https://doi.org/10.12934/jkpmhn.2019.28.3.248    Published online October 4, 2019.
Suicidal Ideation among Older People by Different Living Arrangement: The Mediating Effect of Pleasurable Activities.
Bora Kim, Serah Lim, Wontae Hong, Heejung Kim
1Master's Student, College of Nursing, Yonsei University, Seoul, Korea.
2Assistant Professor, College of Nursing · Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea. hkim80@yuhs.ac
Abstract
PURPOSE
The purpose of this study was to examine mediating effects of pleasurable activities on the relationship between depression and suicidal ideation among the elderly moderated by living arrangement such as those living alone (LA) versus those living with others (LWO). METHODS: This study is a cross-sectional and correlational design using secondary data analysis of the 2017 Korean National Survey on the Elderly (2,416 for the LA group, and 6,106 for the LWO group). Logistic regression analysis was conducted comparing effects of pleasurable activities on suicidal ideation between the two groups. RESULTS: For suicidal ideation, there were significant differences in suicidal ideation by sex, religion, and senior center visits in the LA group, while the LWO group had no significant differences identified. Both groups showed significantly different associations of suicidal ideation by socioeconomic status, gathering, meaningful interaction, and depression. Senior center visits were statistically significant in the LA group, while there was not significant in the LWO group. CONCLUSION: Visiting senior centers can reduce suicidal ideation of the LA group. To prevent suicidal ideation of the elderly living alone, mental health specialists should provide community-cooperative environments to address these issues, especially LA elderly.
Key Words: Suicidal ideation; Depression; Leisure activities; Aged; Residence characteristics
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