Kim Jong Pil, Hyun Mi Yeul
College of Nursing, Graduate School of Inje University, Busan, Korea.
J Korean Acad Nurs. 2013 Apr;43(2):296-303. doi: 10.4040/jkan.2013.43.2.296.
The purpose of this study was to investigate the prevalence of depression and suicidal ideation in elders with dementia and to identify factors influencing their suicidal ideation.
A descriptive and cross-sectional study was conducted from February to March, 2011. The participants were 298 older adults whose MMSE-KC score was 15 to 23. Collected Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression.
According to the Geriatric Depression Scale (GDS) classification criteria, 86.2% of the elders in this study exhibited depression (GDS=5), and 31.5% manifested severe depression. The mean score of suicidal ideation was 5.70 (range 0-20). The risk factors for suicidal ideation were depression, suicidal attempt experience, present location for care, and activities of daily living.
The results of this study can be utilized in the development of suicide prevention programs for older adults with dementia. In particular, depression should be screened and managed to reduce suicidal ideation of older adults with dementia.
本研究旨在调查痴呆症老年人中抑郁症和自杀意念的患病率，并确定影响其自杀意念的因素。
2011年2月至3月进行了一项描述性横断面研究。参与者为298名MMSE-KC评分为15至23的老年人。收集的数据采用t检验、方差分析、Pearson相关系数和逐步多元回归进行分析。
根据老年抑郁量表（GDS）分类标准，本研究中86.2%的老年人表现出抑郁（GDS=5），31.5%表现为重度抑郁。自杀意念的平均得分为5.70（范围0-20）。自杀意念的危险因素为抑郁、自杀未遂经历、当前护理地点和日常生活活动。
本研究结果可用于制定痴呆症老年人自杀预防项目。特别是，应筛查和管理抑郁症，以减少痴呆症老年人的自杀意念。
