Hwang Ji-Young, Park Il-Su
Community Health Survey Team, Dongguk University, Gyeongju, Korea.
Department of Healthcare Management, Dong-eui University, Busan, Korea.
Osong Public Health Res Perspect. 2021 Oct;12(5):314-323. doi: 10.24171/j.phrp.2021.0208. Epub 2021 Oct 26.
This study analyzed risk factors for suicidal ideation in South Koreans from a life cycle perspective.
A secondary analysis was conducted of data collected in 2015 as part of the 6th Korea National Health and Nutrition Examination Survey (KNHANES). The participants comprised 5,935 individuals aged 12 years or older. The statistical analysis reflected the complex sampling design of the KNHANES, and the Rao-Scott chi-square test and multiple logistic regression analysis were performed.
The prevalence of suicidal ideation was 5.7% in adolescents, 3.7% in young adults, 5.4% in middle-aged adults, and 7.0% in older adults. Depression and stress were risk factors in every stage of the life cycle. In those aged 12 to 19 years, activity restrictions were significantly associated with suicidal ideation. Education and subjective health status were risk factors in adults aged 20 to 39 years, and education, activity restrictions, and quality of life were the major risk factors in those aged 40 to 64 years. For adults 65 years of age or older, the risk of suicidal ideation was higher among those with inappropriate sleep time.
The risk factors for suicidal ideation were found to be different across stages of the life cycle. This suggests a need for individualized suicide prevention plans and specific government policies that reflect the characteristics of each life cycle stage.
本研究从生命周期的角度分析了韩国人自杀意念的风险因素。
对作为第六次韩国国家健康与营养检查调查(KNHANES)一部分于2015年收集的数据进行二次分析。参与者包括5935名12岁及以上的个体。统计分析反映了KNHANES的复杂抽样设计,并进行了Rao-Scott卡方检验和多元逻辑回归分析。
青少年自杀意念的患病率为5.7%,年轻人为3.7%,中年人5.4%,老年人为7.0%。抑郁和压力是生命周期各阶段的风险因素。在12至19岁的人群中,活动受限与自杀意念显著相关。教育和主观健康状况是20至39岁成年人的风险因素,而教育、活动受限和生活质量是40至64岁人群的主要风险因素。对于65岁及以上的成年人,睡眠时间不当者自杀意念的风险更高。
发现自杀意念的风险因素在生命周期各阶段有所不同。这表明需要制定个性化的自杀预防计划和反映每个生命周期阶段特征的具体政府政策。