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韩国最老年人群体自杀意念的相关因素及高危人群预测。

Factors Related to Suicidal Ideation and Prediction of High-Risk Groups among Youngest-Old Adults in South Korea.

机构信息

Department of Nursing, Chungbuk National University, Cheongju 28644, Korea.

College of Nursing, Gyeongsang National University, Jinju 52727, Korea.

出版信息

Int J Environ Res Public Health. 2022 Aug 14;19(16):10028. doi: 10.3390/ijerph191610028.

Abstract

(1) Background: The suicide of older adults shows different factors between the youngest-old adults and the old-old adults. This study aimed to identify factors predicting suicidal ideation among youngest-old adults (ages 65 to 74 years) and predict high-risk groups’ characteristics. (2) Methods: The subjects of this study were 970 youngest-old adults who participated in the Korean National Health and Nutrition Examination Survey (KNHANES VIII Year 1, 2019). Logistic regression analysis identified factors related to suicidal ideation, and decision tree analysis identified combined characteristics among high-risk groups. Data were analyzed using SPSS 27.0. (3) Results: Suicidal ideation became more common among those with relatively lower income levels (OR = 1.48, 95% CI = 1.04−2.12), those whom had experienced depression (OR = 9.28, 95% CI = 4.57−18.84), those with relatively higher stress levels (OR = 2.42, 95% CI = 1.11−5.28), and those reporting a relatively worse perceived health (OR = 1.88, 95% CI = 1.23−3.11). Complex characteristics that combined depression, low personal income level, and low perceived health predicted a high risk of suicidal ideation (64.6%, p < 0.05). (4) Conclusions: The findings indicate that this high-risk group should be prioritized when developing suicide prevention strategies.

摘要

(1) 背景:老年人的自杀表现出不同的因素,这些因素在最年轻的老年人和年老的老年人之间有所不同。本研究旨在确定预测最年轻老年人(65 至 74 岁)自杀意念的因素,并预测高风险人群的特征。

(2) 方法:本研究的对象是参加韩国国家健康和营养检查调查(KNHANES VIII 年 1 期,2019 年)的 970 名最年轻老年人。逻辑回归分析确定了与自杀意念相关的因素,决策树分析确定了高危人群的综合特征。数据使用 SPSS 27.0 进行分析。

(3) 结果:相对较低收入水平(OR=1.48,95%CI=1.04-2.12)、经历过抑郁(OR=9.28,95%CI=4.57-18.84)、相对较高压力水平(OR=2.42,95%CI=1.11-5.28)和报告相对较差的健康感知(OR=1.88,95%CI=1.23-3.11)的人,自杀意念变得更为常见。同时,具有抑郁、个人收入水平低和健康感知差等复杂特征的人,预测自杀意念的风险较高(64.6%,p<0.05)。

(4) 结论:这些发现表明,在制定预防自杀策略时,应优先考虑这一高风险群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98d2/9408520/a50dd05e6d17/ijerph-19-10028-g001.jpg

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