Kim Yujeong, Lee Eunmi
College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, Republic of Korea.
Department of Nursing, Hoseo University, Asan, Republic of Korea.
Psychol Res Behav Manag. 2023 Mar 21;16:905-914. doi: 10.2147/PRBM.S405667. eCollection 2023.
Various natural and human made disasters occur worldwide. This study aimed to identify the factors affecting suicidal ideation in victims of disasters such as typhoons, heavy rainfall, fires, and earthquakes.
Data were obtained from a long-term survey on life changes among disaster victims conducted in 2019 by the National Disaster Management Research Institute. The study included 2234 victims of natural and social disasters occurring in Korea between 2012 and 2018. Suicidal ideation was assessed using the Korean version of the Composite International Diagnostic Interview developed by the World Health Organization. The participants' demographic characteristics, disaster-related characteristics, physical characteristics, psychological characteristics, and social characteristics were analyzed as the influencing factors. The data were analyzed using the chi-square test, -test, and logistic regression.
Of the 2234 subjects in this study, 32 were disaster victims who had experienced suicidal ideation, accounting for 1.4%. The results showed that the factors affecting suicidal ideation included disaster-related injury/disease, depression, and social support. The odds ratio of suicidal ideation was higher when there was injury/disease (OR=1.89, 95% CI=0.07-0.48), with higher depression levels (OR=1.31, 95% CI=1.18-1.47) and with lower social support (OR=0.94, 95% CI=0.90-0.99).
This study identifies the significant influencing factors of suicidal ideation in disaster victims, which were as follows: disaster-related injury or disease, depression, and social support. Our study's findings would contribute to screening high-risk groups of suicidal ideation and developing effective support, interventions, and suicide prevention programs for disaster victims. Furthermore, to prevent suicide and promote the healthy recovery of disaster victims, mental health care services aimed at suicide prevention should be reinforced and the victims should be provided with psychological support and treatment without financial burden.
世界各地发生了各种自然和人为灾害。本研究旨在确定影响台风、暴雨、火灾和地震等灾害受害者自杀意念的因素。
数据来自国家灾害管理研究所2019年对灾害受害者生活变化进行的一项长期调查。该研究纳入了2012年至2018年期间在韩国发生的自然和社会灾害的2234名受害者。使用世界卫生组织开发的韩国版综合国际诊断访谈评估自杀意念。将参与者的人口统计学特征、灾害相关特征、身体特征、心理特征和社会特征作为影响因素进行分析。数据采用卡方检验、t检验和逻辑回归进行分析。
本研究的2234名受试者中，有32名是经历过自杀意念的灾害受害者，占1.4%。结果表明，影响自杀意念的因素包括与灾害相关的伤害/疾病、抑郁和社会支持。当存在伤害/疾病（比值比=1.89，95%置信区间=0.07-0.48）、抑郁水平较高（比值比=1.31，95%置信区间=1.18-1.47）以及社会支持较低（比值比=0.94，95%置信区间=0.90-0.99）时，自杀意念的比值比更高。
本研究确定了灾害受害者自杀意念的重要影响因素，如下：与灾害相关的伤害或疾病、抑郁和社会支持。我们研究的结果将有助于筛查自杀意念的高危人群，并为灾害受害者制定有效的支持、干预和自杀预防计划。此外，为了预防自杀并促进灾害受害者的健康康复，应加强旨在预防自杀的心理健康护理服务，并为受害者提供无经济负担的心理支持和治疗。
