중년성인의 자살생각 관련 요인

Influencing Factors of Suicidal Ideation among Korean Middle-aged Adults: A Secondary Data Analysis from the 2016-2017 Korean National Health and Nutrition Examination Survey

Purpose: This study aimed to identify the prevalence of suicidal ideation and influencing factors among Korean middle-aged men and women through the use of national health statistics. Methods: This study employed statistical data extracted from the 2016-2017 Korean National Health and Nutrition Examination Survey, and subjects were 3,008 middle-aged men and women, aged 40-65 years. The following variables were included in survey items: marital status, education, current employment status, income, living arrangement, smoking, drinking, sleep duration, chronic disease, depression, and counselling. Data were analysed utilizing a complex sample multiple logistic regression analysis with the SPSS/WIN 25.0 program. Results: The prevalence of suicidal ideation was found to be 3.0% in middle-aged men and 5.1% in middle-aged women. Influencing factors of suicidal ideation among middle-aged men included current employment status (OR=0.44, 95% CI=0.20∼0.96) and whether they had received counselling (OR=9.38, 95% CI=2.47∼35.54), while other factors such as high income levels (OR=0.35, 95% CI=0.13∼0.93), upper-middle income levels (OR=0.35, 95% CI=0.16∼0.77), if respondents were drinkers (OR=3.18, 95% CI=1.20∼8.47), and if they had received counselling (OR=8.58, 95% CI=1.79∼41.04) were related to suicidal ideation among middle-aged women. Conclusion: The results of this study show that influencing factors of suicidal ideation in Korean middle-aged men and women are different. Therefore, taking these findings into consideration, it may be helpful to tailor interventions according to gender. In addition, healthcare providers should assess suicidal ideation and provide interventions without discriminating against those who receive mental health counselling, regardless of whether they are men or women.