노인의 주관적 건강상태가 자살생각에 미치는 영향 : 사회적 고립과 우울의 연속다중매개효과 = The Effects of Subjective Health Status on Suicidal Ideation among Older Adults : Serial Multiple Mediating Effects of Social Isolation and Depression

다국어 초록 (Multilingual Abstract)

The purpose of this study was to examine the effect of subjective health status on suicidal ideation among older adults and the serial multiple mediating effects of social isolation and depression in these relationships. Data on 9,646 older adults ≥ 65 years from the 2020 National Elderly Survey of the Korea Ministry of Health & Welfare. Data were analyzed using SPSS 25.0 and PROCESS macro 4.1((Model 6). The followings are results of the study. First, the direct effect of subjective health status on the suicidal ideation was not significant among older adults(B=-0.02, p=.233). Second, social isolation completely mediated the effect of subjective health status on suicidal ideation(B=0.002, bootstrap 95% CI=.001-.003). Third, depression completely mediated the effect of subjective health status on suicidal ideation(B=0.004, bootstrap 95% CI=.003-.006). Forth, serial multiple mediating effects of social isolation and depression were significant in the relationship between subjective health status and suicidal ideation(B=0.001, bootstrap 95% CI=.001-.002). The results of the study provide valuable foundational data for intervening in the suicidal risk of the older adults and implementing preventative measures.