2017년 광역자치단체 자살예방정책: 제3차 국가자살예방기본계획 및 지자체 자살예방시행계획 수립매뉴얼을 기준으로 한 구성요소 및 세부과제 분석

김정수 ( Kim Jung-soo ),김지은 ( Kim Ji Eun ),송인한 ( Song In Han ) 한국보건사회연구원 2018 保健社會硏究 Vol.38 No.3

국제연합(UN)과 세계보건기구(WHO)가 자살예방 국가전략에 대해 강조한 바와 같이 자살률 감소를 위해 지방정부의 주도적 역할은 핵심적이다. 특히, 지역의 상황과 맥락을 반영하여 수립된 지방정부의 자살예방계획은 실효성 있는 자살예방사업을 위해 대단히 중요하다. 효과적 자살예방사업을 달성하기 위한 핵심요소가 지방자치단체 자살예방계획에 포함되어 수립되었는지를 조사하기 위해, 제 3차 자살예방기본정책의 3대전략에 포함된 20개 세부과제 및 지방자치단체 자살예방 계획 수립 매뉴얼의 11개 구성요소를 기준으로 전국 17개 광역자치단체의 자살예방정책을 전수 조사하여 심층적으로 내용분석하고 기술적 통계를 분석하였다. 분석 결과 광역자치단체의 자살예방계획 수립시 추진체계, 추진일정, 관리계획 등에서 개선되어야 할 점이 발견되었다. 이를 근거로 자살률 감소를 위한 지방자치단체 자살예방정책이 보완되어야 할 점에 대해 논의하고 향후 자살예방정책 수립의 방향에 대해 제안하였다. As the United Nations and the World Health Organization emphasized on suicide prevention national strategies, the local government's leading role in reducing suicide rates is a key factor. Especially the local government's suicide prevention plan, which has been established in accordance with the local situation and context, is very important for effective suicide prevention projects. To investigate whether the core components for achieving effective suicide prevention programs were included in the local governments’ suicide prevention plans, suicide prevention policies of all 17 metropolitan local governments in Korea were investigated based on the 20 detailed tasks in the 3 strategies of the National Suicide Prevention Policy and the 11 core components of the Local Governments Suicide Prevention Plan Implementation Manual for in-depth contents analysis and descriptive statistics. The results show that the planning system, schedule, management plan need to be improved when establishing the metropolitan governments’ suicide prevention plan. Based on these findings, we discussed the need to supplement the local governments’ suicide prevention policy to reduce the suicide rate and propose the future direction of suicide prevention policy.

Comparison of Families with and without a Suicide Prevention Plan Following a Suicidal Attempt by a Family Member

조흥돈,김남영,길효욱,정두신,홍세용 대한의학회 2015 Journal of Korean medical science Vol.30 No.7

The frequency and extent of the existence of a familial suicide prevention plan may differ across cultures. The aim of this work was, therefore, to determine how common it was for families to develop a suicide prevention plan and to compare the main measures used by families with and without such a plan, after an attempt to commit suicide was made by a member of a family living in a rural area of Korea. On the basis of the presence or absence of a familial suicide prevention plan, we compared 50 recruited families that were divided into 2 groups, with Group A (31 families) employing a familial suicide prevention plan after a suicide attempt by a family member, and Group B (19 families) not doing so. The strategy that was employed most frequently to prevent a reoccurrence among both populations was promoting communication among family members, followed by seeking psychological counseling and/or psychiatric treatment. Contrary to our expectation, the economic burden from medical treatment after a suicide attempt did not influence the establishment of a familial suicide prevention plan. It is a pressing social issue that 38% (19 of 50) of families in this study did not employ a familial suicide prevention plan, even after a family member had attempted suicide. Regional suicide prevention centers and/or health authorities should pay particular attention to these patients and their families.

Comparison of Families with and without a Suicide Prevention Plan Following a Suicidal Attempt by a Family Member

Cho, Heung-Don,Kim, Nam-Young,Gil, Hyo-wook,Jeong, Du-shin,Hong, Sae-yong The Korean Academy of Medical Sciences 2015 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.30 No.7

<P>The frequency and extent of the existence of a familial suicide prevention plan may differ across cultures. The aim of this work was, therefore, to determine how common it was for families to develop a suicide prevention plan and to compare the main measures used by families with and without such a plan, after an attempt to commit suicide was made by a member of a family living in a rural area of Korea. On the basis of the presence or absence of a familial suicide prevention plan, we compared 50 recruited families that were divided into 2 groups, with Group A (31 families) employing a familial suicide prevention plan after a suicide attempt by a family member, and Group B (19 families) not doing so. The strategy that was employed most frequently to prevent a reoccurrence among both populations was promoting communication among family members, followed by seeking psychological counseling and/or psychiatric treatment. Contrary to our expectation, the economic burden from medical treatment after a suicide attempt did not influence the establishment of a familial suicide prevention plan. It is a pressing social issue that 38% (19 of 50) of families in this study did not employ a familial suicide prevention plan, even after a family member had attempted suicide. Regional suicide prevention centers and/or health authorities should pay particular attention to these patients and their families.</P>

주변인의 자살경험이 노인의 자살생각, 자살계획, 자살시도에 미치는 영향에 관한 연구

정명희,허성희 한국노인복지학회 2017 노인복지연구 Vol.72 No.1

This study aimed to verify the possibility that the suicide loss (suicidal experience of neighbours and friends) affects copycat suicide of the elderly and the risk factors that affect their suicide when they have experienced suicide loss. Based on this, this study inspected how much suicide loss has influence on three stages of the elderly regarding suicide such as suicidal ideation, suicidal plan and suicidal attempt, respectively. And also this study checked the influence of the previous stage on the following one based on the three stages of elderly suicide. For this study, we surveyed elderly people who are over 65 years old and living in five districts in Seoul. Total 100 questionnaires were used for comprehensive analysis. The main findings of this study are as follows. First, 20%(20 persons) of the elderly in the study had experience of suicide loss. Second, it was found that the experience of suicide loss significantly affects suicidal ideation, plan and attempt of the elderly, which means higher suicide loss could lead to higher suicidal ideation, plan and attempt of the elderly. Third, significant influences were found three stages of elderly suicide focused on the controlled variables. The degree of suicidal ideation tended to be higher when respondents lived alone, their educational levels were lower and their depression levels were higher; the degree of suicidal plan were higher when their educational levels were lower, their depression levels were higher and they have little support systems; and the degree of suicidal attempt were higher when their economic status were higher and they have little support systems. Lastly, each suicidal stage appeared to be affected by the previous stage of suicide. Based on the findings, this study proposed practical and policy suggestions to prevent and intervene in elderly suicide in effective ways based on the community. 본 연구의 목적은 노인이 가까운 친구나 이웃과 같은 주변인의 자살경험에 노출 되었을때, 노인자살에 미치는 영향에 대한 검증을 통해 모방자살의 가능성과 자살위험 요인이 될수 있을 측면을 검증하는데 있다. 본 연구에서 살펴보고자 하는 주변인의 자살경험은 자신의 친구 및 이웃 중 자살시도를 하여 실제 사망한 경우와 자살시도를 하였으나 사망하지 않은 경우를 모두 포함하는 의미이다. 이에 따라 본 연구에서는 주변인의 자살경험이 노인의자살생각과 자살계획, 자살시도 3가지 영역에 각각 미치는 영향력을 살펴보았다. 동시에 3가지 노인자살 영역을 중심으로 이전 단계가 다음 단계에 영향을 미치는지를 살펴보았다. 연구대상은 서울시 5개구에 거주하는 65세 이상 노인을 대상으로 설문조사를 실시하였으며, 100부를 최종분석에 활용하였다. 이에 대한 주요 연구결과는 다음과 같다. 첫째, 연구대상자의 20%(20명)가 주변인의 자살경험이 있는 것으로 나타났다. 전반적인 노인 자살정도의 평균점수는 1.33점이며, 각각의 영역별로는 자살생각 1.46점, 자살계획 1.12점, 자살시도 1.13점으로나타났다. 둘째, 주변인의 자살경험이 노인의 자살생각, 자살계획, 자살시도 3가지 영역에 미치는 영향을 살펴본 결과, 이들 모두에 유의한 영향력을 보여 주변인의 자살경험이 있을수록 자살생각, 자살계획, 자살시도가 높은 것으로 나타났다. 셋째, 통제변수들을 중심으로 노인자살의 3가지 영역에 미치는 요인을 각각 살펴본 결과, 자살생각은 교육수준이 낮고 독거이며, 우울수준이 높을수록, 자살계획은 교육수준이 낮고 우울수준이 높고 지지체계 수가 낮을수록, 자살시도는 경제수준이 높고 지지체계 수가 작을수록 유의한 영향력을 미치고 있는것으로 나타났다. 마지막으로 각 자살 단계들은 이전 자살단계의 영향을 받는 것으로 나타났다. 이러한 결과를 바탕으로 본 연구에서는 지역사회에 기반한 실질적인 노인 자살예방과개입을 위한 실천적․정책적인 제언을 제시하였다

한국청소년의 자살과 신체활동 실태연구

이성민 ( Sungmin Lee ),김근국 ( Geunkook Kim ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.1

이 연구의 목적은 한국청소년들의 일반적 특성에 따른 자살생각과 자살계획, 자살시도의 차이를 알아보고, 신체활동 참여빈도에 따른 자살생각과 자살계획, 자살시도는 어떠한 차이를 보이는지 알아보기 위한 것이다. 연구 대상은 전국 중학생과 고등학생으로 57,303명이 최종분석에 활용되었다. 수집된 자료는 PASW 25.0 version program을 사용하여 통계분석을 수행하였고, 빈도분석, 교차분석을 실시하여 나온 결과는 다음과 같다. 첫째, 일반적 특성에 따른 자살생각과 자살계획, 자살시도는 도시규모 일부를 모든 요인에서 유미한 차이가 나타났다. 둘째, 신체활동 참여 빈도에 따른 자살생각과 자살계획, 자살시도는 자살계획을 제외한 2요인 모두 유의미한 차이가 있는 것으로 나타났다. 이와 같은 결과는 자살과 같은 부정적인 요인을 해소하기 위해서는 일반적 특성을 고려한 전략과 신체활동 참여가 보다 중요한 영향을 미칠 것으로 사료된다. The purpose of this study is to investigate the differences between suicide thoughts, suicide plans, and suicide attempts according to the general characteristics of Korean youth. The purpose of this study was to find out what differences exist between suicide thoughts, suicide plans, and suicide attempts according to the frequency of physical activity participation. The subjects of this study were middle and high school students nationwide, 57,303 people were used for the final analysis. For the collected data, statistical analysis was performed using the PASW 25.0 version program, and frequency analysis and cross-analysis were performed. The result is as follows. First, suicide thoughts, suicide plans, and suicide attempts according to general characteristics showed slight differences in all factors in part of the city scale. Second, it was found that there were significant differences in suicide thoughts, suicide plans, and suicide attempts according to the frequency of physical activity participation in all of the two factors except for the suicide plan. These results suggest that in order to resolve negative factors such as suicide, strategies considering general characteristics and participation in physical activities will have a more important influence.

청소년의 우울, 자살생각, 자살계획, 자살시도에 영향을 미치는 요인

신혜정,정익중,이상아,이향연,박재연 한국학교사회복지학회 2014 학교사회복지 Vol.- No.27

최근 청소년 자살이 심각한 문제로 떠오르면서 이에 대한 사회적 관심도 높아지고 있다. 청소년의 자살은 하나의 개별적인 요인에 의해 발생하기 보다는 개인, 가족 그리고 학교와 관련된 복합적인 요인에 의해 발생하고 있다. 본 연구에서는 청소년 자살을 네 가지 차원(우울, 자살생각, 자살계획, 자살시도)으로 구분하고 각 차원에 따라 개인, 가족, 학교 영역에서 영향을 미치는 요인이 공통적인지, 차별적인지에 대해 살펴보고자 하였다. 이를 위해 한국복지패널 자료를 이용하였으며 연구대상은 439명의 고등학생이었다. 연구 결과 청소년 자살의 네 가지 차원에 영향을 미치는 공통적 요인과 차별적 요인이 동시에 있었으며 네 가지 차원에서 통계적으로 유의하게 나타난 공통적 요인으로 위축, 비행경험이 있었고, 세 가지 차원에서 나타난 공통적 요인으로는 학업스트레스, 성추행피해경험, 자아존중감이 있었다. 또한 각 자살단계들은 이전 자살단계의 영향을 받는 것으로 나타났다. 연구 결과에 기초하여 청소년의 자살예방을 위한 대책이 논의되었다. Since the mortality of adolescent suicidal attempts has been increasing in Korea for several years, adolescent suicide has recently emerged as a serious social problem. Adolescent suicide has been previously reported to be caused by complex factors in individual, family, and school domains. This study aims to investigate the ecological factors that affect adolescent suicide mainly focusing on four dimensions of suicide(depression, suicidal ideation, suicide plans, and suicide attempts). Data was obtained from the 7th wave of Korea Welfare Panel Survey. The subjects consisted of 439 high school students. The results revealed that there were common and specific factors affecting four dimensions of suicide. In all four dimensions, withdrawal and delinquency were common factors; and in three dimensions, academic stress, sexual assault, and self-esteem showed statistical significance. Furthermore, each dimension appeared to be affected by previous dimension of suicide. Based on the results of this study, comprehensive intervention strategies to prevent adolescent suicide were discussed for youth welfare.

청소년의 궐련형 전자담배 사용과 자살관련행동과의 관계

조준호(Jun Ho Cho) 한국환경보건학회 2020 한국환경보건학회지 Vol.46 No.4

Objectives: The aim of this study was to assess the association between the use of heated tobacco products (HTP) and suicidal behaviors such as suicidal ideation, suicide planning, and suicide attempts among adolescents in South Korea. Methods: The study used a cross-sectional design. Data was from the 15th Korea Youth Risk Behavior Web-based Survey (KYRBS) performed in 2019 by the Ministry of Education, Ministry of Health and Welfare, and Korean Center for Disease Control and Prevention. Heated tobacco product use was used as a main independent variable and suicide-related behaviors such as suicidal ideation, planning, and attempts were applied as dependent variables. Out of 60,100 students, 57,303 responded. Results: HTP use significantly increased the odds of a suicide attempt and suicide planning among adolescents. After controlling for confounders, when comparing ‘current HTP users’ with ‘never HTP users’, the adjusted odds ratio (OR) was 1.78 (95% confidence interval (CI): 1.38-2.30) for suicide attempts among adolescents. After controlling the confounders, comparing ‘current HTP users’ with ‘never HTP users’, the adjusted OR was 1.36 (95% CI: 1.06-1.73) for suicide planning among adolescents. For sadness/despair among adolescents, when comparing ‘current HTP users’ with ‘never HTP users’, the adjusted OR was 1.29 (95% CI: 1.11-1.50). However, HTP use had no significant association with suicidal ideation among adolescents. Conclusions: Current HTP users were more likely to attempt to commit suicide, and more likely to plan to commit suicide than never HTP users among adolescents. These results may be useful in developing a scientific basis for designing suicide prevention programs targeting adolescents.

위기의 청소년들: 자살 생각, 계획, 시도에 영향을 미치는 요인 비교

김은영 ( Eun Young Kim ),이서준 ( Seo Joon Lee ),박수진 ( Su Jin Park ),이성규 ( Sung Kyu Lee ),임국환 ( Kook Hwan Rhim ) 대한보건협회 2014 대한보건연구 Vol.40 No.3

연구목적 : 청소년의 자살 생각, 계획, 시도에 영향을 미치는 중요한 위험 변수를 찾고자 하였다. 연구방법 : 대표성 있는 표본을 위해 복합표본 설계가 된 ‘2013년 청소년 건강행태 온라인 조사’ 데이터에 가중치를 부여하여 기술통계와 회귀분석을 하였다. 연구결과 : 청소년들은 자살생각(16.6%), 자살계획(5.7%), 자살시도(4.1%)를 하고 있었으며, 자살생각 경험이 있는 학생들중 30%가 자살계획을 세웠고, 그들 중 15%가 자살시도를 하였다. 남학생들 보다 여학생들이, 학년이 낮을수록, 가족이 없는 학생들이 그리고 흡연과 음주를 하는 학생들이 자살행동의 가능성이 높았다. 스트레스를 많이 받는다고 하는 학생들과 일상생활이 불가능할 정도의 절망감을 느낀 적이 있다고 한 학생들에게서 자살행동의 가능성은 매우 높았으며, 행복하다고 느끼는 학생일수록 자살행동의 가능성이 낮았다. 결론 : 청소년의 자살은 사회의 큰 손실이다. 청소년의 자살을 방지하기 위한 정책적인 개선이 필요하고 자살행동에 영향을 주는 요인을 고려한 자살방지프로그램의 운영이 요구된다. Objectives : To find significant risk factors which affect adolescents’ suicidal ideation, plans and attempt. Methods : Data was based on 2013 Korean Youth Risk Behavior Web-based Survey. We used the weights, strata and primary sampling unit information provided by the public use dataset to compute descriptive statistics and logistic regressions. Computations were done with SPSS version 20.0. Results : 16.6% of the total participants (72,435 of total adolescents aged 13-18 years old) had experienced suicide ideation, 5.70% of the participants planned suicide, and 4.10% actually attempted suicide. 30% of students with suicide ideation planned suicide and 15% of them attempted suicide among students who experienced suicide ideation. Girls showed a greater risk for suicidal ideation (20.39% of girls vs. 13.09% of boys, p<.001), suicide plans (6.72% of girls vs. 4.73% of boys, p<.001), and suicide attempts (5.54% of girls vs. 2.82% of boys, p<.001). The likelihood of all suicide behavior increased as the grades decreased among adolescents. Students with no family showed higher suicidal behavior than students with intact family (Suicide ideation; OR 2.38, 95% CI 1.78-3.18, Suicide plans; OR 4.90, 95% CI 3.79-6.87, Suicide attempt; OR 4.60, 95% CI 3.20-6.62). Students who smoke and drink alcohol were more likely to attempt suicide than those who don’t. Those with lower happiness status had higher odds on suicide behavior. Lastly, higher stress levels led to higher suicide ideation and higher sadness levels led to higher suicide ideation, plans and attempt. Conclusion : Given that adolescents’ suicide is a major public health concern, current suicide prevention programs for adolescents should be improved by strategically approaching the risk factors proven in this study.

청소년 자살시도 관련 변인이 자살시도 유형에 미치는 영향

이승진(Lee, Seung Jin),유난숙(Yu, Nan Sook) 한국가정과교육학회 2020 한국가정과교육학회지 Vol.32 No.4

본 연구 목적은 청소년 자살시도자의 양상을 분석하고, 개인심리(주관적 우울감, 주관적 스트레스), 건강상태(주관적 건강인식,BMI), 주관적 학업성적이 청소년 자살시도 유형(계획적 자살시도자와 충동적 자살시도자)에 미치는 영향력을 알아보았다. 이를위해 제 15차(2019년) 청소건강행태조사 원시자료를 사용하여 위계적 로지스틱 회귀분석을 하였다. 연구결과는 다음과 같다. 첫째, 청소년 자살시도자의 양상을 살펴본 결과, 청소년 자살시도자 1,731명중 계획적 자살시도자가 1,575명(91%)으로 충동적자살시도자 156명(9%)에 비해 월등히 높게 나타났다. 성별을 살펴보면, 여성(67.3%)이 남성(32.5%)에 비해 자살시도가 높게나타났고, 학교유형별로 보면 중학생(62%)이 고등학생(38%)에 비해 높은 자살시도율을 보였다. 둘째, 자살시도 유형에 유의미한영향을 미치는 변수들은 ‘주관적 우울감’, ‘주관적 스트레스’, ‘주관적 건강인식’이었다. 우울감을 경험한 청소년의 경우 그렇지않은 학생들에 비해 계획적 자살시도를 실행할 비율이 높게 나타났다. 스트레스를 많이 느끼는 청소년의 경우에도 계획적 자살시도자가 높은 것으로 나타났다. 주관적 건강인식의 경우 충동적 자살시도자가 계획적 자살시도자와 비교하여 1.32배 건강하다고생각하는 것으로 나타나 건강하다고 생각하지 않은 청소년의 경우 계획적 자살시도가 높은 것으로 나타났다. 반면에 BMI,주관적 학업성적의 경우 청소년들의 자살시도에 유의미한 영향을 미치지는 않았다. 이러한 연구결과를 기초로 가정과수업이나창의적 체험활동에서 잠재적 청소년 자살시도 예방을 위한 방안을 제안하였다. The purpose of the study were to analyze the patterns of adolescent suicide attempts, and to explore the effects of personalpsychology (subjective depression, subjective stress), health status (BMI, subjective health perception), and subjective academicperformance on the types of youth suicide attempts. For this research, data of ‘The 15th Korea Youth Risk Behavior Survey’were analyzed employing a hierarchical logistic regression analysis. The findings are as follows. First, out of 1,731 youth suicideattempts 156 (9%) were impulsive and 1,575 (91%) were planned. Girls(67.3%) attempted suicide more than boys (32.5%),and middle school students (62%) attempted suicide more than high school students (38%). Second, the variables that significantlyaffect suicide attempt types were subjective depression, subjective stress, and subjective health perception, after controlling forgender, grade level, school type, and SES. The rate of planned suicide attempts was higher among those who experienced depressionthan among those who did not. In the case of subjective stress, adolescents who felt stressed were likely to commit plannedsuicide attempts. Those who attempted impulsive suicide showed 1.32 times higher subjective health perception scores than thosewho attempted planned suicide, indicating adolescents who perceived they were not healthy were more likely to attempt plannedsuicide. BMI and subjective academic performance did not have a significant effect on the types of youth suicide attempts. These findings suggested the necessity of systematic intervention in Home Economics classes or extra-curricular programs, toprevent potential youth suicide attempts.

노인자살의 생태체계요인에 대한 탐색연구

도문학(Doh, Moonhak),허만세(Hoe, Maanse) 경성대학교 사회과학연구소 2015 社會科學硏究 Vol.31 No.2

본 연구는 노인자살에 영향을 미치는 생태체계요인을 탐색하고(연구문제 1), 노인자살에 유의한 생태체계 요인들의 자살고위험군 노인 선별기준값을 제시(연구문제 2)하고자 하였다. 이를 위하여 한국복지패널 6차년도 데이터에서 65세 이상 노인 3,089명을 분석 대상으로 추출하여 사용하였으며, 자살을 측정하는 자살생각, 자살계획, 자살시도를 각각의 종속변수로 선정하고 Kemp의 생태체계이론을 적용해 생태체계요인을 개인, 가족, 지역사회로 구분하여 이에 해당하는 변수들을 독립변수로 사용하였다. 연구문제1의 분석을 위해 세 종속변수들 각각에 대하여 로지스틱 회귀분석을 실시하였고, 연구문제2를 분석하기 위해 일련의 ROC Curve분석을 실시하였다. 연구문제 1의 분석결과, 첫째, 자살생각에 대해 연령, 우울, 외래진료횟수, 가족유형, 가족관계 만족도, 자녀관계만족도가 통계적으로 유의한 요인으로 나타났으며, 둘째, 자살계획에 대해 연령, 우울, 외래진료횟수, 가족유형, 가족관계 만족도가 통계적으로 유의한 요인으로 나타났고, 셋째, 자살시도에 대해 연령, 우울, 가족유형, 가족관계 만족도가 통계적으로 유의하게 나타났다. 연구문제 2의 분석결과, 첫째, 자살고위험군 노인을 선별하기 위한 자살생각에 대한 우울의 선별기준값은 5점, 외래진료횟수는 18회였으며, 둘째, 자살고위험군 노인을 선별하기 위한 자살계획에 대한 우울의 선별기준값은 8점, 외래진료횟수는 19회였으며, 셋째, 자살고위험군 노인을 선별하기 위한 자살시도에 대한 우울의 선별기준값은 8점인 것으로 나타났다. 이러한 본 연구의 주요결과를 토대로 노인자살예방에 대해 논의하였다. The purpose of the present study was to explore ecological system factors influencing elderly suicide and to establish cut-off points of the influencing factors for screening high-risk suicidal elderly. A data set was extracted from the 6th wave of the Korea Welfare Panel data, which consisted of 3,089 old elderly, aged 65 years and older. Data analysis was conducted in two steps. First, logistic regression analysis was used to explore variables that could affect elderly suicide. Second, ROC curve analysis was used to screen for elderly in high-risk suicide group. Logistic regression analysis results show the following research findings. Elderly"s suicide ideation was affected by age, depression, outpatient visit frequency, the elderly who lives alone, relationship satisfaction with family, and relationship satisfaction with adult children. Elderly"s suicide plan was affected by age, depression, outpatient visit frequency, the elderly who lives alone, and relationship satisfaction with family. Elderly"s attempted suicide was affected by age, depression, the elderly who lives alone, and relationship satisfaction with family. ROC curve analysis results show that cut off values of screening elderly persons at high risk for suicide are as follows: Suicide ideation is 5 points of CES-D and 18 points of outpatient visit frequency. Suicide plan is 8 points of CES-D and 19 points of outpatient visit frequency. Attempted suicide is 8 points of CES-D. Study implications were discussed in terms of suicide prevention policy.