The Impact of the COVID-19 Pandemic on Suicidal Ideation and Depression in Community-Dwelling Elderly

IF 3.6 3区 医学 Q2 GERIATRICS & GERONTOLOGY
Kyungmin Kim, Bo-Hyun Yoon, Young-Hwa Sea, Suhee Park, Haran Jung, Yuran Jung, Je-Heon Song, Hyunju Yun, Hangoeunbi Kang
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Abstract

Introduction

This study examined the effects of the coronavirus disease 2019 (COVID-19) pandemic on depression and suicidal ideation in community-dwelling elderly in Korea.

Methods

Data were employed from a survey on elderly mental health in Jeollanam-do (southwest province in Korea), conducted by the Jeollanam-do Provincial Mental Health and Welfare Center. A total of 2423 people were recruited from all 22 cities in Jeollanam-do from April to October, 2021. We used self-reported questionnaires including sociodemographic factors, COVID-19-related stress, the Geriatric Depression Scale-Short Form Korean Version, the Multidimensional Scale of Perceived Social Support, the Satisfaction With Life Scale and the Brief Resilience Scale. Logistic regression was performed to examine the factors of depression and suicidal ideation.

Results

Of the 2423 subjects, 622 (25.7%) reported depressive symptoms and 518 (21.4%) reported suicidal ideation. The multivariate logistic regression analysis revealed that living alone, poor perceived health status, worry of COVID-19 infection, and restriction of daily activities due to COVID-19 pandemic are significantly associated with depression. Female gender, poor perceived health status, inability to perform household chores, and depressive symptom are risk factors of suicidal ideation.

Conclusion

These findings show that old age, negative perception of health, and restriction of daily activities due to COVID-19 are risk factors of depression in community-dwelling elderly in the context of the COVID-19 pandemic. Female gender, poor self-perceived health status, and depression increase the risk of suicidal ideation among the elderly. Social support and life satisfaction are protecting factors of both depression and suicidal ideation. Resilience decreased risk of depression but not in suicidal ideation.

COVID-19 大流行对社区老年人自杀意念和抑郁情绪的影响。
内容简介本研究探讨了冠状病毒病 2019(COVID-19)大流行对韩国社区老年人抑郁和自杀倾向的影响:方法:数据来自全罗南道(韩国西南部道)老年人精神健康调查,由全罗南道精神健康福利中心进行。从 2021 年 4 月到 10 月,我们在全罗南道所有 22 个城市共招募了 2423 人。我们使用了自我报告问卷,包括社会人口学因素、COVID-19 相关压力、老年抑郁量表-简表韩国版、感知社会支持多维量表、生活满意度量表和简易复原力量表。对抑郁和自杀意念的影响因素进行了逻辑回归分析:在 2423 名受试者中,有 622 人(25.7%)出现抑郁症状,518 人(21.4%)有自杀倾向。多变量逻辑回归分析显示,独居、健康状况差、担心感染 COVID-19、因 COVID-19 大流行而限制日常活动与抑郁显著相关。女性性别、健康状况差、不能做家务和抑郁症状是自杀倾向的风险因素:这些研究结果表明,在 COVID-19 大流行的背景下,高龄、对健康的负面认知以及因 COVID-19 而导致的日常活动受限是社区老年人患抑郁症的风险因素。女性性别、自我感觉健康状况不佳和抑郁会增加老年人产生自杀念头的风险。社会支持和生活满意度是抑郁和自杀意念的保护因素。复原力能降低抑郁的风险,但不能降低自杀意念的风险。
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来源期刊
CiteScore
6.10
自引率
2.50%
发文量
168
审稿时长
4-8 weeks
期刊介绍: The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.
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