@article{ref1,
title="Structural equation modeling of suicidal ideation and associated factors among elderly women in Korea",
journal="Korean journal of health promotion (2011)",
year="2014",
author="Lee, Hung Sa and Lee, Dohyun",
volume="14",
number="4",
pages="162-171",
abstract="Background  Although the suicide rate in Korea is the highest in the world, only limited studies have been done on suicide and its associated factors. In this regard, we studied a conceptual model and the relationships and interactions of activity of daily living (ADL), social support, depression, and suicidal ideation among elderly women in Korea. <br><br>METHODS  A cross-sectional descriptive study, subjects included 194 community-dwelling elderly women. Their ADL, multi-dimensional scale of perceived social support (MSPSS), depression, and suicidal ideation (SI) were examined. The t-test, ANOVA test, Pearson's correlation coefficient, multiple regression analysis, and structural equation modeling were utilized in data analysis. <br><br>RESULTS  There were significant correlations between SI and economic status, social support, and depression. Depression was correlated with not only SI but also ADL (r=0.195, P=0.006) and social support (r=-0.337, P<0.001). Absolute fit indices demonstrated that the research model had a good model fit. There were significant factor loading values from depression to SI (standardized estimate=0.157, P=0.023) and from social support to SI (standardized estimate=-0.308, P<0.001). There were two indirect effects from social support to SI and from ADL to SI. The mediating factor of these two indirect effects was depression. <br><br>CONCLUSIONS  Suicidal ideation in the elderly needs to be prevented; and more attention should be given to this end. Social support programs encouraging family participation are greatly effective in prevention of senior citizens' suicidal ideation. <br><br>KEYWORDS: Suicidal ideation, Social support, Depression, Aged.<p /> <p>Language: ko</p>",
language="ko",
issn="2234-2141",
doi="10.15384/kjhp.2014.14.4.162",
url="http://dx.doi.org/10.15384/kjhp.2014.14.4.162"
}