Predictors of suicidal ideation in Korean American older adults: analysis of the Memory and Aging Study of Koreans (MASK).

Predictors of suicidal ideation in Korean American older adults: analysis of the Memory and Aging Study of Koreans (MASK).
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DOI:
10.1002/gps.4608
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发表时间:
2017-12
影响因子:
4
通讯作者:
Lee HB
Lee HB
中科院分区:
医学2区
文献类型:
--
作者:
Na PJ;Kim KB;Lee-Tauler SY;Han HR;Kim MT;Lee HB

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我们的目的是调查韩裔美国老年人自杀意念的患病率和预测因素,并评估有或无抑郁综合征的韩裔美国老年人自杀意念的自测心理健康状况。韩国人的记忆和衰老研究是一项横断面流行病学研究,对居住在巴尔的摩-华盛顿地区的韩裔美国老年人(N = 1116)进行社区代表性样本。参与者接受了采访,使用韩语版的患者健康问卷(PHQ-9 K)。此外,还获得了人口统计学信息、自我评定的心理健康状况和自我评定的身体健康状况。在这项研究中,14.7%的韩裔美国老年人报告了自杀意念。自杀意念的预测因素包括独居、重度或轻度抑郁综合征(由PHQ-9 K诊断)、在美国居住的时间较短以及自我评定的心理健康状况较差。在报告有自杀意念的人中,64%没有轻微或严重的抑郁综合征。然而,他们的自评心理健康状况与那些患有重度或轻度抑郁症但没有自杀意念的人一样差。无抑郁综合征的自杀意念在韩裔美国老年人中很常见。对于这群自评心理健康状况较差的老年人,未来的研究应着眼于提高早期发现自杀风险和制定可行的自杀预防干预措施。
Our aim is to investigate the prevalence and predictors of suicidal ideation among Korean American older adults and assess the self-rated mental health of Korean American older adults with suicidal ideation with or without depressive syndrome. The Memory and Aging Study of Koreans is a cross-sectional, epidemiologic study of a community-representative sample of Korean American older adults (N = 1116) residing in the Baltimore–Washington area. Participants were interviewed using the Korean version of the Patient Health Questionnaire (PHQ-9K). In addition, demographic information, self-rated mental health, and self-rated physical health status were obtained. In this study, 14.7% of Korean American older adults reported suicidal ideation. Predictors of suicidal ideation included living alone, major or minor depressive syndrome (diagnosed by the PHQ-9K), shorter duration of residency in the USA, and poorer self-rated mental health status. Of those who reported suicidal ideation, 64% did not have minor or major depressive syndrome. However, their self-rated mental health was as poor as that of those with major or minor depressive syndrome but without suicidal ideation. Suicidal ideation without depressive syndromes was common among Korean American older adults. For this group of elders with poor self-rated mental health, future studies should look to improving early detection of suicide risks and developing feasible suicide prevention interventions.
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