19-64세 성인의 스트레스, 우울, 불안이 자살 생각에 미치는 영향

Abstract

Objectives: The purpose of this study was to provide the basic data of suicide prevention and mental health promotion program. This study analyzed factors related to stress, depression, anxiety and suicidal ideation among 19-64 year old adults.

Methods: This study was a secondary data analysis using raw data from 2,446 people who participated in the Gwangju Citizen's Mental Health Survey conducted in 2014. The variables included in the analysis included general characteristics, health characteristics, stress, depression, anxiety, and suicidal ideation. Frequency analysis, descriptive statistics, t-test, chi-squared, and logistic regression analysis were also performed.

Results: The mean stress in the 19-64 year old adult was 1.5±0.61, depression average was 10.9±6.20, and anxiety level was 31.4±4.98. Age, income, education, marital status, housing type and health care were significantly related to suicidal ideation and general characteristics of adults. Problem drinking, exercise, smoking, meal, and sleep were significantly related to health characteristics as well as stress, depression, anxiety and suicidal ideation. Multiple logistic regression analysis showed that the medium stress (OR=2.83, 95% CI=1.729-4.642), high stress (OR=4.03, 95% CI=2.421-6.717) and mild depression (OR=3.33, 95% CI=2.043-5.434), moderate depression (OR=4.94, 95% CI=2.701-9.052), severe depression (OR=8.51, 95% CI=4.300-16.877) and anxiety(OR=1.03, 95% CI=1.003-1.077) were significantly associated with suicidal ideation

Conclusions: In this study, the factors affecting suicidal ideation in 19-64 year old adults varied, but the risk of suicide was high especially when stress, depression, and anxiety were high. Therefore, more active suicide prevention and mental health promotion programs will be needed.