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Health, Income, and Suicidal Ideation Among Older Adults in South Korea: A Gender Comparison

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Abstract

The levels of suicide and suicidal ideation are relatively high at older ages across the world, and many researchers have explored the risk factors. Most studies view suicidal ideation as a mental health issue related to depression, which is caused largely by age-related reduction of status and loss of control. This paper takes a sociological perspective and postulates the relevance of societal normative pressures to analyses. We assume that the strong norms of gendered roles in South Korea (prescribing men to be breadwinners and women, homemakers) will moderate the way income and health affect suicidal ideation and predict that the associations will differ by gender. We used a random-intercept logit model on data from three waves of the Korean Welfare Panel Survey (KOWEPS) conducted between 2012 and 2014. Results broadly confirm the prediction, showing that both low income and poor health increase the probability of suicidal ideation for both men and women, but the effect of income is salient for the former. Among men with low incomes, the probability of suicidal ideation is relatively high even when their health status is good. Among women, it is the confluence of low income and poor health that most increases suicidal ideation. These findings remain the same after controlling for social support variables. As mediators linking income and health to suicidal ideation, self-esteem is notable for men and depression for women. The implication of this study is sociological, where at older ages, people’s perceived failures to fulfill their own social roles are risk factors for suicidal ideation.

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References

  • Aneshensel, C. S. (2015). Sociological inquiry into mental health: The legacy of Leonard I. Pearlin. Journal of Health and Social Behavior, 56, 166–178

    Article  Google Scholar 

  • Atkinson, A. B., Rainwater, L., & Smeeding, T. (1995). Income distribution in OECD countries: The evidence from the Luxembourg income study. Paris: OECD

    Google Scholar 

  • Ayotte, B. J., Yang, F. M., & Jones, R. N. (2010). Physical health and depression: A dyadic study of chronic health conditions and depressive symptomatology in older adult couples. Journal of Gerontology: Psychological Sciences, 65B, 438–448

    Article  Google Scholar 

  • Baller, R. D., & Richardson, K. K. (2002). Social integration, imitation, and the geographic patterning of suicide. American Sociological Review, 67, 873–888

    Article  Google Scholar 

  • Barry, L. C. (2019). Passive Suicidal Ideation in Older Adults: Implications for Suicide Prevention. American Journal of Geriatric Psychiatry, 27(12), 1411–1413

    Article  Google Scholar 

  • Byun, S. Y., Schofer, E., & Kim, K. K. (2012). Revisiting the role of cultural capital in East Asian educational systems: The case of South Korea. Sociology of Education, 85, 219–239

    Article  Google Scholar 

  • Chang, K. S. (2010). South Korea under compressed modernity: Familial political economy in transition. London: Routledge

    Book  Google Scholar 

  • Dong, L., Kalesnikava, V. A., Conzalez, R., & Mezuk, B. (2019). Beyond Depression: Estimating 12-Months Prevalence of Passive Suicidal Ideation in Mid- and Late-Life in the Health and Retirement Study. American Journal of Geriatric Psychiatry, 27(12), 1399–1410

    Article  Google Scholar 

  • Durkheim, E. (1951). Suicide: A study in sociology, (Edited with an introduction by George Simpson, Translated by John A. Spaulding and George Simpson), New York: The Free Press

  • Eaton, W. W., Muntaner, C., & Sapag, J. C. (2010). Socioeconomic stratification and mental disorder. In T. L. Scheid, & T. N. Brown (Eds.), A handbook for the study of mental health: Social contexts, theories, and systems (pp. 226–255). New York: Cambridge University Press

    Google Scholar 

  • Foley, D. L., Goldston, D. B., Costello, E. J., & Angold, A. (2006). Proximal Psychiatric Risk Factors for Suicidality in Youth: The Great Smoky Mountains Study. Archives of General Psychiatry, 63(9), 1017–1024. doi:https://doi.org/10.1001/archpsyc.63.9.1017

    Article  Google Scholar 

  • Girard, C. (1993). Age, gender, and suicide: A cross-national analysis. American Sociological Review, 58, 553–574

    Article  Google Scholar 

  • Heisel, M. J. (2004). Suicide Ideation in the Elderly.Psychiatric Times, 21(3), https://www.psychiatrictimes.com/view/suicide-ideation-elderly

  • Hu, Y. H. (1995). Elderly suicide risk in family contexts: A critique of the Asian family care model. Journal of Cross-Cultural Gerontology, 10, 199–217

    Article  Google Scholar 

  • Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37

    Article  Google Scholar 

  • Jeon, G. S., Jang, S. N., Rhee, S. J., Kawachi, I., & Cho, S. I. (2007). Gender differences in correlates of mental health among elderly Koreans. Journal of Gerontology: Social Sciences, 62B, S323–S329

    Article  Google Scholar 

  • Joiner, T. E. J. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press

    Google Scholar 

  • Ju, Y. J., Park, E. C., Han, K. T., Choi, J. W., Kim, J. L., Cho, K. H., & Park, S. (2016). Low Socioeconomic Status and Suicidal Ideation among Elderly Individuals. International Psychogeriatrics, 28(12), 2055–2066

    Article  Google Scholar 

  • Kaplan, M. S., McFarland, B. H., Huguet, N., & Newsom, J. T. (2007). Physical illness, functional limitations, and suicide risk: A population-based study. American Journal of Orthopsychiatry, 77, 56–60

    Article  Google Scholar 

  • Katerndahl, D. A., & Parchman, M. (2002). The ability of the stress process model to explain mental health outcomes. Comprehensive Psychiatry, 43, 351–360

    Article  Google Scholar 

  • Kim, B. J., & Kihl, T. (2021). Suicidal Ideation Associated with Depression and Social Support: A Survey-based Analysis of Older Adults in South Korea. BMC Psychiatry, 21, 409. https://doi.org/410.1186/s12888-12021-03423-12888

  • Kim, J., Lee, Y. S., & Lee, J. (2016). Living arrangements and suicidal ideation among the Korean older adults. Aging and Mental Health, 20, 1305–1313

    Article  Google Scholar 

  • Kim, T., Oh, M., Lee, J., Shin, J., Jung, H., Choi, J., & Kim, J. (2018). The 2018 Korea Welfare Panel Study (KOWEPS): Descriptive Report. Seoul, Korea: Korea Institute for Health and Social Affairs

    Google Scholar 

  • Ko, Y., Han, S. Y., & Jang, H. Y. (2021). Factors Influencing Suicidal Ideation and Attempts among Older Korean Adults: Focusing on Age Discrimination and Neglect. International Journal of Environmental Research and Public Health, 18(4), https://doi.org/10.3390/ijerph18041852

  • Lee, K. K. (1998). Confucian tradition in the contemporary Korean family. In W. H. Slote, & G. A. DeVos (Eds.), Confucianism and the family (pp. 249–264). Albany: State University of New York Press

    Google Scholar 

  • Lee, S. Y., & Atteraya, M. S. (2019). Depression, Poverty, and Abuse Experience in Suicide Ideation Among Older Koreans. International Journal of Aging and Human Development, 88(1), 46–59

    Article  Google Scholar 

  • Lee, Y. J. (2000). Support between rural parents and migrant children in a rapidly industrializing society: South Korea. In A. Mason, & G. Tapinos (Eds.), Sharing the wealth: Demographic change and economic transfers between generations. Oxford: Oxford University Press

    Google Scholar 

  • Lee, Y. J. (2016). Multiple dimensions of gender role attitudes: Diverse patterns among four East Asian societies. In M. C. Tsai, & W. C. Chen (Eds.), Family, work, and wellbeing in Asia (pp. 67–87). Singapore: Springer

    Google Scholar 

  • Lutz, J., Morton, K., Turiano, N. A., & Fiske, A. (2016). Health conditions and passive suicidal ideation in the survey of health, ageing, and retirement in Europe. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 71, 936–946

    Article  Google Scholar 

  • Maimon, D., & Kuhl, D. C. (2008). Social control and youth suicidality: Situating Durkheim’s ideas in a multilevel framework. American Sociological Review, 73, 921–943. doi:https://doi.org/10.2307/25472568

    Article  Google Scholar 

  • Marmot, M. (2004). The status syndrome: How social standing affects our health and longevity. New York: Henry Holt and Company

    Book  Google Scholar 

  • Miech, R. A., & Shanahan, M. J. (2000). Socioeconomic status and depression over the life course. Journal of Health and Social Behavior, 41, 162–176

    Article  Google Scholar 

  • Mirowsky, J., & Ross, C. E. (2003). Education, social status, and health. New York: Aldine de Gruyter

    Google Scholar 

  • Mueller, A. S., & Abrutyn, S. (2016). Adolescents under pressure: A new Durkheimian framework for understanding adolescent suicide in a cohesive community. American Sociological Review, 81, 877–899

    Article  Google Scholar 

  • OECD. (2019). Health at a Glance 2019: OECD Indicators. Paris: OECD Publishing. https://data.oecd.org/healthstat/suicide-rates.htm

    Book  Google Scholar 

  • OECD (2017). Preventing ageing unequally. Paris: OECD. https://doi.org/10.1787/9789264279087-en

  • Osgood, N. (1984). Suicide. In E. Palmore (Ed.), Handbook on Aging in the United States. Westport: Greenwood Press

    Google Scholar 

  • Park, H. (2007). Inequality of educational opportunity in Korea by gender, socio-economic background and family structure. The International Journal of Human Rights, 11, 179–197

    Article  Google Scholar 

  • Park, H., & Choi, J. (2015). Long-term trends in living alone among Korean adults: Age, gender, and educational differences. Demographic Research, 32, 1177–1208

    Article  Google Scholar 

  • Pearlin, L. I., Menaghan, E. G., Lieverman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22, 337–356

    Article  Google Scholar 

  • Pyszczynski, T., Greenberg, J., Solomon, S., Arndt, J., & Schimel, J. (2004). Why do people need self-esteem? A theoretical and empirical review. Psychological Bulletin 130(3):435 – 68. doi: https://doi.org/10.1037/0033-2909.130.3.435. PMID: 15122930

  • Rabe-Hesketh, S., & Skrondal, A. (2012). Multilevel and longitudinal modeling using STATA. College Station, TX: Stata Press

    Google Scholar 

  • Raymo, J. M., Park, H., Xie, Y., & Yeung, W. J. J. (2015). Marriage and family in East Asia: Continuity and change. Annual Review of Sociology, 41, 471–492

    Article  Google Scholar 

  • Ross, C. E., & Mirowsky, J. (2006). Sex differences in the effect of education on depression: Resource multiplication or resource substitution? Social Science & Medicine, 63, 1400–1413

    Article  Google Scholar 

  • Sakong, I., & Koh, Y. (2010). The Korean economy: Six decades of growth and development. Seoul: Korea Development Institute

    Google Scholar 

  • Sowislo, J. F., & Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological Bulletin, 139, 213–240

    Article  Google Scholar 

  • StataCorp (2017). STATA Longitudinal-Data/Panel-Data Reference Manual Release 15. College Station, TX:STATA Press

  • Stockard, J., & O’Brien, R. M. (2002). Cohort effects on suicide rates: International variations. American Sociological Review, 67, 854–872

    Article  Google Scholar 

  • Stone, D. M., Holland, K. M., Bartholow, B., Crosby, A. E., Davis, S., & Wilkins, N. (2017). Preventing Suicide: A Technical Package of Policies, Programs, and Practices. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

  • Thoits, P. A. (1992). Identity structures and psychological well-being: Gender and marital status comparisons. Social Psychology Quarterly, 55, 236–256

    Article  Google Scholar 

  • Thoits, P. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52, 145–161

    Article  Google Scholar 

  • Turner, R. J. (2010). Understanding health disparities: The promise of the stress process model. In W. R. Avison, C. S. Aneshensel, S. Schieman, & B. Wheaton (Eds.), Advances in the conceptualization and study of the stress process: Essays in honor of Leonard I. Pearlin (pp. 3–21). New York: Springer

    Google Scholar 

  • Turner, R. J., & Lloyd, D. A. (1999). The stress process and the social distribution of depression. Journal of Health and Social Behavior, 40, 374–404

    Article  Google Scholar 

  • Umberson, D., & Montez, J. K. (2010). Social relationships and health: A flashpoint for health policy. Journal of Health and Social Behavior, 51S, S54–S66

    Article  Google Scholar 

  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S., Selby, E. A., & Joiner, T. E. J. (2010). The interpersonal theory of suicide. Psychological Review, 117, 575–600

    Article  Google Scholar 

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Funding

This study was funded by the Core University Program for Korean Studies through the Ministry of Education of the Republic of Korea and Korean Studies Promotion Service of the Academy of Korean Studies (AKS-2015-OLU-225005).

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Correspondence to Yean-Ju Lee.

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Lee, YJ., Park, K. Health, Income, and Suicidal Ideation Among Older Adults in South Korea: A Gender Comparison. Population Ageing 16, 859–874 (2023). https://doi.org/10.1007/s12062-022-09360-y

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  • DOI: https://doi.org/10.1007/s12062-022-09360-y

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