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The Relationships between Rural Elderly¡¯s Suicide Literacy, Suicide Stigma and Coping Advice for Suicide Prevention: The Moderated Mediation Effect of Social Expectations for Experiencing Negative Emotions

Research in Community and Public Health Nursing 2022³â 33±Ç 2È£ p.164 ~ 174
KMID : 1104420220330020164
¾È¼øÅ ( An Soon-Tae ) - Ewha Womans University Department of Communication and Media

ÀÌÇϳª ( Lee Ha-Nnah ) - Ewha Institute for Age Integration Research
Á¶Á¤Èñ ( Cho Jeong-Hee ) - Gimje Community Health Centery

Abstract

Purpose: The purpose of this study is to examine the effects of the rural elderly suicide literacy level upon suicide stigma and coping advice with suicidal crises (recommending professional help for a suicidal person). In particular, this study investigates the role of cultural norms (perceived social expectations for the experience of negative emotions) on suicide stigma and coping ability.

Methods: A survey was conducted addressing elderly people (N=119) living in rural areas. Regression analysis using SPSS PROCESS macro was used to examine the relationships among the key variables.

Results: Participants with higher suicide literacy showed lower suicide stigma, and this perception had a significant effect on enhancing their coping advice with suicidal crises. Also, perceived social expectations significantly influenced the relationship between suicide stigma and coping advice. With lower levels of social expectations, the mediating effect of suicide stigma on the relationship between suicide literacy and recommending professional help did not exist whereas the indirect effect was significant when it pertained to high levels of social expectations.

Conclusion: This result signifies that suicide stigma serves as a barrier deterring Koreans from reaching out for professional help regarding their mental health. Moreover, these findings underscore the importance of cultural psychological factors such as perceived social expectations in terms of developing suicide prevention strategies.
KeyWords
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Rural community, Elderly, Suicide, Health literacy
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed