天下雜誌「2018年幸福城市大調查報告」中,宜蘭縣每十萬人口自殺死亡率高居全國第五名,十萬人中就有24.10人自殺,尤以65歲以上的老年族群更加嚴重。不過,根據經濟日報「2018縣市幸福指數大調查報告」,宜蘭縣不論在客觀幸福力,或是主觀幸福感,都呈現上升的狀態。為何宜蘭縣在客觀幸福力及主觀幸福感的指標成績名列前茅,但自殺率卻也高居不下呢?這些調查內容、弔詭的現象,皆引起筆者的興趣與動機,以投入相關研究。本研究以問卷面訪方式,調查宜蘭地區65歲以上長者主觀幸福感、自覺身體健康與自覺心理健康的狀態,以及彼此間的關聯性,並針對社區照顧關懷據點的議題進行調查與探討。
In the "Investigation of Happiness City Report in 2018" by the Common Wealth magazine, the death rate per 100,000 people in Yilan County ranks fifth in the country, and 24.10 out of 100,000 people has committed suicide, especially in the elderly over 65 years old. However, according to the Economic Daily "Report of the 2018 Happiness Index Survey of the County and City", Yilan County has shown an upward state of both objective happiness and subjective well-being. Why is Yilan County at the top of the index of objective happiness and subjective well-being, but the suicide rate is high as well? These investigations and bizarre conditions all cause the author's interest and motivation to invest in relevant research. This study used a questionnaire interview to investigate the subjective well-being, self-conscious physical and mental health status of elders over 65 years old in Yilan, and the relationship between them, and to investigate and discuss the issues of community care center.