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Centre for Policy on Ageing | |
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| Factors associated with suicidal thoughts in a large community of older adults | | Author(s) | Osvaldo P Almeida, Brian Draper, John Snowdon |
| Journal title | British Journal of Psychiatry, vol 201, no 6, December 2012 |
| Publisher | Royal College of Psychiatrists, December 2012 |
| Pages | pp 466-472 |
| Source | www.rcpsych.ac.uk |
| Keywords | Ageing process ; Suicide ; Self harm ; Depression ; At risk ; Demography ; Australia. |
| Annotation | Thoughts about death and self-harm in old age have been commonly associated with the presence of depression, but other risk factors may also be important. The aim of the present study was to determine the independent association between suicidal ideation in later life and demographic, lifestyle, socioeconomic, psychiatric and medical factors. A cross-sectional study was conducted of a community-derived sample of 21,290 adults aged 60_101 years enrolled from Australian primary care practices. The authors considered that participants endorsing any of the four items of the Depressive Symptom Inventory _Suicidality Subscale were experiencing suicidal thoughts. They used standard procedures to collect demographic, lifestyle, psychosocial and clinical data. Anxiety and depressive symptoms were assessed with the Hospital Anxiety and Depression Scale. Study findings showed that over a two-week period, the prevalence of suicidal ideation was 4.8%. Male gender, higher education, current smoking, living alone, poor social support, no religious practice, financial strain, childhood physical abuse, history of suicide in the family, past depression, current anxiety, depression or comorbid anxiety and depression, past suicide attempt, pain, poor self-perceived health and current use of antidepressants were independently associated with suicidal ideation. Poor social support was associated with a population attributable fraction of 38.0%, followed by history of depression (23.6%), concurrent anxiety and depression (19.7%), prevalent anxiety (15.1%), pain (13.7%) and no religious practice (11.4%). These findings show that prevalent and past mood disorders seem to be valid targets for indicated interventions designed to reduce suicidal thoughts and behaviour. However the data also indicate that social disconnectedness and stress account for a larger proportion of cases than mood disorders. Should these associations prove to be causal, then interventions that succeed in addressing these issues would contribute the most to reducing suicidal ideation and, possibly, suicidal behaviour in later life. (JL). |
| Accession Number | CPA-121214201 A |
| Classmark | BG: EV: EPS: ENR: CA3: S8: 7YA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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