Behavior Characteristics and Risk Factors for Suicide Among the Elderly in Rural China

Liu, Bao-Peng; Qin, Ping; Jia, Cun-Xian

doi:10.1097/nmd.0000000000000728

Cited by 25 publications

(28 citation statements)

References 48 publications

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“…For exposure to suicidal behavior (composite measure-suicide or suicide attempt), 5 studies (N = 2,145) provided a total of 10 effect sizes for suicide (k = 7) and suicide attempt (k = 3). Studies were from a range of geographic settings including Australia/New Zealand [46][47][48], North America [16,18,28,[49][50][51][52][53][54][55][56][57], Europe [17,41,[58][59][60][61][62][63], East Asia [26,27,[64][65][66][67][68][69], the Middle East [39,42], and South America [70]. Overall, 20/34 studies involved youths aged 25 years or less.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

Association of suicidal behavior with exposure to suicide and suicide attempt: A systematic review and multilevel meta-analysis

et al. 2020

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Background Exposure to suicidal behavior may be associated with increased risk of suicide, suicide attempt, and suicidal ideation and is a significant public health problem. However, evidence to date has not reliably distinguished between exposure to suicide versus suicide attempt, nor whether the risk differs across suicide-related outcomes, which have markedly different public health implications. Our aim therefore was to quantitatively assess the independent risk associated with exposure to suicide and suicide attempt on suicide, suicide attempt, and suicidal ideation outcomes and to identify moderators of this risk using multilevel metaanalysis.

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Section: Characteristics Of Studiesmentioning

confidence: 99%

Association of suicidal behavior with exposure to suicide and suicide attempt: A systematic review and multilevel meta-analysis

et al. 2020

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“…Kanada'da yaşlılarda en sık kullanılan intihar metodu ateşli silah kullanımı (%28) iken, bunu ası (%24) izlemektedir (11). Çin'de yaşlı-larda en sık kullanılan intihar metodu, pestisit ve fare zehiri alımıdır (13,19). Ülkemizde ise; intihar amacıyla en sık kullanılan yöntem ası (%47,2) olup, bunu ateşli silah kullanımı (%26,9) takip etmektedir (4).…”

Section: Olguunclassified

“…Yaşlılıkta yalnız yaşamak ve bekâr -dul olmak da intihar girişimi için risk faktörleri arasındadır (13,14,26,30 girişimi olgularının yalnız yaşamasının mortalite üzerine etkili olduğu belirtilmiştir (1). Ülkemizde yeni yapılan bir çalışmada da yalnız yaşayan yaş-lılarda intihar riskinin yüksek olduğu bildirilmiştir (17).…”

Section: Olguunclassified

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Elderly suicide: Three cases report

Hösükler¹,

Erkol²,

Gündoğdu³

et al. 2017

Adli Tip Derg

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GIRIŞDünya Sağlık Örgütü'ne (DSÖ) göre "65 yaş ve üzeri" insanlar yaşlı olarak kabul edilmektedir. Yaşlı nüfus kendi içinde; 65-74 yaş grubu "genç yaşlı", 75-84 yaş grubu "yaşlı" ve "85 yaş ve üze-ri" ileri yaşlı olarak üç alt gruba ayrılmaktadır (1). Küresel olarak nüfus yaşlanmakta ve 65 yaş üzeri kişiler birçok ülkede intihara en yatkın grup olarak görülmektedir (2). Ülkemizde yaşlı nüfu-sun tüm nüfusa oranı 1970 yılında %4,4 iken, 2015 yılında bu oran %8,2 olmuştur (3). Ülke-mizde 2006 yılında gerçekleşen tüm intiharların %8,7'si 65 yaş ve üzeri olgular iken, bu oran 2015 yılında %11,7'ye yükselmiştir (4). Bu veriler; gü-nümüzde üzerinde çok durulmayan yaşlı intiharlarının, eğer gerekli tedbirler alınmazsa, gelecekte ciddi bir sağlık sorununa dönüşebileceğini göstermektedir.Bolu Adli Tıp Şube Müdürlüğü'nde 2016 yılı içe-risinde otopsisi yapılan üç yaşlı intihar olgusu sunularak, literatür eşliğinde tartışılması amaç-lanmaktadır. OLGU 1İlk olgumuz 77 yaşında bir erkektir. Yakınlarının ifadesinde; köyde oğlu ve gelini ile birlikte yaşadığı, içine kapanık bir insan olduğu, son zamanlarda içine daha da kapandığı belirtilmiştir. Olay günü tarlada çalışan olgunun öğlen vakti oğlunu yemek yemesi için eve yolladığı, kendisi- Çalışmada üç yaşlı intiharı olgusunun sunularak yaşlılarda intihara götüren nedenlerin ve buna yönelik olarak alınabilecek önlemlerin tartışılması amaçlanmaktadır.Sonuç olarak yaşlılara verilecek sosyal ve psikolojik desteğin, intihar oranının azalmasına katkı sağlayacağını düşünmekteyiz.Anahtar Kelimeler: Yaşlı intiharları, yaşlı intiharlarındaki risk faktörleri, intihar yöntemleri, ası, ateşli silah. ABSTRACTAs in the whole world, the proportion of elderly population in Turkey is increasing rapidly, In parallel, the rate of suicides seen in the elderly is also steadily increasing. Losing their spouses and relatives, living alone, physical and psychiatric diseases, economic problems, loss of social status are the risk factors for suicide in elderly adults. In present, elderly suicides are emerging as a serious public health problem. In our country, hanging and firearms are the most frequently suicide methods in the elderly group.It is aimed to discuss the causes of suicide in the elderly and the precautions that can be taken against it by presenting the case of three elderly suicide in the study.As a result; we think that the social and psychological support given to the elderly will contribute to the decrease of suicide rate.

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“…In the age groups 60-69, 70-79, 80+, the suicide rates were 23.4, 44.0, and 61.3 per 100,000 respectively, which are almost 3 to 8 times higher than the rates among the general population [3]. Furthermore, the suicide rates in Chinese rural areas are considerably higher than those in urban areas [4]. Because of the pressure of an aging population currently, perceptions of suicide prevention towards older adults in rural China are particularly vital.…”

Section: Introductionmentioning

confidence: 99%

The pattern of life events preceding suicide among the elderly in rural China: a national case-control psychological autopsy study

Wang

Jia

et al. 2019

Preprint

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Background Life events associated with an increased risk of suicide and prior to the suicide in China different from those in Western countries. But there is a lack of summary of the elderly life event patterns on Chinese suicide. The aim of this study was to identify the pattern of life events which precede suicide among the elderly in a Chinese culture context.Methods A two-stage stratified cluster sampling method was used in order to select research sites and 12 counties were randomly selected to recruit cases within three provinces. A case-control psychological autopsy study was then adopted. The study population consisted of 242 suicide cases each with an age of 60 and above, and 242 age-, sex-, and location-matched community living controls. During face-to-face interviews, the information from subjects and proxy informants was obtained by standardized trained investigators. Life events were measured using a 46-item Life Event Scale for the Elderly (LESE).Results About 99.6% of suicides and 88.4% of controls resulted from the experience of at least one life event. The elderly who had committed suicide experienced more long-term life events. The top three most frequent life events were being diagnosed with chronic disease, hospitalization, and being diagnosed with terminal illness. Women more often experienced the death of spouse, while men experienced more hospitalization, and were more likely to be diagnosed with terminal illness and suffer family poverty. The risk of suicide among the elderly who experience life events was 12.8 times higher than that in people who did not experience life events. The elderly who were having unstable marital status, suffering from physical diseases and diagnosed with mental disorders, are more likely to commit suicide.Conclusions Understanding the pattern of life events which precede suicides among the elderly in rural China plays an important role in the prevention of suicide. Several different long-term life events can lead to suicidal behavior, and the effect of life events on suicide is cumulative. Being diagnosed with a serious disease may be one of the risk signals for suicide among the elderly.

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Behavior Characteristics and Risk Factors for Suicide Among the Elderly in Rural China

Cited by 25 publications

References 48 publications

Association of suicidal behavior with exposure to suicide and suicide attempt: A systematic review and multilevel meta-analysis

Association of suicidal behavior with exposure to suicide and suicide attempt: A systematic review and multilevel meta-analysis

Elderly suicide: Three cases report

The pattern of life events preceding suicide among the elderly in rural China: a national case-control psychological autopsy study

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