Clinical Determinants of Suicidal Ideation and Behavior in Geriatric Depression

Alexopoulos, George S.; Bruce, Martha L.; Hull, James W.; Sirey, Jo Anne; Kakuma, Tatsuyuki

doi:10.1001/archpsyc.56.11.1048

Cited by 193 publications

(139 citation statements)

References 36 publications

(32 reference statements)

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“…More often, among elderly patients, it has been shown that hopelessness best predicts suicidal ideation in the presence of moderate or higher levels of depressive symptoms [82]. Predictors of suicide attempts include previous suicide attempts with serious intent and severity of depression [83]. Elderly patients who have attempted suicide tend to have higher levels of hopelessness even after successful treatment for depression [84].…”

Section: Discussionmentioning

confidence: 99%

Evidence-Based Pharmacologic Interventions for Geriatric Depression

Shanmugham

Karp

Drayer

et al. 2005

Psychiatric Clinics of North America

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Section: Discussionmentioning

confidence: 99%

Evidence-Based Pharmacologic Interventions for Geriatric Depression

Shanmugham

Karp

Drayer

et al. 2005

Psychiatric Clinics of North America

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“…Whereas ideators and attempters tend to be younger and female, completed suicide is more com-mon in older men. SI is a significant predictor of both attempted and completed suicide (Alexopoulos et al 1999;Goldstein et al 1991), and AS is among the most potent predictors of subsequent CS (Goldstein et al 1991), although most who kill themselves have not previously attempted to take their own lives. SI, AS, and CS, therefore, appear to be distinct, but overlapping populations.…”

Section: Methodologic Issuesmentioning

confidence: 99%

Risk factors for suicide in later life

Conwell

Duberstein

Caine

2002

Biological Psychiatry

614

454

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“…Furthermore, the rate of suicide among the elderly has decreased over the last decade in OECD countries, while in Korea there has been a 2.3-fold increase in the suicide rate 1) . The proportion of people aged 65 years or older exceeded 7% of the total population in Korea in 2000, reaching 13.1% in 2015, and is expected to reach 40% by 2060. Population aging and the rate of suicide among the elderly population are closely associated, and it is predicted that suicide among the elderly will become an important social issue in the future 3) .…”

Section: Introductionmentioning

confidence: 99%

“…Thus, many different factors interact to provoke suicide among the elderly [9][10][11][12] . Furthermore, the suicide success rate is higher among the elderly than among other age groups, as the elderly tend to plan and choose highly lethal methods of suicide, rather than committing suicide on impulse 13) .…”

Section: Introductionmentioning

confidence: 99%

The Characteristics of Elderly Patients With Suicide Attempts: A Comparative Study With Non-elderly Patients

Kim

Jeong

Lee

et al. 2016

Ann Geriatr Med Res

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Background: Social changes related to the elderly in regard to factors such as population, region, cohabitant status and depression incidence, have recently been observed. The aim of our study was to investigate the characteristics of elderly suicide attempters according to these changes. Methods: We retrospectively reviewed the medical records of suicide attempters who visited an Emergency Department between January 2013 and March 2016. Patients were classified into an elderly or non-elderly group. Data included demographic, socioeconomic, and clinical characteristics. The Risk-Rescue Rating Scale (RRRS) and Suicide Intent Scale (SIS) scores were calculated. Results: Of 340 patients, 78 were elderly. Male sex, lower educational and financial status, chronic disease, and depression were more common in the elderly group, while previous history of suicide attempt was more frequent in the non-elderly group. RRRS was higher in the elderly group, while SIS was not significantly different between the 2 groups. Unlike the non-elderly group, no correlation between suicide lethality and intention was found in the elderly group. Multiple logistic regression analysis identified that chronic disease, depression, unemployment, cohabitation, and high lethality were risk factors of suicidal attempts in the elderly. Similar results were observed in the study classified by suicide method. Conclusion: Chronic disease, depression, unemployment, and lethality were found to be risk factors of suicidal attempts in the elderly. However, unlike previous reports, several risk factors, including male sex, cohabitation, and suicide intention took on a different aspect in our study. The differences in these characteristics can be an important guide aiming to develop specific elderly suicide precautions.

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Clinical Determinants of Suicidal Ideation and Behavior in Geriatric Depression

Cited by 193 publications

References 36 publications

Evidence-Based Pharmacologic Interventions for Geriatric Depression

Evidence-Based Pharmacologic Interventions for Geriatric Depression

Risk factors for suicide in later life

The Characteristics of Elderly Patients With Suicide Attempts: A Comparative Study With Non-elderly Patients

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