Disability in Daily Living Activities, Family Dysfunction, and Late-Life Suicide in Rural China: A Case–Control Psychological Autopsy Study

Cao, Ruibing; Jia, Cun-Xian; Ma, Zhenyu; Niu, Lu; Zhou, Liang

doi:10.3389/fpsyt.2019.00827

Cited by 11 publications

(11 citation statements)

References 27 publications

(39 reference statements)

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“…In many studies, the relationship between disability, pain, physical illnesses (like cancer), and suicidal behavior in older adults has been demonstrated (9,10,54,55).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the systematic review conducted by Fässberg et al showed that completed suicide specifically had been associated with psychiatric disorders (e.g., major depressive disorder), addictions, and sleep disturbances (54). Among other risk factors, the researchers mentioned marital status (widowed or divorced), family conflicts, material problems, and previous suicide attempts (55,56).…”

Section: Discussionmentioning

confidence: 99%

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Mental Disorders, Cognitive Impairment and the Risk of Suicide in Older Adults

2021

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More than 600 million people are aged 60 years and over are living in the world. The World Health Organization estimates that this number will double by 2025 to 2 billion older people. Suicide among people over the age of 60 is one of the most acute problems. The factors strongly associated with suicide are mentioned: physical illnesses, such as cancer, neurologic disorder, pain, liver disease, genital disorders, or rheumatoid disorders. Moreover, neurologic conditions, especially stroke, may affect decision-making processes, cognitive capacity, and language deficit. In addition to dementia, the most common mental disorders are mood and anxiety disorders. A common symptom of these disorders in the elderly is cognitive impairment. This study aimed to present the relationship between cognitive impairment due to dementia, mood disorders and anxiety, and an increased risk of suicide among older people. Dementia is a disease where the risk of suicide is significant. Many studies demonstrated that older adults with dementia had an increased risk of suicide death than those without dementia. Similar conclusions apply to prodromal dementia Depression is also a disease with a high risk of suicide. Many researchers found that a higher level of depression was associated with suicide attempts and suicide ideation. Bipolar disorder is the second entity in mood disorders with an increased risk of suicide among the elderly. Apart from suicidal thoughts, bipolar disorder is characterized by high mortality. In the group of anxiety disorders, the most significant risk of suicide occurs when depression is present. In turn, suicide thoughts are more common in social phobia than in other anxiety disorders. Suicide among the elderly is a serious public health problem. There is a positive correlation between mental disorders such as dementia, depression, bipolar disorder, or anxiety and the prevalence of suicide in the elderly. Therefore, the elderly should be comprehensively provided with psychiatric and psychological support.

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“…In many studies, the relationship between disability, pain, physical illnesses (like cancer), and suicidal behavior in older adults has been demonstrated (9,10,54,55).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Mental Disorders, Cognitive Impairment and the Risk of Suicide in Older Adults

2021

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“…Our findings that the number of physical conditions is no longer associated with suicide risk after adjustment for the effect that they have on activities of daily living are in agreement with a population-based study conducted in the USA (Kaplan et al ., 2007) though the authors did not consider variation by the degree of activity limitation and age group. Our finding of an association between activity limitation and suicide risk is in agreement with a study conducted in China (Cao et al ., 2019) though the authors did not consider the number of physical illness and individuals younger than 60 years. A recent systematic review found evidence of an association between functional disability and suicidal behaviour (including death by suicide) in adults aged over 50 years (Lutz and Fiske, 2018), but our study suggests this association is more pronounced in younger age groups.…”

Section: Discussionmentioning

confidence: 99%

“…This question wording and binary response failed to capture the chronicity or duration of the activity limitation and the degree of limitation which may both be important for suicide risk. A psychological autopsy study conducted among older adults aged 60 years and over in rural China found that physical illness was not an independent risk factor for suicide but instead severely impaired capability for daily living activities was (Cao et al ., 2019). This Chinese study assessed activity limitation using a scale and categorised the total score into normal, mildly impaired and severely impaired.…”

Section: Introductionmentioning

confidence: 99%

Does physical ill-health increase the risk of suicide? A census-based follow-up study of over 1 million people

Onyeka

Maguire

Ross

et al. 2020

Epidemiol Psychiatr Sci

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Abstract Aims Mental ill-health is a known risk factor for suicide mortality. However, the relationship between physical ill-health and suicide is less clear. This study examined the relationship between different aspects of physical ill-health and the risk of suicide death. Methods Data for 1 196 364 adults (aged 18 years and over) were identified from the 2011 Northern Ireland Census and linked to death registrations until the end of 2015. Multivariate logistic regression was used to construct models to test associations with likelihood ratio tests for interactions. Results Over one in eight individuals (13.7%) reported multimorbidity (⩾2 physical health conditions) and one in four (25.4%) identified having limitation of daily activities. During follow-up, 51 672 individuals died; 877 due to suicide. The gradient in suicide risk by number of physical conditions disappeared following adjustment for activity limitation. Individuals with a lot of activity limitation were over three times more likely to die by suicide (OR = 3.13, 95% CI 2.50–3.93) compared to those with no limitations though this was reduced to OR = 1.72 (95% CI 1.35–2.20) with adjustment for poor mental health. The relationship between activity limitation and suicide was most pronounced at younger ages (18–34 years). Conclusions This study suggests that it is the effect that physical illness has on a person's life, in terms of disruption to daily activity, rather than the number of conditions that predicts suicide risk, especially at younger ages. Improved awareness and better management of mental wellbeing of individuals with physical health conditions may help to reduce suicides, especially in younger people.

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“…Most recent psychological autopsy studies underline the need to have multiple sources of information and a control group. [8][9][10][11][12] The results of this current study were compared with a control group that comprised a representative sample of the general population in the form of the 968 cases of the Mental Health in General Population (MHGP) survey with information terms of suicidality (suicide ideas and attempts), psychiatric diagnoses (by MINI questionnaire with detailed categories), sex and sex disorders, age, marital status and socioprofessional category.…”

Section: Data Sources On Suicide Mortalitymentioning

confidence: 99%

Suicide in French Polynesia: a retrospective analysis based on medicolegal documents and interview with family

et al. 2021

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Objective To analyse the epidemiological data on suicide in French Polynesia (FP). Methods Data on suicides were collected from the Public Health Direction, Judicial Police Investigations Court of Justice records, the Centre d’Opérations et de Renseignements de la Gendarmerie, patient records for those hospitalized in psychiatry and from psychological autopsies. Results The dataset consisted of 316 suicide cases in FP over 25 years (1992–2016). In FP, suicide was more frequent in men (sex ratio 3.2:1), young people (mean age, 34.4 years) and individuals with previously diagnosed psychiatric disorders (100 of 316; 31.6%) The most common method of suicide was hanging (276 of 316; 87.3%). A history of previous suicide attempts was found in 25 of 56 (44.6%) of suicide cases, when documented. The most common potential triggering factors for suicide were emotional problems. The suicide rates have remained stable during 1992–2016 (mean 10.6/100 000 inhabitants per year), with periods of economic crises increasing suicide rates. Conclusions These results provide valuable information to enable the effective targeting of suicide prevention strategies toward those at high risk. Economic crises had larger impacts in the French overseas territories than mainland France. Given the unprecedented economic impact of the Covid-19 pandemic in FP, there is an urgent need to implement suicide epidemiological surveillance and prevention programmes.

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Disability in Daily Living Activities, Family Dysfunction, and Late-Life Suicide in Rural China: A Case–Control Psychological Autopsy Study

Cited by 11 publications

References 27 publications

Mental Disorders, Cognitive Impairment and the Risk of Suicide in Older Adults

Mental Disorders, Cognitive Impairment and the Risk of Suicide in Older Adults

Does physical ill-health increase the risk of suicide? A census-based follow-up study of over 1 million people

Suicide in French Polynesia: a retrospective analysis based on medicolegal documents and interview with family

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