Elderly suicide attempters by self-poisoning in Korea

Kim, Yoo-Ra; Choi, Kyoung Ho; Oh, Youngmin; Lee, Hae-Kook; Kweon, Yong‐Sil; Lee, Chung Tai; Lee, Kyoung‐Uk

doi:10.1017/s1041610211000263

Cited by 42 publications

(55 citation statements)

References 32 publications

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“…Thus, the lethality of subjects' scores included relatively low risk and high likelihood of rescue. This finding contrasts with findings in older groups, which showed more lethal suicidal behaviors 9,33,34). This discrepancy might be due to differences in the choice of suicide methods between the two groups.…”

Section: Discussioncontrasting

confidence: 84%

“…The pattern of drugs used for suicide attempts is quite different from that found in older people in a previous study 9). Elderly patients tended to ingest more lethal drugs, especially pesticides.…”

Section: Discussioncontrasting

confidence: 74%

“…Psychiatric evaluation and diagnosis were carried out by psychiatry residents using the criteria from the Diagnostic and Statistical Manual of Mental Disorders-IV Text Revision 12). The patients were assessed in the emergency room using the Brief Emergency Room Suicide Risk Assessment (BESRA), which was constructed by the authors and has been explained elsewhere in detail 9). In brief, the BESRA consists of domains related to the patient's demographic factors, clinical diagnosis, and psychiatric resources, as well as detailed information about the present suicide attempt including the method of suicide attempt, whether the attempt was planned or impulsive, the reason for the attempt, and risk and rescue rating scores.…”

Section: Methodsmentioning

confidence: 99%

“…The identified risks for suicide attempts were socioeconomic status and probability of bipolar disorder in their study. Kim et al9) examined self-poisoning in the elderly and found that older individuals tended to choose more lethal suicide methods (e.g., pesticides) compared with young people. Im and Kim10) found four core component of the meaning of suicide in older people: conflict with family, powerlessness and despair about their lives, decline in self-esteem, using internal and external resources to resolve their troubles, and awareness of an imminent crisis.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of Drug Overdose in Young Suicide Attempters

Kweon

Hwang

Yeon

et al. 2012

Clin Psychopharmacol Neurosci

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ObjectiveFew studies have focused on the characteristic features of drug overdose in children and adolescents who have attempted suicide in Korea. The present study examined the characteristics of drug overdose in children and adolescents who visited the emergency room following drug ingestion for a suicide attempt.MethodsThe medical records of 28 patients who were treated in the emergency room following a drug overdose from January 2008 to March 2011 were analyzed. Demographic and clinical variables related to the suicide attempts were examined.ResultsThe mean age of the patients was 16.6±1.7 years (range 11-19 years), and 20 of the patients (71.4%) were female. Most of the patients (n=23, 82.1%) overdosed on a single drug; acetaminophen-containing analgesics were the most common (n=12, 42.9%). Depression was the most common psychiatric disorder (n=22, 78.6%), and interpersonal conflict was the most common precipitating factor of the suicide attempts (n=11, 39.3%). This was the first suicide attempt for approximately 80% of the patients. About one fourth of the patients (n=7, 25%) had follow-up visits at the psychiatric outpatient clinic.ConclusionEarly screening and psychiatric intervention for depression may be an important factor in preventing childhood and adolescent suicide attempts. Developing coping strategies to manage interpersonal conflicts may also be helpful. Moreover, policies restricting the amount and kind of drugs purchased by teenagers may be necessary to prevent drug overdose in this age group.

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Section: Discussioncontrasting

confidence: 84%

Section: Discussioncontrasting

confidence: 74%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Characteristics of Drug Overdose in Young Suicide Attempters

Kweon

Hwang

Yeon

et al. 2012

Clin Psychopharmacol Neurosci

Self Cite

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“…Although not as much as studies on completers, various kinds of studies on elderly suicide attempters have been conducted to identify their characteristic features using community‐based, clinical, or nationally collected data . Compared with other age groups, elderly attempter group has shown to have more affective disorders and major depressive episodes and higher proportion of men . And researches comparing them with nonattempter controls indicate that they showed lower functioning level, more physical illness, and significantly higher odds of having depression .…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic and clinical characteristics of old‐old suicide attempters compared with young‐old and middle‐aged attempters

Kim

Ahn

Kim

et al. 2018

Int J Geriat Psychiatry

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Objectives The purpose of this study was to identify distinctive characteristics of old‐old suicide attempters (75 years and older) from young‐old (60‐74 years old) and middle‐aged suicide attempters (45‐59 years old). Methods We included consecutive series of 920 patients aged 45 years and older who had visited the emergency room from 2009 to 2015 because of suicide attempts. They were divided into 3 groups according to age. Information about the suicide attempt and sociodemographic status was gathered through interviews with attempters or caregivers. Chi‐square test and logistic regression analysis were performed to evaluate the differences among the 3 groups. Results We found that old‐old suicide attempters had high intent to die and high medical lethality as a result of the attempt, and illness‐related problems exerted a strong motivational effect on this group. Psychiatric drugs, pesticides, and herbicides were frequently used to attempt suicide. These attempts were less likely to be associated with alcohol consumption compared to other age groups. Conclusion Old‐old suicide attempters have different characteristics, compared with young‐old and middle‐aged counterparts. It is necessary to assess suicide risk and depression when examining patients with physical illness or when prescribing psychotropic drugs. High‐risk groups should be given immediate intervention including psychiatric treatment before they act on high suicide intent.

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Patterns of Comorbidity of Suicide Attempters: An Update

Blasco-Fontecilla

Rodrigo-Yanguas

Giner

et al. 2016

Curr Psychiatry Rep

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Between 10 and 20 million people attempt suicide every year worldwide, and suicide attempts represent a major economic burden. Suicide attempters suffer from high rates of comorbidity, and comorbidity is the rule in suicide re-attempters. Comorbidity complicates treatment and prognosis and causes a more protracted course. In the present narrative review, we included these patterns of comorbidity: intra-Axis I disorders, intra-Axis II disorders, Axis I with Axis II disorders, and psychiatric with physical illnesses. We also briefly reviewed the patterns of comorbidity in suicide re-attempters. We concluded that comorbidity at different levels appears to be the rule in suicide attempters, particularly in those who re-attempt. However, several issues deserve further research regarding the patterns of comorbidity in suicide attempters.

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Elderly suicide attempters by self-poisoning in Korea

Abstract: Elderly suicide attempters had different psychosocial stressors such as physical illness and more lethal suicide attempts. Our study suggests the need for development of specific preventive strategies and management guidelines for the elderly suicide attempters.

Cited by 42 publications

References 32 publications

Characteristics of Drug Overdose in Young Suicide Attempters

Characteristics of Drug Overdose in Young Suicide Attempters

Sociodemographic and clinical characteristics of old‐old suicide attempters compared with young‐old and middle‐aged attempters

Patterns of Comorbidity of Suicide Attempters: An Update

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