Low socioeconomic status and suicidal ideation among elderly individuals

Ju, Yeong Jun; Han, Kyu Tae; Choi, Jae Woo; Kim, Jeong Lim; Cho, Kyoung Hee; Park, Sohee

doi:10.1017/s1041610216001149

Cited by 38 publications

(32 citation statements)

References 30 publications

(39 reference statements)

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“…A previous report suggested that low socioeconomic status was associated with an increased risk of suicidal ideation among the elderly. 28 The one-month prevalence of suicide risk was 4.3% in the present data. According to a 2011 psychiatric epidemiology survey in Korea, the one-month prevalence of suicide risk was 0.4% in the general population.…”

Section: Discussionsupporting

confidence: 47%

Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide

Jeong

Nam

et al. 2020

Psychiatry Investig

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Objective Population-based suicidal screening can be an important intervention method to reduce suicidal attempt rate in community. However, directly asking about suicidal behavior may be burdensome to non-mental health workers. This study aimed to evaluate the clinical usefulness of the Geriatric Depression Scale-15 (GDS-15) in identifying the elderly at risk of suicide in community.Methods Nine hundred forty-eight over 60 years of age participated in this study. All participants completed the GDS-15. A trained interviewer interviewed each participant for suicidality including suicidal ideation, plan, and prior attempt using the Structured Clinical Interview for DSM-IV.Results When the cut-off score of 10 in the GDS-15 was applied to identify the elderly at risk of suicide, the proportion of directly asking about suicidal behavior by non-mental health workers was reduced by 33.1%; however, 19.5% at risk of suicide were missed. When the cut-off was changed to 6, 100% at risk of suicide were covered by the GDS-15.Conclusion Screening for suicidality using GDS-15 is a promising way to reduce the proportion of directly asking about suicidal behavior by non-mental health workers among the high-risk suicidal elderly in a community setting.

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Section: Discussionsupporting

confidence: 47%

Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide

Jeong

Nam

et al. 2020

Psychiatry Investig

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“…affected overall suicide rates, many studies have focused on social and economic risk factors, with only a few cross‐sectional studies concluding that economic pressures were a significant influence on older adult suicide rates . However, even though individual economic circumstances have been found to influence suicidal ideation, no study has specifically focused on the association between poverty and death by suicide among older adults using longitudinal cohort data.…”

Section: Introductionmentioning

confidence: 99%

Poverty and suicide risk in older adults: A retrospective longitudinal cohort study

Choi

Kim

Shin

et al. 2019

Int J Geriat Psychiatry

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Objectives The present study evaluated suicide risk within 1 year after discharge among older adults with stroke as a function of depression onset. Method We used the Korean National Health Insurance Service‐Senior cohort data and included first discharged patients with a stroke as the principal diagnosis. The comparison group was selected by a 1:2 case‐control propensity score matching for age, sex, Charlson comorbidity index, and diagnosis year between 2005 and 2012. Suicide deaths were measured by code for causes of death from Statistics Korea, and the main outcome was suicide death within 1 year following discharge. An adjusted hazard ratio (AHR) of suicidal risk was measured using a Cox proportional hazard model. Results In the total sample of 128 286 older adults (aged 63‐114 years), the higher suicidal risk was examined for stroke patients vs the comparison group (AHR = 1.4; 95% confidence interval [CI], 1.1‐1.8). Stroke patients with depression had an increased suicide risk (AHR = 2.9; 95% CI, 1.8‐4.8) but only for poststroke depression (AHR = 4.1; 95% CI, 1.8‐9.5). Pre and poststroke depression suicidality (AHR = 4.8; 95% CI, 2.1‐11.1) was also higher when compared to stroke patients without depression. Conclusions Poststroke patients are at increased suicidal risk during 1 year following discharge. Furthermore, patients who were diagnosed with depression after a stroke are more likely to commit suicide than stroke patients without depression. This suggests a necessity for early suicide preventive intervention for stroke patients while considering depressive symptomology.

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“…What is more, low childhood SES in post–World War II has had a long-latency effect on the onset of depression among Japanese adults [10]. Health disparities by SES exist for many outcomes, and generally speaking, people with low SES are more likely to experience a lower subjective health status after myocardial infarction [11], higher rates of psychiatric morbidity and use of psychiatric services [12], and increased risk of suicidal ideation among the elderly [13].…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study

Kong

et al. 2019

IJERPH

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This study aims to clarify the association between socioeconomic status (SES), mental health, and the need for long-term services and support (NLTSS) of the Chinese elderly, and further, to provide evidence-based suggestions for the development of the long-term services and support (LTSS) system in China. A cross-sectional survey using a multi-stage random sampling method was conducted in Shandong Province, China, in 2017. Data were collected from seniors aged over 60 years old through questionnaires by face-to face interviews. A total of 7070 subjects were included in the final database (40.3% male and 59.7% female). A chi-square test analysis and structural equation modeling (SEM) were employed to explore the relationship between SES, mental health, and NLTSS for both male and female elderly people. The SEM analysis showed that mental health was significantly and negatively associated with NLTSS for both male elderly and female elderly, and it was slightly stronger among the male elderly. A significant and negative relationship was observed between SES and NLTSS for both genders, and the association was stronger among the female elderly. SES exerted a positive effect on mental health for both male and female elderly people, and a slightly stronger effect was found among the male elderly. Advice for the development of a LTSS system in China was given based on the above results.

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Low socioeconomic status and suicidal ideation among elderly individuals

Abstract: Our findings suggest that low socioeconomic status is associated with an increased risk of suicidal ideation among the elderly. Furthermore, intervention programs that address the prevalence of elderly suicide, particularly among those who are socioeconomically disadvantaged, are needed.

Cited by 38 publications

References 30 publications

Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide

Clinical Usefulness of the Geriatric Depression Scale to Identify the Elderly at Risk of Suicide

Poverty and suicide risk in older adults: A retrospective longitudinal cohort study

The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study

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