Poor social integration and suicide: fact or artifact? A case-control study

Duberstein, Paul R.; Conwell, Yeates; Conner, Kenneth R.; Eberly, Shirley; Evinger, James S.; Caine, Eric D.

doi:10.1017/s0033291704002600

Cited by 208 publications

(144 citation statements)

References 34 publications

Supporting

Mentioning

126

Contrasting

Unclassified

Order By: Relevance

“…This study found weak, but significant, associations for a low frequency of family contact and leisure activity with suicide attempts in females. Family discord is a significant risk factor of suicide in the elderly (20) and social integration (social interaction and religious involvement) is independently associated with suicide in adults (21). However, to date, few studies have examined the effects of socio-family environments on suicide attempts according to gender.…”

Section: Discussionmentioning

confidence: 99%

Gender-Specific Factors Associated with Suicide Attempts among the Community-Dwelling General Population with Suicidal Ideation: the 2013 Korean Community Health Survey

Kim

Lee

2016

J Korean Med Sci

View full text Add to dashboard Cite

We identified traditional risk factors and investigated poorly understood risk factors for suicide attempts according to gender in a large Korean population. We analyzed the data from 6,768 males and 12,475 females with suicidal ideation obtained from the nationwide 2013 Korean Community Health Survey. The dependent variable was suicide attempts within the past year. There was a significant trend towards an increase in suicide attempts with decreasing age in both genders. Compared with those who were married, suicide attempts were significantly higher among those who were widowed, divorced, or separated for males (odds ratio [OR], 2.07; 95% confidence interval [CI], 1.34-3.20), but lower for females (OR, 0.66; 95% CI, 0.45-0.98). Current smoking and depression were significant risk factor for suicide attempts in males and females. However, monthly household income, myocardial infarction, and osteoporosis were significantly associated with suicide attempts only in males, whereas education level, recipient of National Basic Livelihood Security, family contact, leisure activity, and drinking frequency were significantly associated only in females. These findings indicate that gender difference should be considered in the assessment, prevention, and management of future suicide attempts by community policy-makers and clinicians.

show abstract

Section: Discussionmentioning

confidence: 99%

Gender-Specific Factors Associated with Suicide Attempts among the Community-Dwelling General Population with Suicidal Ideation: the 2013 Korean Community Health Survey

Kim

Lee

2016

J Korean Med Sci

View full text Add to dashboard Cite

show abstract

“…Findings from several PAs of older adult suicides were recently published [22][23][24][25][26], including a handful that used matched comparison groups [19,[27][28][29][30][31][32][33], allowing factors associated with suicide case status to be identified and quantified. These findings map well onto the multiaxial system of psychiatry's Diagnostic and Statistical Manual of Mental Disorders [34], forming a framework for the subsequent discussion.…”

Section: Risk and Protective Factorsmentioning

confidence: 99%

Suicidal Behavior in Elders

Conwell

Thompson

2008

Psychiatric Clinics of North America

281

198

View full text Add to dashboard Cite

In the United States, as in many countries of the world, older adults are at greater risk for suicide than other age groups. This article provides an overview of suicide in later life and a foundation on which to base decisions about the design and implementation of preventive interventions. Ultimately, implementation of effective suicide prevention strategies and reduction of selfinflicted deaths by older people will depend on information obtained at each of four stages of the preventive intervention research cycle, depicted in Fig. 1. First is the definition of the scope of the problem: rates of suicide in the older population and their patterns over time and space. Second is the characterization of suicide in older adults, with particular reference to risk and protective factors. These in turn suggest potential pathogenic mechanisms and indicate where one can obtain the most efficient access to older adults at risk, or who may be targets of preventive interventions. With this information, those interventions can be designed and preliminary testing conducted for their refinement before they are implemented on a larger scale. With effective surveillance tools established to evaluate the impact of the intervention, the cycle then starts afresh.This article first considers special challenges to suicide prevention in older adults, and then reviews the information available to inform each of these steps in the late-life suicide preventive intervention research cycle. CHALLENGES TO LATE-LIFE SUICIDE PREVENTIONDeveloping suicide prevention strategies in older adults is particularly challenging because of a range of factors at the individual, provider, systems, and even social/cultural levels. To the extent that suicide prevention relies on timely and effective detection and treatment of mental disorders, older adults face multiple barriers to the acquisition of care [1]. At the service system level, discriminatory barriers still exist in access to mental health care. Medicare recipients are required to pay 50% of charges for mental health services, rather than a 20% copay for physical health conditions. Older adults tend not to use mental health services, but rather seek care from primary care providers. Affective syndromes may be milder in older adults, expressed as physical symptoms [2]. Their presentations are further complicated by comorbid medical illness and the multiple medications prescribed to treat them. Older adults are reluctant to talk about emotional problems and are less likely to report depression and suicidal ideation to others [3,4]. Although doctors see many older people in a typical primary care practice, they often lack specialized training in geriatric care, the information and decision support needed to optimize quality of care, and the time necessary to diagnose affective disorders and assess suicide risk among so many competing demands [5,6] Consequently, fewer than half of older people with clinically significant mood disorders are diagnosed with depression in primary care, and of those, a m...

show abstract

“…Til tross for omfanget har det inntil de senere år vaert relativt liten forskningsinteresse for dette problemområdet. Fra omkring år 2000 er det imidlertid publisert flere case control-studier om eldres selvmord, og gjennom disse har man fått økt kunnskap om hvilke forhold/ faktorer som gir økt selvmordsrisiko hos de eldre (Waern, 2000;Beautrais, 2002;Harwood et al, 2001;Duberstein et al, 2004).…”

Section: Ved Ildri Kjølsethunclassified

“…Flere studier har vist at manglende nettverk og derav følgende sosial isolasjon øker selvmordsrisikoen hos eldre (Beautrais, 2002;Duberstein et al, 2004). Det er derfor viktig å treffe tiltak som kan bedre den sosiale situasjonen for den eldre, for eksempel ved tilbud om dagsenter, besøkstjeneste eller telefonkontakt.…”

Section: Ved Ildri Kjølsethunclassified

Eldre med selvmordsrisiko: behandling og oppfølging

Kjølseth¹

2015

Suicid.

View full text Add to dashboard Cite

Poor social integration and suicide: fact or artifact? A case-control study

Cited by 208 publications

References 34 publications

Gender-Specific Factors Associated with Suicide Attempts among the Community-Dwelling General Population with Suicidal Ideation: the 2013 Korean Community Health Survey

Gender-Specific Factors Associated with Suicide Attempts among the Community-Dwelling General Population with Suicidal Ideation: the 2013 Korean Community Health Survey

Suicidal Behavior in Elders

Eldre med selvmordsrisiko: behandling og oppfølging

Contact Info

Product

Resources

About