Risk of suicide according to the level of psychiatric contact in the older people: Analysis of national health insurance databases in Taiwan

Yeh, Shin Ting; Ng, Yee Yung; Wu, Shiao Chi

doi:10.1016/j.comppsych.2017.01.016

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…Greater suicide risk elevation among patients discharged from inpatient psychiatric care than for those with only outpatient visits in the previous year, v . persons not receiving any psychiatric treatment, has been reported from Denmark (Hjorthøj et al ., 2014) and Taiwan (Yeh et al ., 2017). These studies highlighted differential suicide risk among mental healthcare patients according to patients' treatment settings.…”

Section: Introductionmentioning

confidence: 99%

“…Although historically, long-term hospitalisation was common for people with SMIs, this has been largely been replaced with community-based care and shortterm hospital care, if needed, during acute illness phases (Killaspy, 2007). Greater suicide risk elevation among patients discharged from inpatient psychiatric care than for those with only outpatient visits in the previous year, v. persons not receiving any psychiatric treatment, has been reported from Denmark (Hjorthøj et al, 2014) and Taiwan (Yeh et al, 2017). These studies highlighted differential suicide risk among mental healthcare patients according to patients' treatment settings.…”

Section: Introductionmentioning

confidence: 99%

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Suicide and death by other causes among patients with a severe mental illness: cohort study comparing risks among patients discharged from inpatient carev. those treated in the community

Musgrove

Carr

Kapur

et al. 2022

Epidemiol Psychiatr Sci

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Aims People diagnosed with a severe mental illness (SMI) are at elevated risk of dying prematurely compared to the general population. We aimed to understand the additional risk among people with SMI after discharge from inpatient psychiatric care, when many patients experience an acute phase of their illness. Methods In the Clinical Practice Research Datalink (CPRD) GOLD and Aurum datasets, adults aged 18 years and older who were discharged from psychiatric inpatient care in England between 2001 and 2018 with primary diagnoses of SMI (schizophrenia, bipolar disorder, other psychoses) were matched by age and gender with up to five individuals with SMI and without recent hospital stays. Using survival analysis approaches, cumulative incidence and adjusted hazard ratios were estimated for all-cause mortality, external and natural causes of death, and suicide. All analyses were stratified by younger, middle and older ages and also by gender. Results In the year after their discharge, the risk of dying by all causes examined was higher than among individuals with SMI who had not received inpatient psychiatric care recently. Suicide risk was 11.6 times (95% CI 6.4–20.9) higher in the first 3 months and remained greater at 2–5 years after discharge (HR 2.3, 1.7–3.2). This risk elevation remained after adjustment for self-harm in the 6 months prior to the discharge date. The relative risk of dying by natural causes was raised in the first 3 months (HR 1.6, 1.3–1.9), with no evidence of elevation during the second year following discharge. Conclusions There is an additional risk of death by suicide and natural causes for people with SMI who have been recently discharged from inpatient care over and above the general risk among people with the same diagnosis who have not recently been treated as an inpatient. This mortality gap shows the importance of continued focus, following discharge, on individuals who require inpatient care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Suicide and death by other causes among patients with a severe mental illness: cohort study comparing risks among patients discharged from inpatient carev. those treated in the community

Musgrove

Carr

Kapur

et al. 2022

Epidemiol Psychiatr Sci

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“…In addition, significant differences in the prevalence of potential risk factors within the three different age groups existed. I have some concerns about their study.First, Yeh et al (2017) conducted a conditional logistic regression analysis to specify risk factors of suicide in the older people. They classified subjects into the same categories of age with those by Koo et al, and crude suicide mortality rates in the young-old, middle-old, and oldest old were 30.57, 35.88, and 43.46 per 100,000 people.…”

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confidence: 99%

Suicide risk of old adults with special reference to aging

Kawada

2017

Int. Psychogeriatr.

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Koo et al. (2017) compared differences in sociodemographic variables, recent life events, and mental and physical illnesses between three age groups (65-74 years, 75-84 years, and 85 years and over) who died by suicide. Psychiatric problems, suicidal behavior, legal and financial stressors, and relationship problems decreased with age. In contrast, physical conditions and bereavement increased with age. Suicide rates were increasing with age for males, but not for females. In addition, significant differences in the prevalence of potential risk factors within the three different age groups existed. I have some concerns about their study.First, Yeh et al. (2017) conducted a conditional logistic regression analysis to specify risk factors of suicide in the older people. They classified subjects into the same categories of age with those by Koo et al., and crude suicide mortality rates in the young-old, middle-old, and oldest old were 30.57, 35.88, and 43.46 per 100,000 people. In addition, crude suicide mortality rates in male and female were 46.52 and 22.32 per 100,000 people. They adopted propensity score matching for a one-toone ratio on gender, age, and residence between suicide people and control. Statistical methods of two reports differ, and risk assessment on suicide in older adults should be conducted by setting appropriate controls and by multivariate analysis, although I accept the need of aging effect in older adults.Second, Diehl-Schmid et al. (2017) summarized risk factors of suicidal intention and behavior in dementia, and patient's cognitive impairment profile, behavioral disturbances, social isolation, and psychiatric comorbidities, such as depression,

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“…Suicide among older adults is associated with physical health (Conwell, Duberstein, & Caine, 2002; Harwood, Hawton, Hope, Harriss, & Jacoby, 2006; Karbeyaz, Celikel, Emiral, & Emiral, 2017), mental disorder (Chiu et al., 2004; Karbeyaz et al., 2017; Wærn et al., 2002; Yeh, Ng, & Wu, 2017), and some socioeconomic factors (Crnek-Georgeson, Wilson, & Page, 2017; Karbeyaz et al., 2017; Liu, Qin, & Jia, 2018; Torresani, Toffol, Scocco, & Fanolla, 2014). Social support, as an important protective factor for various socioeconomic factors, has a significantly negative influence on suicide (Hollingsworth et al., 2018; Kleiman & Liu, 2013; Kleiman, Riskind, & Schaefer, 2014; Poudel-Tandukar et al., 2011; Zadravec Sedivy, Podlogar, Kerr, & De Leo, 2017).…”

Section: Introductionmentioning

confidence: 99%

Psychometric Characteristics of Duke Social Support Index Among Elderly Suicide in Rural China

Pan

Zhou

et al. 2018

Omega (Westport)

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We recruited 242 elderly suicides and 242 controls above 60 years to conduct face-to-face interviews by psychological autopsy to examine the psychometric characteristics of the Duke Social Support Index (DSSI) in rural China. DSSI had high internal consistency, with Cronbach’s αs of .89 and .90 in suicides and controls, respectively. DSSI was significantly and negatively correlated to loneliness in both samples. Confirmatory factor analysis basically supported the original structure of DSSI, but Item 4 had low factor loading in controls. In conclusion, DSSI has satisfactory reliability and acceptable validity in evaluating social support in the elderly suicide study in China.

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Risk of suicide according to the level of psychiatric contact in the older people: Analysis of national health insurance databases in Taiwan

Cited by 6 publications

References 30 publications

Suicide and death by other causes among patients with a severe mental illness: cohort study comparing risks among patients discharged from inpatient carev. those treated in the community

Suicide and death by other causes among patients with a severe mental illness: cohort study comparing risks among patients discharged from inpatient carev. those treated in the community

Suicide risk of old adults with special reference to aging

Psychometric Characteristics of Duke Social Support Index Among Elderly Suicide in Rural China

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