Suicidality Assessment of the Elderly With Physical Illness in the Emergency Department

Costanza, Alessandra; Amerio, Andrea; Radomska, M; Ambrosetti, Julia; Marco, S. Di; Prelati, Massimo; Aguglia, Andrea; Serafini, Gianluca; Amore, Mario; Bondolfi, Guido; Michaud, Laurent; Pompili, Maurizio

doi:10.3389/fpsyt.2020.558974

Cited by 32 publications

(28 citation statements)

References 82 publications

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“…This study identified four statistically significant predictors of mental health status-perceived physical health status, limitation status, employment status, and education level-that demonstrate potential value as investigational, therapeutic lifestyle interventions, for older adults with pain. Such predictive variables may be important not just to help address mental health concerns among older adults with pain, but also emphasize the substantial suicide risk among these patients that must be managed and warrants further research [35][36][37][38][39][40][41][42][43].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Mental Health Status among Older United States Adults with Pain

Axon

Chien

2021

Behavioral Sciences

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Poor mental health is common among older adults with pain, resulting in high economic burden and impaired quality of life. This retrospective, cross-sectional database study aimed to identify characteristics associated with good mental health status among United States (US) adults aged ≥50 years with self-reported pain in the last four weeks using a weighted sample of 2017 Medical Expenditure Panel Survey data. Hierarchical multivariable logistic regression models were used to identify statistically significant predictors of good (versus poor) perceived mental health status. From a weighted population of 57,074,842 individuals, 85.5% (95% confidence interval (CI) = 84.4%, 86.7%) had good perceived mental health. Good mental health was associated most strongly with physical health status (adjusted odds ratio (AOR) = 9.216, 95% CI = 7.044, 12.058). Employed individuals were 1.7 times more likely to report good mental health versus unemployed (AOR = 1.715, 95% CI = 1.199, 2.452). Individuals who had completed less than high school education (AOR = 0.750, 95% CI = 0.569, 0.987) or who reported having a limitation (AOR = 0.513, 95% CI = 0.384, 0.684) were less likely to report good mental health. These key characteristics can be utilized to predict mental health status, which may be investigated to better manage concurrent pain and poor mental health.

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Section: Discussionmentioning

confidence: 99%

Predictors of Mental Health Status among Older United States Adults with Pain

Axon

Chien

2021

Behavioral Sciences

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“…Similar to the scarcity of data on SI and SB in patients with comorbid illness [32][33][34], fairly little is known about the association between CTE and suicidality to date. Thus, the primary objective of this report is to describe the occurrence of severe suicidality in two retired contact sports professionals who exhibited CTE.…”

Section: Introductionmentioning

confidence: 99%

Severe Suicidality in Athletes with Chronic Traumatic Encephalopathy: A Case Series and Overview on Putative Ethiopathogenetic Mechanisms

Costanza

Radomska

Zenga

et al. 2021

IJERPH

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Chronic traumatic encephalopathy (CTE) results from repetitive brain injuries and is a common neurotraumatic sequela in contact sports. CTE is often accompanied by neuropsychiatric symptoms, which could escalate to suicidal ideation (SI) and suicidal behaviour (SB). Nevertheless, fairly limited emphasis about the association between suicidality and CTE exists in medical literature. Here, we report two cases of retired professional athletes in high contact sports (boxing and ice hockey) who have developed similar clinical trajectories characterized by progressive neuropsychiatric symptoms compatible with a CTE diagnosis and subsequent SB in its severe forms (medical serious suicide attempt (SA) and completed suicide). In addition to the description of outlining clinical, neuropsychological, neuroimaging, and differential diagnosis elements related to these cases, we also hypothesized some mechanisms that might augment the suicide risk in CTE. They include those related to neurobiological (neuroanatomic/neuroinflammatory) dysfunctions as well as those pertaining to psychiatry and psychosocial maladaptation to neurotraumas and retirement from professional competitive activity. Findings described here can provide clinical pictures to improve the identification of patients with CTE and also potential mechanistic insights to refine the knowledge of eventual severe SB development, which might enable its earlier prevention.

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“…In China, suicide is the leading unnatural cause of deaths in college students [ 2 ]. Increasing evidence suggests that socio-cultural factors, such as social beliefs or stigmas about suicide, may contribute to suicide [ 3 , 4 , 5 , 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Perceived Suicide Stigma and Associated Factors in Chinese College Students: Translation and Validation of the Stigma of Suicide Attempt Scale and the Stigma of Suicide and Suicide Survivors Scale

Chen

Batterham

et al. 2021

IJERPH

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This study aims to translate and validate two perceived suicide stigma scales, including the Stigma of Suicide Attempt Scale (STOSA) and the Stigma of Suicide and Suicide Survivor Scale (STOSASS) into Chinese language, examining the factor structure, and assessing the correlation between suicide stigma and a series of variables. After translating and back translating the STOSA and STOSASS, an online survey was administrated to 412 college students in China. These two scales were tested for their dimensionality in a series of confirmatory factor analyses. A series of regression analyses were conducted to examine the factors that are associated with perceived and public suicide stigma, including demographics, psychological distress, suicidality, suicide exposure, and perceived entitativity of suicide ideators, decedents, and survivors. The results showed that the two translated scales, STOSA and STOSASS, were reliable (Cronbach’s α = 0.79~0.83) and valid in Chinese contexts and it can be treated as unidimensional scales. Suicidality, exposure to suicide, and perceived entitativity of suicide-related persons were significantly associated with higher endorsement of public suicide stigma (SOSS Stigma, ps < 0.03), but not perceived stigma (STOSA, STOSASS). Higher levels of psychological distress were associated with both higher perceived and public suicide stigma (ps < 0.05).

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Suicidality Assessment of the Elderly With Physical Illness in the Emergency Department

Cited by 32 publications

References 82 publications

Predictors of Mental Health Status among Older United States Adults with Pain

Predictors of Mental Health Status among Older United States Adults with Pain

Severe Suicidality in Athletes with Chronic Traumatic Encephalopathy: A Case Series and Overview on Putative Ethiopathogenetic Mechanisms

Perceived Suicide Stigma and Associated Factors in Chinese College Students: Translation and Validation of the Stigma of Suicide Attempt Scale and the Stigma of Suicide and Suicide Survivors Scale

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