Suicide at 50 years of age and older: perceived physical illness, family discord and financial strain

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

doi:10.1017/s0033291703008584

Cited by 215 publications

(160 citation statements)

References 45 publications

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“…A cohort study in Hong Kong (50) revealed that depression has been associated in 21.9% of the cases of suicide death in women and 15.5% in men. Studies in Brazil (52) , Australia (25) and Europe (82) found that depression assumes multiple faces in the suicide of the elderly, it appears as a primary or secondary diagnosis, as a symptom associated with other morbidities (12,20,22,(25)(26)(31)(32)36,38,(59)(60)64,(67)(68)(69)71,73,(77)(78)(81)(82) or as a reaction to social stressors. Hostility (2,7,12- A study in Australia (72) revealed that 42% of the elderly who committed suicide verbally expressed their desire to die, 25% had the thought that life was not worthy anymore, 21% thought about taking their own lives and 7% planned suicide.…”

Section: Discussionmentioning

confidence: 99%

Diagnóstico de enfermagem Risco de Suicídio em idosos: revisão integrativa

Sousa

Perrelli

Botelho

2018

Rev. Gaúcha Enferm.

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Objective: To analyze the specialized literature regarding the risk factors in nursing diagnosis for suicide risks in elderly. Method: This is an integrative literature review carried out during June 2015 in the following databases with no time limit: MEDLINE, PsycINFO and CINAHL.Results: A total of 80 full papers were analyzed. It was suggested the inclusion of 23 risk factors in NANDA-I taxonomy: apathy; unrest; low self esteem; carelessness with medication; Inability to ask for help; Inability to express feelings; suicidal plan; rigidity; functional disability; visual problems; sadness; hostility; anxiety; failure; frustration; unhappiness; dishonor; frequent visits to a physician with unclear symptoms; social deprivation; social devaluation; psychological violence; Interfamilial violence; and financial violence. Conclusion:The risks for suicide presented in NANDA-I taxonomy need to be refined and adapted to the elderly reality. Furthermore, a review is also recommended for the risk factors not included in this classification.Keywords: Nursing diagnosis. Suicide. Aged. Review. RESUMOObjetivo: Analisar a literatura específica acerca dos fatores de risco do diagnóstico de enfermagem Risco de Suicídio de idosos. Método: Trata-se de uma revisão integrativa da literatura realizada em junho de 2015 nas bases de dados MEDLINE, PsycINFO e CINAHL, sem limite temporal.Resultados: Foram analisados 80 artigos. Sugere-se a inclusão de 23 fatores de risco na taxonomia da NANDA-I: apatia; agitação; baixa autoestima; descuido com a medicação; incapacidade de pedir ajuda; incapacidade de expressar sentimentos; plano suicida; rigidez; incapacidade funcional; problemas visuais; tristeza; hostilidade; ansiedade; fracasso; frustração; infelicidade; desonra; frequentes visitas a médico com sintomas vagos; privação social; desvalorização social; violência psicológica; violência intrafamiliar e violência financeira.Conclusão: O risco de suicídio apresentado na taxonomia da NANDA -I necessita de refinamento e adaptação ao contexto de idosos, sobretudo para averiguação dos fatores de risco que não estão contidos na referida classificação.Palavras-chave: Diagnóstico de enfermagem. Suicídio. Idoso. Revisão. RESUMENObjetivo: Analizar la literatura específica acerca de los factores de riesgo en el diagnóstico de enfermería sobre los riesgos de suicidio en ancianos.Método: Revisión completa en la literatura, realizada en junio del 2015, sobre la base de datos MEDLINE, PsycINFO y CINAHL, sin límite de tiempo.Resultados: Se analizaron 80 artículos. Se sugiere la introducción de 23 factores de riesgo en la Taxonomía de NANDA-I: apatía, agitación, autoestima baja, descuido con la medicación, incapacidad de pedir ayuda, incapacidad de expresar sentimientos, pensamientos suicidas, incapacidad funcional, problemas visuales, tristeza, hostilidad, ansiedad, fracaso, frustración, infelicidad, deshonor, visitas frecuentes al médico con síntomas vagos, comportamientos antisociales, violencia psicológica, actitudes violentas dentro del seno fam...

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Section: Discussionmentioning

confidence: 99%

Diagnóstico de enfermagem Risco de Suicídio em idosos: revisão integrativa

Sousa

Perrelli

Botelho

2018

Rev. Gaúcha Enferm.

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“…Nevertheless, its existence still needs due attention as untreated depression can disrupt the QoL of the elderly or lead to suicide and premature death. Blazer (2003), Duberstein et al (2004) and Fiske et al (2009) had reported that the major risk factors for suicide in later life include depression, hopelessness, substance abuse, previous suicide attempt, widowhood, physical illness, social isolation, family discord, financial strain and stressful life events.…”

Section: Discussionmentioning

confidence: 99%

Relationships between social support and depression, and quality of life of the elderly in a rural community in Malaysia

Ibrahim

Din

Ahmad

et al. 2013

Asia-Pacific Psychiatry

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Introduction: This study aimed to examine the role of social support and depression in predicting the quality of life among the elderly living in a rural Federal Land Development Authority (FELDA) community in Malaysia. Methods: A total of 162 elderly settlers of FELDA Sungai Tengi, aged 60 years and above, were selected by universal sampling method in this cross-sectional study. Three standardized instruments -the 12-item Short Form (SF-12), 15-item Geriatric Depression Scale (GDS-15) and Medical Outcome Study Social Support (MOS-Social Support) -were used to assess for quality of life, depression and social support. Results: Quality of life of the elderly people in this community was high, especially in terms of physical components as compared to mental components. The mean scores for emotional role in the SF-12 was relatively the highest (90.74 Ϯ 21.59) with social functioning being the lowest (30.35 Ϯ 22.29). The results also showed that the mean value was higher for physical component summary (74.40) as compared to mental component summary (51.51). Approximately 23.5% suffered mild depression and only 2.5% had severe depression. Discussion: This study showed that the elderly FELDA settlers have a high quality of life, mainly on the physical components of life and low rate of severe depression, a positive indicator of their psychological well-being. Social support in the form of emotional/informational support, and depression were significant factors related to their good quality of life.

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“…According to Cassorla, 4 more than 50% of suicides with a high degree of intentionality are classifi ed as causes are innumerable and can be found in genetic, biologic or psychological factors and in social and environmental circumstances. 2,9,13,23 Minor depression leads to isolation, which is associated with suicide in extreme cases. 13,14 In the older population, the infl uence of these factors is stronger, not because they are naturally depressive due to age, as recalled by Beeston, 2 but because profound changes tend to occur in the way people live and face their lives It is necessary to provide specialized attention to this critical social group so that older adults receive guidance and motivation to live and not die.…”

Section: Discussionmentioning

confidence: 99%

“…The creation of friendships, relationships, human contact and intergenerational dialogue should be cultivated as protective of depression and self-destruction among older adults. This recommendation was reinforced by the research of Duberstein et al 9 and Beeston, 2 who argue that a social support network for these people should be established as a priority (p.39). 2 In addition to investment in primary care and in secondary health prevention, it is important to equip mental health units to work with older adults and against depression in daily life, as recommended by WHO.…”

Section: Discussionmentioning

confidence: 99%

Tendência da mortalidade por suicídio na população brasileira e idosa, 1980-2006

et al. 2012

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OBJECTIVE:To describe mortality from suicide in Brazil, with emphasis on the older adult population. METHODS:Temporal analysis and trend analysis by polynomial regression were conducted on suicide in the population above 10 years old in Brazil and the State of Rio de Janeiro (Southeastern Brazil) from 1980-2006. The data were extracted from the Mortality Information System, and the rates calculated by gender and age per 100,000 inhabitants, considering the resident population provided by DATASUS. For the period between 1980 and 1995, the ninth revision of International Statistical Classifi cation of Diseases and Related Health Problems was used, and for 1996 to 2006, the tenth revision. RESULTS:Suicide rates signifi cantly increased in Brazil and in Rio de Janeiro (respectively reaching 5.7 and 3.1 deaths per 100,000 inhabitants in 2006). The change was caused by the increase in suicides among the male population at all ages. The increase occurred especially among men over 60 years. In Rio de Janeiro, the increase was not statistically signifi cant among men, while there was a decrease among women. The principal means utilized for suicide by men were hanging, suffocation, strangulation and fi rearms. For women, death by hanging also ranks fi rst, followed by ingestion of solids or liquids, smoke or fi re, and jumping from heights. The high rate of suicide by unspecifi ed means reveals problems with data quality. CONCLUSIONS:Suicides are important events in the male population, especially among older men over time. In Rio de Janeiro, the suicide rate is also higher in men, although the difference is not statistically signifi cant. According to the World Health Organization and the Ministry of Health, suicide is preventable, and established interventions exist for each age group.

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Suicide at 50 years of age and older: perceived physical illness, family discord and financial strain

Abstract: Interventions to decrease the likelihood of financial stress and to help families manage discord and severe physical illness may effectively reduce suicides among middle-aged and older adults.

Cited by 215 publications

References 45 publications

Diagnóstico de enfermagem Risco de Suicídio em idosos: revisão integrativa

Diagnóstico de enfermagem Risco de Suicídio em idosos: revisão integrativa

Relationships between social support and depression, and quality of life of the elderly in a rural community in Malaysia

Tendência da mortalidade por suicídio na população brasileira e idosa, 1980-2006

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