Suicide in older adults: differences between the young-old, middle-old, and oldest old

Koo, Yu Wen; Kõlves, Kairi; Leo, Diego De

doi:10.1017/s1041610217000618

Cited by 73 publications

(77 citation statements)

References 27 publications

(52 reference statements)

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“…This is in contrast to the high suicide rates among older adults aged 85 years and older in the general population in Australia (Australian Bureau of Statistics, ). This finding further supports the contention that suicide risk varies between subpopulations of older adults (Koo, Kõlves, & De Leo, ) and that nursing home residents risk of suicide should be considered separately from community‐dwelling older adults. The risk of dying from suicide was twofold greater for residents who were divorced or separated as compared to those currently married.…”

Section: Discussionsupporting

confidence: 82%

Health and Care Related Risk Factors for Suicide Among Nursing Home Residents: A Data Linkage Study

Murphy

Kennedy

Martin

et al. 2018

Suicide & Life Threat Behav

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This study aimed to examine associations between health status and care needs of nursing home residents and risk of death from suicide compared to other causes through a retrospective data linkage cohort study examining nursing home resident deaths in Australia between 2000 and 2013. Data linkage was performed between aged care assessment tools-Resident Classification System and Aged Care Funding Instrument-and the National Coronial Information System. A competing risks survival analysis was performed to determine the association between care assessment variables (activities of daily living (ADL), behavior, and complex health care) and the risk of death from suicide and any other cause. Of the 146 nursing home residents who died from suicide, 130 (89%) were matched to their assessment data, with comparable information available for 95 residents (65%). Residents who required high levels of care with ADL, physical health care, and cognitive and behavioral issues had a higher risk of dying from all other causes, yet lower risk of dying from suicide. The study findings demonstrate the feasibility and value of linking these two data sets; highlight a need for improved data collection processes; and support a person-centered care approach for prevention of suicide among nursing home residents.

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Section: Discussionsupporting

confidence: 82%

Health and Care Related Risk Factors for Suicide Among Nursing Home Residents: A Data Linkage Study

Murphy

Kennedy

Martin

et al. 2018

Suicide & Life Threat Behav

View full text Add to dashboard Cite

show abstract

“…The maximum score is 56 (higher scores indicate greater dependence). The total score of ADL can be divided into 3 levels: Level I refers to normal function (score < 14), level II refers to moderate dysfunction (score [14][15][16][17][18][19][20][21][22], level III refers to bad dysfunction (score > 22). Edwards confirmed the ADL scales in a Brazilian study, showing a Cronbach s α of 0.96-0.99 [38].…”

Section: Physical and Psychological Health Characteristicsmentioning

confidence: 99%

“…According to related research, 'the elderly' is not a homogeneous group, and can be divided into 3 subgroups: Young-old, middle-old, and oldest-old [16][17][18][19]. There are a variety of age classification standards.…”

Section: Introductionmentioning

confidence: 99%

Gender Difference in General Self-Efficacy among Young-Old Elderly Aged 60–74 in Rural Shandong China: A Cross-Sectional Survey

Wang

Qin

et al. 2019

IJERPH

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Objective: This study aims to explore the determinants of general self-efficacy (GSE) among young-old elderly, with focus on examining the gender difference of general self-efficacy. Methods: Data were collected from the 2017 Survey of the Shandong Elderly Family Health Service, which was conducted by Shandong University. T-test was used to examine the gender difference in GSE. Univariate models and adjusted multiple linear regression model were used to explore the determinants of GSE by gender. Results: The females’ GSE score was lower than that of male participants (26.1 ± 8.1 vs. 28.7 ± 7.7), and there was a significant gender difference (t = 10.877, p < 0.001). Multiple linear regression model showed that some factors are common significant determinants of GSE such as age, education level, activity of daily living (ADL), self-rated health, mental health, personality, and whether participants have intimate friends and interpersonal relationships. Hypertension and frequent communication with children were specific determinants of GSE among male young-old. Personal income was a specific determinant of female participants. Conclusion: Some influencing factors of GSE in both genders are identical, the others are different. More attention should be paid for the poor young-old females, young-old males with hypertension, and disabled young-old people.

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“…The most common method of suicide among adults is drug abuse (17,18). Likewise, the most common method of suicide in this study was drugs in 80% of patients(n=42), 80% (n=33) of whom had multiple drugs.…”

Section: Discussion:-mentioning

confidence: 58%

Evaluation of Geriatric Patients With Suicide Attempts Admitted to the Intensive Care Unit of a Teaching Hospital Center: A Ten-Year Retrospective Review.

Erkal¹,

Yüce²,

Keles³

2018

IJAR

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Objective: With the increasing population of seniors in Turkey and rest of the world, the prevalence of suicidal tendencies and suicide attempts has also increased, thereby becoming a public health issue for older adults. The data regarding the clinical features and outcomes of suicide attempts in the Turkish geriatric population are lacking. This study aims to evaluate the cases of suicide attempt in geriatric patients treated in the intensive care unit(ICU). Patients and Methods: We retrospectively analyzed medical records of geriatric patients admitted to our ICU because of a suicide attempt. We evaluated the age, gender, methods of suicide attempt, Glasgow Coma Scale(GCS), treatments, duration of hospitalization, medical history, and the prognosis of patients admitted to ICU because of a suicide attempt between June 2007 and June 2017. Results: We examined 51 geriatric patients, who were admitted to the ICU. The median age of patients was 66.1310.33(range, 67-76) years. A majority of geriatric patients attempted suicide by drugs, with tricyclic antidepressantsbeing the most common drug. The median ICU stay was 10.4411.8days. The analysis of prognosis revealed that 33 patients were discharged after initial treatment and 18 patients were deceased. Conclusion: An increasing geriatric population is presenting an increase in the incidence rate of geriatric suicide attempts and their subsequent hospitalization in ICUs. While GCS score during admission is a predictor of poor outcome, suicidal attempts by geriatric people are leading to a significant mortality rate.

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Suicide in older adults: differences between the young-old, middle-old, and oldest old

Cited by 73 publications

References 27 publications

Health and Care Related Risk Factors for Suicide Among Nursing Home Residents: A Data Linkage Study

Health and Care Related Risk Factors for Suicide Among Nursing Home Residents: A Data Linkage Study

Gender Difference in General Self-Efficacy among Young-Old Elderly Aged 60–74 in Rural Shandong China: A Cross-Sectional Survey

Evaluation of Geriatric Patients With Suicide Attempts Admitted to the Intensive Care Unit of a Teaching Hospital Center: A Ten-Year Retrospective Review.

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