Suicide rates in five-year age-bands after the age of 60 years: the international landscape<sup>†</sup>

Shah, Ajit; Bhat, Ravi; Zarate-Escudero, Sofia; DeLeo, Diego; Erlangsen, Annette

doi:10.1080/13607863.2015.1055552

Cited by 123 publications

(92 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1 Self-harm may be direct, resulting in immediate pain, injury, or death (eg, overdose) or indirect, which over time may cause harm or death (eg, refusing to eat or drink). 1 Self-harm may be direct, resulting in immediate pain, injury, or death (eg, overdose) or indirect, which over time may cause harm or death (eg, refusing to eat or drink).…”

Section: Introductionmentioning

confidence: 99%

Carer insights into self‐harm in the very old: A qualitative study

Wand

Peisah

Draper

et al. 2019

Int J Geriat Psychiatry

View full text Add to dashboard Cite

Objective To examine the insights of carers to better understand self‐harm in their older relatives. Methods An in‐depth interview was conducted with the nominated relative/friend (carer) of a person over 80 who had self‐harmed within the last month. Carer interpretation and experience of the self‐harm and clinical care were explored qualitatively. Audio recordings were transcribed and the content thematically analyzed using N‐VIVO. Results Thirty‐two carers of 30 older people who self‐harmed were interviewed. Physical, social, and psychological issues were identified as contributory to self‐harm. Themes relating to the perceived barriers to seeking help included “they can't communicate,” “suicide and secrets,” and “invalidation.” Themes for the intent of self‐harm were “attention seeking” and “wanting to die.” Themes which emerged for consequences of self‐harm for carers were “anger,” “guilt and self‐blame,” and “it made us ill.” Themes for solutions to address the underlying factors leading to self‐harm were “more practical support and structure,” “improving communication,” “removing means of self‐harm,” “advance care directives as a solution for suffering,” and “ignoring self‐harm.” Clinical care themes were “shared shame and stigma,” “safety and supervision vs being locked up,” “clinicians dismissing the carer,” and “relief and support.” Conclusions Validation of carer perspectives and understanding family dynamics may improve communication at various system levels and inform interventions for older persons, concurrently support families, and potentially reduce risk of repeat self‐harm. Good care must be holistic, be person‐centred, and relieve carer burden. A shared understanding and psychotherapeutic approaches to management of self‐harm in late life should be considered.

show abstract

Section: Introductionmentioning

confidence: 99%

Carer insights into self‐harm in the very old: A qualitative study

Wand

Peisah

Draper

et al. 2019

Int J Geriat Psychiatry

View full text Add to dashboard Cite

show abstract

“…The proportion of people aged 65 years or older exceeded 7% of the total population in Korea in 2000, reaching 13.1% in 2015, and is expected to reach 40% by 2060. Population aging and the rate of suicide among the elderly population are closely associated, and it is predicted that suicide among the elderly will become an important social issue in the future 3) . Although the rate of suicide has been decreasing since 2010, it was 55.5 suicides/100,000 persons in 2014, and remains high 1) .…”

Section: Introductionmentioning

confidence: 99%

The Characteristics of Elderly Patients With Suicide Attempts: A Comparative Study With Non-elderly Patients

Kim

Jeong

Lee

et al. 2016

Ann Geriatr Med Res

View full text Add to dashboard Cite

Background: Social changes related to the elderly in regard to factors such as population, region, cohabitant status and depression incidence, have recently been observed. The aim of our study was to investigate the characteristics of elderly suicide attempters according to these changes. Methods: We retrospectively reviewed the medical records of suicide attempters who visited an Emergency Department between January 2013 and March 2016. Patients were classified into an elderly or non-elderly group. Data included demographic, socioeconomic, and clinical characteristics. The Risk-Rescue Rating Scale (RRRS) and Suicide Intent Scale (SIS) scores were calculated. Results: Of 340 patients, 78 were elderly. Male sex, lower educational and financial status, chronic disease, and depression were more common in the elderly group, while previous history of suicide attempt was more frequent in the non-elderly group. RRRS was higher in the elderly group, while SIS was not significantly different between the 2 groups. Unlike the non-elderly group, no correlation between suicide lethality and intention was found in the elderly group. Multiple logistic regression analysis identified that chronic disease, depression, unemployment, cohabitation, and high lethality were risk factors of suicidal attempts in the elderly. Similar results were observed in the study classified by suicide method. Conclusion: Chronic disease, depression, unemployment, and lethality were found to be risk factors of suicidal attempts in the elderly. However, unlike previous reports, several risk factors, including male sex, cohabitation, and suicide intention took on a different aspect in our study. The differences in these characteristics can be an important guide aiming to develop specific elderly suicide precautions.

show abstract

“…In the present study, we found that the crude suicide rate between 2007 and 2013 reached its highest level in those aged ≥75 years, with the highest rates in 2013 compared with 2007 (in 2007, the rates were 4.65 per 100 000 in those aged 65–69 years, 4.36 in those aged 70–74 years and 6.68 in those aged ≥75 years; in 2013, these rates were 5.23, 5.37 and 7.91, respectively). Other studies have shown that the suicide rate has increased with the age, reaching its highest rate in those aged 85–90 years …”

Section: Discussionmentioning

confidence: 99%

“…In many societies, the highest rate of completed suicides is among individuals aged ≥70 years. Suicide rates reportedly increase in individuals aged >65 years, and reach the highest rate at 85–90 years . It has also been reported that the causes and methods of suicide differ between younger and older populations .…”

Section: Introductionmentioning

confidence: 99%

Completed suicide rates of older adults in 5‐year age bands in Turkey between 2002 and 2013: A retrospective study

Altınöz

Yenilmez

Öner

et al. 2018

Geriatrics Gerontology Int

View full text Add to dashboard Cite

Aim Studies have shown that the causes and methods of suicides differ among young and old individuals; consequently, it is important to identify the subgroups that are at high risk for suicide to aid in suicide prevention. The present study compared the causes and methods of suicides between 2002 and 2013 among older adults aged 65–69 years, 70–74 years and ≥75 years by completed crude suicide rate and sex. Methods Data detailing sex, the causes and methods of completed suicides in older adults aged 65–69 years, 70–74 years and ≥75 years that occurred between 2002 and 2013 were drawn from the Turkish Statistical Institute. Results In all age groups, crude suicide rates were threefold more frequent among men than among women. In both sexes, the most frequent suicide cause was mental illness. In the group aged 65–69 years, the most common cause of suicide was financial difficulty for men and marital conflict for women. The most frequent suicide method among older adults of both sexes was hanging. In all age groups, firearms use was more common among men and jumping from a high place was more common among women. Conclusion The present findings suggest that the most common suicide cause in both sexes and in all age groups was mental illness in Turkey. To prevent suicidal behavior in older adults,; it is important to diagnose mental disorders, such as mood disorders and substance abuse, and to treat them quickly. Geriatr Gerontol Int 2019; 19: 66–69.

show abstract

Suicide rates in five-year age-bands after the age of 60 years: the international landscape^†

Cited by 123 publications

References 28 publications

Carer insights into self‐harm in the very old: A qualitative study

Carer insights into self‐harm in the very old: A qualitative study

The Characteristics of Elderly Patients With Suicide Attempts: A Comparative Study With Non-elderly Patients

Completed suicide rates of older adults in 5‐year age bands in Turkey between 2002 and 2013: A retrospective study

Contact Info

Product

Resources

About

Suicide rates in five-year age-bands after the age of 60 years: the international landscape†

Cited by 123 publications

References 28 publications

Carer insights into self‐harm in the very old: A qualitative study

Carer insights into self‐harm in the very old: A qualitative study

The Characteristics of Elderly Patients With Suicide Attempts: A Comparative Study With Non-elderly Patients

Completed suicide rates of older adults in 5‐year age bands in Turkey between 2002 and 2013: A retrospective study

Contact Info

Product

Resources

About

Suicide rates in five-year age-bands after the age of 60 years: the international landscape^†